NPPES file of Aug 9, 2026

Adela Yniguez Ayala, RN, NP

Nurse Practitioner · Fresno, CA

Adela Yniguez Ayala, RN, NP is a nurse practitioner with a practice address in Fresno, California, and NPI 1235116138, issued on Dec 30, 2005. Check the license (California 7335, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1235116138
Name
Adela Yniguez Ayala
Credential
RN, NP
Primary taxonomy
Nurse Practitioner 363L00000X
License number
7335 CA
Self-reported in NPPES; status is on the state search
Practice location
568 E Herndon Ave Ste 201, Fresno, CA 93720
Phone
(559) 228-6600
Enumerated
Dec 30, 2005
Record last updated
Apr 11, 2022
Fax
(559) 226-3709
Medicare enrollment
Enrolled (PECOS I20110218000215); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 568 E Herndon Ave Ste 201

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Yangming Cao, MDNephrology Physician1558339630
  2. Bikash ChapagainNephrology Physician1811319197
  3. Dhara Dave, MDNephrology Physician1093361479
  4. Stephanie Davila-Gomez, RDNRegistered Dietitian1740951839
  5. Dhayanithi Dhayalan, MDNephrology Physician1124513312
  6. Harpreet DhindsaNephrology Physician1801864020

Verify Adela Yniguez Ayala in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 7335
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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45% fewer Medicare Part D claims than the average nurse practitioner in 2024

609 Medicare Part D claims for 71 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 69% of claims.

  1. Adela Ayala609
  2. Specialty average1,109

Most prescribed

  1. Prosol377 claims
  2. Sevelamer Carbonate85 claims
  3. Calcium Acetate27 claims
  4. Midodrine Hcl18 claims
  5. Velphoro14 claims
  6. Veltassa13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $2,212.88

26 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Adela Ayala$2,212.88
  2. Specialty average$791.64

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. The Nephrology Group IncFresno, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Adela Yniguez Ayala among 8,223 nurse practitioner records in California

Adela Yniguez Ayala, RN, NP is one of 8,223 nurse practitioner records with a practice address in California. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 98% newer
  • In a Medicare fileYes · 65% of these records are
  • In the CMS Doctors and Clinicians fileYes · 42% of these records are
  • Graduated1994 · median 2017 among the 3,425 with a school on file
  • Record last updated2022 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

210 nurse practitioner records list a practice address in Fresno

They are 210 of the 19,440 NPPES records with a practice address in Fresno, and 8,223 nurse practitioner records in California.

The 8 nurse practitioner records with the nearest ZIP codes

  1. Cynthia Baer, FNPFresno, CA 937201770564270
  2. Kenneth Bangs, NPFresno, CA 937201548242662
  3. Julie Caldwell, F.N.PFresno, CA 937201740290568
  4. Toni Caniglia, N.P.Fresno, CA 937201487650677
  5. Sam Fernandez, N.P.Fresno, CA 937201073540449
  6. Lynda Francis, NPFresno, CA 937201497791412
  7. Joann Garcia, NPFresno, CA 937201265415046
  8. Jennifer Griffin-Valeri, N.P.Fresno, CA 937201528096070

Common questions

What is Adela Yniguez Ayala, RN, NP's NPI number?

Adela Yniguez Ayala, RN, NP's National Provider Identifier (NPI) is 1235116138, issued on Dec 30, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Adela Yniguez Ayala, RN, NP located?

The NPPES record lists a practice address at 568 E Herndon Ave Ste 201, Fresno, CA, 93720. Phone: (559) 228-6600. Providers update this record themselves, so call before visiting.

How can I verify Adela Yniguez Ayala, RN, NP's license?

NPPES lists California license number 7335, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Adela Yniguez Ayala, RN, NP prescribe under Medicare Part D?

In 2024, Adela Yniguez Ayala, RN, NP had 609 Medicare Part D claims for 71 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.