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OTISA ANN ROTH RN
NPI 1639639149
Case Manager/Care Coordinator in Lynwood, CA

Active since March 21, 2019
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262(310) 632-0415 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Otisa Ann Roth Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTISA ANN ROTH RN (NPI 1639639149) is an individual case manager/care coordinator provider in Lynwood, California, licensed in California (712812) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1639639149
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameOTISA ANN ROTHCredential: RN
Location Address3820 MARTIN LUTHER KING JR BLVDLynwood, CA 90262-3625
Mailing Address3820 Martin Luther King Jr BlvdLynwood, CA 90262-3625 · (310) 632-0415
Phone(310) 632-0415
Sole ProprietorNo
Enumeration DateMarch 21, 2019
✔ NPI 1639639149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in CA · 712812
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3820 MARTIN LUTHER KING JR BLVD, Lynwood, CA 90262
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALTAMED HEALTH SERVICES CORPORATION
Clinic/Center (Physical Therapy)
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 631-0415
MS. LAURA ELIZABETH MURRAY LCSW
Social Worker
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415
DR. LISA A BROCKMAN DO
Internal Medicine
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415
JUANITA AVILES
Case Manager/Care Coordinator
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 605-0415
JOSHELA CLARK
Occupational Therapist
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415
MARIA ELENA RICO
Case Manager/Care Coordinator
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 605-0305
TERESA LOPEZ
Licensed Vocational Nurse
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415
CRISHANDRA DIONNE FOSTER CNA
Nurse's Aide
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otisa Roth's NPI number?

The NPI number for Otisa Roth is 1639639149. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Otisa Roth located?

Otisa Roth practices at 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262. The listed phone number is (310) 632-0415.

What is Otisa Roth's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Otisa Roth was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.