Active NPI
Kehau Kalani Kuala Gilbert, LCSW
- Clinical Social Worker
- Moreno Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 73355
- Practice address
- 23119 Cottonwood Ave Ste 100
Moreno Valley, CA 92553 - Phone
- (951) 413-3509
- NPI assigned
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 73355 | CA | Primary |
Addresses
Primary practice location
23119 Cottonwood Ave Ste 100
Moreno Valley, CA 92553
Mailing address
23119 Cottonwood Ave Ste 100
Moreno Valley, CA 92553-9661
Phone (951) 413-3509
Other practice location 1
3525 Presley Ave
Riverside, CA 92507-4453
Phone (951) 955-2310
Other practice location 2
2085 Rustin Ave Bldg 3
Riverside, CA 92507-2498
Phone (951) 955-2105
Other practice location 3
83912 Avenue 45 Ste 9
Indio, CA 92201-3338
Phone (760) 347-0754
Other practice location 4
40925 County Center Dr Ste 200
Temecula, CA 92591-6037
Phone (951) 600-6360
Other practice location 5
14320 Palm Dr
Desert Hot Springs, CA 92240-6874
Phone (760) 770-2264
Other practice location 6
31764 Casino Dr Ste 200
Lake Elsinore, CA 92530-4571
Phone (951) 471-4649
Other practice location 7
1370 S State St Ste A
San Jacinto, CA 92583-4922
Phone (951) 791-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 73355 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Past | Accepting new patients | |
| County of Riverside | Past | Accepting new patients | |
| Mental Health Substance Abuse Program | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Indio Substance Use Program
- Community/Behavioral Health Agency
- Indio, CA
- NPI 1134295702
-
dba San Jacinto SAPT
- Community/Behavioral Health Agency
- San Jacinto, CA
- NPI 1194891283
-
- Community/Behavioral Health Agency
- Indio, CA
- NPI 1568604452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1093251779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23119 COTTONWOOD AVE STE 100",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925539661",
"telephone_number": "951-413-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23119 COTTONWOOD AVE STE 100",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "92553",
"telephone_number": "951-413-3509"
}
],
"practiceLocations": [
{
"address_1": "3525 Presley Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925074453",
"country_code": "US",
"telephone_number": "951-955-2310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2085 Rustin Ave Bldg 3",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925072498",
"country_code": "US",
"telephone_number": "951-955-2105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "83912 Avenue 45 Ste 9",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922013338",
"country_code": "US",
"telephone_number": "760-347-0754",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40925 County Center Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925916037",
"country_code": "US",
"telephone_number": "951-600-6360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14320 Palm Dr",
"address_purpose": "LOCATION",
"city": "Desert Hot Springs",
"state": "CA",
"postal_code": "922406874",
"country_code": "US",
"telephone_number": "760-770-2264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "31764 Casino Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Lake Elsinore",
"state": "CA",
"postal_code": "925304571",
"country_code": "US",
"telephone_number": "951-471-4649",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1370 S State St Ste A",
"address_purpose": "LOCATION",
"city": "San Jacinto",
"state": "CA",
"postal_code": "925834922",
"country_code": "US",
"telephone_number": "951-791-3350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUALA GILBERT",
"first_name": "KEHAU",
"middle_name": "KALANI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW 73355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.