CHINO MEDICAL GROUP INC NPI 1790730786

NPI Information

  • NPI: 1790730786
  • Provider Name: CHINO MEDICAL GROUP, INC
  • Classification: Health Maintenance Organization - 302R00000X
  • Entity Type: Organization
  • Doing Business As: MY FAMILY MEDICAL GROUP
  • CLIA Number: 05D0562214
  • Address: 5475 WALNUT AVE
    CHINO, CA
    ZIP 91710
  • Phone: (909) 591-6446

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NPI Details

CHINO MEDICAL GROUP, INC is a health maintenance organization in Chino, CA. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. CHINO MEDICAL GROUP, INC NPI is 1790730786. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As My Family Medical Group.

The provider's business location address is:

5475 WALNUT AVE
CHINO, CA
ZIP 91710-609
Phone: (909) 591-6446
Fax: (909) 591-1309

The provider's authorized official is Prasad Jeereddi .
The authorized official title is Ceo and has the following contact phone number (909) 591-6446.

The CLIA number assigned to this NPI record is 05D0562214 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 1/1/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
32085R0202XRadiologyDiagnostic RadiologyNo
4302R00000XHealth Maintenance OrganizationYes
5363A00000XPhysician AssistantNo
6363LF0000XNurse PractitionerFamilyNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0059290MEDICAIDCALIFORNIA

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: 11/21/2025

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