POSITIVE IMAGERY FOUNDATION (NPI# 1700315199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700315199 |
| Entity Type | Organization |
| Organization Name | POSITIVE IMAGERY FOUNDATION |
| Other Organization Name | POSITIVE IMAGERY FOUNDATION |
| Practice Address |
5906 7th Avenue Suite 1 Los Angeles CA 90043 |
| Mailing Address |
5906 7th Ave Ste 1 Los Angeles CA 90043-3204 |
| Practice Telephone | (323) 294-9300 |
| Practice Fax Number | 3232949360 |
| Mailing Telephone | 3232949300 |
| Mailing Fax Number | 3232949360 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | DR. RONALD BEAVERS (PRESIDENT/CEO) |
| Authorized Official Telephone | 3232949300 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Positive Imagery Foundation | Former Legal Business Name - Organization |
| Veterans Service Outreach Program-VSOP | Doing Business As Name - Organization |
| Street Address |
5906 7TH AVENUE SUITE 1 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| 1649577206 | Wings of Refuge, Inc. | Exclusive Provider Organization | 2516 W. 54th Street, Los Angeles, CA 90043 | 2011-02-17 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023572641 | Eunhee Kim | Prevention Professional | 807 W Glenwood Cir, Fullerton, CA 92832-1017 | 2019-01-28 |
| 1467943647 | Bcdc Anger Management | Prevention Professional | 9901 Paramount Blvd Ste 114, Downey, CA 90240-3852 | 2018-05-23 |
| 1396248043 | Holly Hartley | Prevention Professional | 4325 S Higuera St, San Luis Obispo, CA 93401-7701 | 2018-03-08 |
| 1245740810 | Iu-mien Community Services | Prevention Professional | 5625 Stockton Blvd, Sacramento, CA 95824-1611 | 2017-10-09 |
| 1548797806 | Alejandro Munoz | Prevention Professional | 3930 Fourth Ave Suite 200, San Diego, CA 92103 | 2017-05-17 |
| 1225564008 | Elizabeth Ann Silva Melo | Prevention Professional | 562 Northwood St, Escalon, CA 95320-9675 | 2017-05-11 |
| 1538695762 | Chinfu Chen | Prevention Professional | 1549 Stone Creek Dr, San Jose, CA 95132-1950 | 2017-05-09 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1740713452 | Jami Johnson | Prevention Professional | 74451 Hill Rd, Covelo, CA 95428-9615 | 2017-04-10 |
| 1831621689 | Paige Tetreau | Prevention Professional | 2367 Morningside St, San Diego, CA 92139 | 2017-03-31 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
Please comment or provide details below to improve the information on POSITIVE IMAGERY FOUNDATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.