NPIMap

Organization Active NPI

Rady Children'S Hospital San Diego

  • Psychiatric Hospital Unit
  • San Diego, CA
National Provider Identifier
1053674564
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
080000028 Issued in CA
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Practice address
3020 Childrens Way
San Diego, CA 92123-4223
Phone
(858) 966-8145
NPI assigned
Jun 19, 2012
Organization subpart
Yes
Parent organization
RADY CHILDREN'S HOSPITAL SAN DIEGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Uli
Title
Sr VP/Cfo
Phone
(858) 576-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 080000028 CA Primary

Addresses

Primary practice location

3020 Childrens Way
San Diego, CA 92123-4223

Mailing address

3020 Childrens Way
MC 5018
San Diego, CA 92123-4223
Phone (858) 966-1700

Other identifiers 1

IdentifierTypeStateIssuer
5816515OtherCAMEDI-CAL

Other names 1

  • RCHSD - CHILD AND ADOLESCENT PSYCHIATRY SERVICES Other name

National Provider Directory

National Provider Directory
Tax ID family
Childrens Asso Med GRJ60 organizations share this tax ID, including this one
Part of
Childrens Asso Med GRJ

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1053674564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY",
            "address_2": "MC 5018",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-1700",
            "fax_number": "858-966-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADY CHILDREN'S HOSPITAL SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADY CHILDREN'S HOSPITAL SAN DIEGO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "ULI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SR VP/CFO",
        "authorized_official_telephone_number": "858-576-1700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "080000028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "5816515",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCHSD - CHILD AND ADOLESCENT PSYCHIATRY SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.