FACULTY PHYSICIANS AND SURGEONS OF LLUSM (NPI# 1033169248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033169248 |
| Entity Type | Organization |
| Organization Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Practice Address |
41865 Boardwalk Suite 103 Palm Desert CA 92211-9026 |
| Mailing Address |
File Number 54701 Los Angeles CA 90074-0001 |
| Practice Telephone | 7603415570 |
| Practice Fax Number | 9095583905 |
| Mailing Telephone | 9095583111 |
| Mailing Fax Number | 9095583905 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | RICARDO PEVERINI (PRESIDENT) |
| Authorized Official Telephone | 9095587448 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR006972A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144477 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 35400 Bob Hope Dr Ste 110, Rancho Mirage, CA 92270-1772 | 2020-11-04 |
| 1700495363 | Faculty Physicians and Surgeons of Llusm | Radiology | 1850 N Riverside Ave Ste 160, Rialto, CA 92376-8056 | 2020-07-29 |
| 1326665415 | Faculty Physicians and Surgeons of Llusm | Otolaryngology | 4646 Brockton Ave Ste 103, Riverside, CA 92506-0103 | 2020-07-06 |
| 1790326825 | Faculty Physicians and Surgeons of Llusm | Urology | 11360 Mt View Ave Ste B, Loma Linda, CA 92354-3834 | 2019-09-30 |
| 1932600335 | Faculty Physicians and Surgeons of Llusm | Internal Medicine | 1200 California St Ste 270, Redlands, CA 92374-2970 | 2018-02-22 |
| 1386162949 | Faculty Physicians and Surgeons of Llusm | Internal Medicine | 197 E Caroline St, San Bernardino, CA 92408 | 2017-09-05 |
| 1588034169 | Faculty Physicians and Surgeons of Llusm | Physician Assistant | 350 S Euclid Ave, Unit C, Upland, CA 91786-6665 | 2015-09-25 |
| 1912343104 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 1101 N Euclid Ave, Upland, CA 91786-3233 | 2013-05-15 |
| 1457680530 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 12021 Jacaranda Ave., Hesperia, CA 92345-4956 | 2009-12-18 |
| 1265686109 | Faculty Physicians and Surgeons of Llusm | Pathology | 11234 Anderson St Ste 1617, Loma Linda, CA 92354-2804 | 2008-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FACULTY PHYSICIANS AND SURGEONS OF LLUSM | 11370 Anderson St, Loma Linda, CA 92354-3450 |
| Street Address |
41865 BOARDWALK SUITE 103 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92211-9026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740666940 | Guardian Angel Home Care, Inc. | Hospice Care, Community Based | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211-9026 | 2015-08-11 |
| 1548689615 | Desert Integrative Medical Center | Internal Medicine | 41865 Boardwalk, Suite 103, Palm Desert, CA 92211-9026 | 2014-04-15 |
| 1114350063 | Desert Hope Healthcare, Inc. | Hospice Care, Community Based | 41865 Boardwalk, Suite 112, Palm Desert, CA 92211-9026 | 2013-08-14 |
| 1437321338 | John F Kennedy Memorial Foundation | Non-emergency Medical Transport (VAN) | 41865 Boardwalk, Suite 206, Palm Desert, CA 92211-9026 | 2008-03-31 |
| 1225214067 | Susan Rigney | Marriage & Family Therapist | 41865 Boardwalk, Suite 219, Palm Desert, CA 92211 | 2008-01-10 |
| 1518157429 | Hilda Astrid Chalgujian | Clinical Neuropsychologist | 41865 Boardwalk, Suite 200, Palm Desert, CA 92211-9026 | 2007-07-26 |
| 1538369772 | John Menelaos Aliapoulios | Psychiatry & Neurology | 41865 Boardwalk, Suite 200, Palm Desert, CA 92211-9026 | 2007-07-24 |
| 1073633103 | Leslie Haco Alhadeff | Psychologist | 41865 Boardwalk, Suite 204, Palm Desert, CA 92211-9026 | 2007-03-30 |
| 1275674228 | Walter Franklin Druckenmiller Jr. | Dentist | 41865 Boardwalk, Suite 210, Palm Desert, CA 92211-9026 | 2007-02-11 |
| 1164586368 | Natalie M Whang | Dentist | 41865 Boardwalk, Suite 210, Palm Desert, CA 92211-9026 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
| 1003457607 | Catherine Krumplitsch | Technician | 41430 Kansas Street, Palm Desert, CA 92211 | 2019-10-04 |
| 1942702055 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 | 2018-03-05 |
| 1992248918 | West Coast Surgery Inc | Orthopaedic Surgery | 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 | 2016-11-22 |
| 1063963098 | Therese Tudor | Physical Therapist | 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 | 2016-10-14 |
| 1609249663 | John D Rasmussen | Anesthesiology | 160 Running Spring Drive, Palm Desert, CA 92211 | 2015-11-12 |
| 1033580113 | Executive Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 35450 Pegasus Ct, Palm Desert, CA 92211 | 2015-10-14 |
| 1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
| 1649686833 | Annamaria Valenzuela | Licensed Vocational Nurse | 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 | 2014-07-08 |
| 1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
| Find all providers in zip 92211 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538700026 | Indeemand Hospitalist Md LLC | Internal Medicine | 40743 Diamondback, Palm Desert, CA 92260-2392 | 2019-10-05 |
| 1366885501 | Brent Wagner | Internal Medicine | 72605 Highway 111, Palm Desert, CA 92260-3392 | 2013-04-08 |
| 1134465529 | Melvin Manuel Harter | Internal Medicine | 40660 Terraza Dr, Palm Desert, CA 92260-2356 | 2012-12-12 |
| 1043539810 | Asma Kazi | Internal Medicine | 41990 Cook St Bldg F, Palm Desert, CA 92211-6100 | 2010-05-19 |
| 1699090639 | Alfonso Corral Roger | Internal Medicine | 326 Sundance Cir, Palm Desert, CA 92211-3218 | 2010-04-01 |
| 1912179060 | Robert F Steinberg, M.d. A Medical Corporation | Internal Medicine | 41865 Boardwalk Ste 103, Palm Desert, CA 92211-9031 | 2008-03-28 |
| 1023287364 | Vickie Yvonne Mabry-height | Internal Medicine | 73241 Highway 111 Ste 3d, Palm Desert, CA 92260 | 2008-02-20 |
| 1053500926 | Jitka Civrna | Internal Medicine | 74000 Country Club Dr Ste G2, Palm Desert, CA 92260 | 2007-10-17 |
| 1538356902 | Talene Mary Churukian | Internal Medicine | 41990 Cook St Ste 102, Palm Desert, CA 92211-6101 | 2007-10-01 |
| 1881722718 | Rita Jeanne Stec | Internal Medicine | 43585 Monterey Ave Ste 3, Palm Desert, CA 92260-9398 | 2007-03-01 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92211 |
Please comment or provide details below to improve the information on FACULTY PHYSICIANS AND SURGEONS OF LLUSM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.