NPIMap

Organization Active NPI

Rady Chilren'S Hospital San Diego

  • Long Term Care Hospital
  • La Mesa, CA
National Provider Identifier
1083999767
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
080000028 Issued in CA
Legal business name
RADY CHILREN'S HOSPITAL SAN DIEGO
Practice address
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Phone
(619) 740-4854
Fax
(858) 966-8558
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
James Uli
Title
Sr. V.P./Cfo
Phone
(858) 576-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 080000028 CA Primary

Addresses

Primary practice location

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Mailing address

8022 Birmingham Dr
San Diego, CA 92123-2707
Phone (858) 966-5833

Other identifiers 1

IdentifierTypeStateIssuer
053303OtherCAMEDICARE

Other names 1

  • Rady Children's Hospital - Grossmont Peds Subacute Doing business as

National Provider Directory

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

Organizations with this tax ID in the same state 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1083999767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 BIRMINGHAM DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232707",
            "telephone_number": "858-966-5833",
            "fax_number": "858-966-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-740-4854",
            "fax_number": "858-966-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADY CHILREN'S HOSPITAL SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "ULI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SR. V.P./CFO",
        "authorized_official_telephone_number": "858-576-1700"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "080000028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "053303",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rady Children's Hospital - Grossmont Peds Subacute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.