The 78 largest companies in Fresno (2026 list)

#	Company	Industry	Headquarters	Employees	Founded
1	Fresno Unified School District fresnounified.org The company manages official district social media platforms, ensuring they do not contain prohibited content and enforcing guidelines for users	Primary and Secondary Education	🇺🇸 Fresno	4,783	n/a
2	California State University, Fresno fresnostate.edu Public university offering diverse accredited programs, located in an agricultural region with extensive campus and university farm facilities.	Higher Education	🇺🇸 Fresno	4,419	n/a
3	Community Health System communityhealthsystem.org Nonprofit health system with 11,000 employees, 2,500 affiliated physicians, serving Central Valley residents regardless of payment ability.	Hospitals and Health Care	🇺🇸 Fresno	2,624	n/a
4	PrideStaff pridestaff.com This company focuses on providing exceptional client service and quality candidates, personalized solutions, building loyalty, and celebrating success in the staffing industry	Staffing and Recruiting	🇺🇸 Fresno	2,291	1978
5	The County of Fresno governmentjobs.com A rapidly growing county in California providing excellent public services to a diverse community with over 8,000 employees and a $36 billion budget	Government Administration	🇺🇸 Fresno	2,259	1856
6	Personify Health personifyhealth.com A personalized health platform offering health plan administration, wellbeing solutions, and health navigation services to empower individuals and optimize investments for businesses	Health and Human Services	🇺🇸 Fresno	2,139	2023
7	Saint Agnes Medical Center samc.com A leading 436-bed hospital in a Catholic healthcare system, providing high-quality, compassionate care with advanced medical technology and expert physicians	Hospitals and Health Care	🇺🇸 Fresno	1,566	1929
8	COMMUNITY REGIONAL MEDICAL CENTER-FRESNO A hospital & health care facility located in Fresno, California, providing medical services to the community in the region	Hospitals and Health Care	🇺🇸 Fresno	1,322	n/a
9	California Teaching Fellows Foundation ctff.us The company is dedicated to inspiring future leaders in education, empowering teachers, and engaging communities to support innovative teaching strategies	Education Administration Programs	🇺🇸 Fresno	1,275	1999
10	Fresno Pacific University fresno.edu The company offers accredited academic programs with a focus on ethical and spiritual development through various undergraduate and graduate degree options	Higher Education	🇺🇸 Fresno	979	n/a
11	Central unified school district centralunified.org An education management company located in Fresno, CA, focused on serving the Central Unified School District in the United States	Education Administration Programs	🇺🇸 Fresno	962	1922
12	Jain Irrigation Inc.rivulis.com A global leader in micro irrigation, providing innovative solutions for sustainable farming, increased yields, and improved profitability, focusing on accessibility and innovation	Farming	🇺🇸 Fresno	661	1989
13	Lyons Magnus lyonsmagnus.com A company specializing in developing and marketing quality food products for the foodservice industry with a focus on innovation and customer satisfaction	Food and Beverage Manufacturing	🇺🇸 Fresno	618	1852
14	Community Regional Medical Centers cfitwellness-solutions.com A comprehensive wellness program providing Medical Nutrition Therapy, weight management, stress management, personal training, and boot camps for individuals and businesses	Wellness and Fitness Services	🇺🇸 Fresno	580	2007
15	Fresno County Superintendent of Schools fcoe.org The Fresno County Superintendent of Schools provides leadership, services, and technical assistance to school districts, ensuring fiscal solvency and compliance with laws	Education Administration Programs	🇺🇸 Fresno	541	n/a
16	American Ambulance americanambulance.com The company offers emergency and non-emergency patient transport services in Fresno and Kings Counties, California, including ground and air transport with 600 employees	Hospitals and Health Care	🇺🇸 Fresno	536	1975
17	London Properties londonproperties.com A real estate company founded in 1606, now one of the largest in America with a focus on quality, integrity, and productivity	Real Estate	🇺🇸 Fresno	536	1973
18	Fresno Economic Opportunities Commission (Fresno EOC)fresnoeoc.org A nonprofit organization established in 1965, offering a wide range of human services and economic development programs to promote self-sufficiency	Non-profit Organizations	🇺🇸 Fresno	525	1965
19	State Center Community College District scccd.edu Provides accredited higher education through multiple colleges and centers, serving approximately 35,000 students across Central Valley counties.	Higher Education	🇺🇸 Fresno	487	n/a
20	United Health Centers unitedhealthcenters.org A non-profit organization offering medical, dental, and community health services to the underserved in the agricultural region of Central San Joaquin Valley	Hospitals and Health Care	🇺🇸 Fresno	465	1971
