BERTHA A FUENTES
NPI 1962125203
Peer Specialist in San Diego, CA

NPI Status: Active since September 21, 2022

Contact Information

3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA
ZIP 92108
Phone: (928) 581-6478

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  • Individual
  • Female
  • Peer Specialist

About BERTHA FUENTES

This page provides the complete NPI Profile along with additional information for Bertha Fuentes, a provider established in San Diego, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1962125203 assigned on September 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1962125203
Provider Name
BERTHA A FUENTES
Gender
Female
Entity Type
Individual
Location Address
3550 CAMINO DEL RIO N STE 104 SAN DIEGO, CA 92108
Location Phone
(928) 581-6478
Mailing Address
181 E ORANGE AVE APT 3 CHULA VISTA, CA 91911
Mailing Phone
(928) 581-6478
Is Sole Proprietor?
Yes
Enumeration Date
09-21-2022
Last Update Date
11-16-2022
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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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106S00000XBehavioral Health & Social Service Providers

Behavior Technician

 

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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.
1962125203
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122221020
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 2 + 2 + 1 + 0 + 2 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1962125203 is valid because the calculated check digit 3 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.

NPI Name / Type Taxonomy Address
1740797604 SHIRLEY BEH
Individual
Community/Behavioral Health3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 815-9536
1629573159 BRIANNA WUENSCH
Individual
Community/Behavioral Health3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 815-9536
1255819397 KAYLA MARIE SHARP
Individual
Community/Behavioral Health3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(831) 235-7253
1821576976 GLORIA IVETTE TERAN
Individual
Community/Behavioral Health3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 668-1311
1972081784 AIMEE NUNEZ BA
Individual
Community/Behavioral Health3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(619) 490-6701
1891278404 SHANNON TRAYLOR
Individual
Community/Behavioral Health3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 634-1125
1750865754 MICHELLE ANNE CHAPMAN
Individual
Community/Behavioral Health3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 917-4481
1144875576MISS VIRIDIANA SALGADO GARCIA
Individual
Community/Behavioral Health3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(619) 723-5756
1750936688 ZARIA ROSE EALY
Individual
Behavior Technician3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 634-1125
1124673991 SOO BEEN CHOE
Individual
Behavior Technician3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 815-9536
1952952301 RUBY MORA
Individual
Behavior Technician3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 815-9536
1861024564 ALEXIS NICOLE MCSURDY BA
Individual
Behavior Technician3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 936-6556
1497358634 LAUREN QUIDGEON BA
Individual
Behavior Technician3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 634-1125
1326520123 APRIL ROSE BOBADILLA BALUYOT
Individual
Community/Behavioral Health3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 579-2258
1356913990 KORINA TOLEDO
Individual
Behavior Technician3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 815-9536
1316610553 ADRIANA MORALES
Individual
Behavior Technician3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 815-9536
1528739729 CAITLIN ROSSI
Individual
Behavior Technician3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 634-1125
1619645843 MALUZ CELESTE JUACHE BA
Individual
Behavior Technician3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(619) 302-3004
1881248565 TORREY GLOAD BS
Individual
Behavior Technician3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(760) 634-1125
1649932757 KATHERINE ELIZABETH JIMENEZ
Individual
Behavior Technician3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108
(619) 302-3004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962125203, enumerated in the NPI registry as an "individual" on September 21, 2022

The provider is located at 3550 Camino Del Rio N Ste 104 San Diego, Ca 92108 and the phone number is (928) 581-6478

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on September 21, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.