Active NPI
Faculty Physicians and Surgeons of Llusm
- Neurological Surgery Physician
- Loma Linda, CA
National Provider Identifier
1194775122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- FACULTY PHYSICIANS AND SURGEONS OF LLUSM
- Practice address
- 11370 Anderson St
Suite 2600
Loma Linda, CA 92354-3450 - Phone
- (909) 558-2055
- Fax
- (909) 558-3905
- NPI assigned
- May 11, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ricardo Peverini, M.D.
- Title
- President
- Phone
- (909) 558-7448
Practitioners 397
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1578022422
-
- Internal Medicine Physician
- Loma Linda, CA
- NPI 1285218024
-
- Nurse Practitioner
- Palo Alto, CA
- NPI 1184481152
-
- Neonatal Nurse Practitioner
- Loma Linda, CA
- NPI 1154193597
-
- Rheumatology Physician
- Moreno Valley, CA
- NPI 1356724074
-
- Neurological Surgery Physician
- Loma Linda, CA
- NPI 1538535612
Neurological Surgery
-
- Pediatric Infectious Diseases Physician
- Moreno Valley, CA
- NPI 1770003519
-
- Neurological Surgery Physician
- Loma Linda, CA
- NPI 1306697883
Neurological Surgery
-
- Pediatric Critical Care Medicine Physician
- Los Angeles, CA
- NPI 1700267382
-
- Nurse Practitioner
- Loma Linda, CA
- NPI 1376160796
-
- Pulmonary Disease Physician
- Loma Linda, CA
- NPI 1780030619
-
- Pediatrics Physician
- Loma Linda, CA
- NPI 1831837715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| 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
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
11370 Anderson St
Suite 2600
Loma Linda, CA 92354-3450
Mailing address
File Number 54701
Los Angeles, CA 90074-0001
Phone (909) 558-3111
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0069020 | Medicaid | CA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2023.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699488000000",
"number": "1194775122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE NUMBER 54701",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001",
"telephone_number": "909-558-3111",
"fax_number": "909-558-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11370 ANDERSON ST",
"address_2": "SUITE 2600",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543450",
"telephone_number": "909-558-2055",
"fax_number": "909-558-3905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FACULTY PHYSICIANS AND SURGEONS OF LLUSM",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"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": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0069020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
- Faculty Medical Group of Llusm
- Faculty Medical Group 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
- Faculty Physicians and Surgeons of Llusm
- Faculty Physicians and Surgeons of Llusm
- Faculty Physicians and Surgeons of Llusm
- Faculty Physicians and Surgeons of Llusm
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.