Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Rady Children's Hospital San Diego

Organization Clinical Psychologist · NPI 1154613818

Rady Children's Hospital San Diego provides Clinical Psychologist services 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
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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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