Rady Children's Health Services-San Diego

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

RADY CHILDREN'S HEALTH SERVICES-SAN DIEGO

Doing business as

Rady Children's HomeCare
Rady Children's HomeCare Pharmacy

Practice address

8291 Aero PL
Suite 130
San Diego, CA 92123-2040

Phone

(858) 966-4941

Fax

(858) 966-8996

NPI assigned

Nov 2, 2006

Last updated

Jul 31, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

RADY CHILDREN'S HOSPITAL - SAN DIEGOAs reported in NPPES

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

Authorized official

Name

Kathleen Marie Cain Carrithers

Title

Chief Financial Officer

Phone

(858) 576-1700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Rady Children's HomeCare Doing business as
• Rady Children's HomeCare Pharmacy Doing business as

Tax ID family

Rady Children's Health Services-San Diego3 organizations share this tax ID, including this one

Part of

Children's Hospital H

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Rady Children's Health Services-San Diego

  dba San Diego Children's Health Services

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1649369653
  NPD tax ID
• SD Healthcare RX NC

  dba Childrens Community Pharmacy

  • Community/Retail Pharmacy
  • San Diego, CA
  • NPI 1053490797
  NPD tax ID

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1699853713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8291 AERO PL",
            "address_2": "SUITE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232040",
            "telephone_number": "858-966-4941",
            "fax_number": "858-966-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8291 AERO PL",
            "address_2": "SUITE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232040",
            "telephone_number": "858-966-4941",
            "fax_number": "858-966-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADY CHILDREN'S HEALTH SERVICES-SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADY CHILDREN'S HOSPITAL - SAN DIEGO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "CAIN CARRITHERS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "858-576-1700"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HIP DME",
            "identifier": "ZZZ00279Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HIP",
            "identifier": "ZZZ43632Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA450610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rady Children's HomeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rady Children's HomeCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Radojevic, PSYD
• Belinda Radovich, LCSW
• Nicoleta Victoria Radulescu
• Rady Children Hospital and Health Center
• Rady Children's Health Services-San Diego (San Diego Children's Health Services)
• Rady Children's Hospital
• Rady Children's Hospital
• Rady Children's Hospital
• Rady Children's Hospital
• Rady Children's Hospital

• Home Infusion Therapy Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Home Infusion Therapy Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.