Faculty Physicians and Surgeons of Llusm
Organization Active NPI Internal Medicine Physician · Loma Linda, CA
NPI 1366492399 · NPPES record last updated Sep 22, 2025
Key facts
- NPI
- 1366492399
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- FACULTY PHYSICIANS AND SURGEONS OF LLUSM
- Practice address
- 11370 Anderson St
Suite 3400
Loma Linda, CA 92354-3450 - Phone
- (909) 558-2870
- NPI assigned
- May 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Ricardo Peverini, M.D.
- Title
- President
- Phone
- (909) 558-7448
Member organizations 2
Practitioners 92
-
Pedro Alvarez, MD
-
Maryjane Awatin, FNP
-
Moosa Azadian, M.D.
-
Alexandra Jordan Bandy, NURSE PRACTITIONER
-
Kimberly Ann Bluff, FNP
-
Sarah Bonomo, NP-C
-
Joel M. Brothers, MD
-
Huynh Cao, MD
-
Chien-Shing Chen, M.D.
-
Robert CHI, MD
-
Ara A. Chrissian, M.D.
-
Rahel Demisse, M.D.
-
Peter Demuth, MD
-
Juan Flores, N.P.
-
Bevan Ali Geslani, M.D.
-
Paresh Chandra Giri, M.D.
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 |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
11370 Anderson St
Suite 3400
Loma Linda, CA 92354-3450
Mailing address
File Number 54701
Los Angeles, CA 90074-0001
Phone (909) 558-3111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0069727 | Medicaid | CA |
Other providers in Loma Linda, CA
- 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
- Faculty Physicians and Surgeons of Llusm
- Faculty Physicians and Surgeons of Llusm
All providers in Loma Linda, CA · Internal Medicine 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.