Faculty Physicians and Surgeons of Llusm

Primary specialty

Family Medicine PhysicianTaxonomy code 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

Last updated

Sep 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricardo Peverini, MDNPI 1275556748

Title

President

Phone

(909) 558-7448

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, FL, CO, TX, SC, TN, OH, ME8 enrollments

Enrollment records 8

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917

  1153227814

  Same PAC ID
• Faculty Physicians and Surgeons of Llusm

  • Orthopaedic Surgery Physician
  • Loma Linda, CA
  • NPI 1275582918

  1153227814

  Same PAC ID
• Faculty Physicians and Surgeons of Llusm

  • Orthopaedic Surgery Physician
  • Colton, CA
  • NPI 1669016499

  1153227814

  Same PAC ID
• Faculty Physicians and Surgeons of Llusm

  • Ophthalmology Physician
  • San Bernardino, CA
  • NPI 1962452714

  1153227814

  Same PAC ID
• Faculty Physicians and Surgeons of Llusm

  • Transplant Surgery Physician
  • Las Vegas, NV
  • NPI 1124560214

  1153227814

  Same PAC ID

Locations (25 of 31)

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Mountain View Child Care, Inc.

  dba Totally Kids Rehabilitation Hospital-DP-SNF

  • Pediatric Skilled Nursing Facility
  • Loma Linda, CA
  • NPI 1437149556

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1,890

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tse Anyu, DO

  • Neuroradiology Physician
  • South Miami, FL
  • NPI 1417490301

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Abbas A Chamsuddin, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1578539557

  FL

  Medicare reassignment Care Compare group NPD
• Sean Alexander Feinberg, MD

  • Diagnostic Radiology Physician
  • Rockford, IL
  • NPI 1104273549

  FL

  Medicare reassignment Care Compare group NPD
• Joseph C George, MD

  • Diagnostic Radiology Physician
  • Fort Collins, CO
  • NPI 1740398643
  Medicare reassignment Care Compare group NPD
• Karl E. Magsamen, M.D.

  • Vascular & Interventional Radiology Physician
  • Rockford, IL
  • NPI 1033202536

  CO, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Abhijit Patil

  • Diagnostic Radiology Physician
  • McHenry, IL
  • NPI 1104288497

  Family Medicine, TX

  Medicare reassignment Care Compare group NPD
• Rahul Vinay Pawar, MD

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1487819553

  FL

  Medicare reassignment Care Compare group NPD
• Lance Williams

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1194773549

  Family Medicine, OH

  Medicare reassignment Care Compare group NPD
• William Zinn, MD

  • Diagnostic Radiology Physician
  • Corvallis, OR
  • NPI 1912984238

  FL

  Medicare reassignment Care Compare group NPD
• Tahir Alkhairy, MD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1023026234

  FL

  Medicare reassignment NPD
• Anthony B Bullard, MD

  • Diagnostic Radiology Physician
  • Grand Junction, CO
  • NPI 1376590927

  Family Medicine

  Medicare reassignment NPD
• Clarence Sylvester Davis III, M.D.

  • Diagnostic Radiology Physician
  • West Columbia, SC
  • NPI 1982633426
  Medicare reassignment NPD

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1558788331",
    "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": "909-651-4300",
            "fax_number": "909-651-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "951-486-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACULTY PHYSICIANS AND SURGEONS OF LLUSM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "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": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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, DC
• Dennis Bagawan Falcon
• Family Health Inc

• Family Medicine Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.