Growth Extended

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

GROWTH EXTENDED

Practice address

439 S Serrano Ave
Los Angeles, CA 90020-3604

Phone

(888) 948-9998

Fax

(888) 751-6166

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. John Lewis

Title

Cfo

Phone

(888) 948-9998

Specialties & licenses 2

Addresses

Tax ID family

Growth Extended2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Growth Extended, Inc.

  • Psychiatric Residential Treatment Facility
  • Lake Balboa, CA
  • NPI 1710428628
  NPD tax ID

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711843200000",
    "number": "1073854147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N LOTUS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073811",
            "telephone_number": "888-948-9998",
            "fax_number": "888-751-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 S SERRANO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203604",
            "telephone_number": "888-948-9998",
            "fax_number": "888-751-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH EXTENDED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "888-948-9998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "198207997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meera Grover, M.D.
• Rahul Grover, M.D.
• Donald Groves, M.D.
• Grovetown Pharmacy, Inc.
• Grow True Psychology Professional Corporation
• Growurpotential
• Crysten Grubb, FNP
• Brendan Howard Grubbs, M.D.
• Jan M. Gruber, MD
• Phillip Gruber, MD

• Psychiatric Residential Treatment Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.