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

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: October 25, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chaparral Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

99

Medicare enrollment records show 99 clinicians reassign Medicare billing to Chaparral Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 65 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Internal Medicine21
Nurse Practitioner15
Cardiovascular Disease (Cardiology)9
Pulmonary Disease7
Family Practice6
Dermatology4
Endocrinology4
General Surgery4
14 other specialties29

Nearest to this location (20)

See all 99
Nurse Practitioner
NPI 1760134852
9170 HAVEN AVE STE 120
Rancho Cucamonga, CA 91730
(909) 476-8700
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1477731644
9170 HAVEN AVE STE 120
Rancho Cucamonga, CA 91730
(909) 466-0550
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1700230224
9140 HAVEN AVE STE 112
Rancho Cucamonga, CA 91730
(909) 296-7800
✔ PECOSSame address
Dermatology
NPI 1780727750
9190 HAVEN AVE STE 210
Rancho Cucamonga, CA 91730
(909) 466-7779
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316090103
9190 HAVEN AVE STE 102
Rancho Cucamonga, CA 91730
(909) 527-8110
✔ PECOSSame address
Pulmonary Disease
NPI 1780884015
8330 RED OAK ST SUITE 201
Rancho Cucamonga, CA 91730
(909) 987-2528
✔ PECOS✔ Accepts Medicare1.1 mi
Internal Medicine
NPI 1972517423
8330 RED OAK ST STE 201
Rancho Cucamonga, CA 91730
(909) 987-2528
✔ PECOS✔ Accepts Medicare1.1 mi
Cardiovascular Disease (Cardiology)
NPI 1487739835
8330 RED OAK ST STE 101
Rancho Cucamonga, CA 91730
(909) 987-4922
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1992580559
8330 RED OAK ST STE 101
Rancho Cucamonga, CA 91730
(909) 987-4922
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1447552229
8330 RED OAK STREET STE 101
Rancho Cucamonga, CA 91730
(909) 987-4922
✔ PECOS1.1 mi
Internal Medicine
NPI 1336533447
8330 RED OAK ST STE 201
Rancho Cucamonga, CA 91730
(909) 987-2528
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1356208409
8330 RED OAK ST STE 201
Rancho Cucamonga, CA 91730
(909) 987-2528
✔ PECOS✔ Accepts Medicare1.1 mi
Internal Medicine
NPI 1851753545
8330 RED OAK ST STE 201
Rancho Cucamonga, CA 91730
(909) 987-2528
✔ PECOS✔ Accepts Medicare1.1 mi
General Surgery
NPI 1275630568
901 SAN BERNARDINO RD STE 301
Upland, CA 91786
(909) 946-6221
✔ PECOS✔ Accepts Medicare3.7 mi
Gastroenterology
NPI 1760451298
811 E 11TH ST STE 208
Upland, CA 91786
(909) 982-2279
✔ PECOS✔ Accepts Medicare3.8 mi
Family Practice
NPI 1356359277
330 N D ST STE 300
San Bernardino, CA 92401
(909) 888-6602
✔ PECOS4.1 mi
Cardiovascular Disease (Cardiology)
NPI 1669519500
914 W FOOTHILL BLVD STE A
Upland, CA 91786
(909) 285-6717
✔ PECOS✔ Accepts Medicare5.2 mi
1131 W 6TH ST STE 150
Ontario, CA 91762
(909) 482-4462
✔ PECOS✔ Accepts Medicare5.5 mi
Nurse Practitioner
NPI 1942601281
585 N MOUNTAIN AVE SUITE A
Upland, CA 91786
(909) 946-2228
✔ PECOS5.5 mi
Pulmonary Disease
NPI 1154390391
1601 MONTE VISTA AVE STE 270
Claremont, CA 91711
(909) 865-9152
✔ PECOS✔ Accepts Medicare7.2 mi
See all 99 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Chaparral Medical Group, Inc. enrolled in Medicare?

Yes. Chaparral Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chaparral Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 99 clinicians in 22 Medicare specialties reassign their Medicare billing to Chaparral Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (21), Nurse Practitioner (15) and Cardiovascular Disease (Cardiology) (9). Of these, 5 practice at this address and 65 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 4 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.