Millie Mae Hathaway, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A20053 Issued in CA

Practice address

1601 Monte Vista Ave Ste 100
Claremont, CA 91711-6601

Phone

(909) 630-7938

Fax

(909) 469-2118

NPI assigned

Mar 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Premier Family Medicine Associates, IncGroup PAC ID 4284547522, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Premier Family Medicine Associates, Inc

  • Health Service Clinic/Center
  • Pomona, CA
  • NPI 1912907114

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Premier Family Medicine Associates, Inc

  • Health Service Clinic/Center
  • La Verne, CA
  • NPI 1033634373

  Family Medicine

  NPD
• Premier Family Medicine Associates, Inc

  • Health Service Clinic/Center
  • Claremont, CA
  • NPI 1164668786

  Family Medicine

  NPD (past)
• Premier Family Medicine Associates, Inc

  • Health Service Clinic/Center
  • Chino Hills, CA
  • NPI 1730112426

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1407813660
  Care Compare affiliation
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  Care Compare affiliation

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1043847627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 260",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116604",
            "telephone_number": "909-630-7938",
            "fax_number": "909-469-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 100",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116601",
            "telephone_number": "909-630-7938",
            "fax_number": "909-469-2118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1798 N Garey Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917672918",
            "country_code": "US",
            "telephone_number": "909-865-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1770 N Orange Grove Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673027",
            "country_code": "US",
            "telephone_number": "909-469-9494",
            "fax_number": "909-469-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "MILLIE MAE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A20053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janae Monique Harris
• Michelle R Harrison, LCSW
• Hashimi and Pelaez Dental Corp
• Haris S Hashimi, DDS
• Andrea Monique Hatfield
• Jason Edward Hausen
• Andrea Michelle Hayes, M.S.,CCC
• Meghan Louise Hayes
• Heather Ilene Hays, LCSW
• Cori Healer

• Family Medicine Physician in Claremont, CA
• Providers in Claremont, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.