Guardian Physician Oversight Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

GUARDIAN PHYSICIAN OVERSIGHT INC.

Practice address

5100 Colony PLZ
Newport Beach, CA 92660-6347

Phone

(310) 953-9759

NPI assigned

Oct 13, 2021

Organization subpart

No

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

Authorized official

Name

Thomas Dosumu Johnson, MD

Title

Owner

Phone

(310) 953-9759

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1427710763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S BEVERLY DR # 214",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124801",
            "telephone_number": "310-953-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 COLONY PLZ",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606347",
            "telephone_number": "310-953-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHYSICIAN OVERSIGHT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DOSUMU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-953-9759",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atul Grover, MD
• Sanjay Grover, MD
• Jennifer L Gruenenfelder, M.D.
• Feliciana Andrea Guanzon, M.A.
• Guardian Headache & Pain Management Institute
• Lisa Elena Guerra, MD
• Cesar Balbin Guerrero, M.D.
• Qeyana Guerrero, R. EEG T.
• Daniella Guglielmo
• Amy Carol Guinn, MSW

• Neurology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.