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

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: November 01, 2026.

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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central California Chest Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Central California Chest Surgery, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

John Lin, M.D.
Thoracic Surgery
NPI 1992961270
7575 N CEDAR AVE STE 101
Fresno, CA 93720
(310) 936-4126
✔ PECOS✔ Accepts Medicare5.4 mi
Suzanne Vartanian, NP
Nurse Practitioner
NPI 1558922443
205 E RIVER PARK CIR STE 460
Fresno, CA 93720
(559) 261-4500
✔ PECOS✔ Accepts Medicare7.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Central California Chest Surgery located?

Central California Chest Surgery is located at 729 N Medical Center Dr W Ste 223, Clovis, CA 93611. The listed phone number is (559) 449-9990.

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.

Is Central California Chest Surgery enrolled in Medicare?

Yes. Central California Chest Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central California Chest Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Central California Chest Surgery, in Nurse Practitioner and Thoracic Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central California Chest Surgery was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.