Active NPI
Faculty Physicians and Surgeons of Llusm
- Neurological Surgery Physician
- Temecula, CA
National Provider Identifier
1952467755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- FACULTY PHYSICIANS AND SURGEONS OF LLUSM
- Practice address
- 27699 Jefferson Ave
#201
Temecula, CA 92590-2661 - Phone
- (909) 558-6388
- NPI assigned
- Dec 28, 2006
- 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
- Ricardo Peverini, M.D.
- Title
- President
- Phone
- (909) 558-7448
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
27699 Jefferson Ave
#201
Temecula, CA 92590-2661
Mailing address
54701 File Number
Los Angeles, CA 90074-4701
Phone (909) 558-3111
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Neonatal-Perinatal Medicine Physician
- Loma Linda, CA
- NPI 1275556748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563494400000",
"number": "1952467755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54701 FILE NUMBER",
"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": "27699 JEFFERSON AVE",
"address_2": "#201",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902661",
"telephone_number": "909-558-6388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FACULTY PHYSICIANS AND SURGEONS OF LLUSM",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"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_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
- Evita Health Care Inc.
- Ifeoma Ezeife
- Ezyfill (Ezyfill Pharmacy)
- F Davis Perry DDS Inc (Rancho Dental)
- 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 (FPA Women's Health)
- Family Planning Associates Medical Group Inc (FPA Women's Health)
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.