EVOLVE GROWTH INITIATIVES, LLC (NPI# 1689114258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689114258 |
| Entity Type | Organization |
| Organization Name | EVOLVE GROWTH INITIATIVES, LLC |
| Other Organization Name | EVOLVE TREATMENT CENTERS - SAN DIEGO |
| Practice Address |
11585 Sorrento Valley Rd Ste 100 San Diego CA 92121 |
| Mailing Address |
300 N Pacific Coast Hwy Ste 2060 El Segundo CA 90245-4479 |
| Practice Telephone | 4242815000 |
| Mailing Telephone | 7723619705 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | EDDY LAI (CONTROLLER) |
| Authorized Official Telephone | 7723619705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Evolve Treatment Centers - San Diego | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548721186 | Evolve Growth Initiatives, LLC | Clinic/Center | 263 Montego Dr, Danville, CA 94526-4842 | 2019-03-27 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| 1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
| 1083161574 | Evolve Growth Initiatives, LLC | Substance Abuse Rehabilitation Facility | 820 Moraga Dr, Los Angeles, CA 90049-1632 | 2016-09-01 |
| Street Address |
11585 SORRENTO VALLEY RD STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503598 | New Alternatives, Incorporated | Clinic/Center | 8765 Aero Dr Ste 310a, San Diego, CA 92123-1767 | 2019-11-25 |
| 1982124640 | New Alternatives, Incorporated | Clinic/Center | 3517 Camino Del Rio S., #407, San Diego, CA 92108 | 2017-06-23 |
| 1689889289 | New Alternatives, Inc. | Clinic/Center | 4309 3rd Ave, San Diego, CA 92103-1407 | 2007-05-14 |
| 1023221470 | New Alternatives, Inc. | Clinic/Center | 8755 Aero Dr Ste 230, San Diego, CA 92123-1750 | 2007-05-08 |
| 1558447136 | New Alternatives, Incorporated | Clinic/Center | 3589 4th Ave, San Diego, CA 92103-4912 | 2006-10-27 |
| 1467972125 | New Alternatives, Incorporated | Clinic/Center | 9400 Ruffin Court, San Diego, CA 92123 | 2017-06-23 |
| 1487059549 | Vista Hill Foundation | Clinic/Center | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2014-10-30 |
| 1609161850 | Vista Hill Foundation | Clinic/Center | 2851 Meadow Lark Dr, San Diego, CA 92123-2709 | 2011-06-16 |
| 1194987685 | Affirmative Counseling and Therapy | Clinic/Center | 3443 Camino Del Rio S, Ste. 202, San Diego, CA 92108-3903 | 2008-06-26 |
| 1013119569 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 3025 Beyer Blvd, Ste E101, San Diego, CA 92154-3432 | 2007-06-05 |
| Find all providers in SAN DIEGO | ||||
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| 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.