RADY CHILDREN'S HOSPITAL SAN DIEGO – NPI #1750458485
General Acute Care Hospital

RADY CHILDREN'S HOSPITAL SAN DIEGO is a general acute care hospital located in SAN DIEGO, CA. NPPES has assigned the NPI number 1750458485 to RADY CHILDREN'S HOSPITAL SAN DIEGO on November 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. RADY CHILDREN'S HOSPITAL SAN DIEGO is also known by the name DEVELOPMENTAL EVALUATION CLINCI. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC2000X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Children

The NPI profile was previously updated about 15 years ago on Jun 03, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RADY CHILDREN'S HOSPITAL SAN DIEGO below.

NPI Profile for
RADY CHILDREN'S HOSPITAL SAN DIEGO

NPI Number
1750458485
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Other Name: DEVELOPMENTAL EVALUATION CLINCI
Primary location
8010 FROST ST.
STE 200
SAN DIEGO, CA 92123
Phone: (858) 966-5817 Fax: (858) 966-8528
Mailing address
3020 CHILDRENS WAY
MC5023
SAN DIEGO, CA 92123-4223
Phone: (858) 966-5817 Fax: (858) 966-8528
Organization Subpart
No
Authorized Official
JEFFERY OLSON
SUPERVISOR DEV SRVS OPERATIONS
Phone: (858) 966-5416
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC2000X
- General Acute Care Hospital / Children (Primary)		 CA 080000028
103TC0700X
- Psychologist / Clinical

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.