RADY CHILDREN'S HOSPITAL - SAN DIEGO (NPI# 1720393176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720393176 |
| Entity Type | Organization |
| Organization Name | RADY CHILDREN'S HOSPITAL - SAN DIEGO |
| Other Organization Name | KIDSTART NORTH COASTAL |
| Practice Address |
2204 El Camino Real Suite 102 Oceanside CA 92054 |
| Mailing Address |
3020 Childrens Way Mc 6001 San Diego CA 92123-4223 |
| Practice Telephone | 7609677082 |
| Practice Fax Number | 7609677082 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | MR. CHARLES WILSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8585761700 |
| Authorized Official Credential | MSSW |
| Is Organization Subpart | Y |
| Parent Organization Name | RADY CHILDREN'S HOSPITAL - SAN DIEGO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
080000028 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| KidSTART North Coastal | Other Name - Individual/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 |
| 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 |
| 1154613818 | Rady Children's Hospital - San Diego | Psychologist | 3601 Vista Way, Suite 201, Oceanside, CA 92056-4559 | 2011-05-12 |
| 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 |
2204 EL CAMINO REAL SUITE 102 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093025579 | Carolyn Josephine Sidhu | Marriage & Family Therapist | 2204 El Camino Real, Suite 310, Oceanside, CA 92054 | 2010-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| 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 |
| 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.