Active NPI
Central California Faculty Medical Group, Inc.
- Internal Medicine Physician
- Clovis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
- Practice address
- 604 N Magnolia Ave Ste 100
Clovis, CA 93611-9205 - Phone
- (559) 320-0531
- Fax
- (559) 320-0539
- NPI assigned
- Jun 1, 2006
- Last updated
- Jun 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randall Stern, MD
- Title
- President
- Phone
- (559) 443-2682
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | |||
| Adult Medicine Physician | 207QA0505X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Hematology & Oncology Physician | 207RH0003X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Infectious Disease Physician | 207RI0200X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Pediatrics Physician | 208000000X | |||
| Neurology Physician | 2084N0400X |
Addresses
Primary practice location
604 N Magnolia Ave Ste 100
Clovis, CA 93611-9205
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 453-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118001168 | CA | Part B Supplier - Clinic/Group Practice | 8325952773 |
Receives reassigned benefits from 333 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fresno, CA; Madera, CA; Clovis, CA |
| O20250613002516 | CA | DME Supplier - Physician - Internal Medicine | 8325952773 | Practice locations: Clovis, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1457603573
8325952773
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1457603573
O20031118001168
-
- Vascular Surgery Physician
- Fresno, CA
- NPI 1669507752
O20031118001168
National Provider Directory
National Provider DirectoryLocations
729 N Medical Center Dr W
Ste 11
Clovis, CA 93611
2027 E Divisadero St
Fresno, CA 93701
Phone (559) 320-0580
2027 E Divisadero St
Ste 227
Fresno, CA 93701
2210 E Illinois Ave
Ste 204
Fresno, CA 93701
2210 E Illinois Ave
Ste 302
Fresno, CA 93701
2210 E Illinois Ave
Ste 401
Fresno, CA 93701
Phone (559) 320-0531
2210 E Illinois Ave
Ste 508
Fresno, CA 93701
Phone (559) 320-0545
2335 E Kashian Ln
Fresno, CA 93701
Phone (559) 445-1251
2335 E Kashian Ln
Ste 1301
Fresno, CA 93701
2335 E Kashian Ln
Ste 310
Fresno, CA 93701
2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100
2823 Fresno St
Fl 5
Fresno, CA 93721
2900 Fresno St
Ste 101
Fresno, CA 93721
Phone (559) 227-4472
351 E Barstow Ave
Ste 106
Fresno, CA 93710
Phone (559) 227-4472
4011 N Fresno St
Ste 103
Fresno, CA 93726
Phone (209) 224-2100
4440 N 1st St
Fresno, CA 93726
Phone (559) 225-1102
445 S Cedar Ave
Fresno, CA 93702
Phone (559) 459-4000
6311 N Fresno St
Ste 106
Fresno, CA 93710
Phone (559) 435-4700
7011 N Howard St
Ste 100
Fresno, CA 93720
Phone (559) 272-8141
7015 N Chestnut Ave
Fresno, CA 93720
Phone (559) 475-0357
7025 N Chestnut Ave
Ste 105
Fresno, CA 93720
Phone (559) 233-3376
2511 Logan St
Selma, CA 93662
Phone (209) 896-2624
2101 Stone Blvd
Ste 240
West Sacramento, CA 95691
Phone (916) 376-8416
Practitioners & affiliated clinicians
Practitioners 447
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- Fresno, CA
- NPI 1962512319
-
- Critical Care Medicine (Internal Medicine) Physician
- Fresno, CA
- NPI 1689022824
-
- Pediatrics Physician
- Fresno, CA
- NPI 1013543933
-
- Surgical Physician Assistant
- Fresno, CA
- NPI 1518822022
-
- Gastroenterology Physician
- Madera, CA
- NPI 1831291863
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1164000295
-
- Physician Assistant
- Fresno, CA
- NPI 1891485033
-
- Orthopaedic Trauma Physician
- Clovis, CA
- NPI 1295220002
Orthopaedic Surgery
-
- Pediatrics Physician
- Fresno, CA
- NPI 1609817337
-
- Orthopaedic Surgery Physician
- Clovis, CA
- NPI 1801139993
-
- Obstetrics & Gynecology Physician
- Fresno, CA
- NPI 1891752606
-
- Nurse Practitioner
- Fresno, CA
- NPI 1285115360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749772800000",
"number": "1992742852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211431",
"telephone_number": "559-453-5200",
"fax_number": "559-443-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 N MAGNOLIA AVE STE 100",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936119205",
"telephone_number": "559-320-0531",
"fax_number": "559-320-0539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-443-2682",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
- Joshua Caudillo
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- Central Cal Speech Inc
- Central California Chest Surgery
- Central Valley Behavioral Health Psychology Corporation (Ascend Behavioral Health)
- Central Valley Behavioral Health Psychology Corporation (Ascend Behavioral Health)
- Central Valley Indian Health
- Central Valley Indian Health, Inc
- Central Valley Indian Health, Inc (CVIH Behavioral Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.