RADY CHILDREN'S HOSPITAL-SAN DIEGO (NPI# 1992881478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992881478 |
| Entity Type | Organization |
| Organization Name | RADY CHILDREN'S HOSPITAL-SAN DIEGO |
| Other Organization Name | RADY CHILDREN'S HOMECARE |
| Practice Address |
8291 Aero Pl Suite 130 San Diego CA 92123-2040 |
| Mailing Address |
3020 Childrens Way Mc 5036 San Diego CA 92123-4223 |
| Practice Telephone | 8589664941 |
| Practice Fax Number | 8589668996 |
| Mailing Telephone | 8589664941 |
| Mailing Fax Number | 8589668996 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-10-07 |
| Authorized Official Name | ROGER ROUX (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8585761700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 080000415 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD HHA DME | ZZZ00279Z | 01 |
| CA | HHAO7875F | 05 | |
| CA | BLUE SHIELD HHA | ZZZ24987Z | 01 |
| Other Name | Type Code |
|---|---|
| Rady Children's HomeCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750614764 | Rady Children's Hospital-san Diego | Psychiatric Unit | 3665 Kearny Villa Road, Suite 165, San Diego, CA 92123 | 2009-09-09 |
| 1114054277 | Rady Children's Hospital-san Diego | Psychiatric Unit | 9550 Carmel Mountain Rd, Out Patient Psychiatry, San Diego, CA 92129-2738 | 2007-02-27 |
| 1578094025 | Rady Children's Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-03-27 |
| 1669617197 | Rady Children's Hospital-san Diego | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2008-12-12 |
| 1205963394 | Rady Children's Hospital-san Diego | Psychiatric Unit | 3605 Vista Way, Suite 258, Oceanside, CA 92056-3619 | 2007-02-27 |
| 1801923941 | Rady Children's Hospital-san Diego | Psychiatric Unit | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6479 | 2007-02-27 |
| 1851428940 | Rady Children's Hospital-san Diego | Psychiatric Unit | 3665 Kearny Villa Rd, Suite 101, San Diego, CA 92123-1953 | 2007-02-27 |
| 1760519854 | Rady Children's Hospital-san Diego | Psychiatric Unit | 3665 Kearny Villa Rd, Suite 165, San Diego, CA 92123-1953 | 2007-02-27 |
| 1114054202 | Rady Children's Hospital-san Diego | Psychiatric Unit | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2007-02-27 |
| 1831226828 | Rady Children's Hospital-san Diego | Psychiatric Unit | 625 W Citracado Pkwy, Out Patient Psychiatry, Escondido, CA 92025-6479 | 2007-02-27 |
| 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 |
8291 AERO PL SUITE 130 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699853713 | Rady Children's Health Services-san Diego | Pharmacy | 8291 Aero Pl, Suite 130, San Diego, CA 92123-2040 | 2006-11-02 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887272 | Astur Health Care LLC | Home Health | 2667 Camino Del Rio S Ste 208-1, San Diego, CA 92108-3707 | 2020-10-07 |
| 1730795600 | Triage Healthcare Inc | Home Health | 2014 30th St, Suite 201, San Diego, CA 92104-5502 | 2020-09-16 |
| 1306456165 | Bama Street Investments LLC | Home Health | 3130 5th Ave Ste 1, San Diego, CA 92103-5839 | 2020-08-06 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1033756135 | Monarch Home Health Services LLC | Home Health | 2941 4th Ave Ste B, San Diego, CA 92103-5901 | 2019-12-08 |
| 1649828716 | All Hands Ot L.l.c | Home Health | 12648 Caminito Destello, San Diego, CA 92130-2811 | 2019-08-30 |
| 1982260287 | Keith L Thomas | Home Health | 10897 Canyon Hill Ln, San Diego, CA 92126-2051 | 2019-05-13 |
| 1801366935 | All Veterans Medical Staffing Inc. | Home Health | 438 Camino Del Rio S Ste 101, San Diego, CA 92108-3546 | 2018-12-01 |
| 1396210134 | Special Care Home Health Services, Inc. | Home Health | 591 Camino De La Reina Ste 1010a, San Diego, CA 92108-3112 | 2018-10-08 |
| 1205310687 | Health Shield Home Health Services | Home Health | 3914 Murphy Canyon Rd Ste A163, San Diego, CA 92123-4415 | 2018-09-20 |
| 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.