Organization Active NPI

Positive Imagery Foundation

  • Prevention Professional
  • Los Angeles, CA
National Provider Identifier
1700315199
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
POSITIVE IMAGERY FOUNDATION
Practice address
5906 7TH Avenue
Suite 1
Los Angeles, CA 90043
Phone
(323) 294-9300
Fax
(323) 294-9360
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald Beavers, PH.D.NPI 1669062659
Title
President/Ceo
Phone
(323) 294-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X Primary

Addresses

Primary practice location

5906 7TH Avenue
Suite 1
Los Angeles, CA 90043

Mailing address

5906 7TH Ave Ste 1
Los Angeles, CA 90043-3204
Phone (323) 294-9300

Other names 1

  • Positive Imagery Foundation Former legal business name

National Provider Directory

National Provider Directory

Locations

5906 7th Ave
Ste 1
Los Angeles, CA 90043
Phone (323) 294-9300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700315199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 7TH AVE STE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900433204",
            "telephone_number": "323-294-9300",
            "fax_number": "323-294-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 7TH AVENUE",
            "address_2": "SUITE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90043",
            "telephone_number": "323-294-9300",
            "fax_number": "323-294-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE IMAGERY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "BEAVERS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-294-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Imagery Foundation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 21, 2022; 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.