OrganizationActive
Rooted Life
NPI 1679357685 · Community/Behavioral Health Agency · San Diego, CA
Rooted Life is a Community/Behavioral Health Agency organization in San Diego, CA (NPI 1679357685).
Provider details
- NPI number
- 1679357685
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tracey Wilson, Chief Executive Officer(619) 357-6472
Specialties & taxonomies
Agencies
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
6315 Connie Dr
San Diego, CA 92115-2521
Phone: (619) 915-4186
Fax: (619) 810-9201
Street-level locationGet directions
Mailing address
864 Grand Ave # 802
San Diego, CA 92109-3906
Registry dates
- Enumerated
- 2023-08-21
- Last updated
- 2024-08-06
- Certified
- 2024-08-06
Frequently asked questions
- What is Rooted Life's NPI number?
- Rooted Life's National Provider Identifier (NPI) is 1679357685, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rooted Life?
- Rooted Life is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Rooted Life located?
- Rooted Life's practice location on file with NPPES is 6315 Connie Dr, San Diego, CA 92115-2521.
- What is Rooted Life's phone number?
- The practice phone number listed in the NPPES registry for Rooted Life is (619) 915-4186.
- Who is the authorized official for Rooted Life?
- The authorized official listed on Rooted Life's NPPES record is Tracey Wilson, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rooted Life's NPI active?
- Yes — Rooted Life's NPI (1679357685) is active in the NPPES registry as of the last update on 2024-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.