Active NPI
Positive Education Affects Change Everywhere-P.E.a.C.E
- Community Health Clinic/Center
- Los Angeles, CA
National Provider Identifier
1215597976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- POSITIVE EDUCATION AFFECTS CHANGE EVERYWHERE-P.E.A.C.E
- Practice address
- 8621 Ruthelen St
Los Angeles, CA 90047-3208 - Phone
- (323) 984-5768
- NPI assigned
- Jun 15, 2019
- Last updated
- Jun 15, 2019
- 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. Candace Tamar Cosey
- Title
- Chief Executive Officer
- Phone
- (323) 984-5768
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Public Health or Welfare Agency | 251K00000X | NU | ||
| Community Health Clinic/Center | 261QC1500X | NU | Primary |
Addresses
Primary practice location
8621 Ruthelen St
Los Angeles, CA 90047-3208
Mailing address
8621 Ruthelen St
Los Angeles, CA 90047-3208
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560556800000",
"number": "1215597976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8621 RUTHELEN ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900473208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8621 RUTHELEN ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900473208",
"telephone_number": "323-984-5768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POSITIVE EDUCATION AFFECTS CHANGE EVERYWHERE-P.E.A.C.E",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-15",
"last_updated": "2019-06-15",
"status": "A",
"authorized_official_last_name": "COSEY",
"authorized_official_first_name": "CANDACE",
"authorized_official_middle_name": "TAMAR",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "323-984-5768",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.