Faculty Medical Group of Llusm

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

FACULTY MEDICAL GROUP OF LLUSM

Practice address

28078 Baxter Rd
Murrieta, CA 92563

Phone

(951) 290-6366

Fax

(951) 290-6990

NPI assigned

Feb 7, 2011

Organization subpart

Yes

Parent organization

FACULTY MEDICAL GROUP OF LLUSMAs reported in NPPES

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

Authorized official

Name

Ms. Lisa Wolter

Title

Provider Enrollment Rep

Phone

(909) 558-3289

Specialties & licenses 2

Addresses

Other names 1

• FMG OF LLUSM-ED URGENT CARE Other name

Part of

Faculty Medical Group of Llusm

Locations

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1699071753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE NO 54701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744701",
            "telephone_number": "909-558-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-290-6366",
            "fax_number": "951-290-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACULTY MEDICAL GROUP OF LLUSM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FACULTY MEDICAL GROUP OF LLUSM",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "WOLTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT REP",
        "authorized_official_telephone_number": "909-558-3289",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMG OF LLUSM-ED URGENT CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Exponent Family Therapy and Mental Health Care Clinic
• Express Medical Supplies
• Ashley Facio
• Ashley Fackler
• Faculty Medical Group of Llusm
• Faculty Physicians and Surgeons of Llusm
• Faculty Physicians and Surgeons of Llusm
• Faculty Physicians and Surgeons of Llusm
• Jamila Faiq, M.S.N-BC
• Sarah Fairhurst, N.P.

• Emergency Medicine Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.