Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rady Children's Hospital San Diego

Organization Clinical Psychologist · NPI 1154613818

Rady Children's Hospital San Diego is a Clinical Psychologist in Oceanside, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2

Practice location Address checks out

3601 Vista Way Ste 201
Oceanside, CA 92056-4559
Phone: (858) 966-1700
Fax: (858) 966-7803
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 080000028 (CA)
Clinical Psychologist Taxonomy 103TC0700X

Record details

NPI number1154613818
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRady Children's Hospital San Diego
Authorized official Virginia Bial — Program Manager · (858) 576-1700
Other names Developmental Eval Clinic - Oceanside Satellite
NPI enumeratedMay 12, 2011
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 14, 2025
Mailing address3020 Childrens Way, Mc 5023, San Diego, CA 92123-4223

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