OrganizationActive
Boys & Girls Clubs of Garden Grove, Inc.
NPI 1871946442 · Early Intervention Provider Agency · Garden Grove, CA
Provider details
- NPI number
- 1871946442
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mark Surmanian, Chief Executive Officer(714) 530-0430
Specialties & taxonomies
Agencies
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11301 Acacia Pkwy
Garden Grove, CA 92840-5310
Phone: (714) 741-5895
Fax: (714) 636-0351
Street-level locationGet directions
Mailing address
10540 Chapman Ave
Garden Grove, CA 92840-3101
Registry dates
- Enumerated
- 2016-07-19
- Last updated
- 2016-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.