NPIMap

Organization Active NPI

Rady Children's Hospital San Diego

Doing business as Rady Children's Aveley Place

  • Nursing Facility/Intermediate Care Facility
  • San Diego, CA
National Provider Identifier
1780756411
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
090000644 Issued in CA
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Doing business as
Rady Children's Aveley Place
Practice address
3453 Aveley PL
San Diego, CA 92111-4727
Phone
(858) 541-2646
Fax
(858) 966-8558
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
James Uli
Title
Chief Financial Officer
Phone
(858) 576-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 090000644 CA Primary

Addresses

Primary practice location

3453 Aveley PL
San Diego, CA 92111-4727

Mailing address

8022 Birmingham Dr
San Diego, CA 92123-2707
Phone (858) 966-5833

Other identifiers 1

IdentifierTypeStateIssuer
LTC80295FMedicaidCA

Other names 1

  • Rady Children's Aveley Place 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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1780756411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 BIRMINGHAM DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232707",
            "telephone_number": "858-966-5833",
            "fax_number": "858-966-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 AVELEY PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114727",
            "telephone_number": "858-541-2646",
            "fax_number": "858-966-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADY CHILDREN'S HOSPITAL SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "ULI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "858-576-1700"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "090000644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80295F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rady Children's Aveley Place",
            "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 Jan 22, 2025; 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.