Provider Type Icon

FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1992463251


NPI Information

NPI: 1992463251
Provider Name: FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
11374 MT VIEW AVE STE A
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-6715
Get Directions

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a pediatrics in Loma Linda, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1992463251. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11374 MT VIEW AVE STE A
LOMA LINDA, CA
ZIP 92354-816
Phone: (909) 558-6715

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 12/3/2021 and was last updated on 12/3/2021.


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
1103TF0200XPsychologistForensicNo
2208000000XPediatricsYes
32080T0002XPediatricsMedical ToxicologyNo
42084F0202XPsychiatry & NeurologyForensic PsychiatryNo
5363A00000XPhysician AssistantNo
6363L00000XNurse PractitionerNo
7363LP0200XNurse PractitionerPediatricsNo
82080C0008XPediatricsChild Abuse PediatricsNo

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.