Organization Active NPI

Rady Children'S Hospital San Diego

  • Psychiatric Hospital Unit
  • San Diego, CA
National Provider Identifier
1578094025
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Practice address
4305 University Avenue, Suite 150
San Diego, CA 92105
Phone
(858) 966-5484
Fax
(858) 966-5482
NPI assigned
Mar 27, 2017
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
Mr. James Uli
Title
SVP & Chief Financial Officer
Phone
(858) 966-5824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X CA Primary

Addresses

Primary practice location

4305 University Avenue, Suite 150
San Diego, CA 92105

Mailing address

3020 Children'S Way - MC 5018
San Diego, CA 92123
Phone (858) 966-8459

Other names 1

  • Rady C.E.S. - Satellite 1 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 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": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1578094025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDREN'S WAY - MC 5018",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-966-8459",
            "fax_number": "858-966-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 UNIVERSITY AVENUE, SUITE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92105",
            "telephone_number": "858-966-5484",
            "fax_number": "858-966-5482"
        }
    ],
    "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": "2017-03-27",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "ULI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SVP & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "858-966-5824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rady C.E.S. - Satellite 1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.