NPIMap

Organization Active NPI

Rady Children's Hospital San Diego

Doing business as Developmental Evaluation Clinic

  • General Acute Care Hospital
  • San Diego, CA
National Provider Identifier
1639387681
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Doing business as
Developmental Evaluation Clinic
Practice address
3665 Kearny Villa Rd
Suite 440
San Diego, CA 92123-1953
Phone
(858) 966-1700
Fax
(858) 966-7803
NPI assigned
May 21, 2007
Last updated
Jan 22, 2025By the provider in NPPES
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
Virginia Dillon Bial, LCSWNPI 1114025269
Title
Program Manager
Phone
(858) 576-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X Primary
Clinical Psychologist 103TC0700X

Addresses

Primary practice location

3665 Kearny Villa Rd
Suite 440
San Diego, CA 92123-1953

Mailing address

3020 Childrens Way
MC 5023
San Diego, CA 92123-4223
Phone (858) 966-1700

Other names 1

  • Developmental Evaluation Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.rchsd.org

National Provider Directory

National Provider Directory
Tax ID family
Rady Childrens Hospital - S60 organizations share this tax ID, including this one
Part of
Rady Childrens Hospital - S

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1639387681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY",
            "address_2": "MC 5023",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-1700",
            "fax_number": "858-966-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 KEARNY VILLA RD",
            "address_2": "SUITE 440",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231953",
            "telephone_number": "858-966-1700",
            "fax_number": "858-966-7803"
        }
    ],
    "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": "2007-05-21",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "BIAL",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "DILLON",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "858-576-1700",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.rchsd.org",
            "affiliation": "N",
            "address_1": "3665 Kearny Villa Rd",
            "address_2": "Suite 440",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921231953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Developmental Evaluation Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Developmental Evaluation Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.