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

Central California Faculty Medical Group, Inc

Organization Family Medicine Physician · NPI 1992742852

Central California Faculty Medical Group, Inc is a Family Medicine Physician in Clovis, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
14
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

604 N Magnolia Ave Ste 100
Clovis, CA 93611-9205
Phone: (559) 320-0531
Fax: (559) 320-0539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X
Adult Medicine Physician Taxonomy 207QA0505X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Hematology & Oncology Physician Taxonomy 207RH0003X
Interventional Cardiology Physician Taxonomy 207RI0011X
Infectious Disease Physician Taxonomy 207RI0200X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1992742852
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Stern — President · (559) 443-2682
NPI enumeratedJune 1, 2006
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address2625 E Divisadero St, Fresno, CA 93721-1431

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