Active NPI
Terrill K. Haws, D.O.
- General Practice Physician
- Dana Point, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 036073100
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
- Yaned Home Health Services
- Arka Home Health Services
- Angel Wings Home Health Agency
- Centrum Home Health, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrill Haws Family Medicine Clinic Inc | Current | Accepting new patients | |
| Al Amal Medical Clinic Inc. | General Practice | Current | 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
- 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.
-
- General Practice Physician
- Pico Rivera, CA
- NPI 1518684695
-
- Geriatric Medicine (Family Medicine) Physician
- Los Angeles, CA
- NPI 1013797695
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Los Angeles, CA
- NPI 1306597323
-
- Home Health Agency
- Van Nuys, CA
- NPI 1982219150
-
- Home Health Agency
- Valley Village, CA
- NPI 1700548310
-
- Home Health Agency
- Van Nuys, CA
- NPI 1588315592
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; 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.