Faculty Physicians and Surgeons of Llusm

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Practice address

615 West Ave Q
Suite E
Palmdale, CA 93551

Phone

(909) 558-3111

NPI assigned

Nov 19, 2007

Last updated

Jul 19, 2019By 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

Dr. Ricardo Peverini, MDNPI 1275556748

Title

Presidern

Phone

(909) 558-7448

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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.

• Ricardo Peverini, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Loma Linda, CA
  • NPI 1275556748
  Authorized official Same address or phone
• Arin Aboulian, MD

  • Pulmonary Disease Physician
  • Glendale, CA
  • NPI 1104038256
  NPD
• Ada Keyla Garcia, MD

  • Pediatrics Physician
  • Moreno Valley, CA
  • NPI 1619903713
  NPD
• Raquel Tolentino Magno, NP

  • Family Nurse Practitioner
  • Loma Linda, CA
  • NPI 1447688007
  NPD

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1679754634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE NUMBER 54701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001",
            "telephone_number": "909-558-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WEST AVE Q",
            "address_2": "SUITE E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "909-558-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACULTY PHYSICIANS AND SURGEONS OF LLUSM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "PEVERINI",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDERN",
        "authorized_official_telephone_number": "909-558-7448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Exconde
• Elizabeth Eyamba
• Nkoli Ezenwa
• F & F Helping Hands Inc (Carepoint Pharmacy)
• F&F Helping Hands Inc (Carepoint Pharmacy)
• Fairway Vista Corp.
• Faithbridge Health Partners, Inc.
• Family Primary and Specialty Clinic PC
• Ted Yt Fang, DDS
• Alissa Fannan

• Neurological Surgery Physician in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Neurological Surgery 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.