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CHAPARRAL MEDICAL GROUP INC.
NPI 1073243655
Physician Assistant in Pomona, CA

Active since June 15, 2022CLIA 05D1028079 · Microscopy
520 E FOOTHILL BLVD STE A, POMONA, CA 91767(909) 622-3065(909) 784-3399 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2023, Dec 21, 2022 (2 updates tracked since 2022).

About Chaparral Medical Group Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAPARRAL MEDICAL GROUP INC. (NPI 1073243655) is a healthcare organization registered as a physician assistant in Pomona, California and active in the NPI registry since June 2022. The organization holds a CLIA Microscopy certificate valid through June 30, 2028, maintains 3 additional practice locations, and lists Prasad Jeereddi, Director, as its authorized official.

NPPES Registry Identity

NPI1073243655
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameCHAPARRAL MEDICAL GROUP INC.
Location Address520 E FOOTHILL BLVD STE APomona, CA 91767-1200
Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-1488
Phone(909) 622-3065
Fax(909) 784-3399
Organization SubpartNo
Authorized OfficialPrasad JeereddiDirector · (909) 398-1550
Enumeration DateJune 15, 2022
Last NPPES UpdateJune 9, 20232 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1073243655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedPulmonary Function TechnologistTaxonomy 225B00000X
520 E FOOTHILL BLVD STE A, Pomona, CA 91767
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Secondary Practice Locations 3

Location 18330 Red Oak St Ste 201Rancho Cucamonga, CA 91730-0603 · Phone (909) 987-2528 · Fax (909) 987-4668
Location 29170 Haven Ave Ste 120Rancho Cucamonga, CA 91730-5416 · Phone (909) 476-8700 · Fax (909) 987-1400
Location 38330 Red Oak St Ste 101Rancho Cucamonga, CA 91730-0603 · Phone (909) 987-4922 · Fax (909) 466-1190

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1028079

Chaparral Medical Group, Inc · Rancho Cucamonga, CA
Active · expires Jun 30, 2028
CLIA Number05D1028079
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorDavid T. Robles MD
Laboratory Phone(909) 466-7779
Laboratory LocationChaparral Medical Group, Inc9190 Haven Ave, Ste 210, Rancho Cucamonga, CA 91730
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HOWARD SCOTT VANCE DC
Chiropractor (Sports Physician)
520 E FOOTHILL BLVD STE A
POMONA, CA 91767
Los Angeles County (909) 399-9696
DAVID CAO
Physician Assistant
520 E FOOTHILL BLVD STE A
POMONA, CA 91767
Los Angeles County (909) 622-3065
MRS. VANESSA C PEDREGO PA-C
Physician Assistant
520 E FOOTHILL BLVD STE A
POMONA, CA 91767
Los Angeles County (909) 622-3065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chaparral Medical Group Inc.'s NPI number?

The NPI number for Chaparral Medical Group Inc. is 1073243655. It was assigned to this organization in the NPPES registry on June 15, 2022.

Where is Chaparral Medical Group Inc. located?

Chaparral Medical Group Inc. is located at 520 E Foothill Blvd Ste A, Pomona, CA 91767. The listed phone number is (909) 622-3065.

What is Chaparral Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Chaparral Medical Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1028079) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chaparral Medical Group Inc. was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.