NPIMap

Organization Active NPI

Egewood Center for Children and Families

  • Community/Behavioral Health Agency
  • San Carlos, CA
National Provider Identifier
1891969432
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EGEWOOD CENTER FOR CHILDREN AND FAMILIES
Practice address
957 Industrial Rd Ste B
San Carlos, CA 94070-4152
Phone
(415) 375-7585
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Falope Fatunmise, MA
Title
Regional Director
Phone
(415) 375-7485

Specialties & licenses 1

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

Addresses

Primary practice location

957 Industrial Rd Ste B
San Carlos, CA 94070-4152

Mailing address

957 Industrial Rd Ste B
San Carlos, CA 94070-4152
Phone (415) 375-7585

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.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1891969432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 INDUSTRIAL RD STE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704152",
            "telephone_number": "415-375-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 INDUSTRIAL RD STE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704152",
            "telephone_number": "415-375-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGEWOOD CENTER FOR CHILDREN AND FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "FATUNMISE",
        "authorized_official_first_name": "FALOPE",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "415-375-7485",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.