FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY – NPI #1295966026
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY is a radiologist located in LOMA LINDA, CA. NPPES has assigned the NPI number 1295966026 to FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY on July 28, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY” is a dba name, the actual legal business name for this organization is FACULTY MEDICAL GROUP OF LLUSM. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 17 years ago on Aug 28, 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 MEDICAL GROUP OF LLUSM-RADIOLOGY below.

NPI Profile for
FACULTY MEDICAL GROUP OF LLUSM

NPI Number
1295966026
Enumeration Date

(about 17 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 MEDICAL GROUP OF LLUSM
Doing Business As (dba): FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY
Primary location
25333 BARTON RD
LOMA LINDA, CA 92354-3123
Phone: (909) 558-3016 Fax:
Mailing address
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone: (909) 558-3111 Fax:
Organization Subpart
No
Authorized Official
RICARDO PEVERINI
PRESIDENT
Phone: (909) 558-7448
Updated
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

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.