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Boys & Girls Clubs of Garden Grove

Adolescent and Children Mental Health Clinic/Center in Garden Grove, CA · enumerated 2007 · authorized official Mark Surmanian, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245431808

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Registry record

Entity type Organization (Type 2)
Legal business name Boys & Girls Clubs of Garden Grove
Practice address 13645 Clinton St, Garden Grove, CA, 92843
Fax (714) 530-0431
Enumeration date May 30, 2007
Last updated in NPPES Dec 6, 2024

Taxonomy & classification

251B00000X Case Management Agency Agencies Secondary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Mark Surmanian
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Boys & Girls Clubs of Garden Grove?
Boys & Girls Clubs of Garden Grove is registered in NPPES as a Adolescent and Children Mental Health Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-06.