Active NPI
Faculty Physicians and Surgeons of Llusm
- Anatomic Pathology Physician
- Murrieta, CA
National Provider Identifier
1588020432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- Legal business name
- FACULTY PHYSICIANS AND SURGEONS OF LLUSM
- Practice address
- 28062 Baxter Rd
Murrieta, CA 92563-1401 - Phone
- (951) 290-4171
- Fax
- (909) 651-4586
- NPI assigned
- Jan 7, 2016
- Last updated
- Jul 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ricardo Peverini, M.D.
- Title
- President
- Phone
- (909) 558-7448
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | NU | ||
| Cytopathology Physician | 207ZC0500X | NU | ||
| Dermatopathology (Pathology) Physician | 207ZD0900X | NU | ||
| Forensic Pathology Physician | 207ZF0201X | NU | ||
| Hematology (Pathology) Physician | 207ZH0000X | NU | ||
| Immunopathology Physician | 207ZI0100X | NU | ||
| Medical Microbiology Physician | 207ZM0300X | NU | ||
| Neuropathology Physician | 207ZN0500X | NU | ||
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | NU | ||
| Anatomic Pathology Physician | 207ZP0101X | NU | Primary | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU | ||
| Chemical Pathology Physician | 207ZP0104X | NU | ||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | NU | ||
| Pediatric Pathology Physician | 207ZP0213X | NU | ||
| Clinical Pathology Physician | 207ZC0006X | NU |
Addresses
Primary practice location
28062 Baxter Rd
Murrieta, CA 92563-1401
Mailing address
File # 54701
Los Angeles, CA 90074-4701
Phone (909) 558-4000
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 DirectoryLocations
28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
Practitioners & affiliated clinicians
Practitioners 57
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.
-
- Nurse Practitioner
- Palo Alto, CA
- NPI 1184481152
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Loma Linda, CA
- NPI 1649439670
-
- Interventional Cardiology Physician
- Redlands, CA
- NPI 1356451785
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1053751875
-
- Emergency Medicine Physician
- Loma Linda, CA
- NPI 1760597454
-
- Vascular Neurology Physician
- San Diego, CA
- NPI 1699129668
-
- Surgery Physician
- Loma Linda, CA
- NPI 1225138688
-
- Family Medicine Physician
- Loma Linda, CA
- NPI 1528086246
-
- Physician Assistant
- Loma Linda, CA
- NPI 1275717316
-
- Family Medicine Physician
- Loma Linda, CA
- NPI 1841633617
-
- Diagnostic Radiology Physician
- Pomona, CA
- NPI 1255313318
-
- Geriatric Medicine (Internal Medicine) Physician
- Loma Linda, CA
- NPI 1750504080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563494400000",
"number": "1588020432",
"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": "909-558-4586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28062 BAXTER RD",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925631401",
"telephone_number": "951-290-4171",
"fax_number": "909-651-4586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FACULTY PHYSICIANS AND SURGEONS OF LLUSM",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-07",
"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_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZI0100X",
"taxonomy_group": "",
"desc": "Pathology, Immunopathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZN0500X",
"taxonomy_group": "",
"desc": "Pathology, Neuropathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZP0104X",
"taxonomy_group": "",
"desc": "Pathology, Chemical Pathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- 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.