Kavita P Desai, is a
Social Worker - Clinical based in San Bernardino, California. Kavita P Desai is licensed to practice in California (license number 129724) and her current practice location is
290 N D St Ste 700, San Bernardino, California. She can be reached at her office (for appointments etc.) via phone at
(909) 963-5355.
NPI number for Kavita P Desai is 1356011340 and her current mailing address is 290 N D St Ste 700, San Bernardino, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356011340.
Healthcare Provider's Profile
| Full Name | Kavita P Desai |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 290 N D St Ste 700, San Bernardino, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356011340
- Provider Enumeration Date: 09/20/2021
- Last Update Date: 04/15/2025
Medical Identifiers
Medical identifiers for Kavita P Desai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356011340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 105651 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 129724 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kavita P Desai is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kavita P Desai,
290 N D St Ste 700,
San Bernardino, CA 92401-1705
Ph: (909) 963-5355 | Kavita P Desai,
290 N D St Ste 700,
San Bernardino, CA 92401-1705
Ph: (909) 963-5355 |
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