Matdan LJ Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MATDAN LJ INC

Doing business as

Mercy Care Pharmacy Home LTC

Practice address

488 E Valley Pkwy Ste 101
Escondido, CA 92025-3324

Phone

(760) 294-0014

Fax

(760) 294-0066

NPI assigned

Oct 9, 2024

Organization subpart

Yes

Parent organization

MERCY CARE PHARMACYAs reported in NPPES

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

Authorized official

Name

Bassam Massaad, RPH

Title

Owner

Phone

(760) 294-0014

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercy Care Pharmacy Home LTC Doing business as

Part of

Matdan LJ Inc

Locations

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1104645712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY STE 101",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253324",
            "telephone_number": "760-294-0014",
            "fax_number": "760-294-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY STE 101",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253324",
            "telephone_number": "760-294-0014",
            "fax_number": "760-294-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATDAN LJ INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY CARE PHARMACY",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MASSAAD",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-294-0014",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "51469",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Care Pharmacy Home LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raylyn Adele Mason, LMFT
• Ronald Thomas Masterson, PT
• Charles Anthony Mastrovich, DDS
• Wendy Mata
• Keana Lee Matarese, KEANA MATARESE, RADT
• Antonio Mathieu Jr.
• Philip C Mathis, M.D.
• Elizabeth Matias Morales
• Jesus Matias
• Matl-Bcba

• Long Term Care Pharmacy in Escondido, CA
• Providers in Escondido, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.