NPIMap

Organization Active NPI

Rady Children's Hospital San Diego

  • Children's Hospital
  • San Diego, CA
National Provider Identifier
1710065933
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
080000028 Issued in CA
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Practice address
3020 Childrens Way # 5002
San Diego, CA 92123-4223
Phone
(858) 576-1700
Fax
(858) 966-4051
NPI assigned
Nov 2, 2006
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Mr. Michael Hester
Title
Sr. Director, Revenue Cycle Applic
Phone
(858) 966-6779

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Developmental Disabilities Clinic/Center 261QD1600X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 080000028 CA
Hearing and Speech Clinic/Center 261QH0700X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Clinic/Center 261QR0400X
Children's Hospital 282NC2000X 080000028 CA Primary
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X

Addresses

Primary practice location

3020 Childrens Way # 5002
San Diego, CA 92123-4223

Mailing address

3020 Childrens Way
Mail Code 5002
San Diego, CA 92123-4223
Phone (858) 966-1700

Other practice location 1

7910 Frost St
San Diego, CA 92123-2771
Phone (858) 496-4800

Other practice location 2

7910 Frost St Ste 120
San Diego, CA 92123-2776
Phone (858) 496-4800

Other practice location 3

3030 Childrens Way Fl 4
San Diego, CA 92123-4232
Phone (858) 966-5846

Other practice location 4

3030 Childrens Way Fl 2
San Diego, CA 92123-4232
Phone (858) 966-5846

Other practice location 5

3030 Childrens Way Fl 1
San Diego, CA 92123-4232
Phone (858) 966-8800

Other practice location 6

3030 Childrens Way Fl 3
San Diego, CA 92123-4232
Phone (858) 966-6789

Other practice location 7

8060 Frost St
San Diego, CA 92123-2703
Phone (858) 966-5833

Other practice location 8

8010 Frost St Ste 602
San Diego, CA 92123-4204
Phone (858) 966-6795

Other practice location 9

5565 Grossmont Center Dr Ste 2
LA Mesa, CA 91942-3037
Phone (619) 713-5375

Other practice location 10

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone (619) 740-6000

Other practice location 11

4077 Fifth Ave
San Diego, CA 92103-2105
Phone (858) 832-2478

Other practice location 12

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone (619) 740-6000

Other practice location 13

9888 Genesee Ave
LA Jolla, CA 92037-1205
Phone (858) 834-1798

Other practice location 14

25500 Medical Center Dr
Murrieta, CA 92562-5965
Phone (951) 894-3526

Other practice location 15

354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (858) 227-6894

Other practice location 16

25170 Hancock Ave
Murrieta, CA 92562-5969
Phone (858) 461-9300

Other practice location 17

3605 Vista Way Ste 172
Oceanside, CA 92056-4565
Phone (760) 547-1000

Other practice location 18

386 E H St Ste 202
Chula Vista, CA 91910-7486
Phone (858) 966-8008

Other practice location 19

667 San Rodolfo Dr Ste 126
Solana Beach, CA 92075-2048
Phone (858) 793-9591

Other practice location 20

7920 Frost St Ste 200
San Diego, CA 92123-4289
Phone (858) 966-5840

Other practice location 21

2125 Citracado Pkwy Ste 100
Escondido, CA 92029-4159
Phone (760) 739-1543

Other practice location 22

9730 Summers Ridge Rd
San Diego, CA 92121-3101
Phone (858) 218-0548

Other practice location 23

4305 University Ave Ste 150
San Diego, CA 92105-1690
Phone (858) 966-5484

Other identifiers 11

IdentifierTypeStateIssuer
CGP165365MedicaidCA
053303OtherCAPINNACLE CLAIMS MANAGEMENT
ZZZH3702ZOtherCABLUE SHIELD OF CA
053303OtherCABLUE CROSS OF CALIFORNIA
053303OtherCAGIC INDEMNITY PLAN
CGP000355MedicaidCA
ZZT40271FMedicaidCA
053303OtherCAWESTERN GROWERS
HSC30271FMedicaidCA
53125301MedicaidHI
ZZT30271FMedicaidCA

Other names 1

  • Children's Hospital - San Diego Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080801000161 CA Part A Provider - Hospital 3971677493 Practice locations: San Diego, CA; Solana Beach, CA; Oceanside, CA; La Mesa, CA; Escondido, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710065933. Details of each certification follow.

