Active NPI
The Outreach Inc.
- Community/Behavioral Health Agency
- Marina del Reu, CA
National Provider Identifier
1124943709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THE OUTREACH INC.
- Practice address
- 475 Washington Blvd Suite 19
Marina del Reu, CA 90292 - Phone
- (562) 659-0950
- Fax
- (310) 974-4296
- NPI assigned
- Aug 12, 2026
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Deionna L Gipson
- Title
- Program Director
- Phone
- (562) 659-0950
National Provider Directory
Locations
475 Washington Blvd
Ste 19
Marina del Rey, CA 90292
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
475 Washington Blvd Suite 19
Marina del Reu, CA 90292
Mailing address
475 Washington Blvd Suite 19
Marina del Reu, CA 90292
Phone (562) 659-0950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2026.
{
"created_epoch": "1786492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1124943709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 WASHINGTON BLVD SUITE 19",
"city": "MARINA DEL REU",
"state": "CA",
"postal_code": "90292",
"telephone_number": "562-659-0950",
"fax_number": "310-974-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 WASHINGTON BLVD SUITE 19",
"city": "MARINA DEL REU",
"state": "CA",
"postal_code": "90292",
"telephone_number": "562-659-0950",
"fax_number": "310-974-4296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE OUTREACH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-12",
"last_updated": "2026-08-12",
"status": "A",
"authorized_official_last_name": "GIPSON",
"authorized_official_first_name": "DEIONNA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "562-659-0950",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.