VIVIAN OTIENDE
NPI 1780423343
Nurse Practitioner - Psychiatric/Mental Health in La Verne, CA

Active since May 23, 2024
4121 MELODY ST, LA VERNE, CA 91750(316) 250-9897 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2025, Dec 6, 2024 (2 updates tracked since 2024).

  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Accepts Insurance

About VIVIAN OTIENDE

This page provides the complete NPI Profile along with additional information for Vivian Otiende, a provider established in La Verne, California with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1780423343 assigned on May 2024. The practitioner's primary taxonomy code is 363LP0808X with license number 302005 (AZ). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1780423343 Verify this NPI
Provider Name
VIVIAN OTIENDE
Gender
Female
Entity Type
Individual
Location Address
4121 MELODY ST LA VERNE, CA 91750
Location Phone
(316) 250-9897
Mailing Address
4121 MELODY ST LA VERNE, CA 91750
Mailing Phone
(316) 250-9897
Is Sole Proprietor?
Yes
Enumeration Date
05-23-2024
Last Update Date
05-07-2025
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A nurse practitioner (NP) like Vivian Otiende is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
302005
License State
AZ

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

95392476 (CA)
2363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

53-83182-052 (KS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Prosano Gold ($0 Prosano Health Visits) - HMO
  • AZ Blue EverydayHealth Prosano Silver ($0 Prosano Health Visits) - HMO
  • AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit) - HMO
  • AZ Blue Portfolio Bronze HSA Focus - HMO
  • AZ Blue Portfolio Bronze HSA Neighborhood - HMO
  • AZ Blue StandardHealth Bronze Focus - HMO
  • AZ Blue StandardHealth Bronze Neighborhood - HMO
  • AZ Blue StandardHealth Gold Focus - HMO
  • AZ Blue StandardHealth Gold Neighborhood - HMO
  • AZ Blue StandardHealth Silver Focus - HMO
  • AZ Blue StandardHealth Silver Neighborhood - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for VIVIAN OTIENDE

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780423343, enumerated as an "individual" on May 23, 2024.

The provider is located at 4121 MELODY ST LA VERNE, CA 91750 and the phone number is (316) 250-9897.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona and. Please consult your insurance carrier or call the provider to verify.