Active NPI
Rady Children's Hospital San Diego
- Children's Hospital
- Escondido, CA
National Provider Identifier
1104205335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Hospital
- 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
- Last updated
- May 20, 2015
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Palm Desert, CA
- NPI 1063891299
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
- Sheilamarie Racicot, LMFT
- Erin Radclyffe
- Radiation Medical Group Inc
- Rady Children's Hospital Outpatient Psychiatry
- Rady Children's Hospital San Diego
- Rady Children's Hospital San Diego (Children's Hospital Outpatient Psychiatry, North Inland)
- Rady Children's Hospital San Diego
- Stefanie Rafes, PHYSICIAN ASSISTANT
- Karli Raftery
- Leilani Ragasa
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.