FACULTY PHYSICIANS AND SURGEONS OF LLUSM (NPI# 1427355619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427355619 |
| Entity Type | Organization |
| Organization Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Other Organization Name | FP&S OF LLUSM - MURRIETA |
| Practice Address |
28078 Baxter Rd Murrieta CA 92563 |
| Mailing Address |
11165 Mountain View Ave Ste 228 Loma Linda CA 92354-3866 |
| Practice Telephone | 9512906366 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |
| Authorized Official Name | MS. LISA WOLTER (PROVIDER ENROLLMENT REPRESENTATIVE) |
| Authorized Official Telephone | 9095583289 |
| Is Organization Subpart | Y |
| Parent Organization Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FP&S OF LLUSM - MURRIETA | Other Name - Individual/Organization |
| 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 |
28078 BAXTER RD |
| City | MURRIETA |
| State | CA |
| Zip Code | 92563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896525 | Yoshinobu Mifune | Family Medicine | 28078 Baxter Rd, Suite 410, Murrieta, CA 92563-1402 | 2005-10-25 |
| 1780210849 | Melody Torno | Physical Therapist | 28078 Baxter Rd, Murrieta, CA 92563-1402 | 2020-03-20 |
| 1164957031 | Loma Linda University Behavioral Medicine Center Inc | Psychiatric Hospital | 28078 Baxter Rd, Suite 230, Murrieta, CA 92563 | 2017-04-27 |
| 1588023295 | Hematology Oncology Consultants | Specialist | 28078 Baxter Rd, Ste 140, Murrieta, CA 92563-1402 | 2016-02-23 |
| 1912364175 | Stephane E. Johnson, Md, P.C. | Psychiatry & Neurology | 28078 Baxter Rd, Suite 228, Murrieta, CA 92563-1402 | 2016-01-19 |
| 1093107104 | Advanced Neurosurgery Associates, Inc. | Neurological Surgery | 28078 Baxter Rd, Suite 430, Murrieta, CA 92563-1404 | 2015-02-26 |
| 1417348434 | University Spine Institute Inc | Neurological Surgery | 28078 Baxter Rd, Ste 128, Murrieta, CA 92563-1402 | 2015-02-12 |
| 1851721716 | Lily S. Chung, Md, PC | Psychiatry & Neurology | 28078 Baxter Rd, Suite 228, Murrieta, CA 92563-1402 | 2013-11-13 |
| 1902142987 | Advanced Wound Care & Hyperbaric Specialists, PC | Family Medicine | 28078 Baxter Rd, Suite 410, Murrieta, CA 92563-1402 | 2012-12-20 |
| 1710274121 | Tuan Ngoc Nguyen Md Inc | Family Medicine | 28078 Baxter Rd, Suite 320, Murrieta, CA 92563-1404 | 2011-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137073 | Catherine Sanders | Physical Therapist | 39815 Alta Murrieta Drive, Suite C-1, Murrieta, CA 92563 | 2020-02-27 |
| 1588201990 | Joanna Chante Rios Montoya | Case Manager/Care Coordinator | 30755 Auld Rd B, Murrieta, CA 92563 | 2019-12-04 |
| 1881154896 | Just for You Home Care Inc. | In Home Supportive Care | 30535 Marlow Ct., Murrieta, CA 92563 | 2019-03-25 |
| 1548751985 | Day By Day Treatment, Inc. | Clinic/Center | 40119 Murrieta Hot Springs Rd Ste B104, Murrieta, CA 92563 | 2018-05-22 |
| 1952802225 | Temecula Valley Skilled Nursing and Rehabilitation Center, Lp | Skilled Nursing Facility | 25924 Jackson Ave, Murrieta, CA 92563 | 2018-02-22 |
| 1114432721 | May Farrah Blanco Yoshisaki | Nurse Practitioner | 39525 Los Alamos Road, Ste E, Murrieta, CA 92563 | 2017-12-05 |
| 1942721899 | Cecilia Cristina Flores-castillo | Interpreter | 29910 Murrieta Hot Sprngs Rd., Ste. G-235, Murrieta, CA 92563 | 2017-06-30 |
| 1144756354 | Anh-thu Kent | Pharmacist | 40234 Miklich Dr, Murrieta, CA 92563 | 2017-05-08 |
| 1750817177 | Anahita Akbari Farahani | Dentist | 39209 Wichester Rd, Ste 100, Temecula, CA 92563 | 2017-05-04 |
| 1588196612 | Galena Dapra | Nurse Practitioner | 27808 Baxter Rd. Suite 320, Murrieta, CA 92563 | 2017-03-29 |
| Find all providers in zip 92563 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558692657 | Rahul Anil Gaglani | Internal Medicine | 29995 Technology Dr Ste 302, Murrieta, CA 92563-2634 | 2010-01-29 |
| 1720158611 | St Luke Cardiovascular Medical Group | Internal Medicine | 25470 Medical Center Drive, Suite 201, Murrieta, CA 92562 | 2006-11-08 |
| 1760596985 | Steve Hui Jin | Internal Medicine | 25405 Hancock Ave Ste 216, Murrieta, CA 92562 | 2006-08-17 |
| 1205861770 | Manila Zaman | Internal Medicine | 29995 Technology Dr, Suite 302, Murrieta, CA 92563-2632 | 2006-07-12 |
| 1073596912 | Herman David Lu | Internal Medicine | 25405 Hancock Ave, Suite 216, Murrieta, CA 92562-5982 | 2005-11-23 |
| 1851380414 | Oscar A. Matthews Md Inc | Internal Medicine | 25470 Medical Center Dr, Suite 201, Murrieta, CA 92562-4900 | 2005-10-17 |
| 1831732270 | Candice Kim Inc | Internal Medicine | 29995 Technology Dr Ste 302, Murrieta, CA 92563-2634 | 2019-10-17 |
| 1639683386 | Chhab Inc | Internal Medicine | 29995 Technology Dr Ste 302, Murrieta, CA 92563-2634 | 2017-11-16 |
| 1609310333 | Oshodi Medical Corporation | Internal Medicine | 40700 California Oaks Rd Ste 208, Murrieta, CA 92562-5789 | 2016-12-14 |
| 1760830459 | Manila Zaman Md Inc | Internal Medicine | 29995 Technology Dr Ste 302, Murrieta, CA 92563-2634 | 2016-06-02 |
| Find all providers in MURRIETA | ||||
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| 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.