Guardian Pharmacy of Southern California LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GUARDIAN PHARMACY OF SOUTHERN CALIFORNIA LLC

Practice address

184 E Liberty Ave
Anaheim, CA 92801-1011

Phone

(714) 220-0720

Fax

(714) 525-4100

NPI assigned

Jul 28, 2017

Organization subpart

No

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

Authorized official

Name

Ronald Belville

Title

President

Phone

(858) 652-6900

Specialties & licenses 1

Addresses

Other names 1

• Guardian Pharmacy of Anaheim Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Guardian Pharmacy of Southern California LLC

  • Long Term Care Pharmacy
  • San Diego, CA
  • NPI 1902268220

  4486937828

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Guardian Pharmacy of Southern California LLC

  • Long Term Care Pharmacy
  • San Diego, CA
  • NPI 1902268220

  O20190703001850

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernice Allison Gaw Lim

  • Pharmacist
  • San Diego, CA
  • NPI 1669206579
  NPD (past)
• Omni M Patel, PHARMD

  • Pharmacist
  • San Diego, CA
  • NPI 1669396446
  NPD (past)

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1831613231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407 DEPT 2672",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352462672",
            "telephone_number": "14048100089",
            "fax_number": "404-810-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E LIBERTY AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011011",
            "telephone_number": "714-220-0720",
            "fax_number": "714-525-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF SOUTHERN CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "BELVILLE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-652-6900"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Pharmacy of Anaheim",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Pharmacy of Anaheim",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Gryszkiewicz
• Jenny Guadarrama
• Noelani Marie Guaderrama, MD
• Cesar Guardado
• Magnolia Guardamondo, MFT
• Zharlynne Guatlo
• Lisette Gucfa
• Kimberly Guerard
• Jose J Guerra, D.O.
• Kaydie Lizeth Guerra

• Long Term Care Pharmacy in Anaheim, CA
• Providers in Anaheim, 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 Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.