RADY CHILDRENS HOSPITAL SAN DIEGO
NPI 1508261736
Durable Medical Equipment & Medical Supplies in San Diego, CA

Active since October 30, 2014
3665 KEARNY VILLA RD STE 440, SAN DIEGO, CA 92123(858) 966-1700 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About RADY CHILDRENS HOSPITAL SAN DIEGO

This page provides the complete NPI Profile along with additional information for Rady Childrens Hospital San Diego, a provider established in San Diego, California operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1508261736 assigned on October 2014. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Roger G Roux (Sr. Vp/cfo)

NPI
1508261736 Verify this NPI
Provider Name
RADY CHILDRENS HOSPITAL SAN DIEGO
Other Name Type
(6)
Entity Type
Organization
Location Address
3665 KEARNY VILLA RD STE 440 SAN DIEGO, CA 92123
Location Phone
(858) 966-1700
Mailing Address
3020 CHILDRENS WAY MAIL CODE 5002 SAN DIEGO, CA 92123
Mailing Phone
(858) 966-1700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2014
Last Update Date
01-22-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROGER G ROUX

Authorized Official Title
SR. VP/CFO
Authorized Official Phone
(858) 966-5824

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center
3665 KEARNY VILLA RD STE 440
SAN DIEGO, CA 92123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508261736, enumerated as an "organization" on October 30, 2014.

The provider is located at 3665 KEARNY VILLA RD STE 440 SAN DIEGO, CA 92123 and the phone number is (858) 966-1700.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.