Organization Active NPI

Children'S Hospital, Chadwick Center for Children and Families

  • Children's Hospital
  • Chula Vista, CA
National Provider Identifier
1356475313
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
LCS16941 Issued in CA
Legal business name
CHILDREN'S HOSPITAL, CHADWICK CENTER FOR CHILDREN AND FAMILIES
Practice address
1261 3Rd Ave
Suite D
Chula Vista, CA 91911-3262
Phone
(619) 420-5611
Fax
(619) 420-5531
NPI assigned
Mar 14, 2007
Organization subpart
Yes
Parent organization
RADY CHILDREN'S HOSPITAL SAN DIEGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Ms. Heidi Lynn Stern-Ellis, LCSW
Title
Clinical Supervisor
Phone
(619) 420-5611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X LCS16941 CA Primary

Addresses

Primary practice location

1261 3Rd Ave
Suite D
Chula Vista, CA 91911-3262

Mailing address

1261 3Rd Ave
Suite D
Chula Vista, CA 91911-3262
Phone (619) 420-5611

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1356475313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 3RD AVE",
            "address_2": "SUITE D",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113262",
            "telephone_number": "619-420-5611",
            "fax_number": "619-420-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 3RD AVE",
            "address_2": "SUITE D",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113262",
            "telephone_number": "619-420-5611",
            "fax_number": "619-420-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL, CHADWICK CENTER FOR CHILDREN AND FAMILIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADY CHILDREN'S HOSPITAL SAN DIEGO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "STERN-ELLIS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "619-420-5611",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CA",
            "license": "LCS16941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.