21	Fowler Packing Company fowlerpacking.com A multi-brand company in agriculture, real estate, and interior design, known for quality, efficiency, and sustainability, with over 700 employees	Farming	🇺🇸 Fresno	464	1950
22	Guarantee Real Estate (Closed 2024)guarantee.com A real estate brokerage specializing in residential property sales with multiple offices in Central California, owned by Berkshire Hathaway 70,000 agents nationwide	Real Estate	🇺🇸 Fresno	463	1984
23	Pelco pelco.com This company specializes in developing and manufacturing open IP video security systems, cameras, video management systems, displays, and accessories with high customer service	Security and Investigations	🇺🇸 Fresno	452	n/a
24	Realty Concepts realtyconcepts.com Real estate brokerage in Central Valley since 1991, prioritizing quality, service, and people Fostering growth, providing support, and offering outstanding service to clients	Real Estate	🇺🇸 Fresno	433	1991
25	Lyles Construction Group (LCG)lylesgroup.com A California-based family and employee-owned group of construction companies specializing in a variety of projects including pipeline construction, industrial plants, and road construction	Construction	🇺🇸 Fresno	375	1945
26	HealthComp personifyhealth.com HealthComp is a leading third-party administrator specializing in providing customizable healthcare solutions, including medical, dental, vision, COBRA, and other benefits	Insurance	🇺🇸 Fresno	364	1994
27	ERI eridirect.com A leading company in the US prioritizing maximum sustainability and economic efficiency for customers, resulting in increased market share and customer loyalty	IT Services and IT Consulting	🇺🇸 Fresno	357	n/a
28	The Good Feet Store goodfeet.com This company provides personalized fittings for arch supports to help individuals find relief from foot, leg, and back pain, catering to unique needs	Retail	🇺🇸 Fresno	351	2001
29	Clovis Community College cloviscollege.edu Dedicated to creating opportunities for students through education, events, and campus resources at Clovis Community College	Higher Education	🇺🇸 Fresno	345	1995
30	Kings View kingsview.org A mental health system founded in 1951, providing treatment for behavioral health issues, addictions, and mental health services for developmentally disabled adults	Mental Health Care	🇺🇸 Fresno	317	1951
31	Clovis Community Hospital A network of community hospitals in Central California, including Fresno Heart & Surgical, Clovis, and Community Regional Medical Center	Hospitals and Health Care	🇺🇸 Fresno	311	n/a
32	Rx relief rxrelief.com Specializing in pharmacy staffing since 1978, we provide quality placements for all practice settings, prioritizing competency, dependability, and value for clients	Staffing and Recruiting	🇺🇸 Fresno	278	1978
33	Sebastian sebastiancorp.com A leading provider of communications, electrical and underground construction, security solutions, and IT services in California's Central Valley, prioritizing employee well-being and growth	Construction	🇺🇸 Fresno	270	1946
34	Inspire Health Medical Group inspirehealth.org A corporation of physicians and staff affiliated with UCSF Fresno, dedicated to providing quality care, education, and advancing medical knowledge	Hospitals and Health Care	🇺🇸 Fresno	269	1979
35	Netafim USA netafimusa.com Global leader in precision agriculture solutions for irrigation, developing drip systems and digital farming equipment to maximize crop yield with limited resources	Farming	🇺🇸 Fresno	244	1981
36	OK Produce okproduce.com A produce wholesaler located in Fresno, California, specializing in supplying fresh fruits and vegetables to customers in the United States	Food and Beverage Services	🇺🇸 Fresno	236	1950
37	Hinds LifeCare hindshospice.org This organization provides expert end-of-life hospice medical care, grief support services, perinatal hospice, and pediatric hospice programs with compassion and dignity	Hospitals and Health Care	🇺🇸 Fresno	215	1981
38	CHW, LLP chwllp.org This company provides audit and assurance services, with a focus on healthcare organizations and maximizing Medicare/Medicaid reimbursements while ensuring compliance	Accounting	🇺🇸 Fresno	202	2014
39	James G Parker Insurance Associates jgparker.com A top 100 privately-held insurance agency in the nation, offering a wide range of insurance products and services in California	Insurance	🇺🇸 Fresno	195	1978
40	Community West Bank Formerly Central Valley Community Bank communitywestbank.com Established in 1980, we provide personal service and community values to Central Valley, California through relationship banking and community investment Member FDIC	Banking	🇺🇸 Fresno	179	1980
41	Keiser Corporation keiser.com A leading global developer of functional fitness equipment that enhances elite human performance	Wellness and Fitness Services	🇺🇸 Fresno	177	1977
42	Deli Delicious Franchising, Inc.deli-delicious.com Quick service restaurant offering premium sandwiches with proprietary recipes, founded in Fresno in the 90's Award-winning and rapidly growing franchise with over 100 locations in California	Restaurants	🇺🇸 Fresno	171	2008
