BARIASA CAROLINE KANABOLO (NPI# 1578093050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578093050 |
| Entity Type | Individual |
| Full Name | BARIASA CAROLINE KANABOLO |
| Credential | PMHNP |
| Practice Address |
9890 County Farm Rd Bldg 2 Riverside CA 92503-3505 |
| Mailing Address |
8498 Daisy Ln Riverside CA 92508-7103 |
| Practice Telephone | 9515092499 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95006727 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8498 Daisy Ln, Riverside, CA 925087103 | 9512369430 |
| Street Address |
9890 COUNTY FARM RD BLDG 2 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558768085 | William Navarro | Registered Nurse | 9890 County Farm Rd Bldg 2, Riverside, CA 92503-3505 | 2014-11-26 |
| 1871011270 | Roberta Joanne Tyler | Peer Specialist | 9890 County Farm Rd Bldg 2, Riverside, CA 92503-3505 | 2017-09-06 |
| 1427575778 | Tami Le Murillo | Registered Nurse | 9890 County Farm Rd Bldg 2, Riverside, CA 92503-3505 | 2017-08-28 |
| 1689190704 | Karina Vazquez | Peer Specialist | 9890 County Farm Rd Bldg 2, Riverside, CA 92503-3505 | 2017-08-21 |
| 1790201432 | Kenneth Charles Chadwick Jr. | Peer Specialist | 9890 County Farm Rd Bldg 2, Riverside, CA 92503-3505 | 2017-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083249866 | Mega Maninder Deol | Nurse Practitioner | 19734 Shadowbrook Way, Riverside, CA 92508-6809 | 2020-03-11 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1356819908 | Kellie Ferrie | Nurse Practitioner | 250 Wampanoag Trl Ste 302, Riverside, RI 02915-2217 | 2018-11-12 |
| 1861944969 | Innovative Therapeutics of Rhode Island LLC | Nurse Practitioner | 316 Willett Ave, Riverside, RI 02915-2511 | 2016-10-25 |
| 1265807762 | Lisa Debrier | Nurse Practitioner | 2933 University Avenue, Riverside, CA 92507-4243 | 2015-12-09 |
| 1881978682 | Sukh Dev Singh Khalsa | Nurse Practitioner | 5887 Brockton Ave Ste A, Riverside, CA 92506-1858 | 2011-09-28 |
| 1396345245 | Oluwatoyin Oladimeji | Nurse Practitioner | 9990 County Farm Rd, Riverside, CA 92503-3542 | 2020-10-29 |
| 1982210977 | Rachel Weitz | Nurse Practitioner | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-09-16 |
| 1265052047 | Quiana Latoya Cooper | Nurse Practitioner | 6529 Riverside Ave Ste 133, Riverside, CA 92506-3123 | 2020-04-21 |
| 1184270381 | Jessica Nicole Rodello | Nurse Practitioner | 5887 Brockton Ave, Riverside, CA 92506-1853 | 2019-08-13 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.