RADY CHILDREN'S HOSPITAL - SAN DIEGO (NPI# 1154613818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154613818 |
Entity Type | Organization |
Organization Name | RADY CHILDREN'S HOSPITAL - SAN DIEGO |
Other Organization Name | DEVELOPMENTAL EVALUATION CLINIC |
Practice Address |
3601 Vista Way Suite 201 Oceanside CA 92056-4559 |
Mailing Address |
3020 Childrens Way Mc 5023 San Diego CA 92123-4223 |
Practice Telephone | 8589661700 |
Practice Fax Number | 8589667803 |
Mailing Telephone | 8589665990 |
Mailing Fax Number | 8589667803 |
Enumeration Date | 2011-05-12 |
Last Update Date | 2017-04-04 |
Authorized Official Name | KATHELEEN CAIN (SR. VICE PRESIDENT/CHIEF FINANCIAL) |
Authorized Official Telephone | 8589661700 |
Is Organization Subpart | Y |
Parent Organization Name | RADY CHILDREN'S HOSPITAL-SAN DIEGO |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 282N00000X | General Acute Care Hospital | 080000028 | CA | Hospitals |
Y | 282N00000X | General Acute Care Hospital | Hospitals |
Other Name | Type Code |
---|---|
Developmental Evaluation Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245858992 | Rady Children's Hospital - San Diego | Occupational Therapist | 25170 Hancock Ave Ste 175, Murrieta, CA 92562-5969 | 2020-07-09 |
1649563065 | Rady Children's Hospital - San Diego | Psychologist | 11752 El Camino Real, Suite 100, San Diego, CA 92130-2050 | 2011-05-18 |
1720393176 | Rady Children's Hospital - San Diego | General Acute Care Hospital | 2204 El Camino Real, Suite 102, Oceanside, CA 92054 | 2010-08-10 |
1114091055 | Rady Children's Hospital - San Diego | Skilled Nursing Facility | 3020 Childrens Way # Mc5019, San Diego, CA 92123-4223 | 2006-11-20 |
1780756411 | Rady Children's Hospital - San Diego | Nursing Facility/Intermediate Care Facility | 3453 Aveley Pl, San Diego, CA 92111-4727 | 2006-11-15 |
1053674564 | Rady Children's Hospital - San Diego | Psychiatric Unit | 3020 Childrens Way, San Diego, CA 92123-4223 | 2012-06-19 |
1639449994 | Rady Children's Hospital - San Diego | General Acute Care Hospital | 3665 Kearny Villa Rd, Suite 405, San Diego, CA 92123-1953 | 2012-01-04 |
1457666802 | Rady Children's Hospital - San Diego | General Acute Care Hospital | 333 H St, Suite 3010, Chula Vista, CA 91910-5555 | 2010-08-10 |
1699080051 | Rady Children's Hospital - San Diego | General Acute Care Hospital | 3665 Kearny Villa Rd, Suite 500, San Diego, CA 92123-1953 | 2010-08-10 |
1639387681 | Rady Children's Hospital - San Diego | Psychiatric Unit | 3665 Kearny Villa Rd, Suite 440, San Diego, CA 92123-1953 | 2007-05-21 |
Street Address |
3601 VISTA WAY SUITE 201 |
City | OCEANSIDE |
State | CA |
Zip Code | 92056-4559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114904422 | Andres Zimmermann | Internal Medicine | 3601 Vista Way, Suite 201, Oceanside, CA 92056-4559 | 2005-12-28 |
1689961120 | Ki Wan Kim | Dentist | 3601 Vista Way, Suite #202, Oceanside, CA 92056-4559 | 2011-07-05 |
1982856290 | Michelle Gonzales Md PC | Family Medicine | 3601 Vista Way, Suite 201, Oceanside, CA 92056-4559 | 2008-10-17 |
1528120748 | Wilson Liu | Family Medicine | 3601 Vista Way, Suite 201, Oceanside, CA 92056-4559 | 2006-12-14 |
1821173022 | Chad Burgess | Dentist | 3601 Vista Way, Suite 202, Oceanside, CA 92056-4559 | 2006-10-26 |
1073539136 | Michelle Gonzales | Family Medicine | 3601 Vista Way, Suite 201, Oceanside, CA 92056-4559 | 2006-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
Find all providers in zip 92056 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376909937 | South Nassau Communities Hospital | General Acute Care Hospital | 196 Merrick Rd, Oceanside, NY 11572-1420 | 2016-01-12 |
1225381700 | Navjot Kaur | General Acute Care Hospital | 1 Healthy Way, Oceanside, NY 11572 | 2012-10-20 |
1801861190 | Tri-city Hospital | General Acute Care Hospital | 4002 Vista Way, Oceanside, CA 92056-4506 | 2006-02-21 |
1922079094 | South Nassau Communities Hospital | General Acute Care Hospital | 1 Healthy Way, Oceanside, NY 11572-1551 | 2006-01-27 |
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1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
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.