MEDICARE: RADY CHILDRENS HOSPITAL SAN DIEGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC2000X	Children's Hospital	080000028	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	53303	OTHER	CA	BLUE CROSS OF CALIFORNIA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	ZZZH3702Z	OTHER		BLUE SHIELD
5	53303	OTHER		PINNACLE CLAIMS MGMT.
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	CHHS	OTHER		UNIVERSAL (INACTIVE)
8	53303	OTHER		UNICARE
9	53303	OTHER		GIC INDEMNITY PLAN
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	53303	OTHER		WESTERN GROWERS
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831230648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADY CHILDRENS HOSPITAL SAN DIEGO

Provider Business Mailing Address
First Line	:	3020 CHILDRENS WAY
Second Line	:	MAIL CODE 5002
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4223
Country	:	US
Telephone Number	:	858-966-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3020 CHILDRENS WAY
Second Line	:	MAIL CODE 5002
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4223
Country	:	US
Telephone Number	:	858-576-1700
Fax Number	:

Authorized Official
Title or Position	:	SR VP CFO
Name	:	MR. JAMES J ULI
Credential	:
Telephone Number	:	858-966-5824

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	01/28/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1710065933 — RADY CHILDREN'S HOSPITAL SAN DIEGO
Practice Location Address:

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

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

1629126925 — RADYS CHILDREN HOSPITAL
Practice Location Address:

3020 CHILDRENS WAY , MC 5010
SAN DIEGO, CA
92123-4223

Practice Phone: 858-966-5838
Practice Fax:

1629114525 — RADY CHILDREN'S HOSPITAL AND HEALTH CENTER
Practice Location Address:

3020 CHILDRENS WAY
SAN DIEGO, CA
92123-4223

Practice Phone: 858-966-1700
Practice Fax:

1114059532 — RADY CHILDRENS HOSPITAL SAN DIEGO
Practice Location Address:

3020 CHILDRENS WAY , MC 5030
SAN DIEGO, CA
92123-4223

Practice Phone: 858-966-4003
Practice Fax:

1770799108 — RADY CHILDREN'S HOSPITAL AND HEALTH CENTER
Practice Location Address:

3020 CHILDRENS WAY , MC 6013
SAN DIEGO, CA
92123-4223

Practice Phone: 619-420-6511
Practice Fax: 619-420-5531

Directions to “RADY CHILDRENS HOSPITAL SAN DIEGO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.