Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184847451 Individual Practitioner Female Practitioner

Ruby Ann Banuelos

Peer Specialist • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Ruby Banuelos is a registered healthcare professional specializing in Peer Specialist in Fresno, CA. Practice services are available at 3433 W SHAW AVE STE 107 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3433 W Shaw Ave Ste 107

Fresno, CA 937113229

Telephone 5595496697

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
88 Specialists

Practicing in Fresno, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-28
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Latoya Robinson , MA

Marriage & Family Therapist

NPI 1013493816

Master of Arts

NPI 1023555604
Evelyn Pena

Day Training/Habilitation Specialist

NPI 1023691318
Lindsey Portillo

Counselor - Mental Health

NPI 1033707633
Rigoberto Zaragoza

Marriage & Family Therapist

NPI 1043779499
Julia Flores

Counselor

NPI 1043779564

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

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

Peer Specialist (License #MPSS-CIFQUY in CA)

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

Rehabilitation Practitioner (License #MPSS-CIFQUY in CA)

📍
Updated Practice Location January 23, 2024

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

📍
Updated Business Mailing Address January 23, 2024

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

📍
Updated Practice Location August 02, 2023

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

📍
Updated Business Mailing Address August 02, 2023

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

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

Peer Specialist (License #MPSS-CIFQUY in CA)

NPI Profile Active March 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2014

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

📍
Updated Business Mailing Address March 24, 2014

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

👤
Provider Name / Credentials Updated March 24, 2014

Recorded as RUBY BANUELOS

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.