Individual provider Active NPI

Terrill K. Haws, D.O.

  • General Practice Physician
  • Dana Point, CA
National Provider Identifier
1275742223
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036073100 Issued in IL
Practice address
34110 Selva Rd Unit 322
Dana Point, CA 92629-3769
Phone
(847) 691-2436
NPI assigned
May 22, 2007
Last updated
Sep 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 036073100 IL Primary

Addresses

Primary practice location

34110 Selva Rd Unit 322
Dana Point, CA 92629-3769

Mailing address

34110 Selva Rd Unit 322
Dana Point, CA 92629-3769
Phone (847) 691-2436

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
I20230607000867 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2668496209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Kansas City University of Physicians and Surgeons, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6766 Passons Blvd
Suite Aandb
Pico Rivera, CA 90660-3632
Phone (562) 445-2037

701 N Alvarado St
FL 1 Suite a
Los Angeles, CA 90026-4073
Phone (213) 263-9268

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Terrill Haws Family Medicine Clinic Inc CurrentSince Oct 1, 2023 Accepting new patients
Al Amal Medical Clinic Inc. General Practice CurrentSince Jan 6, 2023 Accepting new patients

Locations

701 N Alvarado St
Fl 1
Los Angeles, CA 90026
Phone (213) 277-1451

6766 Passons Blvd
Ste A
Pico Rivera, CA 90660
Phone (562) 949-7979

6766 Passons Blvd
Ste Ab
Pico Rivera, CA 90660
Phone (562) 445-2037

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: terrill.haws.p1@direct.scfhc.nextgenshare.com

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1275742223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34110 SELVA RD UNIT 322",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293769",
            "telephone_number": "847-691-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34110 SELVA RD UNIT 322",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293769",
            "telephone_number": "847-691-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWS",
        "first_name": "TERRILL",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036073100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

Verify at the official NPI Registry.