1. Home
  2. Directory
  3. California
  4. Garden Grove
  5. Clinic Center
  6. NPI Profile

BOYS & GIRLS CLUBS OF GARDEN GROVE
NPI 1245431808
Clinic/Center - Adolescent and Children Mental Health in Garden Grove, CA

Active since May 30, 2007
13645 CLINTON ST, GARDEN GROVE, CA 92843(714) 530-0430(714) 530-0431 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Boys & Girls Clubs Of Garden Grove NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOYS & GIRLS CLUBS OF GARDEN GROVE (NPI 1245431808) is a healthcare organization registered as an adolescent and children mental health in Garden Grove, California and active in the NPI registry since May 2007. The organization lists Mark Surmanian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245431808
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameBOYS & GIRLS CLUBS OF GARDEN GROVE
Location Address13645 CLINTON STGarden Grove, CA 92843
Mailing Address10540 Chapman AveGarden Grove, CA 92840-3101 · (714) 530-0430 · Fax (714) 530-0431
Phone(714) 530-0430
Fax(714) 530-0431
Organization SubpartNo
Authorized OfficialMark SurmanianCeo · (714) 530-0430
Enumeration DateMay 30, 2007
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
✔ NPI 1245431808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedCase ManagementTaxonomy 251B00000X
13645 CLINTON ST, Garden Grove, CA 92843
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAISY NAVARRO
Case Manager/Care Coordinator
13645 CLINTON ST
GARDEN GROVE, CA 92843
Orange County (714) 532-7940
CELESTE MARTINEZ RIVERO
Social Worker
13645 CLINTON ST
GARDEN GROVE, CA 92843
Orange County (714) 532-7940
MARLENE SANTIAGO
Case Manager/Care Coordinator
13645 CLINTON ST
GARDEN GROVE, CA 92843
Orange County (714) 532-7940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boys & Girls Clubs Of Garden Grove's NPI number?

The NPI number for Boys & Girls Clubs Of Garden Grove is 1245431808. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Boys & Girls Clubs Of Garden Grove located?

Boys & Girls Clubs Of Garden Grove is located at 13645 Clinton St, Garden Grove, CA 92843. The listed phone number is (714) 530-0430.

What is Boys & Girls Clubs Of Garden Grove's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Boys & Girls Clubs Of Garden Grove was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.