FACULTY PHYSICIANS AND SURGEONS OF LLUSM (NPI# 1871734277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871734277 |
| Entity Type | Organization |
| Organization Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Practice Address |
11406 Loma Linda Dr Ste 300 Loma Linda CA 92354-3711 |
| Mailing Address |
File # 54701 Los Angeles CA 90074-0001 |
| Practice Telephone | 9095586277 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |
| 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 | 171100000X | Acupuncturist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GAC000270 | 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 |
11406 LOMA LINDA DR STE 300 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578738456 | Teresa A. Martin | Acupuncturist | 11406 Loma Linda Dr Ste 300, Loma Linda, CA 92354-3711 | 2008-04-23 |
| 1134559776 | Jose Maria Cesar | Anesthesiology | 11406 Loma Linda Dr Ste 300, Loma Linda, CA 92354-3711 | 2013-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922404532 | Wonjoon Na | Acupuncturist | 1870 Mountain View Ave Ste 8, Loma Linda, CA 92354-1766 | 2014-11-08 |
| 1578738456 | Teresa A. Martin | Acupuncturist | 11406 Loma Linda Dr Ste 300, Loma Linda, CA 92354-3711 | 2008-04-23 |
| 1861425696 | Neil R Vincent | Acupuncturist | 11406 Loma Linda Dr, Suite 300, Loma Linda, CA 92354-3711 | 2006-07-07 |
| 1548210578 | Faculty Physicians and Surgeons of Llusm | Acupuncturist | 11406 Loma Linda Dr, Suite 300, Loma Linda, CA 92354-3711 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497557 | Golden Yung | Acupuncturist | 155 E 5th Ave, San Mateo, CA 94401-4108 | 2020-11-07 |
| 1316548951 | Sooyeon Yoon | Acupuncturist | 18765 Colima Rd, Rowland Heights, CA 91748-2949 | 2020-11-02 |
| 1497356083 | Pyung Doo Nam | Acupuncturist | 7097 Alvern St Apt D212, Los Angeles, CA 90045-1867 | 2020-11-02 |
| 1114528742 | Tao of Medicine Inc. | Acupuncturist | 2901 Wilshire Blvd Ste 335, Santa Monica, CA 90403-4930 | 2020-11-02 |
| 1518567643 | Jewel In The Lotus Healing | Acupuncturist | 1828 Felton St, San Diego, CA 92102-1230 | 2020-10-28 |
| 1700486784 | Srotas | Acupuncturist | 14758 Beach Blvd, La Mirada, CA 90638-4250 | 2020-10-28 |
| 1134728603 | Philip Reh | Acupuncturist | 451 Indian Springs Rd., Novato, CA 94947-4238 | 2020-10-25 |
| 1417556051 | Sharon Chen | Acupuncturist | 2440 S Hacienda Blvd Ste 231, Hacienda Heights, CA 91745-4774 | 2020-10-24 |
| 1609475078 | Marysa Kavalec | Acupuncturist | 2302 Oak St Apt 3, Santa Monica, CA 90405-5130 | 2020-10-18 |
| 1336747344 | Xiao Yan Liu | Acupuncturist | 16790 Ventry Way, San Lorenzo, CA 94580-1244 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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| 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.