Active NPI
Boys & Girls Clubs Community Health Services
- Counselor
- Garden Grove, CA
National Provider Identifier
1265343107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- BOYS & GIRLS CLUBS COMMUNITY HEALTH SERVICES
- Practice address
- 13645 Clinton St
Garden Grove, CA 92843-4110 - Phone
- (714) 530-0430
- NPI assigned
- Sep 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Sepulveda
- Title
- Vice President Community Impact
- Phone
- (714) 852-1616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
13645 Clinton St
Garden Grove, CA 92843-4110
Mailing address
10540 Chapman Ave
Garden Grove, CA 92840-3101
Phone (714) 530-0430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1265343107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10540 CHAPMAN AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928403101",
"telephone_number": "714-530-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13645 CLINTON ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434110",
"telephone_number": "714-530-0430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOYS & GIRLS CLUBS COMMUNITY HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "SEPULVEDA",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "VICE PRESIDENT COMMUNITY IMPACT",
"authorized_official_telephone_number": "714-852-1616"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.