Faculty Medical Group of Llusm

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

FACULTY MEDICAL GROUP OF LLUSM

Practice address

900 E Washington St Ste 150
Colton, CA 92324-4119

Phone

(909) 558-3016

NPI assigned

Jul 27, 2009

Organization subpart

No

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

Authorized official

Name

Ricardo Peverini, M.D.

Title

President

Phone

(909) 558-7448

Specialties & licenses 1

Addresses

Other names 1

• FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY Doing business as

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1124259015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE # 54701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744701",
            "telephone_number": "909-558-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WASHINGTON ST STE 150",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244119",
            "telephone_number": "909-558-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACULTY MEDICAL GROUP OF LLUSM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "PEVERINI",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-558-7448",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Executive Medical & Surgical Assoc. Inc.
• Executive Medical & Surgical Associates Inc.
• Executive Medical & Surgical Associates Inc.
• Julie O Eze
• Czarina Irish Facer, M.S., CCC-SLP
• Faculty Physicians and Surgeons of Llusm
• Ambarin Salma Faizi, D.O.
• Payam Falatoonzadeh, MD
• Peyman Falatoonzadeh
• Family Medicine Faculty Medical Group Inc.

• Diagnostic Radiology Physician in Colton, CA
• Providers in Colton, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.