Organization Active NPI

Children's Hospital at Mission

Doing business as Rady Children's Hospital

  • Children's Hospital
  • Mission Viejo, CA
National Provider Identifier
1699868398
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0002OtherCACHAMPUS
CHMOtherCAUNIVERSAL CARE
5666OtherCABLUE CROSS
HSP33306FMedicaidCA
ZZZD3001ZOtherCABLUE SHIELD
HSP43306FMedicaidCA

Other names 1

  • Rady Children's Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
Enrollment address
27700 Medical Center Rd
Mission Viejo, CA 92691-6426
Main/Primary Hospital Location
Hospital subgroups
Children’s

Care Compare: Hospital

Medicare Care Compare
Listed as
Children's Hospital at MissionCCN 053306 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Linda Dean Rose Individual Corporate Director Sep 23, 2021
Douglas Paul McCombs Individual Corporate Director Sep 23, 2021
Maria Ema Minon Individual Corporate Director Sep 23, 2021
Massi Joseph E Kiani Individual Corporate Director Sep 23, 2021
Kimberly Cripe Individual Corporate Officer Dec 2, 1991
Corporate Director Dec 2, 1991
W-2 Managing Employee Dec 2, 1991
Sam Michael Auriemma Individual Corporate Director Sep 23, 2021
Jay Maurice Gabriel Individual Corporate Officer Sep 23, 2021
Thomas Dean Phelps Individual Corporate Director Sep 23, 2021
James Morris Individual Corporate Director Sep 23, 2021
Paul Van Dolah Individual Corporate Officer Sep 23, 2021
Rady Children's Health Organization, San Diego, CA Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Janet Toll Davidson Individual Corporate Director Sep 23, 2021
Kerri Schiller Individual Corporate Officer Feb 11, 1998
W-2 Managing Employee Feb 11, 1998
Jasjit Singh Individual Corporate Director Sep 23, 2021
Kenneth Mark Potrock Individual Corporate Director Sep 23, 2021
Emma Jane Sandu Individual W-2 Managing Employee Apr 8, 2002
Christopher David Furman Individual 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.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

View all 138

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

Sources for this page

Verify at the official NPI Registry.