NPIMap

Organization Active NPI

Evolve Growth Initiatives LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Danville, CA
National Provider Identifier
1265033989
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
EVOLVE GROWTH INITIATIVES LLC
Practice address
588 San Ramon Valley Blvd Ste 110
Danville, CA 94526-4086
Phone
(855) 490-0302
NPI assigned
Nov 9, 2020
Organization subpart
Yes
Parent organization
EVOLVE GROWTH INITIATIVES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Eddy Lai
Title
Cfo
Phone
(424) 290-3341

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary
Substance Abuse Rehabilitation Facility 324500000X
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

588 San Ramon Valley Blvd Ste 110
Danville, CA 94526-4086

Mailing address

360 N Pacific Coast Hwy Ste 1010
El Segundo, CA 90245-4413
Phone (424) 290-3360

Other names 2

  • Evolve Teen Outpatient Treatment - Danville Other name
  • Evolve Treatment Centers - Danville Outpatient Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2225420Evolve Treatment Danville Outpatient588 San Ramon Valley Blvd Ste 110, Danville, CA 94526Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Evolve Growth Initiatives LLC27 organizations share this tax ID, including this one
Part of
Evolve Growth Initiatives LLC

Other organizations with this tax ID 26

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

View all 26

Locations

588 San Ramon Valley Blvd
Ste 110
Danville, CA 94526

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1265033989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N PACIFIC COAST HWY STE 1010",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454413",
            "telephone_number": "424-290-3360",
            "fax_number": "424-290-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 SAN RAMON VALLEY BLVD STE 110",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264086",
            "telephone_number": "855-490-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE GROWTH INITIATIVES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVOLVE GROWTH INITIATIVES LLC",
        "enumeration_date": "2020-11-09",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "424-290-3341"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Teen Outpatient Treatment - Danville",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Evolve Treatment Centers - Danville Outpatient",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.