FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1568113827

NPI Information

  • NPI: 1568113827
  • Provider Name: FACULTY PHYSICIANS AND SURGEONS OF LLUSM
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 05D0862865
  • Address: 8599 HAVEN AVE STE 102&210
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (909) 558-2806

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NPI Details

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is an obstetrics gynecology in Rancho Cucamonga, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1568113827. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8599 HAVEN AVE STE 102&210
RANCHO CUCAMONGA, CA
ZIP 91730-849
Phone: (909) 558-2806

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 CLIA number assigned to this NPI record is 05D0862865 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/18/2022 and was last updated on 2/10/2022.

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
1207K00000XAllergy & ImmunologyNo
2207RA0001XInternal MedicineAdvanced Heart Failure and Transplant CardiologyNo
3207RA0002XInternal MedicineAdult Congenital Heart DiseaseNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RI0011XInternal MedicineInterventional CardiologyNo
6207VC0200XObstetrics & GynecologyCritical Care MedicineNo
7207VG0400XObstetrics & GynecologyGynecologyNo
8207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
9207VX0000XObstetrics & GynecologyObstetricsNo
10207VX0201XObstetrics & GynecologyGynecologic OncologyNo
11207W00000XOphthalmologyNo
12207X00000XOrthopaedic SurgeryNo
13207Y00000XOtolaryngologyNo
14207YP0228XOtolaryngologyPediatric OtolaryngologyNo
15207V00000XObstetrics & GynecologyYes

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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