NPIMap

Organization Active NPI

Rady Children's Hospital San Diego

  • Children's Rehabilitation Hospital
  • San Diego, CA
National Provider Identifier
1174907216
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Rehabilitation HospitalTaxonomy code 283XC2000X
License
OT15043 Issued in CA
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Practice address
3020 Childrens Way # Mc5068
San Diego, CA 92123-4223
Phone
(858) 966-5829
Fax
(858) 966-5859
NPI assigned
Jul 18, 2015
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
Alexa Kratze
Title
Developmental Sevices Director
Phone
(858) 966-5829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Rehabilitation Hospital 283XC2000X OT15043 CA Primary

Addresses

Primary practice location

3020 Childrens Way # Mc5068
San Diego, CA 92123-4223

Mailing address

3020 Childrens Way # Mc5068
San Diego, CA 92123-4223
Phone (858) 966-5829

National Provider Directory

National Provider Directory
Tax ID family
Rady Childrens Hospital of San Diego60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

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

View all 22

Locations

3020 Childrens Way
#5068
San Diego, CA 92123
Phone (858) 966-5406

Practitioners & affiliated clinicians

Practitioners 134

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.

View all 134

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1174907216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5068",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-5829",
            "fax_number": "858-966-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5068",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-5829",
            "fax_number": "858-966-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADY CHILDREN'S HOSPITAL SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "KRATZE",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_title_or_position": "DEVELOPMENTAL SEVICES DIRECTOR",
        "authorized_official_telephone_number": "858-966-5829"
    },
    "taxonomies": [
        {
            "code": "283XC2000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital, Children",
            "state": "CA",
            "license": "OT15043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.