FACULTY PHYSICIANS AND SURGEONS OF LLUSM – NPI #1275583007
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a provider located in LOMA LINDA, CA. NPPES has assigned the NPI number 1275583007 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 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 17 years ago on May 20, 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 PHYSICIANS AND SURGEONS OF LLUSM below.

NPI Profile for
FACULTY PHYSICIANS AND SURGEONS OF LLUSM

NPI Number
1275583007
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
25845 BARTON ROAD, STE. F
LOMA LINDA, CA 92354-3857
Phone: (909) 558-2828 Fax:
Mailing address
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone: (909) 558-3111 Fax:
Organization Subpart
No
Authorized Official
RICARDO PEVERINI
PRESIDENT
Phone: (909) 558-7448
Updated
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
MEDICAIDCAGPS000761
MEDICAIDCAGR0069729
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
208000000X
- Pediatrics (Primary)
103G00000X
- Clinical Neuropsychologist

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.