Individual provider · Type 1 NPI

Keaven Sa

Peer Specialist · San Diego, CA

NPI number 1790605095 Active

Practice location

545 Laurel St
San Diego, CA 92101-1634

Fax (619) 233-0453

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-UKWGEO (CA)

Peer Specialist: 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.

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About NPI 1790605095

Keaven Sa's National Provider Identifier is 1790605095, issued on Jul 16, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 24, 2026.