Organization Active NPI

Edgewood Center for Children and Families

  • Community/Behavioral Health Agency
  • Redwood City, CA
National Provider Identifier
1003269994
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EDGEWOOD CENTER FOR CHILDREN AND FAMILIES
Practice address
604 Price Ave
Suite a and B
Redwood City, CA 94063
Phone
(650) 832-6900
NPI assigned
Jul 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
America Maria Grajeda
Title
Director Quality Improvement
Phone
(415) 682-3175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

604 Price Ave
Suite a and B
Redwood City, CA 94063

Mailing address

957 Industrial Rd
Suite B
San Carlos, CA 94070-4151
Phone (650) 832-6900

Other names 2

  • Edgewood the San Francisco Protestant Orphanage Former legal business name
  • Edgewood Center for Children and Families Other name

National Provider Directory

National Provider Directory
Tax ID family
Edgewood Center for Children and Families11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

604 Price Ave
Ste A
Redwood City, CA 94063
Phone (415) 629-9041

957 Industrial Rd
Ste B
San Carlos, CA 94070
Phone (650) 832-6900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1003269994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 INDUSTRIAL RD",
            "address_2": "SUITE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704151",
            "telephone_number": "650-832-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 PRICE AVE",
            "address_2": "SUITE A AND B",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-832-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD CENTER FOR CHILDREN AND FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "GRAJEDA",
        "authorized_official_first_name": "AMERICA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR QUALITY IMPROVEMENT",
        "authorized_official_telephone_number": "415-682-3175"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewood the San Francisco Protestant Orphanage",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Edgewood Center for Children and Families",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Edgewood Center for Children and Families",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.