Terisa Marie Hall, MEDI-CAL CPSS, RADT

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3286 E Guasti Rd Ste 100
Ontario, CA 91761-8646

Phone

(909) 476-2023

Fax

(855) 702-2557

NPI assigned

Sep 25, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Ontario, CA
  • NPI 1497132765
  NPD (past)
• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Upland, CA
  • NPI 1659662351
  NPD (past)
• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Colton, CA
  • NPI 1710707310
  NPD (past)
• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Upland, CA
  • NPI 1720808314
  NPD (past)
• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Claremont, CA
  • NPI 1740569235
  NPD (past)
• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Colton, CA
  • NPI 1831924174
  NPD (past)
• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Claremont, CA
  • NPI 1952885139
  NPD (past)
• His House New Creation Treatment Center

  • Addiction (Substance Use Disorder) Counselor
  • Upland, CA
  • NPI 1376371187
  NPD (past)

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1811860802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3286 E GUASTI RD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618646",
            "telephone_number": "909-476-2023",
            "fax_number": "855-702-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3286 E GUASTI RD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618646",
            "telephone_number": "909-476-2023",
            "fax_number": "855-702-2557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865979",
            "country_code": "US",
            "telephone_number": "909-981-6121",
            "fax_number": "909-912-8041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11646 Encanto Ln",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923249218",
            "country_code": "US",
            "telephone_number": "909-222-4073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 N Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865939",
            "country_code": "US",
            "telephone_number": "909-256-3897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23950 Prado Ln",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923249734",
            "country_code": "US",
            "telephone_number": "909-514-1558",
            "fax_number": "909-912-8011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2511 S McCarty Dr",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923249220",
            "country_code": "US",
            "telephone_number": "909-264-3181",
            "fax_number": "909-697-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "TERISA",
        "middle_name": "MARIE",
        "credential": "MEDI-CAL CPSS, RADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Hale
• Byron Hall
• Guillermina Hall
• Laura Hall
• Taizhon Hall
• Ciarrah Halloway
• Kelley Halstrum
• Sarah Hamby
• Kamilia Hamdulla
• Emily Margaret Hamilton, MS

• Peer Specialist in Ontario, CA
• Providers in Ontario, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.