# CHAPARRAL MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376940221
- **Authorized official:** PRASAD JEEREDDI MD (CEO)
- **Authorized official phone:** (909) 624-8444

## Contact information

- **Practice address:** 9170 HAVEN AVE, SUITE 120, RANCHO CUCAMONGA, CA 91730-5416
- **Practice address phone:** (909) 467-8700
- **Practice address fax:** (909) 987-1400
- **Mailing address:** 840 TOWNE CENTER DR, POMONA, CA 91767-5900
- **Mailing address phone:** (909) 398-1550
- **Mailing address fax:** (909) 398-1573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | CA | Yes |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |

## Other

- **Enumeration date:** 11/20/2014
- **Last updated:** 10/18/2022