Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central California Chest Surgery

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1073065512

Central California Chest Surgery is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Clovis, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

729 N Medical Center Dr W Ste 223
Clovis, CA 93611-6885
Phone: (559) 449-9990
Fax: (559) 449-9991
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7575 N Cedar Ave, Fresno, CA 93720-2693 — (559) 449-9990

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence A99566 (CA)

Record details

NPI number1073065512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gloria Supernaw — Billing And Contracting Manager · (559) 935-5491
NPI enumeratedNovember 1, 2016
Last updated in NPPESFebruary 4, 2020
Certification dateFebruary 4, 2020
Mailing address729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885

Other providers in Clovis