OrganizationActive
Evolve Growth Initiatives LLC
NPI 1922581297 · Adolescent and Children Mental Health Clinic/Center · San Jose, CA
Provider details
- NPI number
- 1922581297
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Evolve Growth Initiatives LLC
- Organization subpart
- Yes
- Authorized official
- Eddy Lai, Cfo(424) 290-3341
Specialties & taxonomies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1991 Park Ave Ste 20
San Jose, CA 95126-1463
Phone: (855) 490-0302
Street-level locationGet directions
Mailing address
360 N Pacific Coast Hwy Ste 1010
El Segundo, CA 90245-4413
Other names (DBA / former)
- Other name
- Evolve Teen Outpatient Treatment - San Jose
- Other name
- Evolve Treatment Centers - San Jose
- Other name
- Evolve Treatment Centers - San Jose
- Other name
- Evolve Treatment Centers-San Jose Outpatient
Registry dates
- Enumerated
- 2018-09-12
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.