Individual provider Active NPI

Terrisa Sun Mi Ha

  • Family Medicine Physician
  • La Palma, CA
National Provider Identifier
1083675516
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G074991 Issued in CA
Practice address
5451 La Palma Ave
Suite 49
La Palma, CA 90623-1728
Phone
(714) 736-9918
Fax
(714) 736-9952
NPI assigned
Apr 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G074991 CA Primary

Addresses

Primary practice location

5451 La Palma Ave
Suite 49
La Palma, CA 90623-1728

Mailing address

5451 La Palma Ave
Suite 49
La Palma, CA 90623-1728
Phone (714) 736-9918

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
I20080317000203 CA Practitioner - Family Practice 9739264656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5451 La Palma Ave
Suite 49
La Palma, CA 90623-1732
Phone (714) 736-9918

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G074991CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Terrisa S. Ha, M.D. Inc. Family Medicine CurrentSince May 31, 2011 Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

5451 La Palma Ave
Ste 49
La Palma, CA 90623
Phone (714) 670-8470

Organizations & group practices 2

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

Hospital & facility affiliations 4

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": "1143936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1083675516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE",
            "address_2": "SUITE 49",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231728",
            "telephone_number": "714-736-9918",
            "fax_number": "714-736-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE",
            "address_2": "SUITE 49",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231728",
            "telephone_number": "714-736-9918",
            "fax_number": "714-736-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "TERRISA",
        "middle_name": "SUN MI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-02",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G074991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

Verify at the official NPI Registry.