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

Otisa Ann Roth, RN

Individual provider Case Manager/Care Coordinator · NPI 1639639149

Otisa Ann Roth, RN is a Case Manager/Care Coordinator in Lynwood, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

3820 Martin Luther King Jr Blvd
Lynwood, CA 90262-3625
Phone: (310) 632-0415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 712812 (CA)

Record details

NPI number1639639149
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESMarch 21, 2019
Mailing address3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625

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