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FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1124560214


NPI Information

NPI: 1124560214
Provider Name: FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Classification: Transplant Surgery - 204F00000X
Entity Type: Organization
Address:
2020 WELLNESS WAY
STE 506
LAS VEGAS, NV
ZIP 89106
Phone: (909) 558-3636
Get Directions

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a transplant surgery in Las Vegas, NV. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1124560214. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2020 WELLNESS WAY
STE 506
LAS VEGAS, NV
ZIP 89106-145
Phone: (909) 558-3636
Fax: (909) 651-4586

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 11/7/2016 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2207RI0008XInternal MedicineHepatologyNo
3207RT0003XInternal MedicineTransplant HepatologyNo
4363A00000XPhysician AssistantNo
5363AS0400XPhysician AssistantSurgicalNo
6204F00000XTransplant SurgeryYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.