43	San Joaquin Valley Rehabilitation Hospital sjvrehab.com A Fresno-based physical rehabilitation center offering comprehensive inpatient and outpatient services including physical, occupational, and speech therapy for various needs	Hospitals and Health Care	🇺🇸 Fresno	166	1991
44	Legacy Construction lcfresno.com Specializing in developing healthcare facilities such as Federally Qualified Health Centers and private practice offices, as well as restaurants, industrial buildings, and sports facilities	Construction	🇺🇸 Fresno	162	2007
45	Geil Enterprises Inc geilenterprises.com Employee-owned company in Central Valley, CA since 1986 Divisions offer security, cleaning, alarm systems, and janitorial supplies to commercial/industrial businesses	Facilities Services	🇺🇸 Fresno	162	1986
46	California Autism Center caclg.org Providing personalized, play-based behavioral therapy for young children with autism, fostering foundational skills and social confidence in a supportive environment.	Mental Health Care	🇺🇸 Fresno	161	2014
47	California Health Collaborative healthcollaborative.org A nonprofit organization dedicated to improving the health and quality of life for underserved populations in California through various health promotion programs and activities	Non-profit Organizations	🇺🇸 Fresno	161	1982
48	Saladino's Foodservice saladinos.com This company is a foodservice distributor focused on delivering high-quality products and exceptional customer service to build lasting partnerships	Food and Beverage Services	🇺🇸 Fresno	160	1980
49	Bitwise Industries bitwiseindustries.com Technology solutions in Salesforce, DocuSign, and digital product development, leveraging a diverse workforce to create digital equity globally and transform economies	Technology, Information and Internet	🇺🇸 Fresno	159	2013
50	Fresno Housing fresnohousing.org Develops quality affordable housing, fosters vibrant communities, supports success of 50,000 residents in Fresno County through various housing programs	Government Administration	🇺🇸 Fresno	159	1940
51	StudentNest Inc.studentnest.com StudentNest offers educational programs in Math, Science, English, and STEM subjects, providing technology-based and in-person tutoring services to students all year round	E-Learning Providers	🇺🇸 Fresno	157	2004
52	Sierra Pacific Orthopedics spoc-ortho.com The company specializes in various areas of orthopedic medicine, including sports medicine, hand and upper extremity care, and nonoperative pain management	Medical Practices	🇺🇸 Fresno	155	2002
53	Heart theheartbusiness.com Online platform connecting artists with elderly adults to use art for healing and connection	Hospitality	🇺🇸 Fresno	155	2021
54	EKC Enterprises Inc.ekccorp.com A leader in technology integrations, specializing in low voltage systems for various industries with a focus on customer satisfaction and employee empowerment	Telecommunications	🇺🇸 Fresno	154	2003
55	Work Education worked.com WorkED provides customized summer and afterschool programs for elementary, middle, and high school students to unlock their potential and connect with real-world careers	Primary and Secondary Education	🇺🇸 Fresno	154	2011
56	AmeriGuard Security Services, Inc.ameriguardsecurity.com A Fresno-based private security contractor offering armed/unarmed officers, vehicle patrols, alarm response, security camera installation, background checks, LiveScan fingerprinting, and more nationwide	Security and Investigations	🇺🇸 Fresno	154	2000
57	TETER Architects and Engineers teterae.com Architects and engineers in Central Valley with deep community roots, focused on collaborative, value-driven design solutions for long-lasting client relationships	Architecture and Planning	🇺🇸 Fresno	151	1979
58	Fresno Surgical Hospital fresnosurgicalhospital.com A fully-licensed, Joint Commission-accredited hospital providing award-winning surgical care with a focus on patient satisfaction and affordability	Hospitals and Health Care	🇺🇸 Fresno	148	n/a
59	Silo usesilo.com Modern ERP, payments, and analytics tools for produce distributors, growers, and packer-shippers enhancing efficiency and financial visibility.	Software Development	🇺🇸 Fresno	148	2018
60	CalCom Energy linktr.ee The company specializes in providing tailored energy solutions to support a resilient food supply system for the future	Solar Electric Power Generation	🇺🇸 Fresno	72	2012
61	Irritec USA, Inc.irritec.us A global leader in smart irrigation technology, designing and manufacturing innovative products to improve efficiency and sustainability in agriculture	Farming	🇺🇸 Fresno	68	1974
62	Ascent Financial Solutions, LLC ascentfinancialsolutions.com This company specializes in assisting individuals, families, and businesses in optimizing wealth management and securing assets for the future	Financial Services	🇺🇸 Fresno	59	n/a
63	Sinclair Systems International sinclair-intl.com Global leader in produce labels, labeling machinery, and technical support for the fresh produce industry, with patented automatic fruit labeling technology	Packaging and Containers Manufacturing	🇺🇸 Fresno	58	1982
