CHAPARRAL MEDICAL GROUP, INC. (NPI# 1821554866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821554866 |
| Entity Type | Organization |
| Organization Name | CHAPARRAL MEDICAL GROUP, INC. |
| Practice Address |
5385 Walnut Ave # 3 & 4 Chino CA 91710-2605 |
| Mailing Address |
840 Towne Center Drive Pomona CA 91767-5900 |
| Practice Telephone | 9094650209 |
| Practice Fax Number | 9094650318 |
| Mailing Telephone | 9093981550 |
| Mailing Fax Number | 9093981488 |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-03-04 |
| Authorized Official Name | PRASAD A JEEREDDI (PRESIDENT) |
| Authorized Official Telephone | 9093981550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500267 | Chaparral Medical Group, Inc. | Neurological Surgery | 9120 Haven Ave Ste 201, Rancho Cucamonga, CA 91730-5413 | 2020-08-26 |
| 1598122418 | Chaparral Medical Group, Inc. | Internal Medicine | 520 E. Foothill Blvd. Suites C & A, Pomona, CA 91767-1200 | 2016-01-22 |
| 1346639952 | Chaparral Medical Group, Inc. | Internal Medicine | 8330 Red Oak Street Suites #101 & 201, Rancho Cucamonga, CA 91730-0602 | 2015-01-20 |
| 1093777666 | Chaparral Medical Group, Inc. | Orthopaedic Surgery | 9190 Haven Avenue, Ste. 101, 102, 210, 200, Rancho Cucamonga, CA 91730-5431 | 2006-04-06 |
| 1437111028 | Chaparral Medical Group, Inc. | Internal Medicine | 1866 N. Orange Grove Ave Suites 202 201 102 & 104, Pomona, CA 91767-3031 | 2006-04-06 |
| 1902419351 | Chaparral Medical Group, Inc. | Neurological Surgery | 401 E Highland Ave, San Bernardino, CA 92404-3803 | 2020-08-26 |
| 1235695289 | Chaparral Medical Group, Inc. | Family Medicine | 1880 N Orange Grove Ave, Pomona, CA 91767-3006 | 2019-02-14 |
| 1467903039 | Chaparral Medical Group, Inc. | Internal Medicine | 685 N 13th Ave, Suite 11, Upland, CA 91786-4916 | 2016-10-19 |
| 1134508955 | Chaparral Medical Group, Inc. | Otolaryngology | 297 W Artesia St, Suite A, Pomona, CA 91768-1808 | 2015-05-26 |
| 1376940221 | Chaparral Medical Group, Inc. | Internal Medicine | 9170 Haven Ave, Suite 120, Rancho Cucamonga, CA 91730-5416 | 2014-11-20 |
| Street Address |
5385 WALNUT AVE # 3 & 4 |
| City | CHINO |
| State | CA |
| Zip Code | 91710-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578526620 | Altaf L Ali Md Inc | Internal Medicine | 5365 Walnut Ave, Ste H, Chino, CA 91710-2622 | 2006-04-10 |
| 1376722736 | Altaf Lutfe Ali | Internal Medicine | 5365 Walnut Ave, Ste. L, Chino, CA 91710-2622 | 2007-11-01 |
| 1689680548 | Jiangnan Wang | Internal Medicine | 13768 Roswell Ave Ste 118, Chino, CA 91710-1402 | 2006-07-31 |
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| 1528610425 | Nicholas Russell | Internal Medicine | 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 | 2019-07-10 |
| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.