Active NPI
Pass It Forward Foundation
- Community/Behavioral Health Agency
- Los Angeles, CA
National Provider Identifier
1164295283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PASS IT FORWARD FOUNDATION
- Doing business as
- Pass It Forward L.A
- Practice address
- 6841 Crenshaw Blvd
Los Angeles, CA 90043-4666 - Phone
- (424) 298-1105
- NPI assigned
- Oct 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. La Tijera Avery
- Title
- Executive Director
- Phone
- (424) 312-7340
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Voluntary or Charitable Agency | 251V00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
6841 Crenshaw Blvd
Los Angeles, CA 90043-4666
Mailing address
527 W Regent St Unit 241
Inglewood, CA 90301-1495
Phone (424) 298-1105
Other names 1
- Pass It Forward L.A
National Provider Directory
National Provider DirectoryLocations
6841 Crenshaw Blvd
Los Angeles, CA 90043
Phone (424) 298-1105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698710400000",
"number": "1164295283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 W REGENT ST UNIT 241",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011495",
"telephone_number": "424-298-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6841 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900434666",
"telephone_number": "424-298-1105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASS IT FORWARD FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A",
"authorized_official_last_name": "AVERY",
"authorized_official_first_name": "LA TIJERA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "424-312-7340",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pass It Forward L.A",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.