MILLIE MAE HATHAWAY (NPI# 1043847627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043847627 |
| Entity Type | Individual |
| Full Name | MILLIE MAE HATHAWAY |
| Credential | DO |
| Practice Address |
1770 N Orange Grove Ave Pomona CA 91767-3027 |
| Practice Telephone | 9098659500 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1798 N Garey Ave, Pomona, CA 917672918 | 9098659500 |
| Street Address |
1770 N ORANGE GROVE AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907114 | Premier Family Medicine Associates, Inc | Family Medicine | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2005-07-28 |
| 1003443649 | Kim Hoang Vu | Student in an Organized Health Care Education/Training Program | 1770 N Orange Grove Ave, Pomona, CA 91767-3027 | 2020-03-24 |
| 1841725900 | Jiao Xue | Family Medicine | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2017-04-26 |
| 1396276085 | Sarah Janelle Hernandez | Student in an Organized Health Care Education/Training Program | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2017-03-23 |
| 1275989964 | Wilbert Perez Velez | Family Medicine | 1770 N Orange Grove Ave, 101, Pomona, CA 91767-3027 | 2016-05-11 |
| 1124474812 | Feven Wolday | Family Medicine | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2016-05-11 |
| 1295197473 | Henry Lam Tran | Student in an Organized Health Care Education/Training Program | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2016-03-25 |
| 1548640899 | Jennifer Luong | Family Medicine | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767 | 2015-06-02 |
| 1275911315 | Ameerah Shaban | Student in an Organized Health Care Education/Training Program | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2015-05-08 |
| 1124414651 | Xavier Bermudez | Student in an Organized Health Care Education/Training Program | 1770 N Orange Grove Ave, Suite 101, Pomona, CA 91767-3027 | 2015-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126456 | Hauna Rene Payne | Student in an Organized Health Care Education/Training Program | 2173 Florida Rd, Pomona, KS 66076-9104 | 2020-05-19 |
| 1992334726 | Brandon Don Huynh | Student in an Organized Health Care Education/Training Program | 309 E 2nd St # 2319, Pomona, CA 91766-1854 | 2020-04-03 |
| 1710514351 | Syeda Sundus Mujahid | Student in an Organized Health Care Education/Training Program | 2 Kohut St, Pomona, NY 10970-3720 | 2020-03-24 |
| 1447880091 | Reem Aljanabi | Student in an Organized Health Care Education/Training Program | 510 E 3rd St Apt 420, Pomona, CA 91766-1904 | 2020-01-23 |
| 1124550926 | Joshua Napial | Student in an Organized Health Care Education/Training Program | 47 Redrock Ln, Pomona, CA 91766-4943 | 2017-03-30 |
| 1659820488 | Yessenia Rojas | Student in an Organized Health Care Education/Training Program | 1504 Smith St, Pomona, CA 91766-2517 | 2016-09-21 |
| 1841516416 | Maria Redinger | Student in an Organized Health Care Education/Training Program | 430 E Kingsley Ave, Pomona, CA 91767-4722 | 2010-04-08 |
| 1396344479 | Sophie Solow | Student in an Organized Health Care Education/Training Program | 1568 Mcleod Pl, Pomona, CA 91768-1348 | 2020-10-20 |
| 1598370793 | Jessica Fuentes-ramirez | Student in an Organized Health Care Education/Training Program | 160 E Holt Ave Ste B, Pomona, CA 91767-5407 | 2020-09-14 |
| 1508470071 | Melissa Banuelos | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.