RADY CHILDREN'S HOSPITAL (NPI# 1508172669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508172669 |
| Entity Type | Organization |
| Organization Name | RADY CHILDREN'S HOSPITAL |
| Practice Address |
3665 Kearny Villa Rd Ste 501 San Diego CA 92123-1953 |
| Practice Telephone | 4068681792 |
| Mailing Telephone | 4068681792 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |
| Authorized Official Name | DR. IBY KANTOR (DIRECTOR OF CHADWICK CENTER) |
| Authorized Official Telephone | 8589665803 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629219845 | Rady Children's Hospital | Psychologist | 3020 Childrens Way # Mc5081, San Diego, CA 92123-4223 | 2009-03-18 |
| 1316183999 | Rady Children's Hospital | Clinic/Center | 200 W Arbor Dr # Mc8450, San Diego, CA 92103-9001 | 2009-01-01 |
| 1366658239 | Rady Children's Hospital | Medicare Defined Swing Bed Unit | 4690 Coconino Way, San Diego, CA 92117-2612 | 2007-05-15 |
| 1003184862 | Rady Children's Hospital | General Acute Care Hospital | 3020 Children's Way, San Diego, CA 92123 | 2011-12-08 |
| 1477837680 | Rady Children's Hospital | Psychiatric Unit | 3605 Vista Way, Oceanside, CA 92056-4565 | 2011-10-06 |
| 1659562429 | Rady Children's Hospital | Speech-Language Pathologist | 3020 Childrens Way, Mc 5010, San Diego, CA 92123-4223 | 2007-08-07 |
| 1548478597 | Rady Children's Hospital | Psychiatric Unit | 9400 Ruffin Ct, Building B, San Diego, CA 92123-5300 | 2007-05-21 |
| 1033235718 | Rady Children's Hospital | Social Worker | 3020 Childrens Way, Mc 5014, San Diego, CA 92123-4223 | 2007-03-22 |
| 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 |
3665 KEARNY VILLA RD STE 501 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609884907 | Suzanne P. Starling | Pediatrics | 3665 Kearny Villa Rd Ste 501, San Diego, CA 92123-1953 | 2006-08-03 |
| 1013278704 | Nicole Mae Ketring Ayson | Pediatrics | 3665 Kearny Villa Rd Ste 501, San Diego, CA 92123-1953 | 2012-05-30 |
| 1255592465 | Shalon M. Nienow | Pediatrics | 3665 Kearny Villa Rd Ste 501, San Diego, CA 92123 | 2008-06-19 |
| 1558408559 | Premi Thomas Suresh | Pediatrics | 3665 Kearny Villa Rd Ste 501, San Diego, CA 92123-1953 | 2007-01-30 |
| 1932270691 | Cynthia Louise Kuelbs | Pediatrics | 3665 Kearny Villa Rd Ste 501, San Diego, CA 92123-1953 | 2006-11-13 |
| 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 | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184150971 | The Pink Icing On The Cake | Special Hospital | 7610 Hazard Center Dr, Ste. 702, San Diego, CA 92108-4529 | 2017-05-11 |
| 1790223212 | Kaiser | Special Hospital | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2017-02-03 |
| 1659589604 | Rady C Hildren's Hospital | Special Hospital | 3020 Childrens Way, San Diego, CA 92123-4223 | 2007-05-21 |
| 1326167651 | Dr. Gary Nobel | Special Hospital | 3023 Bunker Hill St, S103, San Diego, CA 92109-5706 | 2007-03-28 |
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| 1053857706 | 5 Direction Integrative Veterinary Care | Special Hospital | 32 Ulloa St, San Francisco, CA 94127-1218 | 2017-01-18 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1821458662 | Poodles Inc | Special Hospital | 1333 9th Ave, San Francisco, CA 94122-2308 | 2016-03-04 |
| 1588023824 | Sue K Morizi | Special Hospital | 7527 Draper Ave, La Jolla, CA 92037-4802 | 2016-02-15 |
| 1831561307 | Willow Buckley | Special Hospital | 1840 Gatepost Rd, Encinitas, CA 92024-3021 | 2015-10-23 |
| 1063893741 | Patricia Piper | Special Hospital | 6422 Old Redwood Hwy, Santa Rosa, CA 95403-1158 | 2015-06-17 |
| 1225416365 | Kristen Yee Md PC | Special Hospital | 1111 Sonoma Ave Ste 112, Santa Rosa, CA 95405-4813 | 2015-05-08 |
| 1326438813 | Amalia Zacher | Special Hospital | 7160 Santa Teresa Blvd, San Jose, CA 95139-1349 | 2015-02-04 |
| 1962800870 | June K Chang | Special Hospital | 4000 W Riverside Dr, B, Burbank, CA 91505-4328 | 2014-12-09 |
| 1174921092 | Hired Power Transitional Living Center LLC | Special Hospital | 21062 Brookhurst St Ste 201, Huntington Beach, CA 92646-7404 | 2014-12-09 |
| 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.