Individual provider Active NPI

Haritha R Alla, M.D.

  • Cardiovascular Disease Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1487739835
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C54107 Issued in CA
Practice address
8330 Red Oak St Ste 101
Rancho Cucamonga, CA 91730-0603
Phone
(909) 987-4922
Fax
(909) 466-1196
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C54107 CA
Nuclear Cardiology Physician 207UN0901X C54107 CA
Cardiovascular Disease Physician 207RC0000X C54107 CA Primary

Addresses

Primary practice location

8330 Red Oak St Ste 101
Rancho Cucamonga, CA 91730-0603

Mailing address

840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550

Other practice location 1

914 W Foothill Blvd Ste B
Upland, CA 91786-3785
Phone (909) 285-6717

Other names 1

  • Haritha Baddevolv Other name

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
I20101118001098 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 8426944919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians

Practice addresses (Care Compare)

5385 Walnut Ave
Suite 3
Chino, CA 91710-2605
Phone (909) 465-0292

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

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

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. Internal Medicine Current Accepting new patients
CMG Clinical Laboratory and Ancillary Services, Inc. Nuclear Cardiology CurrentSince Nov 22, 2011 Accepting new patients
Chaparral Medical Group Inc. Cardiovascular Disease CurrentSince Sep 1, 2010 Accepting new patients
Chaparral Medical Group Inc Internal Medicine CurrentSince Sep 1, 2010 Accepting new patients
Chaparral Medical Group Inc. Cardiovascular Disease CurrentSince Mar 26, 2011 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients
Chaparral Medical Group Inc Internal Medicine Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Locations

5385 Walnut Ave
Ste 3
Chino, CA 91710
Phone (909) 465-0292

1801 W Olympic Blvd
Pasadena, CA 91199

840 Towne Center Dr
Pomona, CA 91767

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

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

8330 Red Oak St
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 987-4922

8330 Red Oak St
Ste 201
Rch Cucamonga, CA 91730
Phone (909) 987-1730

914 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 285-6717

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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

Hospital & facility affiliations 2

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1487739835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 RED OAK ST STE 101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300603",
            "telephone_number": "909-987-4922",
            "fax_number": "909-466-1196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 W Foothill Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917863785",
            "country_code": "US",
            "telephone_number": "909-285-6717",
            "fax_number": "909-946-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLA",
        "first_name": "HARITHA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C54107",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "C54107",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C54107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARITHA",
            "last_name": "BADDEVOLV",
            "credential": "MBBS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.