FACULTY MEDICAL GROUP OF LLUSM (NPI# 1679704563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679704563 |
| Entity Type | Organization |
| Organization Name | FACULTY MEDICAL GROUP OF LLUSM |
| Other Organization Name | FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY |
| Practice Address |
26780 Barton Rd Redlands CA 92373-4308 |
| Mailing Address |
File # 54701 Los Angeles CA 90074-4701 |
| Practice Telephone | 9095583016 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-08-28 |
| 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 | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952626137 | Faculty Medical Group of Llusm | Radiology | 81 Highland Springs Ave Ste 102, Beaumont, CA 92223-3170 | 2010-03-31 |
| 1386875110 | Faculty Medical Group of Llusm | Radiology | 25455 Barton Rd Ste 107b, Loma Linda, CA 92354-3139 | 2009-07-28 |
| 1497986228 | Faculty Medical Group of Llusm | Radiology | 11370 Anderson St Ste 1700, Loma Linda, CA 92354-3450 | 2009-07-28 |
| 1295781219 | Faculty Medical Group of Llusm | Transplant Surgery | 25865 Barton Rd, Ste 101, Loma Linda, CA 92354-3895 | 2006-05-25 |
| 1619314168 | Faculty Medical Group of Llusm | Transplant Surgery | 69844 Highway 111, Suite A & B, Rancho Mirage, CA 92270-2849 | 2013-05-23 |
| 1699071753 | Faculty Medical Group of Llusm | Emergency Medicine | 28078 Baxter Rd, Murrieta, CA 92563 | 2011-02-07 |
| 1659677433 | Faculty Medical Group of Llusm | Emergency Medicine | 28062 Baxter Road, Murrieta, CA 92563 | 2011-01-27 |
| 1295966026 | Faculty Medical Group of Llusm | Radiology | 25333 Barton Rd, Loma Linda, CA 92354-3123 | 2009-07-28 |
| 1942431762 | Faculty Medical Group of Llusm | Radiology | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2009-07-28 |
| 1124259015 | Faculty Medical Group of Llusm | Radiology | 900 E Washington St Ste 150, Colton, CA 92324-4119 | 2009-07-27 |
| Street Address |
26780 BARTON RD |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790954287 | California Heart and Surgical Hosptial | General Acute Care Hospital | 26780 Barton Rd, Redlands, CA 92373-4308 | 2008-02-28 |
| 1134585086 | Faculty Physicians and Surgeons of Llusm | Pathology | 26780 Barton Rd, Redlands, CA 92373-4308 | 2016-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| 1164053286 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 108, Redlands, CA 92373-4230 | 2020-01-28 |
| 1700252467 | Riverside Radiology Medical Group, Inc. | Radiology | 30700 E Sunset Dr S, Redlands, CA 92373-7448 | 2015-08-18 |
| 1023255031 | Loma Linda University Radiology Medical Group, Inc. | Radiology | 26780 Barton Road, Redlands, CA 92373-4308 | 2009-01-13 |
| 1144437559 | Charlene Larsen Andersen | Radiology | 762 Hilary Ln, Redlands, CA 92373-5618 | 2007-05-16 |
| 1023043551 | Pacific West Specialties, LLC | Radiology | 101 E Redlands Blvd Ste 212, Redlands, CA 92373-4724 | 2006-07-12 |
| 1588697924 | Shailendri Eswar-rao Philip | Radiology | 518 S Buena Vista St, Redlands, CA 92373-5804 | 2006-07-09 |
| 1528005188 | Susan Spieller | Radiology | 608 E Sunset Dr N, Redlands, CA 92373-6451 | 2006-06-01 |
| 1417904368 | Szabolcs S Mera | Radiology | 2 W. Fern Ave, Redlands, CA 92373-5916 | 2006-05-27 |
| 1043267156 | Kerry D Rold | Radiology | 2 West Fern Ave, Redlands, CA 92373-5916 | 2006-05-27 |
| Find all providers in REDLANDS | ||||
Please comment or provide details below to improve the information on FACULTY MEDICAL GROUP 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.