NPIMap

Organization Active NPI

Evolve Growth Initiatives LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Del Mar, CA
National Provider Identifier
1689114258
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
3702 Via de la Valle Ste 202
Del Mar, CA 92014-4255
Phone
(855) 490-0302
NPI assigned
Mar 2, 2017
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

3702 Via de la Valle Ste 202
Del Mar, CA 92014-4255

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
370242APOtherCADHCS

Other names 4

  • Evolve Teen Outpatient Treatment - San Diego Other name
  • Evolve Treatment Center San Diego IOP Other name
  • Evolve Treatment Centers - San Diego Other name
  • Evolve Treatment Centers-Del Mar 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
05D2343280Evolve Treatment Centers-del Mar Outpatient3702 Via de la Valle, Suite 202, Del Mar, CA 92014Certificate of waiverMay 3, 2028

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

3702 Via de la Valle
Ste 202
Del Mar, CA 92014

11585 Sorrento Valley Rd
Ste 100
San Diego, CA 92121

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1689114258",
    "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": "3702 VIA DE LA VALLE STE 202",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144255",
            "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": "2017-03-02",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "370242AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Teen Outpatient Treatment - San Diego",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Evolve Treatment Center San Diego IOP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Evolve Treatment Centers - San Diego",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Evolve Treatment Centers - San Diego",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Evolve Treatment Centers-Del Mar Outpatient",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Del Mar, 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.