DR. HOWARD BRUCE TERRELL (NPI# 1104030816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104030816 |
| Entity Type | Individual |
| Full Name | DR. HOWARD BRUCE TERRELL |
| Credential | M.D. |
| Practice Address |
724 Medical Center Dr E Ste 102 Clovis CA 93611-6811 |
| Practice Telephone | 5592976801 |
| Practice Fax Number | 5592976804 |
| Mailing Telephone | 5592976801 |
| Mailing Fax Number | 5592976804 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
G45098 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G45098 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
724 MEDICAL CENTER DR E STE 102 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778725 | Philip Larkins, Inc. | Podiatrist | 724 Medical Center Dr E Ste 102, Clovis, CA 93611-6811 | 2020-07-23 |
| 1417591744 | West Coast Podiatry, Inc | Podiatrist | 724 Medical Center Dr E Ste 102, Clovis, CA 93611-6811 | 2019-10-30 |
| 1568605269 | Felipe Ruiz | Podiatrist | 724 Medical Center Dr E Ste 102, Clovis, CA 93611-6811 | 2009-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316586522 | Peter Robin Kimmel | Psychiatry & Neurology | 9050 Broadway Ter, Oakland, CA 94611-1952 | 2020-01-06 |
| 1437546355 | Gilbert W Kliman | Psychiatry & Neurology | 573 Summerfield Rd, Santa Rosa, CA 95405-5239 | 2015-04-17 |
| 1427378389 | Michel Ross Mandel | Psychiatry & Neurology | 1828 South St, Redding, CA 96001-1809 | 2010-06-02 |
| 1013237064 | Artha Gillis | Psychiatry & Neurology | 760 Westwood Plz Rm C8-193, Los Angeles, CA 90024-5055 | 2010-06-01 |
| 1942538343 | Alex Sahba Md, A Medical Corp | Psychiatry & Neurology | 2355 Westwood Blvd # 129, Los Angeles, CA 90064-2109 | 2009-11-23 |
| 1235362237 | Eric Henry Marcus | Psychiatry & Neurology | 2648 W Canyon Ave, San Diego, CA 92123-4684 | 2009-08-25 |
| 1689803884 | Albert Shnaider | Psychiatry & Neurology | 5833 Cahill Ave, Tarzana, CA 91356-1205 | 2009-07-08 |
| 1538309745 | David J Sheffner | Psychiatry & Neurology | 320 Superior Ave Ste 330, Newport Beach, CA 92663-2772 | 2009-02-27 |
| 1710123112 | Kenneth I. Gottlieb, M.d. A Professional Corporation | Psychiatry & Neurology | 909 Hyde St Ste 430, San Francisco, CA 94109-4846 | 2009-01-06 |
| 1700035367 | Todd Stuart Elwyn | Psychiatry & Neurology | 1000 Marina Boulevard, Suite 100, Brisbane, CA 94005-1839 | 2008-09-18 |
| Find all providers with the same taxonomy | ||||
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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.