Anthony George Jammal, MBA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

314700004 Issued in CA

Practice address

735 Sunrise Ave Ste 220
Roseville, CA 95661-4596

Phone

(530) 269-8321

Fax

(530) 269-8318

NPI assigned

Jul 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tony George Jammal Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

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.

• Anthony G. Jammal Home Care LLC

  dba Age Advantage Senior Services

  • In Home Supportive Care Agency
  • Roseville, CA
  • NPI 1134776248
  NPD Authorized official

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1750953972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 SUNRISE AVE STE 220",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614596",
            "telephone_number": "530-269-8321",
            "fax_number": "530-269-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SUNRISE AVE STE 220",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614596",
            "telephone_number": "530-269-8321",
            "fax_number": "530-269-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMMAL",
        "first_name": "ANTHONY",
        "middle_name": "GEORGE",
        "credential": "MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "314700004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "JAMMAL",
            "middle_name": "GEORGE",
            "credential": "MBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shayna Jade James
• Skylar Breeze James
• Stephanie James
• Teshana N James, PSYD
• William Blake Jamieson, PA-C
• Joseph J Jammal, M.D.
• Shanti Jampani, MD
• Samreen Jamshed, M.D.
• Kelly Janda
• Gerald John Jankowski, M.D.

• Home Health Aide in Roseville, CA
• Providers in Roseville, CA by specialty
• Home Health Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.