NPIMap

Organization Active NPI

Edgewood Center for Children and Families

  • Community/Behavioral Health Agency
  • San Mateo, CA
National Provider Identifier
1093920647
Registry record updated Jan 31, 2020
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
1510 Fashion Island Blvd Ste 310
San Mateo, CA 94404-1587
Phone
(650) 832-6900
NPI assigned
May 14, 2007
Last updated
Jan 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

1510 Fashion Island Blvd Ste 310
San Mateo, CA 94404-1587

Mailing address

1510 Fashion Island Blvd Ste 310
San Mateo, CA 94404-1587
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

1510 Fashion Island Blvd
Ste 310
San Mateo, CA 94404
Phone (415) 741-4454

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1093920647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD STE 310",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041587",
            "telephone_number": "650-832-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD STE 310",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041587",
            "telephone_number": "650-832-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD CENTER FOR CHILDREN AND FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "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 San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.