NPIMap

Organization Active NPI

Rady Children'S Hospital San Diego

  • General Acute Care Hospital
  • Oceanside, CA
National Provider Identifier
1154613818
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
080000028 Issued in CA
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Practice address
3601 Vista Way
Suite 201
Oceanside, CA 92056-4559
Phone
(858) 966-1700
Fax
(858) 966-7803
NPI assigned
May 12, 2011
Organization subpart
Yes
Parent organization
RADY CHILDREN'S HOSPITAL SAN DIEGOAs reported in NPPES

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
Virginia Dillon Bial, LCSW
Title
Program Manager
Phone
(858) 576-1700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X
General Acute Care Hospital 282N00000X 080000028 CA Primary

Addresses

Primary practice location

3601 Vista Way
Suite 201
Oceanside, CA 92056-4559

Mailing address

3020 Childrens Way
MC 5023
San Diego, CA 92123-4223
Phone (858) 966-5990

Other names 1

  • Developmental Eval Clinic - Oceanside Satellite 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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1154613818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY",
            "address_2": "MC 5023",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-5990",
            "fax_number": "858-966-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 VISTA WAY",
            "address_2": "SUITE 201",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564559",
            "telephone_number": "858-966-1700",
            "fax_number": "858-966-7803"
        }
    ],
    "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": "2011-05-12",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "BIAL",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "DILLON",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "858-576-1700",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "080000028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Developmental Eval Clinic - Oceanside Satellite",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oceanside, 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.