RADY CHILDREN'S HOSPITAL SAN DIEGO; NPI #1710065933

Contact Information

RADY CHILDREN'S HOSPITAL SAN DIEGO

3020 CHILDRENS WAY # 5002
SAN DIEGO, CA 92123-4223

Phone: 858-576-1700
Fax: 858-966-4051
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)
Adolescent and Children Mental Health	261QM0855X
Clinic/Center	261Q00000X
Developmental Disabilities	261QD1600X
End-Stage Renal Disease (ESRD) Treatment	261QE0700X	B4[14]	End-Stage Renal Disease Facility
Hearing and Speech	261QH0700X
Physical Therapy	261QP2000X
Prevention Professional	405300000X
Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for RADY CHILDREN'S HOSPITAL SAN DIEGO

NPI # 1710065933

LBN Legal business name RADY CHILDREN'S HOSPITAL SAN DIEGO

Authorized official MICHAEL HESTER - (SR. DIRECTOR, REVENUE CYCLE APPLIC)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/02/2006

Last updated 01/23/2025 - More than a year ago

Identifiers

CA	License #	080000028
CA	Medicaid	CGP000355
CA	Medicaid	CGP165365
CA	Medicaid	HSC30271F
CA	Medicaid	ZZT30271F
CA	Medicaid	ZZT40271F
HI	Medicaid	53125301
CA	Other	053303	BLUE CROSS OF CALIFORNIA
CA	Other	ZZZH3702Z	BLUE SHIELD OF CA
CA	Other	053303	GIC INDEMNITY PLAN
CA	Other	053303	PINNACLE CLAIMS MANAGEMENT
CA	Other	053303	WESTERN GROWERS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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RADY CHILDREN'S HOSPITAL SAN DIEGO

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NPI Profile & details for RADY CHILDREN'S HOSPITAL SAN DIEGO

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