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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KEAVEN SA
NPI 1790605095
Peer Specialist in San Diego, CA

Active since July 16, 2026
545 LAUREL ST, SAN DIEGO, CA 92101(619) 233-4399(619) 233-0453 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2026, Jul 16, 2026 (2 updates tracked since 2026).

About Keaven Sa NPPES

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

KEAVEN SA (NPI 1790605095) is an individual peer specialist in San Diego, California, licensed in California (MPSS-UKWGEO) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1790605095
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKEAVEN SA
Location Address545 LAUREL STSan Diego, CA 92101-1634
Mailing Address545 Laurel StSan Diego, CA 92101-1634 · (619) 233-4399 · Fax (619) 233-0453
Phone(619) 233-4399
Fax(619) 233-0453
Sole ProprietorNo
Enumeration DateJuly 16, 2026
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1790605095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-UKWGEO
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
545 LAUREL ST, San Diego, CA 92101
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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.

MR. HUNTER MURDOCH
Rehabilitation Practitioner
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (439) 961-9233
LAUREN FLEMING
Counselor (Mental Health)
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399
MRS. KYLEIGH ANNE WOOD LVN
Licensed Vocational Nurse
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399
BROOKLYN SIENNA GEORGE
Student in an Organized Health Care Education/Training Program
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399
LAUREN KLING
Student in an Organized Health Care Education/Training Program
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399
KATHLEEN FERRARA LMHC
Counselor (Mental Health)
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399
ALEMBRHAN HAILU YEMANE
Counselor (Mental Health)
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399
BRIEANA ANEECE WAFER
Licensed Vocational Nurse
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399

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 Keaven Sa's NPI number?

The NPI number for Keaven Sa is 1790605095. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Where is Keaven Sa located?

Keaven Sa practices at 545 Laurel St, San Diego, CA 92101. The listed phone number is (619) 233-4399.

What is Keaven Sa's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Keaven Sa was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.