Mrs Vivienne Aghogho Ayomanor, NP in Los Angeles, CA

Mrs Vivienne Aghogho Ayomanor, NP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family" in Los Angeles, California. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. John's Community Health and her current practice location is 12021 Wilmington Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 705-9332.

Mrs Vivienne Aghogho Ayomanor is licensed to practice in California (license number 2022002084) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790282960.

Contact Information

	Mrs Vivienne Aghogho Ayomanor, NP
	12021 Wilmington Ave, Los Angeles, CA 90059-3019
	(213) 705-9332
	(323) 541-1401

Map and Direction

Provider's Profile

Full Name	Mrs Vivienne Aghogho Ayomanor
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	12021 Wilmington Ave, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Vivienne Aghogho Ayomanor graduated from nursing school in 2017

NPI Data:

NPI Number: 1790282960
Provider Enumeration Date: 04/12/2018
Last Update Date: 10/30/2025

Medicare PECOS Information:

PECOS PAC ID: 9638426232
Enrollment ID: I20180726002949

Medical Identifiers

Medical identifiers for Mrs Vivienne Aghogho Ayomanor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790282960	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F03180872 (California)	Secondary
364SP0810X	Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family	2022002084 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. John's Community Health	2961482690	96

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Vivienne Aghogho Ayomanor allows following entities to bill medicare on her behalf.

Entity Name	St. John's Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Vivienne Aghogho Ayomanor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Vivienne Aghogho Ayomanor, NP 12235 Dune St, Norwalk, CA 90650-2079 Ph: (310) 561-5009	Mrs Vivienne Aghogho Ayomanor, NP 12021 Wilmington Ave, Los Angeles, CA 90059-3019 Ph: (213) 705-9332

Reviews and Comments

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Mrs Vivienne Aghogho Ayomanor, NP - Medicare Nurse Practitioner in Los Angeles, CA