NPIMap

Organization Active NPI

Edgewood Center for Children and Families

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Francisco, CA
National Provider Identifier
1275637274
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
380500183 Issued in CA
Legal business name
EDGEWOOD CENTER FOR CHILDREN AND FAMILIES
Practice address
1801 Vicente St
Bldgs. a, D, H, L, M, P, S, W
San Francisco, CA 94116
Phone
(415) 681-3211
Fax
(415) 664-7094
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 380500183 CA Primary

Addresses

Primary practice location

1801 Vicente St
Bldgs. a, D, H, L, M, P, S, W
San Francisco, CA 94116

Mailing address

1801 Vicente St
San Francisco, CA 94116-2923
Phone (415) 681-3211

Other names 1

  • Edgewood Center for Children and Families Doing business as

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

1801 Vicente St
#A
San Francisco, CA 94116

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1275637274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 VICENTE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162923",
            "telephone_number": "415-681-3211",
            "fax_number": "415-664-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 VICENTE ST",
            "address_2": "BLDGS. A, D, H, L, M, P, S, W",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94116",
            "telephone_number": "415-681-3211",
            "fax_number": "415-664-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD CENTER FOR CHILDREN AND FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2018-10-10",
        "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": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "380500183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewood Center for Children and Families",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.