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Organization

CHAPARRAL MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRASAD A JEEREDDI M.D. (CEO)
(909) 398-1550
Entity
Organization

Contact information

Practice address
8330 RED OAK ST STE 101, RANCHO CUCAMONGA, CA 91730-0603
(909) 987-4922
(909) 466-1190
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
207Q00000X
Family Medicine Physician
CA
207R00000X
Internal Medicine Physician
CA
207RC0000X
Cardiovascular Disease Physician
Primary
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
CA
207RP1001X
Pulmonary Disease Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician
207UN0901X
Nuclear Cardiology Physician
CA
251X00000X
Supports Brokerage Agency

Other

Enumeration date
01/20/2015
Last updated
02/24/2026
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