Individual provider Active NPI

Praveena Jeereddi, MD

  • Internal Medicine Physician
  • Pomona, CA
National Provider Identifier
1346218740
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A76313 Issued in CA
Practice address
1880 N Orange Grove Ave
Pomona, CA 91767-3006
Phone
(909) 620-7200
Fax
(909) 620-5800
NPI assigned
Mar 10, 2006
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A76313 CA Primary

Addresses

Primary practice location

1880 N Orange Grove Ave
Pomona, CA 91767-3006

Mailing address

1131 W 6TH St Ste 225
Ontario, CA 91762-1117
Phone (909) 236-7994

Other identifiers 1

IdentifierTypeStateIssuer
00A763130MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070720000255 CA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0446281513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1880 N Orange Grove Ave
Pomona, CA 91767-3006
Phone (909) 630-7158

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76313CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. Internal Medicine Current Accepting new patients
Chaparral Medical Group, Inc. Internal Medicine CurrentSince Mar 8, 2011 Accepting new patients
Chaparral Medical Group, Inc. CurrentSince Jan 1, 2006 Accepting new patients
Chaparral Medical Group Inc Internal Medicine Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Locations

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

840 Towne Center Dr
Pomona, CA 91767

9190 Haven Ave
Fl 1
Rancho Cucamonga, CA 91730
Phone (909) 527-8110

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1346218740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 W 6TH ST STE 225",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621117",
            "telephone_number": "909-236-7994",
            "fax_number": "909-236-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N ORANGE GROVE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673006",
            "telephone_number": "909-620-7200",
            "fax_number": "909-620-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEEREDDI",
        "first_name": "PRAVEENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A763130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.