Organization Active NPI

Rady Children'S Hospital San Diego

  • Children's Hospital
  • Escondido, CA
National Provider Identifier
1104205335
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Practice address
625 Citracado Pkwy
Suite 102
Escondido, CA 92025-6428
Phone
(760) 294-9270
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Ms. Mona Elaine Hogan
Title
Intern
Phone
(760) 443-1416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X Primary

Addresses

Primary practice location

625 Citracado Pkwy
Suite 102
Escondido, CA 92025-6428

Mailing address

625 Citracado Pkwy
Suite 102
Escondido, CA 92025-6428
Phone (760) 294-9270

National Provider Directory

National Provider Directory

Locations

625 Citracado Pkwy
Ste 102
Escondido, CA 92025
Phone 7602949270 ext. 7418

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1104205335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CITRACADO PKWY",
            "address_2": "SUITE 102",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256428",
            "telephone_number": "760-294-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CITRACADO PKWY",
            "address_2": "SUITE 102",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256428",
            "telephone_number": "760-294-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADY CHILDREN'S HOSPITAL SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "INTERN",
        "authorized_official_telephone_number": "760-443-1416",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.