MRS. VIVIENNE AGHOGHO AYOMANOR NP
NPI 1790282960
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family in Los Angeles, CA
About Mrs. Vivienne Aghogho Ayomanor Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. VIVIENNE AGHOGHO AYOMANOR NP (NPI 1790282960) is an individual psychiatric/mental health, child & family provider in Los Angeles, California, licensed in California (2022002084) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Vivienne Aghogho Ayomanor Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Vivienne Ayomanor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: St. John's Community Health
- 404 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90059 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
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 Vivienne Ayomanor's NPI number?
The NPI number for Vivienne Ayomanor is 1790282960. It was assigned to this individual provider in the NPPES registry on April 12, 2018.
Where is Vivienne Ayomanor located?
Vivienne Ayomanor practices at 12021 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (213) 705-9332.
What is Vivienne Ayomanor's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Family, with taxonomy code 364SP0810X.
Is Vivienne Ayomanor enrolled in Medicare?
Yes. Vivienne Ayomanor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Vivienne Ayomanor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vivienne Ayomanor reassigns Medicare benefits to 2 organizations: St. Johns Community Health (Los Angeles, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vivienne Ayomanor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Vivienne Ayomanor was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Mrs. Vivienne Aghogho Ayomanor, NP · NPI 1790282960
Psychiatric/Mental Health, Child & Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 12, 2018.
## Identity
- **NPI:** 1790282960 (Entity type: Individual)
- **Enumerated:** April 12, 2018
- **Primary specialty:** Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family · taxonomy 364SP0810X
- **State license:** 2022002084 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12021 WILMINGTON AVE, Los Angeles, CA 90059-3019
- **Phone:** (213) 705-9332 · **Fax:** (323) 541-1401
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Johns Community Health (NPI 1174225429, Los Angeles, CA); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790282960) · Data from the CMS NPPES public registry.