Organization Active NPI

Positive Education Affects Change Everywhere-P.E.a.C.E

  • Community Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1215597976
Registry record updated Jun 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2019

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.