Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jose Banuelos, PMHNP-BC, FNP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1972165660

Jose Banuelos, PMHNP-BC, FNP-C is a Nurse Practitioner in Cathedral City, California. Qualified in 2019, 7 years ago. Practices with Shasta Community Health Center, a 63-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

69175 Ramon Rd Bldg A
Cathedral City, CA 92234-3344
Phone: (760) 321-6776
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95013880 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95013880 (CA)

Record details

NPI number1972165660
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC , FNP-C
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Shasta Community Health Center — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Cathedral City