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CHAPARRAL MEDICAL GROUP INC. NPI 1821554866


NPI Information

NPI: 1821554866
Provider Name: CHAPARRAL MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 05D0973951

Address:
5385 WALNUT AVE # 3 & 4
CHINO, CA
ZIP 91710
Phone: (909) 465-0209
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CHAPARRAL MEDICAL GROUP, INC. is a cardiovascular disease internal medicine in Chino, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CHAPARRAL MEDICAL GROUP, INC. NPI is 1821554866. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5385 WALNUT AVE # 3 & 4
CHINO, CA
ZIP 91710-605
Phone: (909) 465-0209
Fax: (909) 465-0318

The provider's authorized official is Prasad A Jeereddi .
The authorized official title is President and has the following contact phone number (909) 398-1550.

The CLIA number assigned to this NPI record is 05D0973951 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2019 and was last updated on 3/4/2019.


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
1207R00000XInternal MedicineNo
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4363LF0000XNurse PractitionerFamilyNo
5207RC0000XInternal MedicineCardiovascular DiseaseYes

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: 5/5/2024

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