Faculty Physicians and Surgeons of Llusm
Organization Active NPI Pediatrics Physician · Moreno Valley, CA
NPI 1073563748 · NPPES record last updated Sep 22, 2025
Key facts
- NPI
- 1073563748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- FACULTY PHYSICIANS AND SURGEONS OF LLUSM
- Practice address
- 11441 Heacock St
Suite C
Moreno Valley, CA 92557-7907 - Phone
- (951) 247-5809
- Fax
- (909) 558-3905
- NPI assigned
- May 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Ricardo Peverini, M.D.
- Title
- President
- Phone
- (909) 558-7448
Practitioners 352
-
Shamel A Abd-Allah, M.D.
-
Amir Abdi Pour, MD
-
Ahmed Abou-Zamzam, M.D.
-
Abdalhamid Al Harash, M.D., FACP
-
Donald L Anderson, M.D.
-
Nancy Anderson, M.D.
-
Richard L Applegate II, M.D.
-
Barbara K Ariue, M.D.
-
Stephen Ashwal, M.D.
-
Won Bae, M.D.
-
Uma Anushka Bagga, M.D.
-
Dalton Duane Baldwin, M.D.
-
Kevin C Balli, M.D.
-
Firas Bannout, M.D
-
Ramesh Bansal, M.D.
-
Besh Rhyl Barcega, M.D.
-
Jennifer E Barker, CRNA
-
Benjamin Barmaan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031211000981 | CA | Part B Supplier - Clinic/Group Practice | 1153227814 |
Receives reassigned benefits from 2,632 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
11441 Heacock St
Suite C
Moreno Valley, CA 92557-7907
Mailing address
File Number 54701
Los Angeles, CA 90074-0001
Phone (909) 558-3111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR006902L | Medicaid | CA |
Other providers in Moreno Valley, CA
- Everwood Home Care LLC
- Evexia Health Services, LLC
- Donald Gordon Ewens III
- Charity C Ezeamama
- Genesis Carolina Fabian Guardado
- Faculty Physicians and Surgeons of Llusm
- Faculty Physicians and Surgeons of Llusm
- Faculty Physicians and Surgeons of Llusm
- Faculty Physicians and Surgeons of Llusm
- Faculty Physicians and Surgeons of Llusm
All providers in Moreno Valley, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.