Active NPI
Cecilia Ruvalcaba-Minero
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1740618131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RI-R1310021203
- Practice address
- 7120 N Marks Ave Ste 110
Fresno, CA 93711 - Phone
- (559) 439-5437
- Fax
- (559) 439-5411
- NPI assigned
- Oct 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RI-R1310021203 | CA | Primary |
Addresses
Primary practice location
7120 N Marks Ave Ste 110
Fresno, CA 93711
Mailing address
7120 N Marks Ave Ste 110
Fresno, CA 93711-0268
Phone (559) 439-5437
Other practice location 1
7475 N Palm Ave Ste 107
Fresno, CA 93711-5763
Phone (559) 439-5437
Other practice location 2
7475 N Palm Ave Ste 107
Fresno, CA 93711-5763
Phone (559) 439-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101044 | Medicaid | CA |
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 |
|---|---|---|---|
| RI-R1310021203 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1740618131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 N MARKS AVE STE 110",
"city": "FRESNO",
"state": "CA",
"postal_code": "937110268",
"telephone_number": "559-439-5437",
"fax_number": "559-439-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 N MARKS AVE STE 110",
"city": "FRESNO",
"state": "CA",
"postal_code": "93711",
"telephone_number": "559-439-5437",
"fax_number": "559-439-5411"
}
],
"practiceLocations": [
{
"address_1": "7475 N Palm Ave Ste 107",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937115763",
"country_code": "US",
"telephone_number": "559-439-5437",
"fax_number": "559-439-5411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7475 N Palm Ave Ste 107",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937115763",
"country_code": "US",
"telephone_number": "559-439-5437",
"fax_number": "559-439-5411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUVALCABA-MINERO",
"first_name": "CECILIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-22",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RI-R1310021203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101044",
"state": "CA"
}
],
"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 Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.