Gloria Otieno-Obilo, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95018136 Issued in CA

Practice address

5611 E Vernon St
Long Beach, CA 90815-2048

Phone

(253) 561-5294

NPI assigned

Sep 30, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gloria Pamela Otieno-Obilo Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gloria.obilo.1@30710.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Careconnectmd Ca PC

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1366063125
  NPD
• Midwest Post-Acute Care of California PC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1326490871
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1427720234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CONTINENTAL BLVD STE 560",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455030",
            "telephone_number": "310-658-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 E VERNON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152048",
            "telephone_number": "253-561-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTIENO-OBILO",
        "first_name": "GLORIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95018136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENCE",
            "identifier": "95018136",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "OTIENO-OBILO",
            "middle_name": "PAMELA",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alejandra Otero
• Cinthia Elizabeth Otero, WHNP
• Paula Jane Otero
• Zsa Zsa L Oteyza
• Hayat Othman
• Folasade Otti
• Emily Ottiniano, D.O.
• Jean Otto, PH.D.
• Theodore Otvos, PH.D.
• Kathleen Ouchi, RN, PHN

• Primary Care Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.