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General NPI Number Information
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NPI Number | 1316891567
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Entity Type | Organization
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Legal Business Name | CHAPARRAL MEDICAL GROUP INC.
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 832 FOLSOM ST STE 700
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1142
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Country | US
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Telephone | 909-398-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 840 TOWNE CENTER DR
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City | POMONA
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State | CA
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Zip | 91767-5900
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Country | US
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Telephone | 909-398-1550
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Fax | 909-398-1488
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRASAD A JEEREDDI
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Credential |
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Telephone | 909-469-1823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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