RADY CHILDRENS HOSPITAL-SAN DIEGO


Address: 3665 Kearny Villa Rd Ste 440, San Diego, CA 92123-1953
Phone: 8589661700

RADY CHILDRENS HOSPITAL-SAN DIEGO (NPI# 1962806166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962806166
Entity Type Organization
Organization Name RADY CHILDRENS HOSPITAL-SAN DIEGO
Other Organization Name RADY CHILDRENS HEALTH SERVICES
Practice Address 3665 Kearny Villa Rd Ste 440
San Diego
CA 92123-1953
Mailing Address 3020 Childrens Way
Mail Code 5002
San Diego
CA 92123-4223
Practice Telephone 8589661700
Mailing Telephone 8589661700
Enumeration Date 2014-10-17
Last Update Date 2014-10-23
Authorized Official Name MR. ROGER G ROUX (SR. VP/CFO)
Authorized Official Telephone 8589665824
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities
N 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities
N 261QH0700X Clinic/Center
Specialization: Hearing and Speech
Ambulatory Health Care Facilities
N 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Rady Childrens Health Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083152748 Rady Childrens Hospital-san Diego Psychiatric Unit 4305 University Avenue, Suite 150, San Diego, CA 92105 2017-02-02
1508261736 Rady Childrens Hospital-san Diego Durable Medical Equipment & Medical Supplies 3665 Kearny Villa Rd Ste 440, San Diego, CA 92123-1953 2014-10-30

Office Location

Street Address 3665 KEARNY VILLA RD STE 440
City SAN DIEGO
State CA
Zip Code 92123-1953

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508261736 Rady Childrens Hospital-san Diego Durable Medical Equipment & Medical Supplies 3665 Kearny Villa Rd Ste 440, San Diego, CA 92123-1953 2014-10-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
Find all providers in zip 92123

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730799115 Mark Mashike Chiropractic Clinic/Center 12750 Carmel Country Rd Ste A111, San Diego, CA 92130-2159 2020-07-31
1326507591 Shea Family Chiropractic Apc Clinic/Center 11770 Bernardo Plaza Ct Ste 351, San Diego, CA 92128-2426 2019-03-18
1205392172 Bay Park Acupuncture, Inc. Clinic/Center 5080 Camino Del Arroyo, Ste. 129, San Diego, CA 92108-4100 2019-02-15
1922597624 Hospital Cemesa Roatan Inc Clinic/Center 4025 Camino Del Rio S Ste 341, San Diego, CA 92108-4107 2018-05-08
1558876813 South America Medical Network Inc Clinic/Center 4025 Camino Del Rio S Ste 330, San Diego, CA 92108-4107 2017-12-08
1871023515 Abi P&o Inc Clinic/Center 6190 Fairmount Ave Ste A, San Diego, CA 92120-3428 2017-06-15
1548705908 Free Flow Health Acupuncture Clinic/Center 4002 Park Blvd. Ste.e, San Diego, CA 92103 2016-12-21
1912452087 Oria Health and Wellness Clinic/Center 16150 Big Springs Way, San Diego, CA 92127-2024 2016-08-18
1053707208 Connecticut General Life Insurance Company Clinic/Center 8620 Spectrum Center Blvd, San Diego, CA 92123-1406 2015-04-14
1487042198 Mina Habibian Dmd Phd Dental Corporation Clinic/Center 11385 Poway Rd Ste 103, San Diego, CA 92128-5600 2015-01-04
Find all providers in SAN DIEGO

Competitor

Search similar providers

City SAN DIEGO
Zip Code 92123

Improve Information

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Dataset Information

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.

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