| Chino Medical Group, Inc | |
|
5475 Walnut Ave Chino CA 91710-2609 | |
| (909) 591-6446 | |
| (909) 591-1309 |
| Full Name | Chino Medical Group, Inc |
|---|---|
| Speciality | Health Maintenance Organization |
| Location | 5475 Walnut Ave, Chino, California |
| Authorized Official Name and Position | Prasad Jeereddi (CEO) |
| Authorized Official Contact | 9095916446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chino Medical Group, Inc 5475 Walnut Ave Chino CA 91710-2609 Ph: (909) 591-6446 | Chino Medical Group, Inc 5475 Walnut Ave Chino CA 91710-2609 Ph: (909) 591-6446 |
| NPI Number | 1790730786 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 01/01/2025 |
| Medicare PECOS PAC ID | 8325086184 |
|---|---|
| Medicare Enrollment ID | O20050421000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790730786 | NPI | - | NPPES |
| GR0059290 | Medicaid | CA |
| Provider Name | Nayan Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457365553 PECOS PAC ID: 1355246695 Enrollment ID: I20031201000472 |
| Provider Name | Wanda A Wilburn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639245806 PECOS PAC ID: 0941287387 Enrollment ID: I20040706000313 |
| Provider Name | Subash Chander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417003930 PECOS PAC ID: 2264478817 Enrollment ID: I20050705000748 |
| Provider Name | Tim T Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366480188 PECOS PAC ID: 1355348772 Enrollment ID: I20061027000292 |
| Provider Name | Venkata Subba Reddy Pulakanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356521843 PECOS PAC ID: 7113937913 Enrollment ID: I20071024000362 |
| Provider Name | Avani Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154360998 PECOS PAC ID: 2264585124 Enrollment ID: I20090725000113 |
| Provider Name | Jose A Lira |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821038985 PECOS PAC ID: 3375547391 Enrollment ID: I20100315000049 |
| Provider Name | Deslin Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679757124 PECOS PAC ID: 1355536988 Enrollment ID: I20101109001084 |
| Provider Name | Shin-shen Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962411066 PECOS PAC ID: 1153403944 Enrollment ID: I20130612000109 |
| Provider Name | Angela C Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235567538 PECOS PAC ID: 3173750775 Enrollment ID: I20131205000303 |
| Provider Name | Jane Joaquin-wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174532253 PECOS PAC ID: 6507097367 Enrollment ID: I20140320001898 |
| Provider Name | Tarek M Ezzeddine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740471879 PECOS PAC ID: 7315026697 Enrollment ID: I20151119000879 |
| Provider Name | Teresa Louie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174914303 PECOS PAC ID: 2567759921 Enrollment ID: I20160928001882 |
| Provider Name | Veronica Castaneda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164965596 PECOS PAC ID: 4981986262 Enrollment ID: I20170120002307 |
| Provider Name | Jessica Cifuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508579665 PECOS PAC ID: 9335505502 Enrollment ID: I20230512000702 |
Brite Dental Chino, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5436 Riverside Dr, Chino, CA 91710 Phone: 909-465-5551 | |
Inland Gastroenterology Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5562 Philadelphia St Ste 200, Chino, CA 91710 Phone: 909-573-6031 | |
Moreno Family Medical And Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15361 Central Ave, Chino, CA 91710 Phone: 909-393-7171 | |
Kaiser Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11911 Central Ave, Chino, CA 91710 Phone: 909-631-2440 | |
Tiffany Anderson Terrell, Do. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5253 Riverside Dr, Chino, CA 91710 Phone: 909-464-2845 Fax: 909-464-2848 | |
H & M Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5365 Walnut Ave Ste A, Chino, CA 91710 Phone: 617-316-6776 | |
Gary T. Lai, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14335 Pipeline Ave, A-1, Chino, CA 91710 Phone: 909-548-3888 |