EDGEWOOD CENTER FOR CHILDREN AND FAMILIES
NPI 1275637274
Residential Treatment Facility, Emotionally Disturbed Children in San Francisco, CA

Q: What is Edgewood Center For Children And Families's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since September 11, 2006CLIA 05D2083312 · Waiver

1801 VICENTE ST, BLDGS. A, D, H, L, M, P, S, W, SAN FRANCISCO, CA 94116(415) 681-3211(415) 664-7094 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2018, Jul 2, 2018, Nov 17, 2016 and 3 more (6 updates tracked since 2016).

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About Edgewood Center For Children And Families NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGEWOOD CENTER FOR CHILDREN AND FAMILIES (NPI 1275637274) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in San Francisco, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 2, 2026 and lists America Maria Grajeda, Director Quality Improvement, as its authorized official.

NPPES Registry Identity

NPI1275637274

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameEDGEWOOD CENTER FOR CHILDREN AND FAMILIES

Location Address1801 VICENTE ST, BLDGS. A, D, H, L, M, P, S, WSan Francisco, CA 94116

Mailing Address1801 Vicente StSan Francisco, CA 94116-2923 · (415) 681-3211 · Fax (415) 664-7094

Phone(415) 681-3211

Fax(415) 664-7094

Organization SubpartNo

Authorized OfficialAmerica Maria GrajedaDirector Quality Improvement · (415) 682-3175

Enumeration DateSeptember 11, 2006

Last NPPES UpdateOctober 10, 20186 updates tracked since enumeration

✔ NPI 1275637274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in CA · 380500183

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

1801 VICENTE ST, San Francisco, CA 94116

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Other Names 1

Doing Business AsEdgewood Center For Children And Families

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2083312

Edgewood Center For Children And Families · San Francisco, CA

Active · expires Sep 2, 2026

CLIA Number05D2083312

Laboratory TypeResidential Trt Facility

Certificate Effective DateSeptember 3, 2024

Certificate Expiration DateSeptember 2, 2026

Laboratory DirectorRobin R. Randall, MD

Laboratory Phone(415) 681-3211

Laboratory LocationEdgewood Center For Children And Families1801 Vicente St, San Francisco, CA 94116

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRYSTAL PABROS AOAY

Counselor