CAROLINE KIMAIYO
NPI 1407626294
Nurse Practitioner - Psychiatric/Mental Health in Riverside, CA
About Caroline Kimaiyo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINE KIMAIYO (NPI 1407626294) is an individual psychiatric/mental health provider in Riverside, California, licensed in California (95027261) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Caroline Kimaiyo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Caroline Kimaiyo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Huntington Beach, CA 92649
- Reassigned Medicare billing, California enrollment
- 25 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, CA 92506
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Caroline Kimaiyo's NPI number?
The NPI number for Caroline Kimaiyo is 1407626294. It was assigned to this individual provider in the NPPES registry on January 3, 2024.
Where is Caroline Kimaiyo located?
Caroline Kimaiyo practices at 5900 Brockton Ave, Riverside, CA 92506. The listed phone number is (951) 275-8400.
What is Caroline Kimaiyo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Caroline Kimaiyo enrolled in Medicare?
Yes. Caroline Kimaiyo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Caroline Kimaiyo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Kimaiyo reassigns Medicare benefits to 2 organizations: Telemedicine Urgent Care Inc (Huntington Beach, CA) and Shine Medical Of Ca PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Kimaiyo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Caroline Kimaiyo was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Caroline Kimaiyo · NPI 1407626294
Psychiatric/Mental Health physician in Riverside, California. Individual provider, active in the CMS NPPES registry since January 3, 2024.
## Identity
- **NPI:** 1407626294 (Entity type: Individual)
- **Enumerated:** January 3, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95027261 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5900 BROCKTON AVE, Riverside, CA 92506-1862
- **Phone:** (951) 275-8400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Telemedicine Urgent Care Inc (NPI 1386219558, Huntington Beach, CA); Shine Medical Of Ca PC (NPI 1942935473, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407626294) · Data from the CMS NPPES public registry.