FACULTY PHYSICIANS AND SURGEONS OF LLUSM


Address: 1200 California St Ste 270, Redlands, CA 92374-2970
Phone: 9095582870

FACULTY PHYSICIANS AND SURGEONS OF LLUSM (NPI# 1932600335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932600335
Entity Type Organization
Organization Name FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Practice Address 1200 California St Ste 270
Redlands
CA 92374-2970
Mailing Address File Number 54701
Los Angeles
CA 90074-4701
Practice Telephone 9095582870
Practice Fax Number 9096514586
Mailing Telephone 9095584000
Mailing Fax Number 9096514586
Enumeration Date 2018-02-22
Last Update Date 2019-07-22
Authorized Official Name RICARDO PEVERINI (PRESIDENT)
Authorized Official Telephone 9096515582
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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
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
1083863914 Faculty Physicians and Surgeons of Llusm Thoracic Surgery (Cardiothoracic Vascular Surgery) 685 N 13th Ave Ste 11, Upland, CA 91786-4963 2008-09-16

Other Data Sources

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

Office Location

Street Address 1200 CALIFORNIA ST STE 270
City REDLANDS
State CA
Zip Code 92374-2970

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053802652 V Rana Dds Inc Clinic/Center 1748 E Lugonia Ave Ste 126, Redlands, CA 92374 2018-05-21
1467979393 Brianna Ashley Torres Behavioral Analyst 1467 Stillman Ave, Redlands, CA 92374 2017-08-22
1851821953 Veronica Esqueda Social Worker 21 Crafton Ct, Redlands, CA 92374 2017-06-13
1053855783 Caroline Daravi Psychologist 1706 Plum Lane #110, Redland, CA 92374 2016-12-14
1487092722 Kathryn Wheeler Speech-Language Pathologist 112 Eleventh Street, Redlands, CA 92374 2013-06-10
1275979254 Lifecare Solutions Inc Durable Medical Equipment & Medical Supplies 1220 Research Dr, Redlands, CA 92374 2013-05-16
1639515125 Shantrice Nicole Burton Speech-Language Pathologist 1323 W Colton Ave Ste 105, Redlands, CA 92374 2013-05-11
1275898314 Hrishikesh C Gogineni Orthopaedic Surgery 1801 Orange Tree Ln Ste 200, Redlands, CA 92374 2012-07-04
1609168897 Mina Youssef Psychiatry & Neurology 26325 Snowden Ave, Redlands, CA 92374 2011-05-06
1902106545 Jerrold Edward Hammer Pharmacist 422 N Orange St., Redlands, CA 92374 2010-10-29
Find all providers in zip 92374

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710340195 Sherri English Family Medicine 25828 Redlands Blvd., Suite 102, Redlands, CA 92373-8450 2016-04-01
1386021145 Christen Leah Cuevas Family Medicine 1200 California St Ste 240, Redlands, CA 92374-2948 2015-04-30
1366710865 Nathan King Family Medicine 1600 E. Citrus Ave, Redlands, CA 92374-4802 2011-12-12
1568758100 Kauai Nicole Kennedy-eto Family Medicine 1711 N. Orange Street, Redlands, CA 92374-2254 2011-06-22
1932400645 Charles Edward Payton Family Medicine 10393 Enterprise Dr, Redlands, CA 92374-4525 2010-11-11
1467650069 Sophia Alexandros Family Medicine 951 Sunset Hills Ln, Redlands, CA 92373-6964 2007-07-05
1588780506 Benny Hau Family Medicine 1244 W Highland Ave, Redlands, CA 92373-6659 2007-03-21
1750467874 David Fukuda Family Medicine 721 Nevada St, Suite #406, Redlands, CA 92373-8079 2006-10-31
1558472464 Alexander Terrazas Family Medicine 1720 Sarrita Dr, Redlands, CA 92373-7222 2006-08-31
1679684807 Mohammad Moazzan Hossain Family Medicine 627 Brookside Ave, Redlands, CA 92373-4666 2006-08-31
Find all providers in REDLANDS

Competitor

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City REDLANDS
Zip Code 92374

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Dataset Information

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.

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