CENTRAL CALIF ENT MEDICAL GROUP
NPI 1083673842
Plastic Surgery in Fresno, CA

Active since March 21, 2006
1351 E SPRUCE AVE, FRESNO, CA 93720(559) 432-3303(559) 432-1468 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Central Calif Ent Medical Group NPPES

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

CENTRAL CALIF ENT MEDICAL GROUP (NPI 1083673842) is a healthcare organization registered as a plastic surgery in Fresno, California and active in the NPI registry since March 2006. The organization lists Sandi Bartucci, Director Of Accts. Receivable, as its authorized official.

NPPES Registry Identity

NPI1083673842
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameCENTRAL CALIF ENT MEDICAL GROUP
Location Address1351 E SPRUCE AVEFresno, CA 93720-3342
Mailing Address1351 E Spruce AveFresno, CA 93720-3342 · (559) 432-3303 · Fax (559) 432-1468
Fax(559) 432-1468
Organization SubpartNo
Authorized OfficialSandi BartucciDirector Of Accts. Receivable · (559) 432-3303
Enumeration DateMarch 21, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1083673842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
1351 E SPRUCE AVE, Fresno, CA 93720

Other Identifiers 3

OtherZZZ49290ZCA · Blue Cross
OtherZZZ49290ZCA · Blue Shield
MedicaidGR0070230CA

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 Calif Ent Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Central Calif Ent Medical Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Otolaryngology6
Qualified Audiologist5
Plastic and Reconstructive Surgery2
Nurse Practitioner1

Clinicians, nearest first (14)

Otolaryngology
NPI 1285694422
1351 E SPRUCE AVE
Fresno, CA 93720
(559) 432-3303
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1447219720
1351 E SPRUCE AVE
Fresno, CA 93720
(559) 432-3303
✔ PECOSSame address
Qualified Audiologist
NPI 1134609233
1351 E SPRUCE AVE
Fresno, CA 93720
(559) 432-3303
Same address
Qualified Audiologist
NPI 1407070337
1270 E SPRUCE AVE # 120
Fresno, CA 93720
(559) 432-5973
✔ Accepts Medicare0.1 mi
Otolaryngology
NPI 1184828238
540 E HERNDON AVE STE 102
Fresno, CA 93720
(559) 768-3682
✔ PECOS✔ Accepts Medicare1.1 mi
Otolaryngology
NPI 1518156611
540 E HERNDON AVE STE 102
Fresno, CA 93720
(559) 768-3682
✔ PECOS✔ Accepts Medicare1.1 mi
Otolaryngology
NPI 1881801157
540 E HERNDON AVE STE 102
Fresno, CA 93720
(559) 768-3682
✔ PECOS✔ Accepts Medicare1.1 mi
Qualified Audiologist
NPI 1518456177
540 E HERNDON AVE STE 102
Fresno, CA 93720
(559) 768-3682
✔ Accepts Medicare1.1 mi
Plastic and Reconstructive Surgery
NPI 1134188097
7501 N FRESNO ST STE 104
Fresno, CA 93720
(559) 432-3303
✔ PECOS✔ Accepts Medicare1.5 mi
Plastic and Reconstructive Surgery
NPI 1669431409
7501 N FRESNO ST STE 104
Fresno, CA 93720
(559) 432-6212
✔ PECOS✔ Accepts Medicare1.5 mi
Qualified Audiologist
NPI 1174655278
6101 N FRESNO STREET SUITE 102
Fresno, CA 93710
(559) 432-2650
✔ Accepts Medicare1.7 mi
Otolaryngology
NPI 1639531627
6121 N THESTA ST STE 303
Fresno, CA 93710
(559) 768-3682
✔ PECOS✔ Accepts Medicare1.7 mi
Qualified Audiologist
NPI 1497996185
420 BULLARD AVE STE 101
Clovis, CA 93612
(559) 299-3566
✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1619906989
681 MEDICAL CENTER DR W SUITE 101
Clovis, CA 93611
(559) 323-9300
✔ PECOS5.6 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 Calif Ent Medical Group's NPI number?

The NPI number for Central Calif Ent Medical Group is 1083673842. It was assigned to this organization in the NPPES registry on March 21, 2006.

Where is Central Calif Ent Medical Group located?

Central Calif Ent Medical Group is located at 1351 E Spruce Ave, Fresno, CA 93720. The listed phone number is (559) 432-3303.

What is Central Calif Ent Medical Group's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Central Calif Ent Medical Group enrolled in Medicare?

Yes. Central Calif Ent Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Calif Ent Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Central Calif Ent Medical Group. 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. The largest specialties are Otolaryngology (6), Qualified Audiologist (5) and Plastic and Reconstructive Surgery (2). Of these, 3 practice at this address and 14 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 Calif Ent Medical Group was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.