Organization
CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL STERN MD (PRESIDENT)
(559) 443-2682
Entity
Organization
Contact information
Practice address
604 N MAGNOLIA AVE STE 100, CLOVIS, CA 93611-9205
(559) 320-0531
(559) 320-0539
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 453-5200
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPS000540
—
CA
05
—
GR0077241
—
CA
05
—
GR0077244
—
CA
05
—
GRE001360
—
CA
05
—
ZZZ83317Z
—
CA
Enumeration date
06/01/2006
Last updated
06/13/2025
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