Faculty Physicians and Surgeons of Llusm

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Practice address

44274 George Cushman CT Ste 208
Temecula, CA 92592-5945

Phone

(909) 558-2822

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Ricardo Peverini, MD

Title

President

Phone

(909) 558-7488

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Rae Downing, MD

  • Surgical Critical Care Physician
  • Moreno Valley, CA
  • NPI 1174834055
  NPD
• Mehrnaz Hojjati, M. D.

  • Rheumatology Physician
  • Orange, CA
  • NPI 1720029135
  NPD
• Cassandra Krause

  • Surgical Critical Care Physician
  • Loma Linda, CA
  • NPI 1720514284
  NPD
• Beatriz Valdovinos Leong, MD

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1174941504

  Vascular Surgery

  NPD
• Jukes P Namm, M.D.

  • Surgery Physician
  • Loma Linda, CA
  • NPI 1336355957
  NPD
• Wing Sze Esther Yung, M.D.

  • Surgery Physician
  • Loma Linda, CA
  • NPI 1619102845
  NPD
• Jami Van Der Wielen Zelaya, PNP

  • Pediatric Nurse Practitioner
  • Claremont, CA
  • NPI 1417222027
  NPD
• Bruce Michael Toporoff, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Henderson, NV
  • NPI 1548263205
  NPD

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1891960415",
    "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": "44274 GEORGE CUSHMAN CT STE 208",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925945",
            "telephone_number": "909-558-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31515 Rancho Pueblo Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925924837",
            "country_code": "US",
            "telephone_number": "909-558-2822",
            "fax_number": "909-651-4586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FACULTY PHYSICIANS AND SURGEONS OF LLUSM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "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": "909-558-7488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen RX Pharmacy Inc
• Evita Health Care Inc.
• Ifeoma Ezeife
• Ezyfill
• F Davis Perry DDS Inc
• Faculty Physicians and Surgeons of Llusm
• Wade Faerber, D.O.
• James M Fait, M.D.
• Family First Residential Care
• Family Planning Associates Medical Group Inc

• Vascular Surgery Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Vascular 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.