RADY CHILDREN'S HOSPITAL SAN DIEGO (NPI# 1750458485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750458485 |
| Entity Type | Organization |
| Organization Name | RADY CHILDREN'S HOSPITAL SAN DIEGO |
| Other Organization Name | DEVELOPMENTAL EVALUATION CLINCI |
| Practice Address |
8010 Frost St. Ste 200 San Diego CA 92123 |
| Mailing Address |
3020 Childrens Way Mc5023 San Diego CA 92123-4223 |
| Practice Telephone | 8589665817 |
| Practice Fax Number | 8589668528 |
| Mailing Telephone | 8589665817 |
| Mailing Fax Number | 8589668528 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-06-03 |
| Authorized Official Name | DR. JEFFERY R. OLSON (SUPERVISOR DEV SRVS OPERATIONS) |
| Authorized Official Telephone | 8589665416 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 282NC2000X |
General Acute Care Hospital Specialization: Children |
PSY11584 | CA | Hospitals |
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
080000028 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| Developmental Evaluation Clinci | Other Name - Individual/Organization |
| 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 |
| 1174907216 | 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 |
| Street Address |
8010 FROST ST. STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790766038 | Adamson and Dembitsky Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8010 Frost St., Ste. 408, San Diego, CA 92123 | 2005-11-11 |
| 1730247974 | Jonathan D Bui | Psychiatry & Neurology | 8010 Frost St., Ste 510, San Diego, CA 92123-4284 | 2006-12-04 |
| 1184791550 | Shereen Binno Attisha | Obstetrics & Gynecology | 8010 Frost St., #301, San Diego, CA 92123 | 2006-11-29 |
| 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 | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255717377 | Ucsd Department of Pediatrics | General Acute Care Hospital | 7910 Forst St, Suite 100, San Diego, CA 92123 | 2015-07-31 |
| 1720316532 | Jacobi Medical Center | General Acute Care Hospital | 6861 Potomac Street, 57, San Diego, CA 92139 | 2009-12-07 |
| 1760575963 | Rady Children's Outpatient Psychiatry | General Acute Care Hospital | 3559 Indiana St Apt 8, San Diego, CA 92103-5244 | 2006-10-02 |
| 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 |
| 1003184862 | Rady Children's Hospital | General Acute Care Hospital | 3020 Children's Way, San Diego, CA 92123 | 2011-12-08 |
| 1972871788 | Rady Children's Hospital San Diego | General Acute Care Hospital | 3020 Childrens Way, San Diego, CA 92123-4223 | 2011-12-07 |
| 1518235720 | Rady Children Hospital and Health Center | General Acute Care Hospital | 3020 Childrens Way, 5081, San Diego, CA 92123-4223 | 2011-12-02 |
| 1306131826 | Ucsd Emergency Medicine | General Acute Care Hospital | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2011-06-13 |
| 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 |
| 1679701635 | Rady Children's Hospital/chidren's San Diego | General Acute Care Hospital | 3020 Childrens Way, Mc 5075, San Diego, CA 92123-4223 | 2009-06-30 |
| Find all providers in SAN DIEGO | ||||
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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.