YULIAWATI ENOMOTO
NPI 1477412476
Nurse Practitioner - Psychiatric/Mental Health in Riverside, CA

Active since January 16, 2026PECOS EnrolledAccepts Medicare Assignment
5900 BROCKTON AVE, RIVERSIDE, CA 92506(951) 900-7681 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Yuliawati Enomoto NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YULIAWATI ENOMOTO (NPI 1477412476) is an individual psychiatric/mental health provider in Riverside, California, licensed in California (95038271) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477412476
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameYULIAWATI ENOMOTO
Location Address5900 BROCKTON AVERiverside, CA 92506-1862
Mailing Address5900 Brockton AveRiverside, CA 92506-1862 · (951) 275-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 16, 2026
NPPES CertifiedJanuary 16, 2026
✔ NPI 1477412476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95038271
5900 BROCKTON AVE, Riverside, CA 92506

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

Yuliawati Enomoto 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.

PECOS PAC ID2567942196
PECOS Enrollment IDI20260213001171
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Yuliawati Enomoto reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
455 SILICON VALLEY BLVD
San Jose, CA 95138
  • Reassigned Medicare billing, California enrollment
  • 112 clinicians in this Medicare group
Psychiatry
3095 TELEGRAPH AVE
Berkeley, CA 94705
  • Reassigned Medicare billing, California enrollment
  • 103 clinicians in this Medicare group
Internal Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, California enrollment
  • 105 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.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Psychiatric Hospital
5900 BROCKTON AVE
RIVERSIDE, CA 92506
Psychiatry & Neurology (Psychiatry)
5900 BROCKTON AVE
RIVERSIDE, CA 92506
Clinic/Center
5900 BROCKTON AVE
RIVERSIDE, CA 92506
General Acute Care Hospital
5900 BROCKTON AVE
RIVERSIDE, CA 92506
Internal Medicine
5900 BROCKTON AVE
RIVERSIDE, CA 92506
Psychiatry & Neurology (Psychiatry)
5900 BROCKTON AVE, SUITE A RIVERSIDE PSYCHIATRIC MEDICAL GROUP
RIVERSIDE, CA 92506
Psychiatric Hospital
5900 BROCKTON AVE
RIVERSIDE, CA 92506
Psychiatric Hospital
5900 BROCKTON AVE
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 Yuliawati Enomoto's NPI number?

The NPI number for Yuliawati Enomoto is 1477412476. It was assigned to this individual provider in the NPPES registry on January 16, 2026.

Where is Yuliawati Enomoto located?

Yuliawati Enomoto practices at 5900 Brockton Ave, Riverside, CA 92506. The listed phone number is (951) 900-7681.

What is Yuliawati Enomoto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Yuliawati Enomoto enrolled in Medicare?

Yes. Yuliawati Enomoto 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 Yuliawati Enomoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yuliawati Enomoto reassigns Medicare benefits to 3 organizations: Precision Psychiatric Services Inc (San Jose, CA), Psychplus Associates Of California PC (Berkeley, CA) and Psychplus Medical Associates Of California PC (Houston, TX). 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 Yuliawati Enomoto'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 Yuliawati Enomoto was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.