Organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Active
Other names
Children's Hospital - San Diego
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HESTER (SR. DIRECTOR, REVENUE CYCLE APPLIC)
(858) 966-6779
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY # 5002, SAN DIEGO, CA 92123-4223
(858) 576-1700
(858) 966-4051
Mailing address
3020 CHILDRENS WAY, MAIL CODE 5002, SAN DIEGO, CA 92123-4223
(858) 966-1700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
080000028
CA
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
282NC2000X
Children's Hospital
Primary
080000028
CA
405300000X
Prevention Professional
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053303
PINNACLE CLAIMS MANAGEMENT
CA
05
—
53125301
—
HI
05
—
CGP000355
—
CA
05
—
CGP165365
—
CA
05
—
HSC30271F
—
CA
05
—
ZZT30271F
—
CA
05
—
ZZT40271F
—
CA
01
—
ZZZH3702Z
BLUE SHIELD OF CA
CA
Enumeration date
11/02/2006
Last updated
01/23/2025
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