64	Saf-T-Cab, Inc.saftcab.com A machinery company located in Fresno, California, specializing in manufacturing industry-specific cabs and safety equipment for various machines and vehicles	Machinery Manufacturing	🇺🇸 Fresno	48	1968
65	Kuppa Joy Coffee kuppajoy.com Operating a coffee house in Old Town Clovis, California, offering beverages and a welcoming atmosphere for customers to enjoy their time.	Restaurants	🇺🇸 Fresno	43	2012
66	Conner Logistics Inc connerlogistics.com Dedicated to excellence in customer service by offering top-notch courier services to meet client needs effectively and efficiently	Freight and Package Transportation	🇺🇸 Fresno	29	n/a
67	Water, Energy and Technology (WET) Center wetcenter.org The company supports water, energy, and ag-tech innovators through training, coaching, networking, and fostering an inclusive environment for entrepreneurs and community members	Business Consulting and Services	🇺🇸 Fresno	29	1996
68	360 Media Direct 360mediadirect.com A comprehensive resource for customer engagement, offering tailored advertising, rewards programs, customer acquisition, magazine reach, and subscription services for businesses	Advertising Services	🇺🇸 Fresno	25	2004
69	Meridian Growers meridiangrowers.com Sales and marketing company for California and Arizona growers of almonds, pistachios, pecans, walnuts, and other nuts/dried fruits, supplying high-quality products worldwide	Food and Beverage Services	🇺🇸 Fresno	24	1995
70	National Freight Logistics Inc nflfreight.com A leading logistics company in Fresno, California, offering freight transfer, maintenance services, and collaborative truckload transportation across the United States	Transportation, Logistics, Supply Chain and Storage	🇺🇸 Fresno	16	2006
71	Silver Care Insurance Services silvercareinsurance.com Specializing in senior and under 65 age markets, offering Medicare, life, final expense, and annuity products in 42 states	Insurance	🇺🇸 Fresno	15	2005
72	United Western Industries, Inc.uwi.us A machinery company located in Fresno, CA, specializing in industrial equipment manufacturing and distribution within the United States	Machinery Manufacturing	🇺🇸 Fresno	14	1971
73	T. G. Schmeiser Co, Inc.tgschmeiser.com A California-based machinery company specializing in manufacturing and distributing agricultural and industrial equipment	Machinery Manufacturing	🇺🇸 Fresno	14	n/a
74	San Joaquin Glass Co sjglass.com Central California's top provider of commercial, residential, and specialty glass and glazing solutions since 1947	Construction	🇺🇸 Fresno	10	1947
75	Plan Financial planfinancial.com Financial institution offering wealth management and asset management solutions through a diverse investment approach with a focus on client empowerment and satisfaction	Financial Services	🇺🇸 Fresno	9	1985
76	Café Corazón cafecorazonfresno.com Coffee roasting company in Fresno's Tower District, specializing in organic, fair trade coop and estate coffees roasted fresh for residents and wholesale accounts	Food and Beverage Services	🇺🇸 Fresno	8	2006
77	R&B Capital An investment firm supporting high-potential startups in South Asian emerging markets, offering financial support, strategic services, and a commitment to underrepresented groups	Venture Capital and Private Equity Principals	🇺🇸 Fresno	8	2020
78	Milburn Dental milburndental.com A state-of-the-art dental office providing family, cosmetic, and general dentistry services in a friendly atmosphere, led by knowledgeable and caring professionals	Hospitals and Health Care	🇺🇸 Fresno	4	2017

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Every company on this list has a Tamtam company profile. The industry is the one the company gives on LinkedIn; categories such as SaaS or fintech are classified by Tamtam's AI from the company's website and LinkedIn page; and the headquarters city must match the company's own address. Companies are ranked by the number of employees on LinkedIn, and the list is refreshed every night. Classifications can be wrong, so treat the list as a starting point rather than an official ranking. Last updated Oct 24, 2026.

The same list elsewhere in United States

The largest companies in the United States 91,669
The largest companies in California 12,813
The largest companies in New York State 10,485
The largest companies in Texas 8,086
The largest companies in Florida 4,945
The largest companies in Illinois 4,175
The largest companies in Pennsylvania 3,110
The largest companies in Massachusetts 3,093
The largest companies in Georgia 2,632
The largest companies in Ohio 2,618
The largest companies in New Jersey 2,569
The largest companies in Virginia 2,503
The largest companies in Michigan 2,346
The largest companies in North Carolina 2,174
The largest companies in Alabama 1,806
The largest companies in Washington State 1,785
The largest companies in Colorado 1,774
The largest companies in Minnesota 1,700
The largest companies in Maryland 1,527
The largest companies in Wisconsin 1,482
The largest companies in New York 6,920
The largest companies in San Francisco 2,030
The largest companies in Houston 1,791
The largest companies in Chicago 1,668