FACULTY MEDICAL GROUP OF LLUSM – NPI #1295781219
Transplant Surgery

A surgeon who specializes in transplant surgery.

FACULTY MEDICAL GROUP OF LLUSM is a transplant surgeon located in LOMA LINDA, CA. NPPES has assigned the NPI number 1295781219 to FACULTY MEDICAL GROUP OF LLUSM on May 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204F00000X from the Health Care Provider Taxonomy code set, which is classified as Transplant Surgery.

The NPI profile was previously updated about 17 years ago on Feb 27, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FACULTY MEDICAL GROUP OF LLUSM below.

NPI Profile for
FACULTY MEDICAL GROUP OF LLUSM

NPI Number
1295781219
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FACULTY MEDICAL GROUP OF LLUSM
Primary location
25865 BARTON RD
STE 101
LOMA LINDA, CA 92354-3895
Phone: (909) 558-3636 Fax:
Mailing address
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone: (909) 558-3111 Fax:
Organization Subpart
No
Authorized Official
RICARDO PEVERINI
PRESIDENT FACULTY MEDICAL GROUP OF
Phone: (909) 558-7448
Updated
Identifiers

Identifiers for FACULTY MEDICAL GROUP OF LLUSM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0068911
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204F00000X
- Transplant Surgery (Primary)
CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.