RAUL BERNARDO DIESTRA
NPI 1497251151
Peer Specialist in Salem, OR
NPI Status: Active since April 02, 2018
Contact Information
1118 OAK ST SE
SALEM, OR
ZIP 97301
Phone: (503) 358-4850
- Individual
- Male
- Peer Specialist
About RAUL DIESTRA
This page provides the complete NPI Profile along with additional information for Raul Diestra, a provider established in Salem, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1497251151 assigned on April 2018. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1497251151
- Provider Name
- RAUL BERNARDO DIESTRA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1118 OAK ST SE SALEM, OR 97301
- Location Phone
- (503) 358-4850
- Mailing Address
- 1118 OAK ST SE SALEM, OR 97301
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-02-2018
- Last Update Date
- 04-04-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122994 | MEDICAID (05) | OR |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 2 | 5 | 1 | 1 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 4 | 5 | 2 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 4 + 5 + 2 + 1 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1497251151 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
HOLLY COOPER
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
MR. OSCAR IZAGUIRRE QMHA
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
JACOB MAINS QMHP
Counselor
(Mental Health)
1118 OAK ST SE
SALEM, OR
ZIP 97301
PHILLIP EVAN HOLBROOK
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
PEGGY SUE RING
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
REBECCA J EWING
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
MR. CARLOS MILTON PEREZ JR.
Counselor
(Mental Health)
1118 OAK ST SE
SALEM, OR
ZIP 97301
CHRISTINA KATHALINA ESTRADA MA, QMHP
Counselor
(Mental Health)
1118 OAK ST SE
SALEM, OR
ZIP 97301
RACHEL PETERS
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
MS. DENISE FRY LCSW QMHP
Counselor
(Mental Health)
1118 OAK ST SE
SALEM, OR
ZIP 97301
MR. STEVEN LEE ROHAN QMHA
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
MISS SHELBY JEAN WEISBRODT
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
ROXCELLA PAOFF
Counselor
(Mental Health)
1118 OAK ST SE
SALEM, OR
ZIP 97301
MRS. ANGELA MARIE STEVENSON QMHA
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
MR. MARIO ANTONIO TORRES-MORA
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
MRS. NAOMI RUTH HUDKINS QMHP
Counselor
(Mental Health)
1118 OAK ST SE
SALEM, OR
ZIP 97301
ERYN DAVIS
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
JACOB MIDDLE DEWILDE
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
MS. MELODY S. COFFEY MSW, CSWA
Counselor
(Mental Health)
1118 OAK ST SE
SALEM, OR
ZIP 97301
JOHANA HERRERA BA
Case Manager/Care Coordinator
1118 OAK ST SE
SALEM, OR
ZIP 97301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497251151, enumerated as an "individual" on April 02, 2018.
The provider is located at 1118 OAK ST SE SALEM, OR 97301 and the phone number is (503) 358-4850.
Peer Specialist with taxonomy code 175T00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
