VIVIAN OTIENDE NPI 1780423343

NPI Information

  • NPI: 1780423343
  • Provider Name: VIVIAN OTIENDE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4121 MELODY ST
    LA VERNE, CA
    ZIP 91750
  • Phone: (316) 250-9897

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NPI Details

Vivian Otiende is a psychiatric/mental health nurse practitioner in La Verne, CA. Vivian Otiende NPI is 1780423343. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4121 MELODY ST
LA VERNE, CA
ZIP 91750-228
Phone: (316) 250-9897

The enumeration date for this NPI number is 5/23/2024 and was last updated on 5/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse95392476CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health53-83182-052KANSASNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health302005ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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