MARY JANE HALL WILLIS M.D.
NPI 1104998053
Pediatrics in San Diego, CA
NPI Status: Active since November 15, 2006
Contact Information
34520 BOB WILSON DR
SUITE 100
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-6896
Fax: (619) 532-9184
- Individual
- Female
- Pediatrics
About MARY WILLIS
This page provides the complete NPI Profile along with additional information for Mary Willis, a pediatrician established in San Diego, California with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1104998053 assigned on November 2006. The practitioner's primary taxonomy code is 208000000X with license number A75301 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1104998053
- Provider Name
- MARY JANE HALL WILLIS M.D.
- Other Name
- MARY JANE HALL
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 34520 BOB WILSON DR SUITE 100 SAN DIEGO, CA 92134
- Location Phone
- (619) 532-6896
- Location Fax
- (619) 532-9184
- Mailing Address
- 34520 BOB WILSON DR SUITE 100 SAN DIEGO, CA 92134
- Mailing Phone
- (619) 532-6896
- Mailing Fax
- (619) 532-9184
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-15-2006
- Last Update Date
- 03-03-2023
- Code Navigator
A pediatrician like Mary Willis is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A75301
- License State
- CA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207SG0201X | Allopathic & Osteopathic Physicians | Medical Genetics | A75301 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A753010 | MEDICAID (05) | CA |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104998053, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104998053, enumerated as an "individual" on November 15, 2006.
The provider is located at 34520 BOB WILSON DR SUITE 100 SAN DIEGO, CA 92134 and the phone number is (619) 532-6896.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
