RADY CHILDREN'S HOSPITAL SAN DIEGO (NPI# 1104205335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104205335 |
| Entity Type | Organization |
| Organization Name | RADY CHILDREN'S HOSPITAL SAN DIEGO |
| Practice Address |
625 Citracado Pkwy Suite 102 Escondido CA 92025-6428 |
| Practice Telephone | 7602949270 |
| Mailing Telephone | 7602949270 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | MS. MONA ELAINE HOGAN (INTERN) |
| Authorized Official Telephone | 7604431416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457569402 | Rady Children's Hospital San Diego | Psychiatric Unit | 4120 Waring Rd, Oceanside, CA 92056-4404 | 2007-05-21 |
| 1467669358 | Rady Children's Hospital San Diego | Psychiatric Unit | 667 San Rodolfo Dr, Suite 126, Solana Beach, CA 92075-2048 | 2007-05-17 |
| 1932632031 | Rady Children's Hospital San Diego | General Acute Care Hospital | 333 H St, 3010, Chula Vista, CA 91910-5555 | 2017-04-05 |
| 1184008229 | Rady Children's Hospital San Diego | Rehabilitation Hospital | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2015-07-18 |
| 1174907216 | Rady Children's Hospital San Diego | Rehabilitation Hospital | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2015-07-18 |
| 1972871788 | Rady Children's Hospital San Diego | General Acute Care Hospital | 3020 Childrens Way, San Diego, CA 92123-4223 | 2011-12-07 |
| 1992995922 | Rady Children's Hospital San Diego | Audiologist | 3020 Childrens Way, Mc 5010, San Diego, CA 92123-4223 | 2007-07-26 |
| 1750458485 | Rady Children's Hospital San Diego | Psychologist | 8010 Frost St., Ste 200, San Diego, CA 92123 | 2006-11-29 |
| Street Address |
625 CITRACADO PKWY SUITE 102 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891742847 | Michael A Kosmo | Internal Medicine | 625 Citracado Pkwy, #110, Escondido, CA 92025-6428 | 2006-05-27 |
| 1528682507 | Becky Marquez | Student in an Organized Health Care Education/Training Program | 625 Citracado Pkwy, Escondido, CA 92025-6428 | 2020-06-04 |
| 1245762319 | Caitlyn Bottom | Marriage & Family Therapist | 625 Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2017-03-29 |
| 1487108528 | Lisa Marie Oakes | Reflexologist | 625 Citracado Pkwy, Escondido, CA 92025-6428 | 2016-08-05 |
| 1245698331 | Behavioral Crisis Center-matni | Psychiatric Unit | 625 Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2016-02-03 |
| 1588033914 | Dietonix | Internal Medicine | 625 Citracado Pkwy, Suite 104, Escondido, CA 92025-6428 | 2015-09-16 |
| 1063880722 | Kathryn Marie Shafer | Marriage & Family Therapist | 625 Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2015-09-10 |
| 1710369202 | Ana Gabriela Angulo | Student in an Organized Health Care Education/Training Program | 625 Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2015-06-22 |
| 1578955936 | Rachel Paul | Counselor | 625 Citracado Pkwy, Escondido, CA 92025-6428 | 2015-02-23 |
| 1669897195 | Shaina Nukho | Marriage & Family Therapist | 625 Citracado Pkwy, Escondido, CA 92025-6428 | 2014-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174061279 | Promoj,inc | General Acute Care Hospital | 1254 W 8th St Apt 2, San Pedro, CA 90731-2944 | 2017-02-09 |
| 1699223628 | Ucsf Children's Hospital | General Acute Care Hospital | 568 Louis Dr, Novato, CA 94945-3337 | 2016-09-19 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1255717377 | Ucsd Department of Pediatrics | General Acute Care Hospital | 7910 Forst St, Suite 100, San Diego, CA 92123 | 2015-07-31 |
| 1285012690 | Ucsf Pediatric Rheumatology Department | General Acute Care Hospital | 755 Ohlone Ave Apt 788, Albany, CA 94706-1967 | 2015-05-18 |
| 1942691506 | Sudhir Patel Md,. Inc. | General Acute Care Hospital | 12004 Hurst Park Dr, Bakersfield, CA 93311-8572 | 2015-02-17 |
| 1528468287 | Rite Aid | General Acute Care Hospital | 294 W Palo Alto Ave, Clovis, CA 93612-0285 | 2014-09-01 |
| 1942618046 | Christine Van Woudenberg | General Acute Care Hospital | 4602 W Wren Ave, Visalia, CA 93291-9381 | 2014-08-01 |
| 1366866345 | Loma Linda University Children's Hospital | General Acute Care Hospital | 11234 Anderson St Rm 1150, Loma Linda, CA 92354-2804 | 2014-02-11 |
| 1629490057 | Anita Marzonie | General Acute Care Hospital | 4650 W Sunset Blvd # Ms 36, Los Angeles, CA 90027-6062 | 2014-01-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.