# CHAPARRAL MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1841144094
- **Authorized official:** PRASAD A JEEREDDI MD (PRESIDENT)
- **Authorized official phone:** (909) 469-1823

## Contact information

- **Practice address:** 1200 VENICE BLVD STE 200, LOS ANGELES, CA 90006-5518
- **Practice address phone:** (323) 475-1809
- **Practice address fax:** (909) 752-6768
- **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 |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 251X00000X | Supports Brokerage Agency | — | — | — |

## Other

- **Enumeration date:** 02/24/2026
- **Last updated:** 02/24/2026