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

Vivian Otiende

Individual provider Registered Nurse · NPI 1780423343

Vivian Otiende is a Registered Nurse in LA Verne, California. Practices as a sole proprietor. Licensed in Arizona, California and Kansas.

Licensed in
AZ, CA, KS
In the registry since
2024
Specialties on file
3

Practice location Address checks out

4121 Melody St
LA Verne, CA 91750-3228
Phone: (316) 250-9897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 302005 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 95392476 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 53-83182-052 (KS)

Record details

NPI number1780423343
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 23, 2024
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address4121 Melody St, La Verne, CA 91750-3228

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