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CHAPARRAL MEDICAL GROUP INC. NPI 1477733624


NPI Information

NPI: 1477733624
Provider Name: CHAPARRAL MEDICAL GROUP, INC.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 05D1080348

Address:
160 E ARTESIA ST
SUITE 360
POMONA, CA
ZIP 91767
Phone: (909) 629-4604
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CHAPARRAL MEDICAL GROUP, INC. is an orthopaedic surgery in Pomona, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CHAPARRAL MEDICAL GROUP, INC. NPI is 1477733624. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

160 E ARTESIA ST
SUITE 360
POMONA, CA
ZIP 91767-900
Phone: (909) 629-4604
Fax: (909) 629-4704

The provider's authorized official is Adrienne M Walker .
The authorized official title is Contracts Manager and has the following contact phone number (909) 398-1550.

The CLIA number assigned to this NPI record is 05D1080348 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 3/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyNo
2207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W11798MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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