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CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
NPI 1992742852
Internal Medicine in Clovis, CA

Active since June 01, 2006
604 N MAGNOLIA AVE STE 100, CLOVIS, CA 93611(559) 320-0531(559) 320-0539 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 13, 2025, Jun 4, 2025, May 15, 2025 and 1 more (4 updates tracked since 2024).

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 1992742852) is a healthcare organization registered as an internal medicine in Clovis, California and active in the NPI registry since June 2006. The organization lists Randall Stern, President, as its authorized official.

NPPES Registry Identity

NPI1992742852
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
Location Address604 N MAGNOLIA AVE STE 100Clovis, CA 93611-9205
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 453-5200 · Fax (559) 443-2681
Phone(559) 320-0531
Fax(559) 320-0539
Organization SubpartNo
Authorized OfficialRandall SternPresident · (559) 443-2682
Enumeration DateJune 1, 2006
Last NPPES UpdateJune 13, 20254 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1992742852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
604 N MAGNOLIA AVE STE 100, Clovis, CA 93611
Open in Google Maps ↗

Other Identifiers 5

MedicaidGR0077241CA
MedicaidGPS000540CA
MedicaidZZZ83317ZCA
MedicaidGRE001360CA
MedicaidGR0077244CA

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 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, 10 practice at this address and 269 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
Michael Allen, DO
Orthopedic Surgery
NPI 1295220002
604 N MAGNOLIA AVE STE 100
Clovis, CA 93611
(559) 320-0531
✔ PECOS✔ Accepts MedicareSame address
Keiko Amano, MD
Orthopedic Surgery
NPI 1801139993
604 N MAGNOLIA AVE STE 100
Clovis, CA 93611
(559) 320-0531
✔ PECOS✔ Accepts MedicareSame address
Kelsey Bonilla, MD
Orthopedic Surgery
NPI 1447782693
604 N MAGNOLIA AVE STE 100
Clovis, CA 93611
(559) 320-0531
✔ PECOS✔ Accepts MedicareSame address
Robert Kollmorgen, D.O.
Orthopedic Surgery
NPI 1760621759
604 N MAGNOLIA AVE STE 100
Clovis, CA 93611
(559) 320-0531
✔ PECOS✔ Accepts MedicareSame address
Eric Lindvall, D.O.
Orthopedic Surgery
NPI 1124025325
604 N MAGNOLIA AVE STE 100
Clovis, CA 93611
(559) 320-0531
✔ PECOS✔ Accepts MedicareSame address
Armen Martirosian, MD
Orthopedic Surgery
NPI 1114087046
604 N MAGNOLIA AVE STE 100
Clovis, CA 93611
(559) 320-0531
✔ PECOS✔ Accepts MedicareSame address
Lucas Seiler, M.D.
Hand Surgery
NPI 1962813741
604 N MAGNOLIA AVE STE 100
Clovis, CA 93611
(559) 320-0531
✔ PECOS✔ Accepts MedicareSame address
Juntian Wang, MD
Orthopedic Surgery
NPI 1861988925
604 N MAGNOLIA AVE STE 100
Clovis, CA 93611
(559) 320-0531
✔ PECOS✔ Accepts MedicareSame address
Karen Pelayo Palmer, NP
Nurse Practitioner
NPI 1235820283
604 N MAGNOLIA AVE STE 100
Clovis, CA 93611
(559) 320-0531
✔ PECOS✔ Accepts MedicareSame address
Arbi Nazarian, MD
Orthopedic Surgery
NPI 1528402179
604 N MAGNOLIA AVE STE 100
Clovis, CA 93611
(559) 320-0531
✔ PECOS✔ Accepts MedicareSame address
Allyson Pielop, CNM
Certified Nurse Midwife (CNM)
NPI 1477602647
722 MEDICAL CENTER DR E #101
Clovis, CA 93611
(559) 297-9500
✔ PECOS0.4 mi
Jaime Gonzalez, MD
Family Practice
NPI 1386722965
2176 SHAW AVE
Clovis, CA 93611
(559) 272-2251
✔ PECOS✔ Accepts Medicare2.2 mi
Jay Khatri
Nurse Practitioner
NPI 1235811233
2176 SHAW AVE
Clovis, CA 93611
(559) 272-2251
✔ PECOS✔ Accepts Medicare2.2 mi
Renee Kinman, M.D.
Pediatric Medicine
NPI 1134160666
2176 SHAW AVE
Clovis, CA 93611
(559) 272-2251
✔ PECOS✔ Accepts Medicare2.2 mi
Kao Houa Vang, MD
Family Practice
NPI 1265040232
2176 SHAW AVE
Clovis, CA 93611
(559) 272-2251
✔ PECOS2.2 mi
Eyad Almasri, M.D.
Critical Care (Intensivists)
NPI 1992840490
6733 N WILLOW AVE STE 107
Fresno, CA 93710
(559) 435-4700
✔ PECOS✔ Accepts Medicare3.6 mi
Lourdes Delrosso, MD
Sleep Medicine
NPI 1013972231
6733 N WILLOW AVE STE 107
Fresno, CA 93710
(559) 435-4700
✔ PECOS✔ Accepts Medicare3.6 mi
Patricia Gresham, ANP
Nurse Practitioner
NPI 1912043407
6733 N WILLOW AVE STE 107
Fresno, CA 93710
(559) 435-4700
✔ PECOS✔ Accepts Medicare3.6 mi
Anant Shukla, M.D.
Pulmonary Disease
NPI 1053873018
6733 N WILLOW AVE STE 107
Fresno, CA 93710
(559) 435-4700
✔ PECOS✔ Accepts Medicare3.6 mi
Leonid Vydro, M.D.
Endocrinology
NPI 1902148380
7085 N CHESTNUT AVE STE 101
Fresno, CA 93720
(559) 323-9236
✔ PECOS✔ Accepts Medicare4.0 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 1992742852. It was assigned to this organization in the NPPES registry on June 1, 2006.

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

Central California Faculty Medical Group, Inc. is located at 604 N Magnolia Ave Ste 100, Clovis, CA 93611. The listed phone number is (559) 320-0531.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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 269 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 June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.