Terrill Haws Family Medicine Clinic Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

TERRILL HAWS FAMILY MEDICINE CLINIC INC

Practice address

701 N Alvarado St Ste FL1 Ste a
Los Angeles, CA 90026-4005

Phone

(213) 263-9268

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Terrill Haws, MDNPI 1275742223

Title

Ceo

Phone

(213) 263-9268

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terrill K. Haws, D.O.

  • General Practice Physician
  • Dana Point, CA
  • NPI 1275742223
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1013797695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N ALVARADO ST",
            "address_2": "FL 1 STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N ALVARADO ST STE FL1 STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264005",
            "telephone_number": "213-263-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRILL HAWS FAMILY MEDICINE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "HAWS",
        "authorized_official_first_name": "TERRILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-263-9268",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pariss Terrell-Velasquez
• Makayla Terrell
• Michal Jackson Terrell, LMFT
• Tierra Terrell
• Terrence Kim MD a Medical
• Traci Terrill
• Terrin E. Martin, M.D., a Medical Corp
• Sarahy Terriquez
• Mary Carol Territo, MD
• Christine Terrones, ANP-C

• Geriatric Medicine (Family Medicine) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.