Organization Active NPI

Chino Valley Medical Group

  • Obstetrics & Gynecology Physician
  • Chino, CA
National Provider Identifier
1437189180
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.