1. Home
  2. Directory
  3. California
  4. Riverside
  5. Nurse Practitioner
  6. NPI Profile

ANTEDAR PSYCHIATRIC NURSING PROFESSIONAL SERVICES, INC
NPI 1871362186
Nurse Practitioner - Psychiatric/Mental Health in Riverside, CA

Active since December 28, 2023
6860 BROCKTON AVE, RIVERSIDE, CA 92506(951) 236-9430 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Antedar Psychiatric Nursing Professional Services, Inc NPPES

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

ANTEDAR PSYCHIATRIC NURSING PROFESSIONAL SERVICES, INC (NPI 1871362186) is a healthcare organization registered as a psychiatric/mental health in Riverside, California and active in the NPI registry since December 2023. The organization lists Bariasa Kanabolo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871362186
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameANTEDAR PSYCHIATRIC NURSING PROFESSIONAL SERVICES, INC
Location Address6860 BROCKTON AVERiverside, CA 92506-3821
Mailing AddressPo Box 51927Riverside, CA 92517-2927 · (951) 236-9430
Phone(951) 236-9430
Organization SubpartNo
Authorized OfficialBariasa KanaboloCeo · (951) 236-9430
Enumeration DateDecember 28, 2023
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1871362186 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
6860 BROCKTON AVE, Riverside, CA 92506
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRYAN DZVONICK N.D.
Naturopath
6860 BROCKTON AVE, STE 6
RIVERSIDE, CA 92506
Riverside County (951) 202-2340
ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC.
Clinic/Center (Physical Therapy)
6860 BROCKTON AVE, SUITE 7
RIVERSIDE, CA 92506
Riverside County (951) 369-0860
NISSA L CASUGA DPT
Physical Therapist
6860 BROCKTON AVE, STE 7
RIVERSIDE, CA 92506
Riverside County (951) 369-0860
MR. CHRISTOPHER DAVID WOOLSEY
Counselor (Addiction (Substance Use Disorder))
6860 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 234-9940
MATTHEW HARU FUJITA DPT
Physical Therapist
6860 BROCKTON AVE, SUITE 7
RIVERSIDE, CA 92506
Riverside County (951) 534-0600
JON FREDERICO DPT
Physical Therapist
6860 BROCKTON AVE, SUITE 7
RIVERSIDE, CA 92506
Riverside County (951) 534-0600
ROSA ALEJANDRA BANUELOS RADT
Counselor (Addiction (Substance Use Disorder))
6860 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 224-9940
DR. DALE E. STRINGER D.D.S.
Dentist (Oral and Maxillofacial Surgery)
6860 BROCKTON AVE, SUITE 1
RIVERSIDE, CA 92506
Riverside County (951) 787-0602

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 Antedar Psychiatric Nursing Professional Services, Inc's NPI number?

The NPI number for Antedar Psychiatric Nursing Professional Services, Inc is 1871362186. It was assigned to this organization in the NPPES registry on December 28, 2023.

Where is Antedar Psychiatric Nursing Professional Services, Inc located?

Antedar Psychiatric Nursing Professional Services, Inc is located at 6860 Brockton Ave, Riverside, CA 92506. The listed phone number is (951) 236-9430.

What is Antedar Psychiatric Nursing Professional Services, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Antedar Psychiatric Nursing Professional Services, Inc was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.