Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Vivienne Aghogho Ayomanor, NP

Individual provider Family Nurse Practitioner · NPI 1790282960

Mrs. Vivienne Aghogho Ayomanor, NP is a Nurse Practitioner in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with St John's Community Health, a 148-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

12021 Wilmington Ave
Los Angeles, CA 90059-3019
Phone: (213) 705-9332
Fax: (323) 541-1401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Family Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0810X · Licence 2022002084 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F03180872 (CA)

Record details

NPI number1790282960
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedApril 12, 2018
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St. John'S Community Health — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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