CLOVIS COMMUNITY MEDICAL CENTER
NPI 1235303306
General Acute Care Hospital in Clovis, CA

Active since April 18, 2008CLIA 05D0588371 · Accreditation
2755 HERNDON AVE, CLOVIS, CA 93611(559) 459-1672(559) 459-1058 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2025, Feb 24, 2022, Jul 28, 2020 and 1 more (4 updates tracked since 2016).

About Clovis Community Medical Center NPPES

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

CLOVIS COMMUNITY MEDICAL CENTER (NPI 1235303306) is a healthcare organization registered as a general acute care hospital in Clovis, California and active in the NPI registry since April 2008. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Craig Allen Wagoner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235303306
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameCLOVIS COMMUNITY MEDICAL CENTER
Location Address2755 HERNDON AVEClovis, CA 93611-6800
Mailing Address2755 Herndon AveClovis, CA 93611-6800 · (559) 459-1672 · Fax (559) 459-1058
Fax(559) 459-1058
Organization SubpartYesParent: Fresno Community Hospital And Medical Center
Authorized OfficialCraig Allen WagonerCeo · (559) 324-4266
Enumeration DateApril 18, 2008
Last NPPES UpdateJune 24, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1235303306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CA · 040000004
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
2755 HERNDON AVE, Clovis, CA 93611

Other Names 1

Other NameClovis Community Ekg

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clovis Community Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

122

Medicare enrollment records show 122 clinicians reassign Medicare billing to Clovis Community Medical Center, which bills Medicare for the services they deliver. Of these, 93 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Cardiovascular Disease (Cardiology)37
Internal Medicine20
Interventional Cardiology15
Neurology14
Pulmonary Disease14
Cardiac Electrophysiology6
Pediatric Medicine6
Critical Care (Intensivists)5
4 other specialties5

Nearest to this location (20)

See all 122
Internal Medicine
NPI 1952315848
684 MEDICAL CENTER DR E STE 102
Clovis, CA 93611
(559) 297-3333
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1760518245
688 MEDICAL CENTER DR E SUITE 106
Clovis, CA 93611
(559) 297-8604
✔ PECOS✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1801050331
726 N MEDICAL CENTER DR E STE 201
Clovis, CA 93611
(559) 224-5864
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1942326269
726 N MEDICAL CENTER DR E STE 209
Clovis, CA 93611
(559) 325-5656
✔ PECOS0.2 mi
Pediatric Medicine
NPI 1740244995
726 N MEDICAL CENTER DR E STE 209
Clovis, CA 93611
(559) 325-5656
✔ PECOS✔ Accepts Medicare0.2 mi
Pediatric Medicine
NPI 1548551641
726 N MEDICAL CENTER DR E STE 209
Clovis, CA 93611
(559) 325-5656
✔ PECOS0.2 mi
Pediatric Cardiology
NPI 1124249073
726 N MEDICAL CENTER DR E STE 209
Clovis, CA 93611
(559) 325-5568
✔ PECOS0.2 mi
Internal Medicine
NPI 1922025857
1817 SHAW AVE STE 101
Clovis, CA 93611
(559) 940-6664
✔ PECOS✔ Accepts Medicare2.4 mi
Interventional Cardiology
NPI 1295049575
275 W HERNDON AVE
Clovis, CA 93612
(559) 203-3600
✔ PECOS✔ Accepts Medicare2.5 mi
Critical Care (Intensivists)
NPI 1992840490
6733 N WILLOW AVE STE 107
Fresno, CA 93710
(559) 435-4700
✔ PECOS✔ Accepts Medicare3.9 mi
Pulmonary Disease
NPI 1154502573
7145 N CHESTNUT AVE STE 101
Fresno, CA 93720
(559) 603-7270
✔ PECOS4.3 mi
Cardiovascular Disease (Cardiology)
NPI 1245388412
7035 N CHESTNUT AVE SUITE 102
Fresno, CA 93720
(559) 325-2000
✔ PECOS✔ Accepts Medicare4.3 mi
Cardiovascular Disease (Cardiology)
NPI 1003908591
7061 N WHITNEY SUITE 101
Fresno, CA 93720
(559) 299-0224
✔ PECOS✔ Accepts Medicare4.6 mi
Cardiovascular Disease (Cardiology)
NPI 1669497137
7035 N MAPLE AVE SUITE 103
Fresno, CA 93720
(559) 324-0111
✔ PECOS✔ Accepts Medicare4.8 mi
Internal Medicine
NPI 1588778435
7045 N MAPLE AVE STE 108
Fresno, CA 93720
(559) 326-7393
✔ PECOS✔ Accepts Medicare4.8 mi
Infectious Disease
NPI 1073523916
7045 N MAPLE AVE STE 108
Fresno, CA 93720
(559) 326-7393
✔ PECOS✔ Accepts Medicare4.8 mi
Critical Care (Intensivists)
NPI 1225037013
1660 E. HERNDON SUITE # 101
Fresno, CA 93720
(559) 431-9753
✔ PECOS5.4 mi
Pulmonary Disease
NPI 1043473986
1660 E HERNDON AVE SUITE 101
Fresno, CA 93720
(559) 431-9753
✔ PECOS✔ Accepts Medicare5.4 mi
Neurology
NPI 1356348387
7585 N CEDAR AVE SUITE 102
Fresno, CA 93720
(559) 243-1232
✔ PECOS✔ Accepts Medicare5.4 mi
Cardiovascular Disease (Cardiology)
NPI 1396732749
1313 E HERNDON AVE STE 203
Fresno, CA 93720
(559) 439-6808
✔ PECOS5.8 mi
See all 122 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0588371

Clovis Community Medical Center · Clovis, CA
Active · expires Feb 27, 2027
CLIA Number05D0588371
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Stevan R. Knezevich
Laboratory Phone(559) 324-3758
Laboratory LocationClovis Community Medical Center2755 Herndon Ave Clinical Lab-Ccmc, Clovis, CA 93611
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Clovis Community Medical Center's NPI number?

The NPI number for Clovis Community Medical Center is 1235303306. It was assigned to this organization in the NPPES registry on April 18, 2008. The provider is also known as Clovis Community EKG.

Where is Clovis Community Medical Center located?

Clovis Community Medical Center is located at 2755 Herndon Ave, Clovis, CA 93611. The listed phone number is (559) 459-1672.

What is Clovis Community Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Clovis Community Medical Center enrolled in Medicare?

Yes. Clovis Community Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clovis Community Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 122 clinicians in 12 Medicare specialties reassign their Medicare billing to Clovis Community Medical Center. 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 Cardiovascular Disease (Cardiology) (37), Internal Medicine (20) and Interventional Cardiology (15). Of these, 93 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clovis Community Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0588371) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clovis Community Medical Center was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.