Individual provider Active NPI

Kehau Kalani Kuala Gilbert, LCSW

  • Clinical Social Worker
  • Moreno Valley, CA
National Provider Identifier
1093251779
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 73355 Issued in CA
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

Updated by the provider on Jun 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCSW 73355CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.