Guardian Pharmacy of Southern California LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

54460 Issued in CA

Legal business name

GUARDIAN PHARMACY OF SOUTHERN CALIFORNIA LLC

Practice address

10121 Carroll Canyon Rd
San Diego, CA 92131-1109

Phone

(858) 652-6900

Fax

(877) 595-7208

NPI assigned

Mar 25, 2016

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 3

Addresses

Other identifiers 2

Other names 1

• Rons Pharmacy Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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
  • Anaheim, CA
  • NPI 1831613231

  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
  • Anaheim, CA
  • NPI 1831613231

  O20190703001850

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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
• Francesco Mangiapane, RPH

  • Pharmacist
  • San Diego, CA
  • NPI 1760057665
  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": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1902268220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "DEPT # 2672",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352462672",
            "telephone_number": "404-810-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 CARROLL CANYON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311109",
            "telephone_number": "858-652-6900",
            "fax_number": "877-595-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF SOUTHERN CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "54460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902268220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159238",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rons Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rons Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin Giovanni Guardado
• Priscilla Paulina Guardado, OTD, OTR/L
• Guardian Angel Home Care of San Diego LLC
• Guardian Angel Home Care, Inc.
• Guardian Angel Home Care, Inc.
• Jenny Park Guarin, PHARMD
• Christine Guarini
• Jeannine Evette Guarino, LCSW
• Joseph Guarino, L. AC.
• Michelle Rivero Guarino

• Long Term Care Pharmacy in San Diego, CA
• Providers in San Diego, 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 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.