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

Yuliawati Enomoto

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1477412476

Yuliawati Enomoto is a Nurse Practitioner in Riverside, California. Qualified in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2026

Practice location Address checks out

5900 Brockton Ave
Riverside, CA 92506-1862
Phone: (951) 900-7681
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95038271 (CA)

Record details

NPI number1477412476
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 16, 2026
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address5900 Brockton Ave, Riverside, CA 92506-1862

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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