Edmond Otis
NPI 1619681251 · Marriage & Family Therapist · Moreno Valley, CA
Enrolled with Medicare as Practitioner - Marriage and Family Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edmond Otis is a Marriage & Family Therapist provider in Moreno Valley, CA (NPI 1619681251).
Provider details
- NPI number
- 1619681251
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 31194 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-01-09
- Last updated
- 2023-01-09
- Certified
- 2023-01-09
Frequently asked questions
- What is Edmond Otis's NPI number?
- Edmond Otis's National Provider Identifier (NPI) is 1619681251, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edmond Otis's specialty?
- Edmond Otis is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Edmond Otis located?
- Edmond Otis's practice location on file with NPPES is 26449 Bodega Ct, Moreno Valley, CA 92555-2461.
- What is Edmond Otis's phone number?
- The practice phone number listed in the NPPES registry for Edmond Otis is (760) 612-7029.
- Does Edmond Otis accept Medicare?
- Edmond Otis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edmond Otis's NPI active?
- Yes — Edmond Otis's NPI (1619681251) is active in the NPPES registry as of the last update on 2023-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.