Active NPI
Rady Children's Hospital Research Center
Doing business as Rady Children's Institute for Genomic Medicine
- Clinical Medical Laboratory
- San Diego, CA
National Provider Identifier
1679103873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- RADY CHILDREN'S HOSPITAL RESEARCH CENTER
- Doing business as
- Rady Children's Institute for Genomic Medicine
- Practice address
- 7910 Frost St Ste 240
San Diego, CA 92123-2781 - Phone
- (858) 966-8127
- NPI assigned
- Jan 16, 2020
- Last updated
- May 2, 2025
- Organization subpart
- Yes
- Parent organization
- RADY CHILDREN'S HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynn Perez
- Title
- SVP, Executive Director
- Phone
- (858) 576-1700
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary | |
| Clinical Molecular Genetics Physician | 207SG0203X | NU | ||
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | NU |
Addresses
Primary practice location
7910 Frost St Ste 240
San Diego, CA 92123-2781
Mailing address
3020 Childrens Way # Mc5129
San Diego, CA 92123-4223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDF00350522 | Other | CA | CALIFORNIA DEPARTMENT OF PUBLIC HEALTH |
Other names 1
- Rady Children's Institute for Genomic Medicine
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2129627 | Rady Children's Institute for Genomic Medicine | Accreditation | Sep 5, 2027 |
| 05D2295536 | Rady Children's Hospital - Dermatology Clinic | Provider-performed microscopy | Dec 12, 2027 |
National Provider Directory
National Provider Directory- Part of
- Children's Hospital H
Locations
3020 Childrens Way
#5129
San Diego, CA 92123
7910 Frost St
Ste 240
San Diego, CA 92123
Phone (858) 966-8127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746144000000",
"number": "1679103873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5129",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 FROST ST STE 240",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232781",
"telephone_number": "858-966-8127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADY CHILDREN'S HOSPITAL RESEARCH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RADY CHILDREN'S HEALTH",
"enumeration_date": "2020-01-16",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "LYNN",
"authorized_official_title_or_position": "SVP, EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "858-576-1700"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DEPARTMENT OF PUBLIC HEALTH",
"identifier": "CDF00350522",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rady Children's Institute for Genomic Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rady Children's Institute for Genomic Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
- Rady Children's Hospital - San Diego (Rady Children's Hospital)
- Rady Children's Hospital - San Diego
- Rady Children's Hospital - San Diego
- Rady Children's Hospital and Health Center
- Rady Children's Hospital and Health Center
- Rady Children's Hospital San Diego
- Rady Children's Hospital San Diego
- Rady Children's Hospital San Diego
- Rady Children's Hospital San Diego (Rady Children's Convalescent Hospital)
- Rady Children's Hospital San Diego
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.