Organization Active NPI

Rady Children'S Hospital-San Diego

  • Psychiatric Hospital Unit
  • San Diego, CA
National Provider Identifier
1750614764
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
RADY CHILDREN'S HOSPITAL-SAN DIEGO
Practice address
3665 Kearny Villa Road, Suite 165
San Diego, CA 92123
Phone
(858) 966-5832
Fax
(858) 966-8470
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Virginia Dillon Bial, LCSW
Title
Manager
Phone
(858) 576-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

3665 Kearny Villa Road, Suite 165
San Diego, CA 92123

Mailing address

3665 Kearny Villa Road
Psychiatry - MC 5018
San Diego, CA 92123
Phone (858) 966-5832

Other names 1

  • RADY C.E.S. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Asso Med GRJ60 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

3665 Kearny Villa Rd
#5018
San Diego, CA 92123

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1750614764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 KEARNY VILLA ROAD",
            "address_2": "PSYCHIATRY - MC 5018",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-966-5832",
            "fax_number": "858-966-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 KEARNY VILLA ROAD, SUITE 165",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-966-5832",
            "fax_number": "858-966-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADY CHILDREN'S HOSPITAL-SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "BIAL",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "DILLON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-576-1700",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RADY C.E.S.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RADY C.E.S.",
            "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 Sep 18, 2024; 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.