RADY CHILDREN'S HOSPITAL-SAN DIEGO (NPI# 1831226828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831226828 |
| Entity Type | Organization |
| Organization Name | RADY CHILDREN'S HOSPITAL-SAN DIEGO |
| Practice Address |
625 W Citracado Pkwy Out Patient Psychiatry Escondido CA 92025-6479 |
| Mailing Address |
3020 Childrens Way Mc 5018 San Diego CA 92123-4223 |
| Practice Telephone | 8584879050 |
| Practice Fax Number | 8584518453 |
| Mailing Telephone | 8585761700 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROGER G ROUX (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 |
| 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 |
| 1205963394 | Rady Children's Hospital-san Diego | Psychiatric Unit | 3605 Vista Way, Suite 258, Oceanside, CA 92056-3619 | 2007-02-27 |
| 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 |
| 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 |
625 W CITRACADO PKWY OUT PATIENT PSYCHIATRY |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-6479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275593154 | Anatoly J Bulkin | Surgery | 625 W Citracado Pkwy, Suite 203, Escondido, CA 92025-6428 | 2006-03-24 |
| 1285948141 | Theresa Elena Meza | Counselor | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2010-08-03 |
| 1376773648 | Nicole Bishop | Social Worker | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2009-07-21 |
| 1053541763 | Cheryl Estiva | Dentist | 625 W Citracado Pkwy, Suite #208, Escondido, CA 92025-6428 | 2009-07-16 |
| 1568696318 | Jennifer Fisher | Counselor | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2009-05-08 |
| 1396998092 | Tahir R Paul Dental Corp | Dentist | 625 W Citracado Pkwy, Suite 208, Escondido, CA 92025-6428 | 2008-10-28 |
| 1922262849 | Theresa Marie Viglizzo | Rehabilitation Practitioner | 625 W Citracado Pkwy, 102, Escondido, CA 92025-6428 | 2008-07-10 |
| 1477715217 | Annie Patrice Burke-doe | Physical Therapist | 625 W Citracado Pkwy, Suite 102, Physical Therapy Department, Escondido, CA 92025-6428 | 2008-07-01 |
| 1003095589 | Rady Children's Outpatient Psychiatry | Psychiatric Hospital | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2007-10-31 |
| 1790971158 | Christin Lytle | Rehabilitation Practitioner | 625 W Citracado Pkwy, Escondido, CA 92025-6428 | 2007-09-19 |
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| 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 | 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 |
|---|---|---|---|---|
| 1245698331 | Behavioral Crisis Center-matni | Psychiatric Unit | 625 Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2016-02-03 |
| 1801923941 | Rady Children's Hospital-san Diego | Psychiatric Unit | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6479 | 2007-02-27 |
| 1063482412 | Palomar Health | Psychiatric Unit | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2006-01-26 |
| 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 |
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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.