# CHAPARRAL MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1508583089
- **Authorized official:** PRASAD ANJANEYA JEEREDDI MD (CEO)
- **Authorized official phone:** (909) 398-1550

## Contact information

- **Practice address:** 9170 HAVEN AVE STE 120, RANCHO CUCAMONGA, CA 91730-5416
- **Practice address phone:** (909) 476-8700
- **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) 398-1488

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2022
- **Last updated:** 10/25/2022