EDGEWOOD CENTER FOR CHILDREN AND FAMILIES (NPI# 1518310523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518310523 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD CENTER FOR CHILDREN AND FAMILIES |
| Other Organization Name | EDGEWOOD CENTER FOR CHILDREN AND FAMILIES |
| Practice Address |
931 San Bruno Ave W San Bruno CA 94066 |
| Mailing Address |
957 Industrial Rd Suite B San Carlos CA 94070-4151 |
| Practice Telephone | 6508326900 |
| Mailing Telephone | 6508326900 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | AMERICA MARIA GRAJEDA (DIRECTOR QUALITY IMPROVEMENT) |
| Authorized Official Telephone | 4156823175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Edgewood Center for Children and Families | Other Name - Individual/Organization |
| Edgewood the San Francisco Protestant Orphanage | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790131548 | Edgewood Center for Children and Families | Counselor | 1112 Ingerson Ave, San Francisco, CA 94124-3514 | 2016-05-11 |
| 1861638652 | Edgewood Center for Children and Families | Community Based Residential Treatment Facility, Mental Illness | 131 Sears St, San Francisco, CA 94112-4029 | 2008-12-29 |
| 1093920647 | Edgewood Center for Children and Families | Community/Behavioral Health | 1510 Fashion Island Blvd Ste 310, San Mateo, CA 94404-1587 | 2007-05-14 |
| 1003269994 | Edgewood Center for Children and Families | Community/Behavioral Health | 604 Price Ave, Suite A and B, Redwood City, CA 94063 | 2016-07-15 |
| 1013389725 | Edgewood Center for Children and Families | Community/Behavioral Health | 170 S Spruce Ave, Suite 250, South San Francisco, CA 94080 | 2015-10-21 |
| 1255744298 | Edgewood Center for Children and Families | Community/Behavioral Health | 3801 3rd St, Suite 610/620, San Francisco, CA 94124-1446 | 2014-06-06 |
| 1386782340 | Edgewood Center for Children and Families | Voluntary or Charitable | 1801 Vicente St, San Francisco, CA 94116-2923 | 2007-02-02 |
| 1578627840 | Edgewood Center for Children and Families | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, San Francisco, CA 94116-2923 | 2006-12-21 |
| 1811072796 | Edgewood Center for Children and Families | Clinic/Center | 1801 Vicente St, San Francisco, CA 94116-2923 | 2006-10-26 |
| 1275637274 | Edgewood Center for Children and Families | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, Bldgs. A, D, H, L, M, P, S, W, San Francisco, CA 94116 | 2006-09-11 |
| Street Address |
931 SAN BRUNO AVE W |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053427138 | Mervyn K Otsuka | Dentist | 931 San Bruno Ave W, Suite 5, San Bruno, CA 94066-3440 | 2006-08-22 |
| 1457745333 | Darryl Mendioro | Counselor | 931 San Bruno Ave W, San Bruno, CA 94066-3440 | 2015-03-27 |
| 1033517081 | Alilia L Vuna | Counselor | 931 San Bruno Ave W, Ste. #1, San Bruno, CA 94066-3440 | 2014-12-08 |
| 1124326541 | Ashley Lynn Theisen | Counselor | 931 San Bruno Ave W, San Bruno, CA 94066-3440 | 2011-03-09 |
| 1497957971 | Steven Richard Pulido | Dentist | 931 San Bruno Ave W, Suite 5, San Bruno, CA 94066-4327 | 2007-06-05 |
| 1023223195 | Les Chui | Chiropractor | 931 San Bruno Ave W, #1, San Bruno, CA 94066-3440 | 2007-05-11 |
| 1740328152 | Nancy Madera | Dentist | 931 San Bruno Ave W, Suite 6, San Bruno, CA 94066-3440 | 2007-02-01 |
| 1952417719 | Frank L Ng | Dentist | 931 San Bruno Ave W, Suite 8, San Bruno, CA 94066-3440 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1184198780 | Sonya Oey Kramer | Pharmacist | 10 Bayhill Drive, San Bruno, CA 94066 | 2019-01-16 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1568845816 | Paula Leeanne Park | Physical Therapist | 106 Quail Point Cir, San Bruno, CA 94066 | 2015-07-06 |
| 1275921231 | C & C's Care Home | Assisted Living Facility | 2700 Oakmont Dr., San Bruno, CA 94066 | 2014-12-29 |
| Find all providers in zip 94066 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013439264 | Starvista | Community/Behavioral Health | 1590 El Camino Real Ste J, San Bruno, CA 94066-5377 | 2017-07-10 |
| 1568750891 | The Latino Commission | Community/Behavioral Health | 1001 Sneath Ln Ste 307, San Bruno, CA 94066-2349 | 2011-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EDGEWOOD CENTER FOR CHILDREN AND FAMILIES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.