Individual provider Active NPI

Terraneisha Croffitt, PA-C

  • Physician Assistant
  • Pearland, TX
National Provider Identifier
1932608304
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19491 Issued in TX
Practice address
2705 Broadway St Ste 101
Pearland, TX 77581-4915
Phone
(713) 468-0303
NPI assigned
Feb 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19491 TX Primary

Addresses

Primary practice location

2705 Broadway St Ste 101
Pearland, TX 77581-4915

Mailing address

915 Gessner Rd Ste 500
Houston, TX 77024-2568
Phone (713) 468-0303

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180511001523 CA Practitioner - Physician Assistant 3274897673 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19491TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Urgent Care, Inc CurrentSince Jun 22, 2020 Accepting new patients
Anaheim Urgent Care, Inc. CurrentSince Jun 22, 2020 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Emanate Pain Management Medical Group PC PastSince Feb 11, 2024 Accepting new patients
Simone Stalling MD PHD PLLC PastSince Jul 1, 2019 Accepting new patients
Angela M. Davis, M.D.P.a. PastSince Mar 13, 2006 Accepting new patients

Locations

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1932608304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242568",
            "telephone_number": "713-468-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 BROADWAY ST STE 101",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814915",
            "telephone_number": "713-468-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFFITT",
        "first_name": "TERRANEISHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.