Faculty Physicians and Surgeons of Llusm

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Practice address

16305 Sand Canyon Ave
# 220
Irvine, CA 92618-3782

Phone

(909) 558-2480

Fax

(909) 651-4586

NPI assigned

Jul 25, 2016

Organization subpart

No

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

Authorized official

Name

Ricardo Peverini, MD

Title

President

Phone

(909) 558-7448

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1417400573",
    "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": "909-558-4000",
            "fax_number": "909-651-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16305 SAND CANYON AVE",
            "address_2": "# 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183782",
            "telephone_number": "909-558-2480",
            "fax_number": "909-651-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACULTY PHYSICIANS AND SURGEONS OF LLUSM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2019-07-19",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Contact Optometric Centers, Inc
• Eztelemd, LLC
• Zahra Hanieh Ezzy, D.D.S
• Kenya Fabian Perez
• Luke Averett Facer, DDS
• Faculty Physicians and Surgeons of Llusm
• Fahmy Optometry Centers Inc
• Karim Fahmy, DO
• Kirolos Fahmy, OD
• Jannine Fahys, MA, LCSW

• Internal Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.

Verify at the official NPI Registry.