Active NPI
Chino Valley Medical Group
- Obstetrics & Gynecology Physician
- Chino, CA
National Provider Identifier
1437189180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- CHINO VALLEY MEDICAL GROUP
- Practice address
- 5450 Jefferson Ave
Ste 3
Chino, CA 91710-3522 - Phone
- (909) 464-8980
- Fax
- (909) 464-8987
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Venkamma Reddy
- Title
- President
- Phone
- (909) 464-8980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
5450 Jefferson Ave
Ste 3
Chino, CA 91710-3522
Mailing address
5450 Jefferson Ave
Ste 3
Chino, CA 91710-3522
Phone (909) 464-8980
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437189180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 JEFFERSON AVE",
"address_2": "STE 3",
"city": "CHINO",
"state": "CA",
"postal_code": "917103522",
"telephone_number": "909-464-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 JEFFERSON AVE",
"address_2": "STE 3",
"city": "CHINO",
"state": "CA",
"postal_code": "917103522",
"telephone_number": "909-464-8980",
"fax_number": "909-464-8987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHINO VALLEY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "VENKAMMA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-464-8980"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
- Chino Spectrum Optometry PC
- Chino Stone & Surgery Center
- Chino Unified School District
- Chino Valley Family Physicians a Medical Group
- Chino Valley Medical Center
- Chino Valley Orthopedic Center Inc
- Chino Valley Unified School District Behavioral Health Center
- Chino Vascular & Surgery Center Inc
- Brigette Chiu, MA, CCC-SLP
- Chloe Coo Lacson DDS Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.