Individual provider Active NPI

Gilbert G Carmona, LCSW

  • Clinical Social Worker
  • Mission Viejo, CA
National Provider Identifier
1912137183
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11525 Issued in CA
Practice address
23361 Cypress PT
Mission Viejo, CA 92692-1558
Phone
(714) 328-4760
NPI assigned
Jul 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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 11525 CA Primary

Addresses

Primary practice location

23361 Cypress PT
Mission Viejo, CA 92692-1558

Mailing address

23361 Cypress PT
Mission Viejo, CA 92692-1558
Phone (714) 328-4760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029003602 CA Practitioner - Clinical Social Worker 7719476753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriveworks Clinical - California PCGroup PAC ID 1759785645, 55 clinicians

Practice addresses (Care Compare)

2804 Camino Dos Rios
Suite 206
Thousand Oaks, CA 91320-1175
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11525CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - California PC CurrentSince Sep 1, 2025 Accepting new patients
Telecare Corporation Past Accepting new patients

Locations

2020 Milvia St
Ste 200
Berkeley, CA 94704
Phone (209) 689-2669

171 Saxony Rd
Ste 106
Encinitas, CA 92024
Phone (760) 640-0270

2480 Hilborn Rd
Ste 101
Fairfield, CA 94534
Phone (347) 835-8230

18652 Florida St
Ste 245
Huntington Beach, CA 92648
Phone (714) 698-3460

116 S Catalina Ave
Ste 109
Redondo Beach, CA 90277
Phone (617) 454-4916

815 Hyde St
Ste 301
San Francisco, CA 94109
Phone (415) 292-5477

2025 Forest Ave
Ste 5
San Jose, CA 95128
Phone (209) 689-2669

2804 Camino Dos Rios
Ste 206
Thousand Oaks, CA 91320
Phone (209) 689-2669

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1912137183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23361 CYPRESS PT",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921558",
            "telephone_number": "714-328-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23361 CYPRESS PT",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921558",
            "telephone_number": "714-328-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMONA",
        "first_name": "GILBERT",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "11525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.