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).
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 |
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 Name | Type Code |
---|---|
Rady Childrens Health Services | Doing Business As Name - Organization |
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 |
Street Address |
3665 KEARNY VILLA RD STE 440 |
City | SAN DIEGO |
State | CA |
Zip Code | 92123-1953 |
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 |
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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
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). |
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 |
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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.