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TIFFANY ANDERSON TERRELL, DO. INC
NPI 1053638601
Clinic/Center in Chino, CA

Active since April 22, 2010
5253 RIVERSIDE DR, CHINO, CA 91710(909) 464-2845(909) 464-2848 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tiffany Anderson Terrell, Do. Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY ANDERSON TERRELL, DO. INC (NPI 1053638601) is a healthcare organization registered as a clinic/center in Chino, California and active in the NPI registry since April 2010. The organization lists Tiffany Anderson Terrell, President/owner, as its authorized official.

NPPES Registry Identity

NPI1053638601
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTIFFANY ANDERSON TERRELL, DO. INC
Location Address5253 RIVERSIDE DRChino, CA 91710-4151
Mailing Address13193 Central Ave, Suite 210Chino, CA 91710-4179 · (909) 548-4900 · Fax (909) 548-4904
Phone(909) 464-2845
Fax(909) 464-2848
Organization SubpartNo
Authorized OfficialTiffany Anderson TerrellPresident/owner · (909) 548-4900
Enumeration DateApril 22, 2010
Last NPPES UpdateNovember 9, 2010
✔ NPI 1053638601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · 20A8506
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5253 RIVERSIDE DR, Chino, CA 91710
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Anderson Terrell, Do. Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Tiffany Anderson Terrell, Do. Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jennifer Buckley, RN, MSN, FNP
Nurse Practitioner
NPI 1174179113
5450 JEFFERSON AVE
Chino, CA 91710
(909) 219-9804
✔ PECOS✔ Accepts Medicare0.5 mi
Cameon Reynolds, FNP
Nurse Practitioner
NPI 1275291924
5450 JEFFERSON AVE STE 1
Chino, CA 91710
(909) 219-9804
✔ PECOS✔ Accepts Medicare0.5 mi
Tiffany Anderson Terrell, DO
Family Practice
NPI 1629188404
15944 LOS SERRANOS COUNTRY CLUB DR STE 110
Chino Hills, CA 91709
(909) 219-9804
✔ PECOS✔ Accepts Medicare3.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Anderson Terrell, Do. Inc's NPI number?

The NPI number for Tiffany Anderson Terrell, Do. Inc is 1053638601. It was assigned to this organization in the NPPES registry on April 22, 2010.

Where is Tiffany Anderson Terrell, Do. Inc located?

Tiffany Anderson Terrell, Do. Inc is located at 5253 Riverside Dr, Chino, CA 91710. The listed phone number is (909) 464-2845.

What is Tiffany Anderson Terrell, Do. Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Tiffany Anderson Terrell, Do. Inc enrolled in Medicare?

Yes. Tiffany Anderson Terrell, Do. Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tiffany Anderson Terrell, Do. Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Tiffany Anderson Terrell, Do. Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tiffany Anderson Terrell, Do. Inc was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.