NPIMap

Organization Active NPI

Children's Hospital of Orange County

Doing business as Rady Children's Hospital Orange County

  • Children's Hospital
  • Orange, CA
National Provider Identifier
1811080526
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 OF ORANGE COUNTY
Doing business as
Rady Children's Hospital Orange County
Practice address
1201 W la Veta Ave
Orange, CA 92868-4203
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
Dr. Sandip Godambe, MD
Title
Sr. Vice President Medical Affairs
Phone
(714) 509-8413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Children's Hospital 282NC2000X Primary

Addresses

Primary practice location

1201 W la Veta Ave
Orange, CA 92868-4203

Mailing address

1201 W la Veta Ave
Orange, CA 92868-4203
Phone (714) 997-3000

Other identifiers 6

IdentifierTypeStateIssuer
0001OtherCACHAMPUS
3253OtherCABLUE CROSS
HSC31404FMedicaidCA
CHOCOtherCAUNIVERSAL CARE
ZZZD3004ZOtherCABLUE SHIELD
ZZT41404FMedicaidCA

Other names 1

  • Rady Children's Hospital Orange County Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100324000508 CA Part A Provider - Hospital 6406944883 Practice locations: Newport Beach, CA; Orange, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811080526. Details of each certification follow.

Hospital certification: CCN 053304

Legal name
CHILDRENS HOSPITAL OF ORANGE COUNTY
Doing business as
RADY CHILDREN'S HOSPITAL ORANGE COUNTY
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jul 1, 1984
Last certification
Jan 29, 2019
Beds
192
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1964 in CA
Enrollment address
1201W la Veta Ave
Orange, CA 92868-4203
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Children’s

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Children's Hospital of Orange CountyCCN 053304 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Children's Hospital of Orange55 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

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

View all 19

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 Feb 1, 1997
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
Kimberly Curtin Sentovich Individual Corporate Director 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 Director Sep 3, 2009
W-2 Managing Employee Sep 3, 2009
Jasjit Singh Individual Corporate Director Sep 23, 2021
Kenneth Mark Potrock Individual Corporate Director Sep 23, 2021
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 465

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 465

Affiliated clinicians 10

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

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": "1811080526",
    "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": "1201 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684203",
            "telephone_number": "714-997-3000",
            "fax_number": "714-532-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "GODAMBE",
        "authorized_official_first_name": "SANDIP",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT MEDICAL AFFAIRS",
        "authorized_official_telephone_number": "714-509-8413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "0001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3253",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC31404F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL CARE",
            "identifier": "CHOC",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZD3004Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT41404F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rady Children's Hospital Orange County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.