Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Millie Mae Hathaway, DO

Individual provider Family Medicine Physician · NPI 1043847627

Millie Mae Hathaway, DO is a Family Practice in Claremont, California. Qualified in 2020, 6 years ago. Practices with Premier Family Medicine Associates, Inc, a 65-clinician group, works from 3 locations and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1601 Monte Vista Ave Ste 100
Claremont, CA 91711-6601
Phone: (909) 630-7938
Fax: (909) 469-2118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1798 N Garey Ave, Pomona, CA 91767-2918 — (909) 865-9500
  • 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767-3027 — (909) 469-9494

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A20053 (CA)

Record details

NPI number1043847627
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address1601 Monte Vista Ave Ste 260, Claremont, CA 91711-6604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Premier Family Medicine Associates, Inc — 65 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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