RADY CHILDREN'S HOSPITAL SAN DIEGO (NPI# 1174907216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174907216 |
| Entity Type | Organization |
| Organization Name | RADY CHILDREN'S HOSPITAL SAN DIEGO |
| Practice Address |
3020 Childrens Way # Mc5068 San Diego CA 92123-4223 |
| Practice Telephone | 8589665829 |
| Practice Fax Number | 8589665859 |
| Mailing Telephone | 8589665829 |
| Mailing Fax Number | 8589665859 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |
| Authorized Official Name | ALEXA KRATZE (DEVELOPMENTAL SERIVES DIRECTOR) |
| Authorized Official Telephone | 8589665829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283XC2000X |
Rehabilitation Hospital Specialization: Children |
OT15043 | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457569402 | Rady Children's Hospital San Diego | Psychiatric Unit | 4120 Waring Rd, Oceanside, CA 92056-4404 | 2007-05-21 |
| 1467669358 | Rady Children's Hospital San Diego | Psychiatric Unit | 667 San Rodolfo Dr, Suite 126, Solana Beach, CA 92075-2048 | 2007-05-17 |
| 1932632031 | Rady Children's Hospital San Diego | General Acute Care Hospital | 333 H St, 3010, Chula Vista, CA 91910-5555 | 2017-04-05 |
| 1184008229 | Rady Children's Hospital San Diego | Rehabilitation Hospital | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2015-07-18 |
| 1104205335 | Rady Children's Hospital San Diego | General Acute Care Hospital | 625 Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2015-05-20 |
| 1972871788 | Rady Children's Hospital San Diego | General Acute Care Hospital | 3020 Childrens Way, San Diego, CA 92123-4223 | 2011-12-07 |
| 1992995922 | Rady Children's Hospital San Diego | Audiologist | 3020 Childrens Way, Mc 5010, San Diego, CA 92123-4223 | 2007-07-26 |
| 1750458485 | Rady Children's Hospital San Diego | Psychologist | 8010 Frost St., Ste 200, San Diego, CA 92123 | 2006-11-29 |
| Street Address |
3020 CHILDRENS WAY # MC5068 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235288945 | Karla Jo Grassman-proksch | Physical Therapist | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2007-01-10 |
| 1356955835 | Emily Marie Maxwell | Physical Therapist | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2020-09-02 |
| 1205469632 | Ashley Nicole Yock | Occupational Therapist | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2020-02-13 |
| 1679113625 | Christina Marie Azar | Occupational Therapist | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2020-01-07 |
| 1487203568 | Karly Anne Terrell | Speech-Language Pathologist | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2019-09-10 |
| 1518512466 | Alison Kullback | Occupational Therapist | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2019-08-07 |
| 1083273361 | Maranda Smith | Physical Therapist | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2019-06-10 |
| 1558924217 | Nicole Moncada Tanaka | Physical Therapist | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2019-04-18 |
| 1093278228 | Mandy Elizabeth Duman | Physical Therapist | 3020 Childrens Way # Mc5068, San Diego, CA 92123 | 2019-04-14 |
| 1376000752 | Jennifer Bolay Honda | Occupational Therapist | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2019-02-21 |
| Find all providers in the same location | ||||
| 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 Code | 283XC2000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184008229 | Rady Children's Hospital San Diego | Rehabilitation Hospital | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2015-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982990529 | Supplemental Health Care | Rehabilitation Hospital | 330 Golden Shore, Suite 250, Long Beach, CA 90802 | 2011-06-22 |
| 1942335914 | Children's Recovery Center, I LLC | Rehabilitation Hospital | 3777 S. Bascom Ave, Campbell, CA 95008 | 2007-02-22 |
| 1174983811 | Vivian Yip | Rehabilitation Hospital | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2016-02-23 |
| 1093920993 | Children's Hospital Los Angeles | Rehabilitation Hospital | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2007-05-14 |
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.