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CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
NPI 1457603573
Emergency Medicine in Fresno, CA

Active since October 12, 2012
2823 FRESNO ST, FRESNO, CA 93721(559) 443-2682(559) 443-2681 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Central California Faculty Medical Group, Inc. NPPES

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

CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC. (NPI 1457603573) is a healthcare organization registered as an emergency medicine in Fresno, California and active in the NPI registry since October 2012. The organization lists Vickie Piccolo, Physician Services Manager, as its authorized official.

NPPES Registry Identity

NPI1457603573
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
Location Address2823 FRESNO STFresno, CA 93721-1324
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Phone(559) 443-2682
Fax(559) 443-2681
Organization SubpartYes
Authorized OfficialVickie PiccoloPhysician Services Manager · (559) 443-2682
Enumeration DateOctober 12, 2012
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1457603573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2823 FRESNO ST, Fresno, CA 93721
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Faculty Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

293

Medicare enrollment records show 293 clinicians reassign Medicare billing to Central California Faculty Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 271 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Emergency Medicine69
Nurse Practitioner25
Family Practice23
Obstetrics/Gynecology22
Internal Medicine19
Pediatric Medicine18
General Surgery17
Nephrology12
21 other specialties88

Nearest to this location (20)

See all 293
Pratishtha Chhabra, DO
Pediatric Medicine
NPI 1942800362
2823 FRESNO ST
Fresno, CA 93721
(559) 443-2682
✔ PECOSSame address
Sarah Davis, DO
Family Practice
NPI 1891371589
2823 FRESNO ST
Fresno, CA 93721
(559) 459-6000
✔ PECOS✔ Accepts MedicareSame address
Denise Dewhitt, MD
Pediatric Medicine
NPI 1720665771
2823 FRESNO ST
Fresno, CA 93721
(559) 459-6000
✔ PECOSSame address
Suman Gupta, MD
Emergency Medicine
NPI 1417480500
2823 FRESNO ST
Fresno, CA 93721
(559) 443-2682
✔ PECOS✔ Accepts MedicareSame address
Rajinder Kaur, FNP
Nurse Practitioner
NPI 1811624695
2823 FRESNO ST
Fresno, CA 93721
(559) 459-6000
✔ PECOS✔ Accepts MedicareSame address
Danielle Kerrigan, MD
Emergency Medicine
NPI 1285253468
2823 FRESNO ST
Fresno, CA 93721
(559) 459-6000
✔ PECOS✔ Accepts MedicareSame address
Alia Mckean, DO
Pediatric Medicine
NPI 1407432966
2823 FRESNO ST
Fresno, CA 93721
(559) 459-6000
✔ PECOSSame address
Appajosula Rao, MD
General Surgery
NPI 1861924326
2823 FRESNO ST
Fresno, CA 93721
(559) 443-2682
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Shanahan, MD
Emergency Medicine
NPI 1215497516
2823 FRESNO ST
Fresno, CA 93721
(559) 459-6000
✔ PECOS✔ Accepts MedicareSame address
Mariam Abdelkader, MD
Critical Care (Intensivists)
NPI 1689022824
2823 FRESNO ST
Fresno, CA 93721
(559) 443-2682
✔ PECOS✔ Accepts Medicare0.1 mi
Gail Ajanaku, MD
Internal Medicine
NPI 1225337967
2823 FRESNO ST
Fresno, CA 93721
(559) 459-4390
✔ PECOS✔ Accepts Medicare0.1 mi
Colleen Black, MSN RNP CNM RN NP
Certified Nurse Midwife (CNM)
NPI 1801879879
2823 FRESNO ST
Fresno, CA 93721
(559) 499-6540
✔ PECOS0.1 mi
Marichelle Bustamante, NP
Nurse Practitioner
NPI 1588547830
2823 FRESNO ST
Fresno, CA 93721
(559) 453-5200
✔ PECOS✔ Accepts Medicare0.1 mi
Virkamal Dhaliwal, MD
Family Practice
NPI 1437853298
2823 FRESNO ST
Fresno, CA 93721
(559) 459-6000
✔ PECOS0.1 mi
Karamjit Dhaliwal-Binning, M.D.
Hospitalist
NPI 1548647274
2823 FRESNO ST
Fresno, CA 93721
(559) 459-4390
✔ PECOS✔ Accepts Medicare0.1 mi
Dumindra Gurusinghe, M.D.
Hospice/Palliative Care
NPI 1023336831
2823 FRESNO ST
Fresno, CA 93721
(559) 459-6000
✔ PECOS✔ Accepts Medicare0.1 mi
Amanda Miller
Pediatric Medicine
NPI 1659074607
2823 FRESNO ST
Fresno, CA 93721
(559) 459-6000
✔ PECOS0.1 mi
Janak Acharya, MD
Emergency Medicine
NPI 1376508721
2823 FRESNO ST
Fresno, CA 93721
(559) 499-6440
✔ PECOS✔ Accepts Medicare0.1 mi
Shana Ballow, DO
General Surgery
NPI 1275821936
2823 FRESNO ST
Fresno, CA 93721
(559) 459-3770
✔ PECOS✔ Accepts Medicare0.1 mi
Rebecca Evangelista, DO
Obstetrics/Gynecology
NPI 1437579638
2823 FRESNO ST
Fresno, CA 93721
(559) 443-2682
✔ PECOS✔ Accepts Medicare0.1 mi
See all 293 clinicians

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 Faculty Medical Group, Inc.'s NPI number?

The NPI number for Central California Faculty Medical Group, Inc. is 1457603573. It was assigned to this organization in the NPPES registry on October 12, 2012.

Where is Central California Faculty Medical Group, Inc. located?

Central California Faculty Medical Group, Inc. is located at 2823 Fresno St, Fresno, CA 93721. The listed phone number is (559) 443-2682.

What is Central California Faculty Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Central California Faculty Medical Group, Inc. enrolled in Medicare?

Yes. Central California Faculty Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central California Faculty Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 293 clinicians in 29 Medicare specialties reassign their Medicare billing to Central California Faculty Medical Group, Inc.. 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 Emergency Medicine (69), Nurse Practitioner (25) and Family Practice (23). Of these, 9 practice at this address and 271 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 Faculty Medical Group, Inc. was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.