MRS. VIVIENNE AGHOGHO AYOMANOR NP
NPI 1790282960
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family in Los Angeles, CA

Q: 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.

Q: 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.

Q: 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 10 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.

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment

12021 WILMINGTON AVE, LOS ANGELES, CA 90059(213) 705-9332(323) 541-1401 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 24, 2023, Oct 9, 2018, Apr 12, 2018 (3 updates tracked since 2018).

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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

NPI1790282960

Entity TypeIndividualFemale

Primary Taxonomy364SP0810X

Provider Legal NameMRS. VIVIENNE AGHOGHO AYOMANORCredential: NP

Location Address12021 WILMINGTON AVELos Angeles, CA 90059-3019

Mailing Address12235 Dune StNorwalk, CA 90650-2079 · (310) 561-5009

Phone(213) 705-9332

Fax(323) 541-1401

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateApril 12, 2018

Last NPPES UpdateOctober 30, 20253 updates tracked since enumeration

NPPES CertifiedOctober 30, 2025

✔ NPI 1790282960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0810X

License✔ Licensed in CA · 2022002084

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F03180872 (CA)

12021 WILMINGTON AVE, Los Angeles, CA 90059

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9638426232

PECOS Enrollment IDI20180726002949

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers17 claims17 services$86.97 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MARC D LEVY MD

Otolaryngology

12021 WILMINGTON AVE, DEPT OF OTOLARYNGOLOGY
LOS ANGELES, CA 90059

Los Angeles County (310) 668-4536

TINA M ROBINSON PA

Physician Assistant

12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Los Angeles County (310) 668-4515

PEGGY ANNA DANIELS CADCII

Counselor (Addiction (Substance Use Disorder))

12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Los Angeles County (818) 996-1051

BRANDON DORFMAN

Day Training/Habilitation Specialist

12021 WILMINGTON AVE, BUILDING 18 SUITE 4D
LOS ANGELES, CA 90059

Los Angeles County (626) 425-1305

DR. KEITH NORRIS MD

Internal Medicine

12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Los Angeles County (310) 668-4515

MS. ZAHRA YAZDANI PA-C

Physician Assistant

12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Los Angeles County (310) 668-4515

DR. LATANIA SCI M.D.

Internal Medicine

12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Los Angeles County (702) 326-8726

COUNTY OF LOS ANGELES AUDITOR CONTROLLER

Clinic/Center

12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Los Angeles County (310) 668-4501

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.

What insurance does Vivienne Ayomanor accept?

Health plans from Providence Health Plan list Vivienne Ayomanor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 10 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.