Local 92109 LLC
NPI 1639677768 · Substance Use Disorder Rehabilitation Clinic/Center · San Diego, CA
Local 92109 LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in San Diego, CA (NPI 1639677768).
Provider details
- NPI number
- 1639677768
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Tamai, Executive Assistant(619) 206-0081
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Boardwalk Recovery Center
- Doing business as
- Boardwalk Recovery Center
Registry dates
- Enumerated
- 2018-01-23
- Last updated
- 2018-08-15
Frequently asked questions
- What is Local 92109 LLC's NPI number?
- Local 92109 LLC's National Provider Identifier (NPI) is 1639677768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Local 92109 LLC?
- Local 92109 LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Local 92109 LLC located?
- Local 92109 LLC's practice location on file with NPPES is 1940 Garnet Ave Ste 120, San Diego, CA 92109.
- What is Local 92109 LLC's phone number?
- The practice phone number listed in the NPPES registry for Local 92109 LLC is (619) 206-0081.
- Who is the authorized official for Local 92109 LLC?
- The authorized official listed on Local 92109 LLC's NPPES record is Amanda Tamai, Executive Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Local 92109 LLC's NPI active?
- Yes — Local 92109 LLC's NPI (1639677768) is active in the NPPES registry as of the last update on 2018-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.