FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1093117962

NPI Information

  • NPI: 1093117962
  • Provider Name: FACULTY PHYSICIANS AND SURGEONS OF LLUSM
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 359 SAN MIGUEL DR
    STE 105
    NEWPORT BEACH, CA
    ZIP 92660
  • Phone: (909) 558-2880

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NPI Details

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a neurology psychiatry neurology in Newport Beach, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1093117962. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

359 SAN MIGUEL DR
STE 105
NEWPORT BEACH, CA
ZIP 92660-812
Phone: (909) 558-2880

The provider's authorized official is Ricardo Peverini .
The authorized official title is President and has the following contact phone number (909) 558-7448.

The enumeration date for this NPI number is 9/22/2014 and was last updated on 7/19/2019.

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 License Number License State Primary
1235Z00000XSpeech-Language PathologistNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
42084N0400XPsychiatry & NeurologyNeurologyYes

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: 3/30/2025

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