FACULTY PHYSICIANS AND SURGEONS OF LLUSM


Address: 197 E Caroline St, San Bernardino, CA 92408
Phone: 9095582848

FACULTY PHYSICIANS AND SURGEONS OF LLUSM (NPI# 1386162949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386162949
Entity Type Organization
Organization Name FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Practice Address 197 E Caroline St
San Bernardino
CA 92408
Mailing Address File Number 54701
Los Angeles
CA 90074-4701
Practice Telephone 9095582848
Mailing Telephone 9095584000
Mailing Fax Number 9096514586
Enumeration Date 2017-09-05
Last Update Date 2019-08-15
Authorized Official Name RICARDO PEVERINI (PRESIDENT)
Authorized Official Telephone 9095587448
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RA0001X Internal Medicine
Specialization: Advanced Heart Failure and Transplant Cardiology
Allopathic & Osteopathic Physicians
N 207RT0003X Internal Medicine
Specialization: Transplant Hepatology
Allopathic & Osteopathic Physicians
N 2080T0004X Pediatrics
Specialization: Pediatric Transplant Hepatology
Allopathic & Osteopathic Physicians
N 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers
N 364ST0500X Clinical Nurse Specialist
Specialization: Transplantation
Physician Assistants & Advanced Practice Nursing Providers
Y 204F00000X Transplant Surgery Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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
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
1083863914 Faculty Physicians and Surgeons of Llusm Thoracic Surgery (Cardiothoracic Vascular Surgery) 685 N 13th Ave Ste 11, Upland, CA 91786-4963 2008-09-16

Other Data Sources

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

Office Location

Street Address 197 E CAROLINE ST
City SAN BERNARDINO
State CA
Zip Code 92408

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073124681 Valeria Armentilla Cecena Student in an Organized Health Care Education/Training Program 1950 Sunwest Ln., San Bernardino, CA 92408 2020-08-17
1588272066 Horizon Therapy Services Physical Therapist 418 East Vanderbilt, San Bernardino, CA 92408 2020-07-21
1821627639 Bl Anderson Medical Corporation Emergency Medicine 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 2020-04-03
1922648104 Infinite Hope Hospice Corp Hospice Care, Community Based 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 2020-01-15
1689210775 Inland Empire Community Outreach Center Counselor 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 2019-11-23
1992347801 Care Marriage and Family Therapists, Inc. Marriage & Family Therapist 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 2019-10-11
1366084360 Theraville Counseling Services, A Licensed Clinical Social Worker Corp Social Worker 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 2019-10-10
1548730419 Adriana Alcaraz Behavior Technician 473 E Carnegie, Ste 200, San Bernardino, CA 92408 2018-12-04
1811467889 Xavier J Molina-williams Behavior Technician 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 2018-12-03
1780153148 Gillian Washington Behavior Technician 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 2018-11-15
Find all providers in zip 92408

Taxonomy Information

Taxonomy Code 204F00000X
Grouping Allopathic & Osteopathic Physicians
Classification Transplant Surgery

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639286495 Arputharaj Higgins Kore Transplant Surgery 197 East Caroline Street, Suite 1400, San Bernardino, CA 92408-3729 2006-08-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063829083 Amit Javed Transplant Surgery Ucsf 505 Parnassus Ave M896, Campus Box 0780, San Francisco, CA 94143-0780 2014-07-22
1699039990 Massimiliano Tuveri Transplant Surgery Via Delle Rondini 15, Cagliari, CA 09126 2012-07-02
1457643595 Neal Martin Mineyev Transplant Surgery 2233 Stockton Blvd., Housestaff Building Room 2025, Sacramento, CA 95817 2011-05-09
1790946895 Ahmad Abou Abbass Transplant Surgery 26732 Crown Valley Pkwy Ste 351, Mission Viejo, CA 92691 2008-06-20
1225238538 Khoa Thomas Anh Pham Transplant Surgery 750 Welch Rd Ste 319, Palo Alto, CA 94304-1510 2007-07-24
1356541338 Raj Mittal Transplant Surgery 3400 Lomita Blvd Ste 200, Torrance, CA 90505-4980 2007-07-19
1578760633 Ayman Al Harakeh Transplant Surgery 200 Jose Figueres Ave Ste 225, San Jose, CA 95116 2007-06-29
1063622744 Ali Cheaito Transplant Surgery 11333 N Sepulvelda Blvd, Mission Hills, CA 91345-1116 2007-05-23
1417078882 Aloke Kumar Mandal Transplant Surgery 3110 W Lake Center Dr, Ca152-0243, Santa Ana, CA 92704-6917 2007-04-03
1508909466 California Pacific Specialty Services Transplant Surgery 2302 Fillmore St, Suite A, San Francisco, CA 94115-1813 2007-02-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City SAN BERNARDINO
Zip Code 92408

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Dataset Information

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.

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