RADY CHILDREN'S HOSPITAL-SAN DIEGO (NPI# 1205963394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205963394 |
| Entity Type | Organization |
| Organization Name | RADY CHILDREN'S HOSPITAL-SAN DIEGO |
| Other Organization Name | RADY NORTH COASTAL FSP |
| Practice Address |
3605 Vista Way Suite 258 Oceanside CA 92056-3619 |
| Mailing Address |
3020 Childrens Way Mc 5018 San Diego CA 92123-4223 |
| Practice Telephone | 7607581480 |
| Practice Fax Number | 7604359472 |
| Mailing Telephone | 8585761700 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2017-07-24 |
| Authorized Official Name | MS. KATHLEEN CAIN (SR VICE PRESIDENT CFO) |
| Authorized Official Telephone | 8585761700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Rady North Coastal FSP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750614764 | Rady Children's Hospital-san Diego | Psychiatric Unit | 3665 Kearny Villa Road, Suite 165, San Diego, CA 92123 | 2009-09-09 |
| 1114054277 | Rady Children's Hospital-san Diego | Psychiatric Unit | 9550 Carmel Mountain Rd, Out Patient Psychiatry, San Diego, CA 92129-2738 | 2007-02-27 |
| 1992881478 | Rady Children's Hospital-san Diego | Home Health | 8291 Aero Pl, Suite 130, San Diego, CA 92123-2040 | 2006-10-27 |
| 1578094025 | Rady Children's Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-03-27 |
| 1669617197 | Rady Children's Hospital-san Diego | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2008-12-12 |
| 1801923941 | Rady Children's Hospital-san Diego | Psychiatric Unit | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6479 | 2007-02-27 |
| 1851428940 | Rady Children's Hospital-san Diego | Psychiatric Unit | 3665 Kearny Villa Rd, Suite 101, San Diego, CA 92123-1953 | 2007-02-27 |
| 1760519854 | Rady Children's Hospital-san Diego | Psychiatric Unit | 3665 Kearny Villa Rd, Suite 165, San Diego, CA 92123-1953 | 2007-02-27 |
| 1114054202 | Rady Children's Hospital-san Diego | Psychiatric Unit | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2007-02-27 |
| 1831226828 | Rady Children's Hospital-san Diego | Psychiatric Unit | 625 W Citracado Pkwy, Out Patient Psychiatry, Escondido, CA 92025-6479 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RADY CHILDREN'S HOSPITAL-SAN DIEGO | 3020 Childrens Way, San Diego, CA 92123-4223 |
| Street Address |
3605 VISTA WAY SUITE 258 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992891030 | Rady Children's Hospital & Health Center | General Acute Care Hospital | 3605 Vista Way, Suite 258, Oceanside, CA 92056-3619 | 2006-10-05 |
| 1841642972 | Emily J Densmore | Counselor | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2016-07-13 |
| 1255702296 | Alejandra Stepensky | Counselor | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2015-10-16 |
| 1013395623 | Brittany Perkins | Student in an Organized Health Care Education/Training Program | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2015-05-14 |
| 1821476516 | Marie Secrist | Counselor | 3605 Vista Way, Suite 258, Oceanside, CA 92056 | 2015-05-13 |
| 1750768115 | Shauntis L Bussey | Student in an Organized Health Care Education/Training Program | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2015-05-05 |
| 1699168872 | Kristy Randall | Counselor | 3605 Vista Way, Suite 258, Oceanside, CA 92056 | 2015-03-11 |
| 1104238112 | Kathryn Ward | Student in an Organized Health Care Education/Training Program | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2014-05-24 |
| 1871933879 | Rachel Elissa Lipman | Registered Nurse | 3605 Vista Way, Oceanside, CA 92056-4565 | 2013-07-05 |
| 1043654056 | Stephanie Chiquillo Kaiser | Marriage & Family Therapist | 3605 Vista Way, Ste 258, Oceanside, CA 92056-4565 | 2013-04-21 |
| Find all providers in the same location | ||||
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457569402 | Rady Children's Hospital San Diego | Psychiatric Unit | 4120 Waring Rd, Oceanside, CA 92056-4404 | 2007-05-21 |
| 1306392402 | Tri City Hospital | Psychiatric Unit | 4002 Vista Way, Oceanside, CA 92056-4506 | 2016-08-29 |
| 1477837680 | Rady Children's Hospital | Psychiatric Unit | 3605 Vista Way, Oceanside, CA 92056-4565 | 2011-10-06 |
| 1114054202 | Rady Children's Hospital-san Diego | Psychiatric Unit | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2007-02-27 |
| 1679609127 | Rady Children's Hospital-san Diego | Psychiatric Unit | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2007-02-26 |
| 1770558710 | Tri-city Hospital | Psychiatric Unit | 4002 Vista Way, Oceanside, CA 92056-4506 | 2006-02-22 |
| 1811968993 | South Nassau Communities Hospital | Psychiatric Unit | 1 Healthy Way, Oceanside, NY 11572-1551 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807643 | Pacific Health Group Inc. | Psychiatric Unit | 9120 Woodman Ave, Arleta, CA 91331-6405 | 2020-06-26 |
| 1720627979 | Ernest Markovich | Psychiatric Unit | 3235 N Hartman St, Orange, CA 92865-1216 | 2020-01-04 |
| 1316416670 | Psychiatric Excellence | Psychiatric Unit | 388 Market St Ste 1300, San Francisco, CA 94111-5316 | 2018-11-16 |
| 1982192514 | Veronica E Martinez | Psychiatric Unit | 9481 Hanford St, Ventura, CA 93004-0704 | 2018-04-30 |
| 1679008817 | Ucla Semel Institute | Psychiatric Unit | 615 6th St, Davis, CA 95616-3807 | 2017-04-25 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1871045385 | Molina Psychological Consultants | Psychiatric Unit | 18 Monrovia, Irvine, CA 92602-0925 | 2016-10-31 |
| 1457808073 | Susan Mora | Psychiatric Unit | 1239 Powell St, Apt 2, San Francisco, CA 94133-4874 | 2016-09-01 |
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1477931673 | Nigthingale Nurses | Psychiatric Unit | 350 N Magnolia St, Woodlake, CA 93286-1320 | 2015-05-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RADY CHILDREN'S HOSPITAL-SAN DIEGO.
| 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.