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CHAPARRAL MEDICAL GROUP, INC.
NPI 1396432571
Internal Medicine - Geriatric Medicine in Rancho Cucamonga, CA

Active since April 19, 2023CLIA 05D1045055 · Waiver
9140 HAVEN AVE STE 112, RANCHO CUCAMONGA, CA 91730(909) 527-8110(909) 581-6738 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chaparral Medical Group, Inc. NPPES

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

CHAPARRAL MEDICAL GROUP, INC. (NPI 1396432571) is a healthcare organization registered as a geriatric medicine in Rancho Cucamonga, California and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Prasad A Jeereddi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396432571
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameCHAPARRAL MEDICAL GROUP, INC.
Location Address9140 HAVEN AVE STE 112Rancho Cucamonga, CA 91730-5414
Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550
Phone(909) 527-8110
Fax(909) 581-6738
Organization SubpartNo
Authorized OfficialPrasad A JeereddiCeo · (909) 469-1823
Enumeration DateApril 19, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1396432571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
9140 HAVEN AVE STE 112, 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 05D1045055

Chaparral Medical Group, Inc · Rancho Cucamonga, CA
Active · expires Sep 5, 2027
CLIA Number05D1045055
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorPeter J. Niciforos
Laboratory Phone(909) 527-8110
Laboratory LocationChaparral Medical Group, Inc9190 Haven Ave, 1st Floor, Rancho Cucamonga, CA 91730
CLIA data matches this NPI record on: 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.

ANI BERBERYAN M.D.
Family Medicine
9140 HAVEN AVE STE 112
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 296-7800

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 1396432571. It was assigned to this organization in the NPPES registry on April 19, 2023.

Where is Chaparral Medical Group, Inc. located?

Chaparral Medical Group, Inc. is located at 9140 Haven Ave Ste 112, Rancho Cucamonga, CA 91730. The listed phone number is (909) 527-8110.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

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

Yes. A Certificate of Waiver (number 05D1045055) is associated with this NPI, valid through September 5, 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 April 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.