NPIMap

Organization Active NPI

Guardian Health Care Services

  • Psychiatric Residential Treatment Facility
  • Costa Mesa, CA
National Provider Identifier
1871040931
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
GUARDIAN HEALTH CARE SERVICES
Practice address
1055 Cheyenne Street
Costa Mesa, CA 92626-2860
Phone
(714) 375-1110
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Benjamin Woodford Smith
Title
Chief Administrative Officer
Phone
(949) 892-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

1055 Cheyenne Street
Costa Mesa, CA 92626-2860

Mailing address

16541 Gothard Street
Suite 102
Huntington Beach, CA 92647-4471
Phone (714) 375-1110

Other identifiers 2

IdentifierTypeStateIssuer
306005925OtherCACALIFORNIA DEPARTMENT OF SOCIAL SERVICES
MHBS210360OtherCACALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES

Other names 1

  • D'Amore Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
D'Amore Healthcare7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1871040931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16541 GOTHARD STREET",
            "address_2": "SUITE 102",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474471",
            "telephone_number": "714-375-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CHEYENNE STREET",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262860",
            "telephone_number": "714-375-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "WOODFORD",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "949-892-3020"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF SOCIAL SERVICES",
            "identifier": "306005925",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES",
            "identifier": "MHBS210360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D'Amore Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D'Amore Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.