Active NPI
Ruth Juarez Avila, M.D.
- Family Medicine Physician
- Fresno, CA
National Provider Identifier
1508981085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G76868
- Practice address
- 5044 N Barton Ave
Ms HC81
Fresno, CA 93740-0001 - Phone
- (559) 278-2734
- Fax
- (559) 278-7609
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G76868 | CA | Primary |
Addresses
Primary practice location
5044 N Barton Ave
Ms HC81
Fresno, CA 93740-0001
Mailing address
8199 N 6TH St
Fresno, CA 93720-2177
Phone (559) 438-6212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G76868 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Student Health Service Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic Pharmacy
- Fresno, CA
- NPI 1093922957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1508981085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8199 N 6TH ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202177",
"telephone_number": "559-438-6212",
"fax_number": "559-439-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5044 N BARTON AVE",
"address_2": "MS HC81",
"city": "FRESNO",
"state": "CA",
"postal_code": "937400001",
"telephone_number": "559-278-2734",
"fax_number": "559-278-7609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "RUTH",
"middle_name": "JUAREZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G76868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.