Individual provider Active NPI

Tiffany Anderson Terrell, DO

  • Family Medicine Physician
  • Chino Hills, CA
National Provider Identifier
1629188404
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8506 Issued in CA
Practice address
15944 Los Serranos Country Club Dr Ste 110
Chino Hills, CA 91709-3254
Phone
(909) 219-9804
Fax
(909) 219-9806
NPI assigned
Aug 30, 2006
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 20A8506 CA Primary

Addresses

Primary practice location

15944 Los Serranos Country Club Dr Ste 110
Chino Hills, CA 91709-3254

Mailing address

15944 Los Serranos Country Club Dr Ste 110
Chino Hills, CA 91709-3254
Phone (909) 219-9804

Other identifiers 3

IdentifierTypeStateIssuer
00AX85060MedicaidCA
00AXB5060N31OtherCACAL OPTIMA
P00055172OtherCARAILROAD MEDICARE

Other names 1

  • Tiffany Anderson Former name

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
I20050405000453 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6901853662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
College of Osteo Med of the Pacific at Pomona, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tiffany Anderson Terrell, DO. IncGroup PAC ID 0345371282, 2 clinicians

Practice addresses (Care Compare)

15944 Los Serranos Country Club Dr
Suite 110
Chino Hills, CA 91709-3254
Phone (909) 219-9804

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8506CAMDClinical Social Worker
20A8506CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Anderson Terrell, DO. Inc CurrentSince May 20, 2010 Accepting new patients
Primecare Medical Group Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

5253 Riverside Dr
Chino, CA 91710
Phone (909) 464-2845

5450 Jefferson Ave
Ste 1
Chino, CA 91710
Phone (909) 219-9804

15944 Los Serranos Country Club Dr
Ste 110
Chino Hills, CA 91709
Phone (909) 606-8767

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

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

Organizations & group practices 3

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 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1629188404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 110",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093254",
            "telephone_number": "909-219-9804",
            "fax_number": "909-219-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 110",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093254",
            "telephone_number": "909-219-9804",
            "fax_number": "909-219-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON TERRELL",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX85060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL OPTIMA",
            "identifier": "00AXB5060N31",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00055172",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "ANDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.