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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578093050

Bariasa Caroline Kanabolo, PMHNP is a Nurse Practitioner in Riverside, California. Qualified in 2017, 9 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

9890 County Farm Rd Bldg 2
Riverside, CA 92503-3505
Phone: (951) 509-2499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8498 Daisy Ln, Riverside, CA 92508-7103 — (951) 236-9430

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95006727 (CA)

Record details

NPI number1578093050
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJune 15, 2017
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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