NPIMap

Organization Active NPI

Edgewood

  • Case Management Agency
  • San Francisco, CA
National Provider Identifier
1487031019
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EDGEWOOD
Practice address
3801 3Rd St
San Francisco, CA 94124-1409
Phone
(415) 375-7630
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Mrs. Cynthia Green
Title
Director of Family Center
Phone
(415) 375-7630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3801 3Rd St
San Francisco, CA 94124-1409

Mailing address

1801 Vicente St
San Francisco, CA 94116-2923

Other identifiers 1

IdentifierTypeStateIssuer
172B00000XOtherCAMENTAL HEALTH ASSISTANT II

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

3801 3rd St
San Francisco, CA 94124
Phone (415) 642-5968

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1487031019",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 3RD ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241409",
            "telephone_number": "415-375-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR OF FAMILY CENTER",
        "authorized_official_telephone_number": "415-375-7630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH ASSISTANT II",
            "identifier": "172B00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 4, 2015; 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.