NPIMap

Organization Active NPI

Rady Children's Hospital San Diego

Doing business as Rady Children's Specialists of San Diego, A Medical Foundation

  • Pediatrics Physician
  • San Diego, CA
National Provider Identifier
1669617197
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Doing business as
Rady Children's Specialists of San Diego, A Medical Foundation
Practice address
3020 Childrens Way
San Diego, CA 92123-4223
Phone
(858) 966-5911
NPI assigned
Dec 12, 2008
Last updated
Sep 30, 2026By 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 Sep 30, 2026

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

Authorized official

Name
James Joseph Uli Jr.
Title
Chief Financial Officer
Phone
(858) 966-5824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3020 Childrens Way
San Diego, CA 92123-4223

Mailing address

3020 Childrens Way
MC 5003
San Diego, CA 92123-4223
Phone (858) 576-1700

Other identifiers 1

IdentifierTypeStateIssuer
1669617197MedicaidCA

Other names 1

  • Rady Children's Specialists of San Diego, A Medical Foundation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091015000149 CA Part B Supplier - Clinic/Group Practice 3971677493 Receives reassigned benefits from 600 practitioners
Practice locations: Poway, CA; San Diego, CA; Oceanside, CA; Chula Vista, CA; Encinitas, CA; Escondido, CA; La Mesa, CA; La Jolla, CA…

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Children's Hospital H

Locations

25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 966-8300

25485 Medical Center Dr
Ste 100
Murrieta, CA 92562
Phone (909) 461-8684

3020 Childrens Way
#5003
San Diego, CA 92123
Phone (858) 309-6300

3020 Childrens Way
#5069
San Diego, CA 92123
Phone (858) 966-5911

3030 Childrens Way
San Diego, CA 92123
Phone (858) 966-4003

3030 Childrens Way
Ste 109
San Diego, CA 92123
Phone (858) 309-7701

Practitioners & affiliated clinicians

Practitioners 628

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.

View all 628

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1669617197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY",
            "address_2": "MC 5003",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-576-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-5911"
        }
    ],
    "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": "2008-12-12",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "ULI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "858-966-5824",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669617197",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rady Children's Specialists of San Diego, A Medical Foundation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rady Children's Specialists of San Diego, A Medical Foundation",
            "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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.