FACULTY PHYSICIANS AND SURGEONS OF LLUSM – NPI #1558311373
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a psychiatry & neurologist located in REDLANDS, CA. NPPES has assigned the NPI number 1558311373 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 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was last updated on May 21, 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
1558311373
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
1686 BARTON RD
REDLANDS, CA 92373-7761
Phone: (909) 558-4505 Fax:
1 Other location(s):
1710 Barton Rd
Redlands, CA 92373-5304
Phone: (909) 558-9592
Mailing address
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone: (909) 651-4300 Fax:
Organization Subpart
No
Authorized Official
RICARDO PEVERINI
PRESIDENT
Phone: (909) 558-7448
Updated
Certification Date
May 21, 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
medicaidCAGPS000760
medicaidCAGR0069028
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
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
103T00000X
- Psychologist

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.