Active NPI
Children's Hospital at Mission
Doing business as Rady Children's Hospital
- Children's Hospital
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Hospital
- Legal business name
- CHILDREN'S HOSPITAL AT MISSION
- Doing business as
- Rady Children's Hospital
- Practice address
- 27700 Medical Center Rd FL 5
Mission Viejo, CA 92691-6426 - Phone
- (714) 997-3000
- Fax
- (714) 532-8753
- NPI assigned
- Oct 2, 2006
- Last updated
- Oct 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Uli Jr.
- Title
- Executive VP & Cfo
- Phone
- (714) 997-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Hospital | 282NC2000X | Primary |
Addresses
Primary practice location
27700 Medical Center Rd FL 5
Mission Viejo, CA 92691-6426
Mailing address
1201 W la Veta Ave
Orange, CA 92868-4203
Phone (714) 997-3000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002 | Other | CA | CHAMPUS |
| CHM | Other | CA | UNIVERSAL CARE |
| 5666 | Other | CA | BLUE CROSS |
| HSP33306F | Medicaid | CA | |
| ZZZD3001Z | Other | CA | BLUE SHIELD |
| HSP43306F | Medicaid | CA |
Other names 1
- Rady Children's Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140513000354 | CA | Part A Provider - Hospital | 6204069578 | Practice locations: Mission Viejo, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1699868398. Details of each certification follow.
Hospital certification: CCN 053306
- Legal name
- CHILDREN'S HOSPITAL AT MISSION
- Doing business as
- RADY CHILDREN'S HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Children’s
- Participating since
- Jan 11, 1993
- Last certification
- Oct 8, 2020
- Beds
- 54
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Enrollment address
- 27700 Medical Center Rd
Mission Viejo, CA 92691-6426 - Hospital subgroups
- Children’s
Care Compare: Hospital
Medicare Care Compare- Listed as
- Children's Hospital at Mission
- Type
- Childrens
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider DirectoryLocations
777 Corporate Dr
Ladera Ranch, CA 92694
24268 El Toro Rd
Laguna Woods, CA 92637
Phone (657) 241-8455
26730 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 364-2201
1310 W Stewart Dr
Ste 407
Orange, CA 92868
Phone (714) 538-8887
22032 El Paseo
Ste 150
Rcho Sta Marg, CA 92688
Phone (949) 888-8500
4400 Duckhorn Dr
Ste 100
Sacramento, CA 95834
Phone (916) 575-8000
Ownership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Linda Dean Rose | Corporate Director | Sep 23, 2021 | |
| Douglas Paul McCombs | Corporate Director | Sep 23, 2021 | |
| Maria Ema Minon | Corporate Director | Sep 23, 2021 | |
| Massi Joseph E Kiani | Corporate Director | Sep 23, 2021 | |
| Kimberly Cripe | Corporate Officer | Dec 2, 1991 | |
| Corporate Director | Dec 2, 1991 | ||
| W-2 Managing Employee | Dec 2, 1991 | ||
| Sam Michael Auriemma | Corporate Director | Sep 23, 2021 | |
| Jay Maurice Gabriel | Corporate Officer | Sep 23, 2021 | |
| Thomas Dean Phelps | Corporate Director | Sep 23, 2021 | |
| James Morris | Corporate Director | Sep 23, 2021 | |
| Paul Van Dolah | Corporate Officer | Sep 23, 2021 | |
| Rady Children's Health | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 100% |
| Janet Toll Davidson | Corporate Director | Sep 23, 2021 | |
| Kerri Schiller | Corporate Officer | Feb 11, 1998 | |
| W-2 Managing Employee | Feb 11, 1998 | ||
| Jasjit Singh | Corporate Director | Sep 23, 2021 | |
| Kenneth Mark Potrock | Corporate Director | Sep 23, 2021 | |
| Emma Jane Sandu | W-2 Managing Employee | Apr 8, 2002 | |
| Christopher David Furman | Corporate Director | Sep 23, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Pediatric Infectious Diseases Physician
- Orange, CA
- NPI 1306915848
Corporate Director
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Rady Children's Hospital Orange County
- Children's Hospital
- Orange, CA
- NPI 1811080526
Rady Children's Health
Practitioners & affiliated clinicians
Practitioners 138
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Laguna Hills, CA
- NPI 1093794604
-
- Surgery Physician
- San Juan Capistrano, CA
- NPI 1275519845
-
- Pediatric Infectious Diseases Physician
- Orange, CA
- NPI 1861599748
-
- Family Medicine Physician
- San Juan Capistrano, CA
- NPI 1588654123
-
- Pediatrics Physician
- Irvine, CA
- NPI 1013907377
-
- Family Medicine Physician
- Rancho Mission Viejo, CA
- NPI 1700827326
-
- Family Medicine Physician
- Long Beach, CA
- NPI 1376789131
-
- Pediatric Cardiology Physician
- Orange, CA
- NPI 1558453258
-
- Family Medicine Physician
- Irvine, CA
- NPI 1023008679
-
- Surgery Physician
- Mission Viejo, CA
- NPI 1376863621
-
- Orthopaedic Surgery Physician
- Mission Viejo, CA
- NPI 1801853189
-
- Anesthesiology Physician
- Mission Viejo, CA
- NPI 1346288214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1699868398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W LA VETA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684203",
"telephone_number": "714-997-3000",
"fax_number": "714-532-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27700 MEDICAL CENTER RD FL 5",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916426",
"telephone_number": "714-997-3000",
"fax_number": "714-532-8753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S HOSPITAL AT MISSION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "ULI",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "EXECUTIVE VP & CFO",
"authorized_official_telephone_number": "714-997-3000",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "0002",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSAL CARE",
"identifier": "CHM",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5666",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP33306F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZD3001Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP43306F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rady Children's Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission Viejo, CA
- Shabnam Shahparnia Cherry, MA, MFT
- Chest and Critical Care Consultants (Southern California Sleep Disorder Specialists)
- Kantha T Chhuon, O.D.
- Joo Hae CHI, O.D.
- Maria Tan Fang Chiang, PHARM. D.
- Diane Chiri, PT
- Fereshteh Chitsaz, PHARMACIST
- Cho Lee Pak Dental Corporation
- Jaehyun Cho, PA
- Jennie Hae Sook Cho, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.