Hospital certification: CCN 053303

Legal name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jul 1, 1984
Last certification
Nov 10, 2017
Beds
518 (475 certified)
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jan 3, 1951 in CA
Enrollment address
3020 Childrens Way
San Diego, CA 92123-4223
Main/Primary Hospital Location
Hospital subgroups
Children’s, Other

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Rady Children's Hospital - San DiegoCCN 053303 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
05D0571445Rady Children's Hospital - San Diego7920 Frost Street, Suite 200, San Diego, CA 92123Certificate of waiverApr 5, 2027
05D2083529Rady Children's Hospital9730 Summers Ridge Rd, San Diego, CA 92121Certificate of waiverSep 7, 2026
05D2137523Rady Children's Hospital San Diego386 East H St, Ste 202, Chula Vista, CA 91910Certificate of waiverSep 27, 2027
05D2310074Rady Children's Hospital8060 Frost St, San Diego, CA 92123Certificate of waiverAug 25, 2026

National Provider Directory

National Provider Directory
Tax ID family
Rady Childrens Spec of SD60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2125 Citracado Pkwy
Ste 100
Escondido, CA 92029
Phone (760) 739-1543

25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 757-3277

3030 Childrens Way
Fl 3
San Diego, CA 92123
Phone (858) 966-6789

9730 Summers Ridge Rd
San Diego, CA 92121
Phone (858) 549-7400

Ownership & related parties

All disclosed owners & managing parties 35

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Theodore David Roth Individual Corporate DirectorBoard Member Oct 1, 2001
Lynn Schenk Individual Corporate DirectorBoard Member Dec 1, 2021
Michael Friedman Individual Corporate DirectorBoard Member Mar 1, 2021
David F Hale Individual Corporate DirectorBoard Member Oct 1, 1996
Gines D Miralles Individual Corporate DirectorBoard Member Sep 1, 2009
Vanessa Von Wertheim Individual Corporate DirectorBoard Member Dec 1, 2019
Nishantha Ratnayake Individual Corporate OfficerV.P. Controller Apr 29, 2013
Lisa a Barkett Individual Corporate DirectorBoard Member Jun 1, 2008
Douglas S Hutcheson Individual Corporate DirectorBoard Member Sep 1, 2012
James Uli Individual Corporate OfficerSenior Vice President, Cfo Mar 2, 2020
Operational/Managerial ControlSr. V.P./Cfo/Finance Mar 2, 2020
John Michael Carethers Individual Corporate DirectorBoard Member Dec 1, 2022
Andrew J Skalsky Individual Corporate DirectorBoard Member Mar 1, 2020
John M Gilchrist Individual Corporate DirectorBoard Member Jan 1, 1988
Catherine a Mackey Individual Corporate DirectorBoard Member Jan 1, 2007
Donald J Rosenberg Individual Corporate DirectorBoard Member Nov 1, 2017
Michael Robert Stone Individual Corporate DirectorBoard Member Mar 1, 2021
Michael P Peckman Individual Corporate DirectorBoard Member Mar 1, 2009
Gail R Knight Individual Corporate OfficerSr Vice President and Chief Medi Mar 1, 2016
Corporate DirectorSr Vice President & Chief Medical O Jul 1, 2014
Rady Children's Hospital - San Diego Organization, San Diego, CA Corporation, Medical provider/supplier, Non-profit Operational/Managerial Control May 9, 2008 100%
Daniel J Lesser Individual Corporate DirectorBoard Member Jan 2, 2022
Nicholas M Holmes Individual Corporate OfficerSr Vice President and Chief Oper Mar 1, 2015
Belinda Santos-Ramirez Individual Corporate Officer Dec 1, 2000
Corporate DirectorBoard Member Aug 1, 2018
Patricio a Frias Individual Corporate OfficerPresident & Ceo Dec 1, 2018
Byron C Scott Individual Corporate DirectorBoard Member - Vice Chair Mar 1, 2021
Michael J Farrell Individual Corporate DirectorBoard Member Jun 1, 2016
Henry L Nordhoff Individual Corporate DirectorBoard Member May 1, 2013
Jill C Strickland Individual Corporate OfficerSr. V.P. Cao Aug 10, 2020
Operational/Managerial Control Aug 10, 2020
Harry M Rady Individual Corporate DirectorBoard Member Sep 1, 2006
Michael E Hester Individual W-2 Managing Employee Apr 7, 2015
Operational/Managerial Control Apr 7, 2015
Pardeep K Khosla Individual Corporate DirectorBoard Member Jul 1, 2012
John D Stobo Individual Corporate DirectorBoard Member Jun 1, 2019
Paul J Hering Individual Corporate DirectorBoard Member - Chair Jan 1, 2014
Debra L Reed-Klages Individual Corporate DirectorBoard Member Jun 1, 2017
Scott N Wolfe Individual Corporate DirectorBoard Member Apr 1, 1993
Doug Arthur Individual Corporate DirectorBoard Member Jun 1, 2022

