MARY JANE HALL WILLIS M.D.
NPI 1104998053
Pediatrics in San Diego, CA

Q: What is Mary Willis's NPI number?

The NPI number for Mary Willis is 1104998053. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Mary Jane Hall.

Q: What is Mary Willis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Willis was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 15, 2006

34520 BOB WILSON DR, SUITE 100, SAN DIEGO, CA 92134(619) 532-6896(619) 532-9184 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Jane Hall Willis M.d. NPPES

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

MARY JANE HALL WILLIS M.D. (NPI 1104998053) is an individual pediatrics provider in San Diego, California, licensed in California (A75301) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1104998053

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY JANE HALL WILLISCredential: M.D.

Location Address34520 BOB WILSON DR, SUITE 100San Diego, CA 92134-2098

Mailing Address34520 Bob Wilson Dr, Suite 100San Diego, CA 92134-2098 · (619) 532-6896 · Fax (619) 532-9184

Phone(619) 532-6896

Fax(619) 532-9184

Sole ProprietorNo

Enumeration DateNovember 15, 2006

Last NPPES UpdateMarch 3, 2023

NPPES CertifiedMarch 3, 2023

✔ NPI 1104998053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A75301

Definition

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.

Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X · License A75301 (CA)

34520 BOB WILSON DR, San Diego, CA 92134

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Other Names 1

Former Name (1)Mary Jane Hall

Other Identifiers 1

Medicaid00A753010CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BEN JAMES BALOUGH MD

Otolaryngology (Otology & Neurotology)

34520 BOB WILSON DR, SUITE 200
SAN DIEGO, CA 92134

San Diego County (619) 532-9604

DR. MICHAEL WILLIAM TERRENZI PHARMD

Pharmacist

34520 BOB WILSON DR, NAVAL MEDICAL CENTER, PHARMACY DEPT. BLDG. 1 FLR. 1
SAN DIEGO, CA 92134

San Diego County (619) 532-6825

DR. ROBERT JOHN OLSSON AU.D.

Audiologist-Hearing Aid Fitter

34520 BOB WILSON DR, ENT DEPT -- BLDG 2, 2ND FLOOR
SAN DIEGO, CA 92134

San Diego County (619) 532-8164

MRS. ALANA SULIT R.N.

Registered Nurse (Obstetric, Inpatient)

34520 BOB WILSON DR
SAN DIEGO, CA 92134

San Diego County (858) 213-6035

DR. PAULA WITHERSPOON M.D.

Pediatrics

34520 BOB WILSON DR, DEPARTMENT OF PEDIATRICS
SAN DIEGO, CA 92134

San Diego County (619) 532-7070

DR. DANIEL FRANCIS MAHER MD

Internal Medicine

34520 BOB WILSON DR, SUITE 302
SAN DIEGO, CA 92134

San Diego County (619) 532-6827

DR. DAVID TEMPLE BEVERLY IV M.D.

Ophthalmology

34520 BOB WILSON DR, SUITE 202
SAN DIEGO, CA 92134

San Diego County (619) 532-6702

MRS. DANIELLE ANNE TAYSOM M.D.

Radiology (Diagnostic Radiology)

34520 BOB WILSON DR, NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA 92134

San Diego County (619) 532-6400

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 Mary Willis's NPI number?

The NPI number for Mary Willis is 1104998053. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Mary Jane Hall.

Where is Mary Willis located?

Mary Willis practices at 34520 Bob Wilson Dr Suite 100, San Diego, CA 92134. The listed phone number is (619) 532-6896.

What is Mary Willis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mary Willis was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.