Faculty Physicians and Surgeons of Llusm
Organization Active NPI Family Medicine Physician · Moreno Valley, CA
NPI 1558788331 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1558788331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FACULTY PHYSICIANS AND SURGEONS OF LLUSM
- Practice address
- 26520 Cactus Ave
Moreno Valley, CA 92555-3927 - Phone
- (951) 486-4000
- NPI assigned
- Mar 18, 2014
- Organization subpart
- No
Authorized official
- Name
- Ricardo Peverini, MD
- Title
- President
- Phone
- (909) 558-7448
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 5
Practitioners 2,222
-
Tahir Alkhairy, MD
-
Tse Anyu, DO
-
Abbas A Chamsuddin, M.D.
-
Joseph C George, MD
-
Fah S Leong, MD
-
Karl E. Magsamen, M.D.
-
Kamiar Massrour, M.D.
-
Joshua William McCain, M.D.
-
Patrick L. McCarthy, M.D.
-
Jeffrey A. Saunders, M.D.
-
Alix Vincent, MD
-
Steven Clark White, M.D.
-
Syed S Zamir, MD
-
William Zinn, MD
-
Jasbir Grewal, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (8 enrollments) in CA, FL, CO, TX, SC, TN, OH, ME
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Totally Kids Rehabilitation Hospital |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2024 Aug 29, 2025 |
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 |
| O20250801000365 | FL | Part B Supplier - Clinic/Group Practice | 1153227814 |
Receives reassigned benefits from 8 practitioners Practice locations: Boca Raton, FL; Sunny Isles Beach, FL; Santa Rosa Beach, FL; Port St Lucie, FL; Naples, FL; Pensacola Beach, FL; Fort Lauderdale, FL; Highland Beach, FL |
| O20250812001809 | CO | Part B Supplier - Clinic/Group Practice | 1153227814 |
Receives reassigned benefits from 5 practitioners Practice locations: Steamboat Springs, CO; Grand Junction, CO; Monument, CO; Durango, CO |
| O20250903000765 | TX | Part B Supplier - Clinic/Group Practice | 1153227814 |
Receives reassigned benefits from 5 practitioners Practice locations: Houston, TX; Lubbock, TX; Southlake, TX; Sugar Land, TX; Webster, TX |
| O20250908000065 | SC | Part B Supplier - Clinic/Group Practice | 1153227814 |
Receives reassigned benefits from 4 practitioners Practice locations: North Augusta, SC; Columbia, SC; Camden, SC |
| O20251015003894 | TN | Part B Supplier - Clinic/Group Practice | 1153227814 |
Receives reassigned benefits from 1 practitioner Practice locations: Franklin, TN |
| O20251028002264 | OH | Part B Supplier - Clinic/Group Practice | 1153227814 |
Receives reassigned benefits from 2 practitioners Practice locations: North Royalton, OH; Perrysburg, OH |
| O20260403001463 | ME | Part B Supplier - Clinic/Group Practice | 1153227814 |
Receives reassigned benefits from 1 practitioner Practice locations: Cape Elizabeth, ME |
National Provider Directory
Locations (25 of 27)
18182 Outer Highway 18
Ste 104
Apple Valley, CA 92307
Phone (760) 475-6965
81 Highland Springs Ave
Ste 301
Beaumont, CA 92223
Phone (951) 846-2611
900 S Main St
Ste 105
Corona, CA 92882
Phone (909) 734-6500
25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808
11130 Anderson St
Ste 102
Loma Linda, CA 92350
Phone (909) 558-8706
11234 Anderson St
Ste 5700
Loma Linda, CA 92350
Phone (909) 558-2848
11234 Anderson St
Ste 7100
Loma Linda, CA 92350
11234 Anderson St
Ste 3300
Loma Linda, CA 92350
Phone (909) 558-2848
11234 Anderson St
Ste 3401
Loma Linda, CA 92350
Phone (909) 558-2880
11406 Loma Linda Dr
Ste 300
Loma Linda, CA 92354
Phone (909) 558-6277
11234 Anderson St
Ste 6100
Loma Linda, CA 92350
Phone (909) 558-2824
11285 Mountain View Ave
Ste 40
Loma Linda, CA 92354
Phone (909) 558-5844
11234 Anderson St
Ste 2050
Loma Linda, CA 92350
Phone (909) 558-2848
11370 Anderson St
#2400
Loma Linda, CA 92354
Phone (909) 558-2880
26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700
8599 Haven Ave
Ste 102210
Rancho Cucamonga, CA 91730
Phone (909) 558-2806
69844 Highway 111
Ste Ab
Rancho Mirage, CA 92270
1782 W Park Ave
Ste 116
Redlands, CA 92373
Phone (909) 651-1700
4500 Brockton Ave
Ste 201
Riverside, CA 92501
Phone (951) 682-3583
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
4646 Brockton Ave
Ste 103
Riverside, CA 92506
Phone (909) 558-2824
1499 S Tippecanoe Ave
San Bernardino, CA 92408
Phone (909) 799-3777
328 Commercial Rd
Ste 101
San Bernardino, CA 92408
Phone (909) 558-6222
28083 Bradley Rd
Sun City, CA 92586
Phone (909) 672-2010
28125 Bradley Rd
Ste 130
Sun City, CA 92586
Phone (909) 672-1931
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Diagnostic Radiology Physician |
2085R0202X |
Addresses
Primary practice location
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Mailing address
File # 54701
Los Angeles, CA 90074-4701
Phone (909) 651-4300
Other providers in Moreno Valley, 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
- Faheem M Jukaku MD Inc
- Patrick Daniel Fairchild
- Dennis Bagawan Falcon
- Family Health Inc
All providers in Moreno Valley, CA · Family 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 10, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.