Adela Yniguez Ayala, NP, RN

Adela Ayala practices at Fresno Ambulatory Surgery Center in Fresno, California.

Adela Ayala's NPI, 1235116138, was assigned on December 30, 2005. Adela Ayala holds California license 7335.

Adela Ayala's primary practice is Fresno Ambulatory Surgery Center, at 568 E Herndon Ave, Fresno, CA 93720. The practice phone is (559) 431-0066.

Adela Ayala's primary practice is Fresno Ambulatory Surgery Center in Fresno, California. The medical group on file is The Nephrology Group, Inc. Dmand AI also links Adela Ayala to 1 more group practice or clinic, named with a free account.

Dmand AI tracks the electronic health record (EHR) system at each site where Adela Ayala practices, 2 sites in all. Vendor and product names are available with a free account.

Nurse practitioner is Adela Ayala's primary specialty in the NPI Registry, under taxonomy code 363L00000X. Adela Ayala is licensed in California.

CMS data shows 201 Medicare services from Adela Ayala across 3 procedure codes in 2024, for 125 Medicare patients. Medicare paid $39,787 for them. Every service was in an office.

CMS counts 125 Medicare patients who saw Adela Ayala in 2024. The largest group is under 65, with 59 patients. 75% of them have chronic kidney disease, and 75% have diabetes. 78% are also on Medicaid. Their average risk score is 9.61, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Adela Ayala's median patient age at 62, with 51% women.

In 2024, Adela Ayala wrote 609 Medicare Part D claims for 71 patients. CMS names the drug for 534 of them, across 6 drugs with 11 or more claims each, at $125,075 in total drug cost.

Adela Ayala accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

CMS Open Payments shows 50 general payments to Adela Ayala from 31 drug and device companies from 2024 to 2025. Food and beverage make up the largest share, 100% of the total. Ardelyx, Inc. paid the most, $594.