FACULTY PHYSICIANS AND SURGEONS OF LLUSM – NPI #1700214780
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a dermatologist located in LOMA LINDA, CA. NPPES has assigned the NPI number 1700214780 to FACULTY PHYSICIANS AND SURGEONS OF LLUSM on October 29, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 6 years ago on May 05, 2020. 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 PHYSICIANS AND SURGEONS OF LLUSM below.

NPI Profile for
FACULTY PHYSICIANS AND SURGEONS OF LLUSM

NPI Number
1700214780
Enumeration Date

(more than 12 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 PHYSICIANS AND SURGEONS OF LLUSM
Primary location
25865 BARTON RD
LOMA LINDA, CA 92354-3895
Phone: (909) 558-3636 Fax:
Mailing address
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone: (909) 558-4000 Fax:
Organization Subpart
No
Authorized Official
RICARDO PEVERINI
PRESIDENT
Phone: (909) 558-7448
Updated
Certification Date
May 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.