FACULTY PHYSICIANS AND SURGEONS OF LLUSM – NPI #1235189275
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a provider located in LOMA LINDA, CA. NPPES has assigned the NPI number 1235189275 to FACULTY PHYSICIANS AND SURGEONS OF LLUSM on May 11, 2006. 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 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was last updated on Sep 22, 2025. 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
1235189275
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 PHYSICIANS AND SURGEONS OF LLUSM
Primary location
11370 ANDERSON STREET
SUITE 3900
LOMA LINDA, CA 92354
Phone: (909) 558-2806 Fax: (909) 558-3905
Mailing address
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone: (909) 558-3111 Fax: (909) 558-3950
Organization Subpart
No
Authorized Official
RICARDO PEVERINI
PRESIDENT
Phone: (909) 558-7448
Updated
Certification Date
Sep 22, 2025

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.

Identifiers

Identifiers for FACULTY PHYSICIANS AND SURGEONS 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
medicaidCAGR006902C
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
207V00000X
- Obstetrics & Gynecology (Primary)
207VM0101X
- Obstetrics & Gynecology / Maternal & Fetal Medicine

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.