Central California Chest Surgery
NPI 1073065512 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Clovis, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central California Chest Surgery is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician organization in Clovis, CA (NPI 1073065512).
Provider details
- NPI number
- 1073065512
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gloria Supernaw, Billing and Contracting Manager(559) 935-5491
- License
- A99566 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 7575 N Cedar AveSuite 101Fresno, CA 93720-2693Phone: (559) 449-9990Fax: (559) 449-9991
Registry dates
- Enumerated
- 2016-11-01
- Last updated
- 2020-02-04
- Certified
- 2020-02-04
Frequently asked questions
- What is Central California Chest Surgery's NPI number?
- Central California Chest Surgery's National Provider Identifier (NPI) is 1073065512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central California Chest Surgery?
- Central California Chest Surgery is classified in the NPPES registry as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Central California Chest Surgery located?
- Central California Chest Surgery's practice location on file with NPPES is 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885.
- What is Central California Chest Surgery's phone number?
- The practice phone number listed in the NPPES registry for Central California Chest Surgery is (559) 449-9990.
- Does Central California Chest Surgery accept Medicare?
- Central California Chest Surgery is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Central California Chest Surgery?
- The authorized official listed on Central California Chest Surgery's NPPES record is Gloria Supernaw, Billing and Contracting Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central California Chest Surgery's NPI active?
- Yes — Central California Chest Surgery's NPI (1073065512) is active in the NPPES registry as of the last update on 2020-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.