EVOLVE GROWTH INITIATIVES LLC
NPI 1689114258
Clinic/Center - Adolescent and Children Mental Health in Del Mar, CA

NPI Status: Active since March 02, 2017

Contact Information

3702 VIA DE LA VALLE STE 202
DEL MAR, CA
ZIP 92014
Phone: (855) 490-0302

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health
  • CLIA Number: 05D2145208
  • CLIA Cert. Type: Other - RESIDENTIAL TRTMNT CENTER
  • CLIA Exp. Date: 03-02-2026

About EVOLVE GROWTH INITIATIVES LLC

This page provides the complete NPI Profile along with additional information for Evolve Growth Initiatives Llc, a provider established in Del Mar, California operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1689114258 assigned on March 2017. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Eddy Lai (Cfo)

NPI
1689114258
Provider Legal Name
EVOLVE GROWTH INITIATIVES LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3702 VIA DE LA VALLE STE 202 DEL MAR, CA 92014
Location Phone
(855) 490-0302
Mailing Address
360 N PACIFIC COAST HWY STE 1010 EL SEGUNDO, CA 90245
Mailing Phone
(424) 290-3360
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-02-2017
Last Update Date
03-24-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 
23245S0500XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EDDY LAI

Authorized Official Title
CFO
Authorized Official Phone
(424) 290-3341

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
370242APOTHER (01)CADHCS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2145208
Facility Type
Other - RESIDENTIAL TRTMNT CENTER
Certificate Effective Date
March 03, 2024
Certificate Expiration Date
March 02, 2026
Laboratory Director
MELISSA VALLAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evolve Growth Initiatives Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689114258, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 2 + 1 + 8 + 2 + 1 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1689114258.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689114258, enumerated as an "organization" on March 02, 2017.

The provider is located at 3702 VIA DE LA VALLE STE 202 DEL MAR, CA 92014 and the phone number is (855) 490-0302.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.