Healthcare Provider Details

I. General information

NPI: 1831020817
Provider Name (Legal Business Name): EDIMERA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

584 CASTRO ST # 2090
SAN FRANCISCO CA
94114-2512
US

IV. Provider business mailing address

584 CASTRO ST # 2090
SAN FRANCISCO CA
94114-2512
US

V. Phone/Fax

Practice location:
  • Phone: 415-361-7939
  • Fax: 415-594-0131
Mailing address:
  • Phone: 415-361-7939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. CRISTINA LAFARRE
Title or Position: FOUNDER AN PMHNP
Credential: DNP, PMHNP-BC
Phone: 415-361-7939