Organization 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
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
RADY CHILDREN'S HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CDF00350522OtherCACALIFORNIA DEPARTMENT OF PUBLIC HEALTH

Other names 1

  • Rady Children's Institute for Genomic Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2129627Rady Children's Institute for Genomic Medicine7910 Frost St Ste 240, San Diego, CA 92123AccreditationSep 5, 2027
05D2295536Rady Children's Hospital - Dermatology Clinic7910 Frost Street Suite 120, San Diego, CA 92123Provider-performed microscopyDec 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

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.

Verify at the official NPI Registry.