RADY CHILDRENS HOSPITAL SAN DIEGO NPI 1831230648

NPI Information

NPI: 1831230648
Provider Name: RADY CHILDRENS HOSPITAL SAN DIEGO

Former Legal Business Name: CHILDRENS HOSPITAL SAN DIEGO

Classification: General Acute Care Hospital - 282NC2000X
Entity Type: Organization

Specialization: Children

Address:
3020 CHILDRENS WAY
MAIL CODE 5002
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-1700
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RADY CHILDRENS HOSPITAL SAN DIEGO is a children general acute care hospital in San Diego, CA. RADY CHILDRENS HOSPITAL SAN DIEGO NPI is 1831230648. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Childrens Hospital San Diego.

The provider's business location address is:

3020 CHILDRENS WAY
MAIL CODE 5002
SAN DIEGO, CA
ZIP 92123-223
Phone: (858) 966-1700

The provider's authorized official is Roger G Roux .
The authorized official title is Sr Vp Cfo and has the following contact phone number (858) 966-5824.

The CLIA number assigned to this NPI record is 05D1018198 - other - urgent care ambulatory cl with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC2000X	General Acute Care Hospital	Children		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CGP000355	MEDICAID	CALIFORNIA
2	HSC30271F	MEDICAID	CALIFORNIA
3	53303	OTHER		WESTERN GROWERS
4	ZZT30271F	MEDICAID	CALIFORNIA
5	53303	OTHER		PINNACLE CLAIMS MGMT.
6	53303	OTHER		GIC INDEMNITY PLAN
7	53303	OTHER		UNICARE
8	ZZT40271F	MEDICAID	CALIFORNIA
9	ZZZH3702Z	OTHER		BLUE SHIELD
10	53303	OTHER	CALIFORNIA	BLUE CROSS OF CALIFORNIA
11	CHHS	OTHER		UNIVERSAL (INACTIVE)
12	53125301	MEDICAID	HAWAII
13	CGP165365	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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