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 19

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1710065933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY",
            "address_2": "MAIL CODE 5002",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # 5002",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-576-1700",
            "fax_number": "858-966-4051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7910 Frost St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232771",
            "country_code": "US",
            "telephone_number": "858-496-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7910 Frost St Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232776",
            "country_code": "US",
            "telephone_number": "858-496-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Childrens Way Fl 4",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234232",
            "country_code": "US",
            "telephone_number": "858-966-5846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Childrens Way Fl 2",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234232",
            "country_code": "US",
            "telephone_number": "858-966-5846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Childrens Way Fl 1",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234232",
            "country_code": "US",
            "telephone_number": "858-966-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Childrens Way Fl 3",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234232",
            "country_code": "US",
            "telephone_number": "858-966-6789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8060 Frost St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232703",
            "country_code": "US",
            "telephone_number": "858-966-5833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8010 Frost St Ste 602",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234204",
            "country_code": "US",
            "telephone_number": "858-966-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5565 Grossmont Center Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423037",
            "country_code": "US",
            "telephone_number": "619-713-5375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 Grossmont Center Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423019",
            "country_code": "US",
            "telephone_number": "619-740-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4077 Fifth Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032105",
            "country_code": "US",
            "telephone_number": "858-832-2478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 Grossmont Center Dr",
            "address_purpose": "LOCATION",
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            "postal_code": "919423019",
            "country_code": "US",
            "telephone_number": "619-740-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9888 Genesee Ave",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371205",
            "country_code": "US",
            "telephone_number": "858-834-1798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25500 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925625965",
            "country_code": "US",
            "telephone_number": "951-894-3526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Santa Fe Dr",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245142",
            "country_code": "US",
            "telephone_number": "858-227-6894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25170 Hancock Ave",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925625969",
            "country_code": "US",
            "telephone_number": "858-461-9300",
            "fax_number": "858-966-8253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3605 Vista Way Ste 172",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564565",
            "country_code": "US",
            "telephone_number": "760-547-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "386 E H St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919107486",
            "country_code": "US",
            "telephone_number": "858-966-8008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "667 San Rodolfo Dr Ste 126",
            "address_purpose": "LOCATION",
            "city": "Solana Beach",
            "state": "CA",
            "postal_code": "920752048",
            "country_code": "US",
            "telephone_number": "858-793-9591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7920 Frost St Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234289",
            "country_code": "US",
            "telephone_number": "858-966-5840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2125 Citracado Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920294159",
            "country_code": "US",
            "telephone_number": "760-739-1543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9730 Summers Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921213101",
            "country_code": "US",
            "telephone_number": "858-218-0548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4305 University Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921051690",
            "country_code": "US",
            "telephone_number": "858-966-5484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADY CHILDREN'S HOSPITAL SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SR. DIRECTOR, REVENUE CYCLE APPLIC",
        "authorized_official_telephone_number": "858-966-6779",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "080000028",
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CA",
            "license": "080000028",
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CGP165365",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PINNACLE CLAIMS MANAGEMENT",
            "identifier": "053303",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZH3702Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CALIFORNIA",
            "identifier": "053303",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GIC INDEMNITY PLAN",
            "identifier": "053303",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CGP000355",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40271F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WESTERN GROWERS",
            "identifier": "053303",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30271F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53125301",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30271F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hospital - San Diego",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Children's Hospital - San Diego",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.