Individual provider Active NPI

Joseph J Jammal, M.D.

  • Specialist
  • Roseville, CA
National Provider Identifier
1225053325
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A035975 Issued in CA
Practice address
2 Medical Plaza Dr Ste 250
Roseville, CA 95661-3050
Phone
(916) 786-3824
Fax
(916) 786-8036
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A035975 CA Primary

Addresses

Primary practice location

2 Medical Plaza Dr Ste 250
Roseville, CA 95661-3050

Mailing address

2 Medical Plaza Dr Ste 250
Roseville, CA 95661-3050
Phone (916) 786-3824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080415000364 CA Practitioner - Cardiovascular Disease (Cardiology) 7911085030 Practice locations: Roseville, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Medical Plaza Dr
Roseville, CA 95661-3050
Phone (916) 786-3824

2 Medical Plaza Dr
Suite 250
Roseville, CA 95661-2858

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A035975CAMDSpecialist
35975CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Jan 17, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 17, 2022 Accepting new patients

Locations

2 Medical Plaza Dr
Ste 250
Roseville, CA 95661
Phone (916) 786-3824

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

Interoperability endpoints

  • Direct secure messaging: jjammal33344@hisp.ehr.sutterhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1225053325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA DR STE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613050",
            "telephone_number": "916-786-3824",
            "fax_number": "916-786-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA DR STE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613050",
            "telephone_number": "916-786-3824",
            "fax_number": "916-786-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMMAL",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A035975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.