Provider Type Icon

RADY CHILDRENS HOSPITAL-SAN DIEGO NPI 1962806166


NPI Information

NPI: 1962806166
Provider Name: RADY CHILDRENS HOSPITAL-SAN DIEGO

Doing Business As: RADY CHILDRENS HEALTH SERVICES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D2295536

Address:
3665 KEARNY VILLA RD STE 440
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-1700
Get Directions

RADY CHILDRENS HOSPITAL-SAN DIEGO is a clinic center in San Diego, CA. The provider is 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). RADY CHILDRENS HOSPITAL-SAN DIEGO NPI is 1962806166. The provider is registered as an organization entity type.
The provider Is Doing Business As Rady Childrens Health Services.

The provider's business location address is:

3665 KEARNY VILLA RD STE 440
SAN DIEGO, CA
ZIP 92123-953
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 05D2295536 - other - dermatology clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/17/2014 and was last updated on 10/23/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesNo
2261QP2000XClinic/CenterPhysical TherapyNo
3261QH0700XClinic/CenterHearing and SpeechNo
4261QR0400XClinic/CenterRehabilitationNo
5261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
6261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.