1710854278 NPI number — CHERYL L GILBERT LMFT

Table of content: (NPI 1710854278)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710854278 NPI number — CHERYL L GILBERT LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHERYL L GILBERT LMFT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710854278
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2023 RANCHO CORTE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VISTA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92084-2585
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-290-6619
Provider Business Mailing Address Fax Number:
760-295-0431

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
802 S SANTA FE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VISTA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92084-6107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-290-6619
Provider Business Practice Location Address Fax Number:
760-295-0431
Provider Enumeration Date:
10/20/2025

Additional Information

Authorized Official

Authorized Official Last Name:
GILBERT
Authorized Official First Name:
CHERYL
Authorized Official Middle Name:
LIZA
Authorized Official Title or Position:
LICENSED MARAGE AND FAMILY THERAPIS
Authorized Official Telephone Number:
949-290-6619

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1407472483 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com