FACULTY PHYSICIANS AND SURGEONS OF LLUSM – NPI #1871766121
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a provider located in BEAUMONT, CA. NPPES has assigned the NPI number 1871766121 to FACULTY PHYSICIANS AND SURGEONS OF LLUSM on April 08, 2008. 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 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was previously updated about 3 years ago on Feb 02, 2023. 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
1871766121
Enumeration Date

(more than 18 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
81 HIGHLAND SPRINGS AVE
BEAUMONT, CA 92223-2511
Phone: (909) 558-4000 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
Certification Date
Feb 02, 2023

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.

Taxonomy Classification / Specialization State License
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)
207W00000X
- Ophthalmology
152W00000X
- Optometrist

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.