National Provider Identifier Database

RADY CHILDRENS HOSPITAL SAN DIEGO
Children

Contact Information

RADY CHILDRENS HOSPITAL SAN DIEGO
3020 CHILDRENS WAY
MAIL CODE 5002
SAN DIEGO, CA  92123-4223
Phone: 858-576-1700
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for RADY CHILDRENS HOSPITAL SAN DIEGO

NPI Number 1831230648
Legal business name
LBN		 RADY CHILDRENS HOSPITAL SAN DIEGO
Authorized official JAMES ULI - (SR VP CFO)
Entity Organization
Organization subpart No
Enumeration date 02/12/2007
Last updated 01/28/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 080000028
  • CA Medicaid: CGP000355
  • CA Medicaid: CGP165365
  • CA Medicaid: HSC30271F
  • CA Medicaid: ZZT30271F
  • CA Medicaid: ZZT40271F
  • HI Medicaid: 53125301
  • Other: ZZZH3702Z BLUE SHIELD
  • Other: 53303 GIC INDEMNITY PLAN
  • Other: 53303 PINNACLE CLAIMS MGMT.
  • Other: 53303 UNICARE
  • Other: CHHS UNIVERSAL (INACTIVE)
  • Other: 53303 WESTERN GROWERS
  • CA Other: 53303 BLUE CROSS OF CALIFORNIA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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