Tiffany Anderson Terrell, DO. Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

20A8506 Issued in CA

Legal business name

TIFFANY ANDERSON TERRELL, DO. INC

Practice address

5253 Riverside Dr
Chino, CA 91710-4151

Phone

(909) 464-2845

Fax

(909) 464-2848

NPI assigned

Apr 22, 2010

Last updated

Nov 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Anderson Terrell, D.O.NPI 1629188404

Title

President/Owner

Phone

(909) 548-4900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEFABD

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Anderson Terrell, DO

  • Family Medicine Physician
  • Chino Hills, CA
  • NPI 1629188404
  Medicare reassignment Care Compare group NPD Authorized official
• Cameon Reynolds, FNP

  • Family Nurse Practitioner
  • Chino, CA
  • NPI 1275291924
  Medicare reassignment Care Compare group NPD
• Jennifer Anne Hagler Buckley, RN, MSN, FNP

  • Family Nurse Practitioner
  • Chino, CA
  • NPI 1174179113
  Medicare reassignment NPD
• Hussain Al-Darsani, M.D.

  • Gastroenterology Physician
  • Chino, CA
  • NPI 1669429775
  NPD (past)
• Lisa C Stockford, DO

  • Family Medicine Physician
  • Chino Hills, CA
  • NPI 1710986328
  NPD (past)

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1053638601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE",
            "address_2": "SUITE 210",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-548-4900",
            "fax_number": "909-548-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104151",
            "telephone_number": "909-464-2845",
            "fax_number": "909-464-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY ANDERSON TERRELL, DO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON TERRELL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "909-548-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "20A8506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kathryn Thompson, LMFT
• Shannon Maria Thornton-Bey
• Thrifty Payless Inc (Rite Aid Pharmacy 05579)
• Samantha Tien
• Brooke Tierney
• Sean S To, M.D.
• Michael James Tognetti, LMFT
• Justin Tok
• Kirk A Torres, MD
• Patricia Toscano, M.S.

• Clinic/Center in Chino, CA
• Providers in Chino, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.