Organization
CHAPARRAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD A JEEREDDI M.D. (PRESIDENT)
(909) 398-1550
Entity
Organization
Contact information
Practice address
1866 N ORANGE GROVE AVE, 202 201 102 & 104, POMONA, CA 91767-3031
(909) 623-8796
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
—
—
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
CA
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0052950
—
CA
Enumeration date
04/06/2006
Last updated
02/24/2026
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