Central California Chest Surgery

Central California Chest Surgery is a healthcare organization registered as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Clovis, CA, holding Type 2 (organization) NPI 1073065512 since 2016. The authorized official on file is Gloria Supernaw, Billing and Contracting Manager.

✓ Active NPI ✓ Valid NPI checksum

NPI	1073065512
Entity type	Organization (Type 2)
Legal business name	Central California Chest Surgery
Practice address	729 N MEDICAL CENTER DR W STE 223, Clovis, CA, 93611
Phone	5594499990
Fax	5594499991
Enumeration date	2016-11-01
Last updated in NPPES	2020-02-04

Authorized official

Name	Gloria Supernaw
Title	Billing and Contracting Manager
Phone	5599355491

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	Primary	A99566	CA

Copy-ready billing details

Provider: Central California Chest Surgery
NPI: 1073065512
Taxonomy: 208G00000X (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician)
Address: 729 N MEDICAL CENTER DR W STE 223, Clovis, CA, 93611

Providers at this address

NPI	Name	Type	Specialty	Location
1235503814	Jacqueline Gomez	Individual	Surgical Physician Assistant	Clovis, CA
1770021453	Tarisha Saini	Individual	Pediatric Nurse Practitioner	Clovis, CA
1194308031	Lisa Wilkins	Individual	Nurse Practitioner	Clovis, CA
1740929314	Alexander Calkins	Individual	Acute Care Nurse Practitioner	Clovis, CA
1851071229	Ashley Bowers	Individual	Family Nurse Practitioner	Clovis, CA

Verify this record

Cross-check NPI 1073065512 against the authoritative CMS record: view Central California Chest Surgery on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Central California Chest Surgery located?

The practice location on file with NPPES is in Clovis, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-02-04. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-02-04.