Active NPI
Regina J Banks, ASW
- Student in an Organized Health Care Education/Training Program
- Fresno, CA
National Provider Identifier
1700493970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 136888
- Practice address
- 2900 Fresno St Ste 108
Fresno, CA 93721-1439 - Phone
- (559) 721-2960
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 136888 | CA | Primary |
Addresses
Primary practice location
2900 Fresno St Ste 108
Fresno, CA 93721-1439
Mailing address
2900 Fresno St Ste 108
Fresno, CA 93721-1439
Phone (559) 721-2960
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136888 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1700493970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 FRESNO ST STE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211439",
"telephone_number": "559-721-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 FRESNO ST STE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211439",
"telephone_number": "559-721-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "REGINA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "ASW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "136888",
"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 Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.