Terrence R Hamilton, PA-CERTIFIED

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1St Med Battalion, 1St MLG
PO Box 55657
Camp Pendleton, CA 92055

Phone

(920) 946-6601

NPI assigned

Nov 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1477198638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1ST MED BATTALION, 1ST MLG",
            "address_2": "PO BOX 55657",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "920-946-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST MED BATTALION, 1ST MLG",
            "address_2": "PO BOX 55657",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "920-946-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "TERRENCE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-CERTIFIED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "13850",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolas Brien Gutierrez, DO
• Racquel Simone Gutierrez, M.D.
• Charles Alexander Hall, IDC
• Francis X Hall
• Elaine Rhine Hamilton, RN, CPNP, MS. MBA
• Jerry Willis Hamlin Jr., D.M.D.
• Victoria Harrison, MD
• Patricia Christine Hasen, FNP-BC
• Terence Alon Heath, M.D.
• Haley Marie Heitzman, DO

• Physician Assistant in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.