1. Home
  2. Directory
  3. California
  4. Fresno
  5. Surgery
  6. NPI Profile

CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
NPI 1669507752
Surgery - Vascular Surgery in Fresno, CA

Active since February 22, 2007
1247 E ALLUVIAL AVE, SUITE 101, FRESNO, CA 93720(559) 431-6226(559) 440-9005 Get Directions Write a Review

NPPES record last updated: November 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 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 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

NPI1669507752
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
Location Address1247 E ALLUVIAL AVE, SUITE 101Fresno, CA 93720-2686
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Phone(559) 431-6226
Fax(559) 440-9005
Organization SubpartNo
Authorized OfficialKarl P Van GundyPresident · (559) 453-5200
Enumeration DateFebruary 22, 2007
Last NPPES UpdateNovember 20, 2014
✔ NPI 1669507752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedPodiatristTaxonomy 213E00000X
1247 E ALLUVIAL AVE, Fresno, CA 93720
Open in Google Maps ↗

Other Identifiers 3

Medicare PINZZZ00877Z
OtherDC4679CA · Railroad Medicare
MedicaidGR0014818CA

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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH CALCAGNO CPO
Orthotist
1247 E ALLUVIAL AVE, SUITE 103
FRESNO, CA 93720
Fresno County (559) 261-1300
EMMY AGWU OJI DPM
Podiatrist
1247 E ALLUVIAL AVE, SUITE 101
FRESNO, CA 93720
Fresno County (559) 431-6226
WILLIAM E HADCOCK M.D.
Surgery (Vascular Surgery)
1247 E ALLUVIAL AVE, STE. 101
FRESNO, CA 93720
Fresno County (559) 431-6226
VALLEY ORTHOPEDIC INC
Prosthetic/Orthotic Supplier
1247 E ALLUVIAL AVE, SUITE 103
FRESNO, CA 93720
Fresno County (559) 261-1300
KENNETH BANGS NP
Nurse Practitioner
1247 E ALLUVIAL AVE, SUITE 101
FRESNO, CA 93720
Fresno County (559) 431-6226
SHAWN MICHAEL CAZZELL DPM
Podiatrist
1247 E ALLUVIAL AVE, SUITE 101
FRESNO, CA 93720
Fresno County (559) 431-6226
UNIVERSITY FACULTY ASSOCIATES , INC.
Surgery (Vascular Surgery)
1247 E ALLUVIAL AVE, SUITE 101
FRESNO, CA 93720
Fresno County (559) 431-6226
WILLIAM E HADCOCK, JR, MD, INC.
Surgery (Vascular Surgery)
1247 E ALLUVIAL AVE, STE. 101
FRESNO, CA 93720
Fresno County (559) 431-6226

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.

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.