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MRS. MARY ANN ELLIS-JAMMAL M.D.
NPI 1245341817
Pediatrics in Roseville, CA

Active since August 31, 2006CLIA 05D2016848 · Waiver
151 N. SUNRISE AVE SUITE 1403, ROSEVILLE, CA 95661(916) 771-4414(916) 771-4411 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Ann Ellis-jammal M.d. NPPES

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

MRS. MARY ANN ELLIS-JAMMAL M.D. (NPI 1245341817) is an individual pediatrics provider in Roseville, California, licensed in California (A37659) and active in the NPI registry since August 2006. She holds a CLIA Waiver certificate valid through November 28, 2026.

NPPES Registry Identity

NPI1245341817
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. MARY ANN ELLIS-JAMMALCredential: M.D.
Location Address151 N. SUNRISE AVE SUITE 1403Roseville, CA 95661
Mailing Address151 N. Sunrise Ave Suite 1403Roseville, CA 95661 · (916) 771-4414 · Fax (916) 771-4411
Phone(916) 771-4414
Fax(916) 771-4411
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1245341817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A37659
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.
151 N. SUNRISE AVE SUITE 1403, Roseville, CA 95661
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Other Identifiers 1

Medicaid00A376590CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2016848

Mary Ann Ellis-Jammal, MD · Roseville, CA
Active · expires Nov 28, 2026
CLIA Number05D2016848
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorMary Ann Ellis-Jammal
Laboratory Phone(916) 771-4414
Laboratory LocationMary Ann Ellis-Jammal, MD151 North Sunrise Ste 1403, Roseville, CA 95661
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ann Ellis-jammal's NPI number?

The NPI number for Mary Ann Ellis-jammal is 1245341817. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mary Ann Ellis-jammal located?

Mary Ann Ellis-jammal practices at 151 N. Sunrise Ave Suite 1403, Roseville, CA 95661. The listed phone number is (916) 771-4414.

What is Mary Ann Ellis-jammal's specialty?

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

Does Mary Ann Ellis-jammal hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2016848) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mary Ann Ellis-jammal was last updated on September 22, 2022. 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.