Organization Active NPI

Rady Children's Hospital

  • Children's Hospital
  • San Diego, CA
National Provider Identifier
1316183999
Registry record updated Jan 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
A103185 Issued in CA
Legal business name
RADY CHILDREN'S HOSPITAL
Practice address
200 W Arbor Dr # Mc8450
San Diego, CA 92103-9001
Phone
(858) 966-4003
NPI assigned
Jan 1, 2009
Last updated
Jan 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2009

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

Authorized official

Name
Dr. Monica M Zherebtsov, MD
Title
Physician
Phone
(858) 966-4003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A103185 CA
Children's Hospital 282NC2000X A103185 CA Primary

Addresses

Primary practice location

200 W Arbor Dr # Mc8450
San Diego, CA 92103-9001

Mailing address

200 W Arbor Dr # Mc8450
San Diego, CA 92103-9001

National Provider Directory

National Provider Directory

Locations

200 W Arbor Dr
#8450
San Diego, CA 92103
Phone (858) 966-4003

NPI Registry JSON

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

{
    "created_epoch": "1230768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230768000000",
    "number": "1316183999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR # MC8450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR # MC8450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039001",
            "telephone_number": "858-966-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADY CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-01",
        "last_updated": "2009-01-01",
        "status": "A",
        "authorized_official_last_name": "ZHEREBTSOV",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "858-966-4003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A103185",
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CA",
            "license": "A103185",
            "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 1, 2009; 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.