Active NPI
Diana Guadalupe- Cuevas Banuelos
- Community Health Worker
- Fresno, CA
National Provider Identifier
1932721990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1396 W Herndon Ave
Fresno, CA 93711-7126 - Phone
- (559) 256-0100
- NPI assigned
- May 13, 2020
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
1396 W Herndon Ave
Fresno, CA 93711-7126
Mailing address
1396 W Herndon Ave
Fresno, CA 93711-7126
Phone (559) 256-0100
Other practice location 1
1925 E Dakota Ave Ste Q
Fresno, CA 93726-4821
Phone (559) 216-1075
Other practice location 2
1410 F St Ste 101
Fresno, CA 93706-1608
Phone (559) 256-0100
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Carinci Psychology Inc | Past | Accepting new patients | |
| Kings View | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1851738934
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1912114349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1932721990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1396 W HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937117126",
"telephone_number": "559-256-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1396 W HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937117126",
"telephone_number": "559-256-0100"
}
],
"practiceLocations": [
{
"address_1": "1925 E Dakota Ave Ste Q",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937264821",
"country_code": "US",
"telephone_number": "559-216-1075",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1410 F St Ste 101",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937061608",
"country_code": "US",
"telephone_number": "559-256-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANUELOS",
"first_name": "DIANA",
"middle_name": "GUADALUPE- CUEVAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"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 Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.