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

Caroline Kimaiyo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407626294

Caroline Kimaiyo is a Nurse Practitioner in Riverside, California. Qualified in 2023, 3 years ago. Practices with Telemedicine Urgent Care Inc, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

5900 Brockton Ave
Riverside, CA 92506-1862
Phone: (951) 275-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95027261 (CA)

Record details

NPI number1407626294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2024
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address13135 Heacock St Apt 120, Moreno Valley, CA 92553-2803

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Telemedicine Urgent Care Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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