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Ruby Ann Banuelos

Peer Specialist β€’ Fresno, CA

Active NPI 1184847451 Individual Practitioner Female Practitioner
Practice location in NPPES

3433 W Shaw Ave Ste 107
Fresno, CA 937113229

Call 5595496697 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3433 W Shaw Ave Ste 107

Fresno, CA 937113229

Telephone 5595496697

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fresno and California

85 active clinicians are listed under Peer Specialist with a practice address in Fresno, CA (4,535 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fresno

0% of these 85 clinicians have the CMS telehealth indicator.

0% of these 85 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-28
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES CA MPSS-CIFQUY

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Saby Kirpal , FNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1225741838

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2026

Peer Specialist (license number reported to NPPES: CA MPSS-CIFQUY)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2026

Rehabilitation Practitioner (license number reported to NPPES: CA MPSS-CIFQUY)

πŸ“
Updated Practice Location January 23, 2024

Registered at 3433 W SHAW AVE STE 107, FRESNO, CA 937113229 (Tel: 5595496697)

πŸ“
Updated Business Mailing Address January 23, 2024

Registered at 3433 W SHAW AVE STE 107, FRESNO, CA 937113229 (Tel: 5595496697)

πŸ“
Updated Practice Location August 02, 2023

Registered at 3433 W SHAW AVE STE 103, FRESNO, CA 937113229 (Tel: 5595496697)

πŸ“
Updated Business Mailing Address August 02, 2023

Registered at 3433 W SHAW AVE STE 103, FRESNO, CA 937113229 (Tel: 5595496697)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2023

Peer Specialist (license number reported to NPPES: CA MPSS-CIFQUY)

βœ…
NPI Profile Active March 24, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 24, 2014

Registered at 1630 E SHAW AVE, ST 104, FRESNO, CA 937108105 (Tel: 5592468022)

πŸ“
Business Mailing Address (Initial Record) March 24, 2014

Registered at 1630 E SHAW AVE, ST.150, FRESNO, CA 937108105 (Tel: 5592488550)

πŸ‘€
Provider Name / Credentials (Initial Record) March 24, 2014

Recorded as RUBY BANUELOS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2014

Counselor

🟒
Initial NPI Registration & Enumeration April 11, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184847451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: July 28, 2026
Sole Proprietor: No

Mailing Address

3433 W Shaw Ave Ste 107

Fresno, CA 937113229

Phone: 5595496697

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.