CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
NPI 1669507752
Surgery - Vascular Surgery in Fresno, CA
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 1669507752) is a healthcare organization registered as a vascular surgery in Fresno, California and active in the NPI registry since February 2007. The organization lists Karl P Van Gundy, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
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
293Medicare 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, 10 practice at this address and 271 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 29
Nearest to this location (20)
See all 293Source: 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 1669507752. It was assigned to this organization in the NPPES registry on February 22, 2007.
Where is Central California Faculty Medical Group, Inc. located?
Central California Faculty Medical Group, Inc. is located at 1247 E Alluvial Ave Suite 101, Fresno, CA 93720. The listed phone number is (559) 431-6226.
What is Central California Faculty Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
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, 10 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 November 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Central California Faculty Medical Group, Inc. · NPI 1669507752
Vascular Surgery organization in Fresno, California. Organization record, active in the CMS NPPES registry since February 22, 2007.
## Identity
- **NPI:** 1669507752 (Entity type: Organization)
- **Enumerated:** February 22, 2007
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Karl Van Gundy, PRESIDENT
## Practice location
- **Address:** 1247 E ALLUVIAL AVE, SUITE 101, Fresno, CA 93720-2686
- **Phone:** (559) 431-6226 · **Fax:** (559) 440-9005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 293 clinicians in 29 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (69), Nurse Practitioner (25), Family Practice (23); 10 practice at this address and 271 within 10 miles; [full list](https://npiprofile.com/npi/1669507752/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2014
- **Other identifiers:** Medicare PIN ZZZ00877Z; Other DC4679 (CA); Medicaid GR0014818 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1669507752) · Data from the CMS NPPES public registry.