Active NPI
Guy James Aversa, PHARMD
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1205051927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32984
- Practice address
- 1161 1/2 N Logan Street
Los Angeles, CA 90026 - Phone
- (213) 413-5836
- Fax
- (213) 413-6297
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32984 | CA | Primary |
Addresses
Primary practice location
1161 1/2 N Logan Street
Los Angeles, CA 90026
Mailing address
727 N Frijo Ave
West Covina, CA 91790-1110
Phone (626) 337-3977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32984 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205051927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 N FRIJO AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917901110",
"telephone_number": "626-337-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 1/2 N LOGAN STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90026",
"telephone_number": "213-413-5836",
"fax_number": "213-413-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERSA",
"first_name": "GUY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "32984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.