NPIMap

Organization Active NPI

Rady Children Hospital and Healthcare

  • Children's Hospital
  • Chula Vista, CA
National Provider Identifier
1457587677
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
ASW16491 Issued in CA
Legal business name
RADY CHILDREN HOSPITAL AND HEALTHCARE
Practice address
1261 3Rd Ave
D
Chula Vista, CA 91911-3262
Phone
(619) 420-5611
Fax
(619) 420-5531
NPI assigned
Jun 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Mrs. Maria P Clark, MSW
Title
Social Worker 1
Phone
(619) 420-5611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X ASW16491 CA Primary

Addresses

Primary practice location

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

Mailing address

1261 3Rd Ave
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

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

Locations

1261 Third Ave
Ste D
Chula Vista, CA 91911
Phone (619) 420-5611

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1457587677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 3RD AVE",
            "address_2": "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": "D",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113262",
            "telephone_number": "619-420-5611",
            "fax_number": "619-420-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADY CHILDREN HOSPITAL AND HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOCIAL WORKER 1",
        "authorized_official_telephone_number": "619-420-5611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CA",
            "license": "ASW16491",
            "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 Jun 2, 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.