CENTRAL CALIFORNIA CHEST SURGERY
NPI 1073065512
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Clovis, CA

Q: What is Central California Chest Surgery's NPI number?

The NPI number for Central California Chest Surgery is 1073065512. It was assigned to this organization in the NPPES registry on November 1, 2016.

Q: What is Central California Chest Surgery's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since November 01, 2016

729 N MEDICAL CENTER DR W STE 223, CLOVIS, CA 93611(559) 449-9990(559) 449-9991 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2020, Nov 1, 2016 (2 updates tracked since 2016).

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About Central California Chest Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL CALIFORNIA CHEST SURGERY (NPI 1073065512) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Clovis, California and active in the NPI registry since November 2016. The organization maintains a secondary practice location in Fresno and lists Gloria Supernaw, Billing And Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1073065512

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameCENTRAL CALIFORNIA CHEST SURGERY

Location Address729 N MEDICAL CENTER DR W STE 223Clovis, CA 93611-6885

Mailing Address729 N Medical Center Dr W Ste 223Clovis, CA 93611-6885 · (559) 449-9990 · Fax (559) 449-9991

Phone(559) 449-9990

Fax(559) 449-9991

Organization SubpartNo

Authorized OfficialGloria SupernawBilling And Contracting Manager · (559) 935-5491

Enumeration DateNovember 1, 2016

Last NPPES UpdateFebruary 4, 20202 updates tracked since enumeration

✔ NPI 1073065512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in CA · A99566

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

729 N MEDICAL CENTER DR W STE 223, Clovis, CA 93611

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Secondary Practice Location 1

Location 17575 N Cedar Ave, Suite 101Fresno, CA 93720-2693 · Phone (559) 449-9990 · Fax (559) 449-9991

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA MARIE WILKINS

Nurse Practitioner