Organization Reachout, Inc.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

10891 Issued in CA

Legal business name

ORGANIZATION REACHOUT, INC.

Practice address

920 N Long Beach Blvd
Suite 1
Compton, CA 90221-2260

Phone

(310) 669-9400

Fax

(310) 669-9403

NPI assigned

Mar 7, 2014

Organization subpart

No

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

Authorized official

Name

Shelia Diane Abby

Title

Operations Manager

Phone

(310) 462-8840

Specialties & licenses 1

Addresses

Other names 1

• Community Care Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1740606201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N LONG BEACH BLVD",
            "address_2": "SUITE 1",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902212260",
            "telephone_number": "310-669-9400",
            "fax_number": "310-669-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N LONG BEACH BLVD",
            "address_2": "SUITE 1",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902212260",
            "telephone_number": "310-669-9400",
            "fax_number": "310-669-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORGANIZATION REACHOUT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "ABBY",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "310-462-8840"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "10891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darrin Oliver, LCSW
• Lyndon R. Olmeda, LCSW
• Tammy Olmedo
• Dorcas Oluwaponmile Olowu
• Linda Onyeador, D.D.S.
• Mayra A Orozco, MEDICAL CASE WORKER
• Andrew Eric Osher
• Lora Osher
• Kimberly Isabel Osorio, AA
• Outreach Health Services, Inc

• Nurse Practitioner in Compton, CA
• Providers in Compton, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.