RADY CHILDREN'S HOSPITAL
NPI 1003184862
General Acute Care Hospital - Children in San Diego, CA

Active since December 08, 2011CLIA Certified · 5 labs
3020 CHILDREN'S WAY, SAN DIEGO, CA 92123(858) 676-1700 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rady Children's Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADY CHILDREN'S HOSPITAL (NPI 1003184862) is a healthcare organization registered as a children in San Diego, California and active in the NPI registry since December 2011. The organization holds 5 active CLIA laboratory certificates and lists Barent Mynderse, Admin-general, as its authorized official.

NPPES Registry Identity

NPI1003184862
Entity TypeOrganization
Primary Taxonomy282NC2000X
Legal Business NameRADY CHILDREN'S HOSPITAL
Location Address3020 CHILDREN'S WAYSan Diego, CA 92123
Mailing Address3020 Childrens WaySan Diego, CA 92123-4223 · (858) 576-1700
Organization SubpartNo
Authorized OfficialBarent MynderseAdmin-general · (858) 966-5832
Enumeration DateDecember 8, 2011
NPI 1003184862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care Hospital · ChildrenHospitals
Taxonomy Code282NC2000X
3020 CHILDREN'S WAY, San Diego, CA 92123

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0571393

Rady Children's Hospital - San Diego · San Diego, CA
Active · expires Dec 17, 2026
CLIA Number05D0571393
Laboratory TypeHospital
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorDr. Denise M. Malicki
Laboratory Phone(858) 966-5413
Laboratory LocationRady Children's Hospital - San Diego3020 Children's Way, Mc 5007, San Diego, CA 92123
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 05D2030461

Rady Children's Hospital San Diego North Coastal Urgent Care · Oceanside, CA
Active · expires Sep 27, 2027
CLIA Number05D2030461
Laboratory TypeUrgent Care
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorGenevieve Minka
Laboratory Phone(858) 576-1700
Laboratory LocationRady Children's Hospital San Diego North Coastal Urgent Care3605 Vista Way Ste 172, Oceanside, CA 92056
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2137523

Rady Children's Hospital San Diego South Bay Urgent Care · Chula Vista, CA
Active · expires Sep 27, 2027
CLIA Number05D2137523
Laboratory TypeUrgent Care
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorGenevieve Minka
Laboratory Phone(858) 576-1700
Laboratory LocationRady Children's Hospital San Diego South Bay Urgent Care386 East H St, Ste 202 Mail Code 5088, Chula Vista, CA 91910
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2295536

Rady Children's Hospital - Dermatology Clinic · San Diego, CA
Active · expires Dec 12, 2027
CLIA Number05D2295536
Laboratory TypeDermatology Clinic
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorDenise M. Malicki
Laboratory Phone(858) 966-5413
Laboratory LocationRady Children's Hospital - Dermatology Clinic7910 Frost Street Suite 120, San Diego, CA 92123
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 05D2312202

Rady Children's Hospital - San Diego Aero Ct · San Diego, CA
Active · expires Jul 29, 2027
CLIA Number05D2312202
Laboratory TypeOff Campus Laboratory
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorDr. Denise M. Malicki
Laboratory Phone(858) 966-5413
Laboratory LocationRady Children's Hospital - San Diego Aero Ct3678 Aero Court, San Diego, CA 92123
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3020 CHILDREN'S WAY, MC 5008
SAN DIEGO, CA 92123
Pediatrics (Pediatric Emergency Medicine)
3020 CHILDREN'S WAY
SAN DIEGO, CA 92123
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3020 CHILDREN'S WAY, MC 5107 - CAPS UNIT
SAN DIEGO, CALIFORNIA 92123
Dietitian, Registered
3020 CHILDREN'S WAY
SAN DIEGO, CA 92123
Social Worker (Clinical)
3020 CHILDREN'S WAY, MC 5100
SAN DIEGO, CA 92123
Social Worker (Clinical)
3020 CHILDREN'S WAY, MC 5100
SAN DIEGO, CA 92123
Social Worker (Clinical)
3020 CHILDREN'S WAY, MC 5100
SAN DIEGO, CA 92123
Counselor (Mental Health)
3020 CHILDREN'S WAY
SAN DIEGO, CA 92123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rady Children's Hospital's NPI number?

The NPI number for Rady Children's Hospital is 1003184862. It was assigned to this organization in the NPPES registry on December 8, 2011.

Where is Rady Children's Hospital located?

Rady Children's Hospital is located at 3020 Children's Way, San Diego, CA 92123. The listed phone number is (858) 676-1700.

What is Rady Children's Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Children, with taxonomy code 282NC2000X.

Does Rady Children's Hospital hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Rady Children's Hospital was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.