NPIMap

Organization Active NPI

Evolve Growth Initiatives LLC

  • Adolescent and Children Mental Health Clinic/Center
  • El Segundo, CA
National Provider Identifier
1730592643
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
360 N Pacific Coast Hwy Ste 1010
El Segundo, CA 90245-4413
Phone
(855) 490-0302
NPI assigned
Jun 9, 2014
Organization subpart
No

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
Chief Financial Officer
Phone
(772) 361-9705

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

360 N Pacific Coast Hwy Ste 1010
El Segundo, CA 90245-4413

Mailing address

360 N Pacific Coast Hwy Ste 1010
El Segundo, CA 90245-4413
Phone (424) 290-3348

Other identifiers 1

IdentifierTypeStateIssuer
05D2086936OtherCACLIA

Other names 1

  • Evolve Adolescent Behavioral Health Other name

National Provider Directory

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

Other organizations with this tax ID 26

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

View all 26

Locations

600 N Sepulveda Blvd
Los Angeles, CA 90049
Phone (310) 622-1421

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1730592643",
    "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": "424-290-3348",
            "fax_number": "424-290-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N PACIFIC COAST HWY STE 1010",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454413",
            "telephone_number": "855-490-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE GROWTH INITIATIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "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": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "772-361-9705"
    },
    "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": "CLIA",
            "identifier": "05D2086936",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Adolescent Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Segundo, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.