FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1588273148

NPI Information

NPI: 1588273148
Provider Name: FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
399 E 21ST ST
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 558-3012
Get Directions

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a radiation oncology radiology in San Bernardino, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1588273148. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

399 E 21ST ST
SAN BERNARDINO, CA
ZIP 92404-815
Phone: (909) 558-3012

The provider's authorized official is Ricardo Peverini .
The authorized official title is President and has the following contact phone number (909) 651-5582.

The enumeration date for this NPI number is 7/29/2020 and was last updated on 7/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085B0100X	Radiology	Body Imaging	No
2	2085N0700X	Radiology	Neuroradiology	No
3	2085N0904X	Radiology	Nuclear Radiology	No
4	2085P0229X	Radiology	Pediatric Radiology	No
5	2085R0001X	Radiology	Radiation Oncology	Yes
6	2085R0202X	Radiology	Diagnostic Radiology	No
7	2085R0203X	Radiology	Therapeutic Radiology	No
8	2085R0204X	Radiology	Vascular & Interventional Radiology	No
9	2085R0205X	Radiology	Radiological Physics	No
10	2085U0001X	Radiology	Diagnostic Ultrasound	No
11	2471C3402X	Radiologic Technologist	Radiography	No
12	2471M1202X	Radiologic Technologist	Magnetic Resonance Imaging	No
13	2471R0002X	Radiologic Technologist	Radiation Therapy	No
14	2085D0003X	Radiology	Diagnostic Neuroimaging	No
15	2085H0002X	Radiology	Hospice and Palliative Medicine	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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