CHAPARRAL MEDICAL GROUP, INC.
NPI 1376940221
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rancho Cucamonga, CA

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

The NPI number for Chaparral Medical Group, Inc. is 1376940221. It was assigned to this organization in the NPPES registry on November 20, 2014.

Q: What is Chaparral Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since November 20, 2014CLIA 05D2092666 · Waiver

9170 HAVEN AVE, SUITE 120, RANCHO CUCAMONGA, CA 91730(909) 467-8700(909) 987-1400 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 18, 2022, Nov 8, 2019 (2 updates tracked since 2019).

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About Chaparral Medical Group, Inc. NPPES

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

CHAPARRAL MEDICAL GROUP, INC. (NPI 1376940221) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Rancho Cucamonga, California and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Prasad Jeereddi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376940221

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameCHAPARRAL MEDICAL GROUP, INC.

Location Address9170 HAVEN AVE, SUITE 120Rancho Cucamonga, CA 91730-5416

Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-1573

Phone(909) 467-8700

Fax(909) 987-1400

Organization SubpartNo

Authorized OfficialPrasad JeereddiCeo · (909) 624-8444

Enumeration DateNovember 20, 2014

Last NPPES UpdateOctober 18, 20222 updates tracked since enumeration

NPPES CertifiedOctober 18, 2022

✔ NPI 1376940221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

9170 HAVEN AVE, Rancho Cucamonga, CA 91730

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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 of Waiver 05D2092666

Chaparral Medical Group, Inc · Rancho Cucamonga, CA

Active · expires Mar 9, 2027

CLIA Number05D2092666

Laboratory TypePhysician Office

Certificate Effective DateMarch 10, 2025

Certificate Expiration DateMarch 9, 2027

Laboratory DirectorEwa H. Konca, MD

Laboratory Phone(909) 467-8700

Laboratory LocationChaparral Medical Group, Inc9170 Haven Avenue Suite 120, Rancho Cucamonga, CA 91730

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

RANCHO HAVEN CARE LLC

Pharmacy (Community/Retail Pharmacy)

9170 HAVEN AVE, STE 122
RANCHO CUCAMONGA, CA 91730

San Bernardino County (909) 989-2899

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 1376940221. It was assigned to this organization in the NPPES registry on November 20, 2014.

Where is Chaparral Medical Group, Inc. located?

Chaparral Medical Group, Inc. is located at 9170 Haven Ave Suite 120, Rancho Cucamonga, CA 91730. The listed phone number is (909) 467-8700.

What is Chaparral Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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

Yes. A Certificate of Waiver (number 05D2092666) is associated with this NPI, valid through March 9, 2027. 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 October 18, 2022. 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.