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KEYLA GISSELLE FAJARDO
NPI 1053206524
Community/Behavioral Health in Newport Beach, CA

Active since June 12, 2025
1151 DOVE ST, NEWPORT BEACH, CA 92660(949) 630-8290 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keyla Gisselle Fajardo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEYLA GISSELLE FAJARDO (NPI 1053206524) is an individual community/behavioral health provider in Newport Beach, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1053206524
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameKEYLA GISSELLE FAJARDO
Location Address1151 DOVE STNewport Beach, CA 92660-2840
Mailing Address37548 Bankside DrCathedral City, CA 92234-7844 · (323) 974-0213
Phone(949) 630-8290
Sole ProprietorYes
Enumeration DateJune 12, 2025
NPPES CertifiedJune 12, 2025
✔ NPI 1053206524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedBehavior TechnicianTaxonomy 106S00000X
1151 DOVE ST, Newport Beach, CA 92660
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH MICHELLE HARRIS
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (949) 630-8290
DANIELLE C RAMIREZ
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (760) 354-8285
MARITZA JAUREGUI ROMERO
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (829) 094-9630
JANETH TORRES CARLOS RBT
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (949) 630-8290
ELIZABETH CORREA NERY
Community/Behavioral Health
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (951) 363-0200
SAMANTHA ALONSO MARTINEZ
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (949) 630-8290
JULISSA ABIGAIL AMAYA
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (949) 630-8290
JOSEPH LIN
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (949) 630-8290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keyla Fajardo's NPI number?

The NPI number for Keyla Fajardo is 1053206524. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Keyla Fajardo located?

Keyla Fajardo practices at 1151 Dove St, Newport Beach, CA 92660. The listed phone number is (949) 630-8290.

What is Keyla Fajardo's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Keyla Fajardo was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.