RADY CHILDREN'S HOSPITAL SAN DIEGO
NPI 1962806166
Clinic/Center in San Diego, CA

NPI Status: Active since October 17, 2014

Contact Information

3665 KEARNY VILLA RD STE 440
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-1700

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  • Organization
  • Clinic/Center
  • CLIA Number: 05D2295536
  • CLIA Cert. Type: Other - DERMATOLOGY CLINIC
  • CLIA Exp. Date: 12-12-2025

About RADY CHILDREN'S HOSPITAL SAN DIEGO

This page provides the complete NPI Profile along with additional information for Rady Children's Hospital San Diego, a provider established in San Diego, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1962806166 assigned on October 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mr. James Uli (Sr. Vp/cfo)

NPI
1962806166
Provider Legal Name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Other Organization Name
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
10-17-2014
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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QD1600XAmbulatory Health Care Facilities

Clinic/Center
Developmental Disabilities

 
2261QH0700XAmbulatory Health Care Facilities

Clinic/Center
Hearing and Speech

 
3261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
4261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

 
5261QR0400XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation

 

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. JAMES ULI

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2295536
Facility Type
Other - DERMATOLOGY CLINIC
Certificate Effective Date
December 13, 2023
Certificate Expiration Date
December 12, 2025
Laboratory Director
DENISE M. MALICKI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Rady Children's Hospital San Diego in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962806166, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 6 + 0 + 1 + 2 + 1 + 1 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1962806166.

Other Providers at the Same Location


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

Durable Medical Equipment & Medical Supplies
3665 KEARNY VILLA RD STE 440
SAN DIEGO, CA 92123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962806166, enumerated as an "organization" on October 17, 2014.

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

Clinic/Center with taxonomy code 261Q00000X.