Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keanu Gonzales

Individual provider Community/Behavioral Health Agency · NPI 1083589154

Keanu Gonzales is a Community/Behavioral Health Agency in Newport Beach, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1151 Dove St
Newport Beach, CA 92660-2840
Phone: (909) 248-3315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1083589154
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

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