FACULTY PHYSICIANS AND SURGEONS OF LLUSM (NPI# 1144270802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144270802 |
| Entity Type | Organization |
| Organization Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Practice Address |
1401 N Palm Canyon Dr Suite 103 Palm Springs CA 92262-4434 |
| Mailing Address |
File Number 54701 Los Angeles CA 90074-0001 |
| Practice Telephone | 9095582880 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | RICARDO PEVERINI (PRESIDENT) |
| Authorized Official Telephone | 9095587448 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0069721 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144477 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 35400 Bob Hope Dr Ste 110, Rancho Mirage, CA 92270-1772 | 2020-11-04 |
| 1700495363 | Faculty Physicians and Surgeons of Llusm | Radiology | 1850 N Riverside Ave Ste 160, Rialto, CA 92376-8056 | 2020-07-29 |
| 1326665415 | Faculty Physicians and Surgeons of Llusm | Otolaryngology | 4646 Brockton Ave Ste 103, Riverside, CA 92506-0103 | 2020-07-06 |
| 1790326825 | Faculty Physicians and Surgeons of Llusm | Urology | 11360 Mt View Ave Ste B, Loma Linda, CA 92354-3834 | 2019-09-30 |
| 1932600335 | Faculty Physicians and Surgeons of Llusm | Internal Medicine | 1200 California St Ste 270, Redlands, CA 92374-2970 | 2018-02-22 |
| 1386162949 | Faculty Physicians and Surgeons of Llusm | Internal Medicine | 197 E Caroline St, San Bernardino, CA 92408 | 2017-09-05 |
| 1588034169 | Faculty Physicians and Surgeons of Llusm | Physician Assistant | 350 S Euclid Ave, Unit C, Upland, CA 91786-6665 | 2015-09-25 |
| 1912343104 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 1101 N Euclid Ave, Upland, CA 91786-3233 | 2013-05-15 |
| 1457680530 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 12021 Jacaranda Ave., Hesperia, CA 92345-4956 | 2009-12-18 |
| 1265686109 | Faculty Physicians and Surgeons of Llusm | Pathology | 11234 Anderson St Ste 1617, Loma Linda, CA 92354-2804 | 2008-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FACULTY PHYSICIANS AND SURGEONS OF LLUSM | 11370 Anderson St, Loma Linda, CA 92354-3450 |
| Street Address |
1401 N PALM CANYON DR SUITE 103 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629065925 | Hani I Salib | Internal Medicine | 1401 N Palm Canyon Dr, # 102, Palm Springs, CA 92262-4434 | 2005-10-02 |
| 1245672633 | D. Reddy Medical Group, Inc | Internal Medicine | 1401 N Palm Canyon Dr, Suite 104, Palm Springs, CA 92262-4434 | 2013-07-25 |
| 1295080984 | Zaynb Hassan | Internal Medicine | 1401 N Palm Canyon Dr, Ste 103, Palm Springs, CA 92262-4434 | 2012-07-18 |
| 1205077732 | David B Kaminsky M D A Medical Corporation | Clinical Medical Laboratory | 1401 N Palm Canyon Dr, Suite 203, Palm Springs, CA 92262-4434 | 2009-03-12 |
| 1326207721 | Milton Howard Conley Md Inc | Surgery | 1401 N Palm Canyon Dr, Suite 103, Palm Springs, CA 92262-4434 | 2008-06-02 |
| 1639366024 | Hani I. Salib, M.d. | Internal Medicine | 1401 N Palm Canyon Dr, #102, Palm Springs, CA 92262-4434 | 2007-09-28 |
| 1477676955 | Hunter T Hardy | Pathology | 1401 N Palm Canyon Dr, Suite 203, Palm Springs, CA 92262-4434 | 2007-04-09 |
| 1356350805 | G. Reza H Farsad | Specialist | 1401 N Palm Canyon Dr, Suite 103, Palm Springs, CA 92262-4434 | 2006-08-05 |
| 1740229871 | Milton Howard Conley | Specialist | 1401 N Palm Canyon Dr, Suite 103, Palm Springs, CA 92262-4434 | 2006-06-05 |
| 1760460471 | David B. Kaminsky | Pathology | 1401 N Palm Canyon Dr, Suite 203, Palm Springs, CA 92262-4434 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477819456 | Kevin S Attenhofer | Psychiatry & Neurology | 1180 N Indian Canyon Dr Ste W214, Palm Springs, CA 92262-4857 | 2012-04-04 |
| 1033329677 | Luis Torres Arangua | Psychiatry & Neurology | 1180 N. Indian Canyon Dr., 214 W, Palm Springs, CA 92262 | 2007-05-23 |
| 1154347862 | David S Filippi | Psychiatry & Neurology | 1180 N Indian Canyon Dr Ste 214, Palm Springs, CA 92262-4857 | 2006-07-14 |
| 1982629564 | Howard Aaron Aronow | Psychiatry & Neurology | 1750 E Arenas Rd Ste 2, Palm Springs, CA 92262-7161 | 2006-07-13 |
| 1558823005 | Karim Al-turk | Psychiatry & Neurology | 1180 N Indian Canyon Dr, Palm Springs, CA 92262-4800 | 2019-04-03 |
| 1902289440 | Olga Khodakivska | Psychiatry & Neurology | 1180 N Indian Canyon Dr Ste 214, Palm Springs, CA 92262-4857 | 2015-07-01 |
| 1962898783 | John Daniel Legge | Psychiatry & Neurology | 1180 N Indian Canyon Dr Ste 214, Palm Springs, CA 92262-4857 | 2015-04-08 |
| 1699169227 | David Nacionales | Psychiatry & Neurology | 1180 N Indian Canyon Dr Ste 214, Palm Springs, CA 92262-4857 | 2015-03-20 |
| 1396076600 | Hamid Salari-namin,md,inc | Psychiatry & Neurology | 1180 N Indian Canyon Dr, Suite # 208 W, Palm Springs, CA 92262-4800 | 2010-01-26 |
| 1972839066 | Georgeta Varga Md Inc | Psychiatry & Neurology | 1180 N Indian Canyon Dr, 214, Palm Springs, CA 92262-4800 | 2009-10-23 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
Please comment or provide details below to improve the information on FACULTY PHYSICIANS AND SURGEONS OF LLUSM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.