RADY CHILDREN'S HOSPITAL - SAN DIEGO NPI 1851303994

NPI Information

NPI: 1851303994
Provider Name: RADY CHILDREN'S HOSPITAL - SAN DIEGO

Former Legal Business Name: CHILDREN'S HOSPITAL - SAN DIEGO

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3020 CHILDRENS WAY
MAIL CODE 5002
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-4962
Get Directions

RADY CHILDREN'S HOSPITAL - SAN DIEGO is an end-stage renal disease (esrd) treatment clinic center in San Diego, CA. RADY CHILDREN'S HOSPITAL - SAN DIEGO NPI is 1851303994. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Children's Hospital - San Diego.

The provider's business location address is:

3020 CHILDRENS WAY
MAIL CODE 5002
SAN DIEGO, CA
ZIP 92123-223
Phone: (858) 966-4962

The provider's authorized official is Kathleen Cain .
The authorized official title is Sr. Vp/cfo and has the following contact phone number (858) 966-5824.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 3/16/2016.

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	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	080000028	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	ZZT30271F	MEDICAID	CALIFORNIA
2	CGP165365	MEDICAID	CALIFORNIA
3	CGP000355	MEDICAID	CALIFORNIA
4	ZZZH3702Z	OTHER	CALIFORNIA	BLUE SHIELD OF CALIFORNIA
5	053303	OTHER	CALIFORNIA	GIC INDEMNITY PLAN
6	053303	OTHER	CALIFORNIA	WESTERN GROWERS
7	ZZT40271F	MEDICAID	CALIFORNIA
8	053303	OTHER	CALIFORNIA	PINNACLE CLAIMS MANAGEMENT
9	053303	OTHER	CALIFORNIA	BLUE CROSS OF CALIFORNIA
10	052395	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
11	53125301	MEDICAID	HAWAII
12	HSC30271F	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: 4/28/2024

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