FACULTY MEDICAL GROUP OF LLUSM (NPI# 1699071753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699071753 |
| Entity Type | Organization |
| Organization Name | FACULTY MEDICAL GROUP OF LLUSM |
| Other Organization Name | FMG OF LLUSM-ED URGENT CARE |
| Practice Address |
28078 Baxter Rd Murrieta CA 92563 |
| Mailing Address |
File No 54701 Los Angeles CA 90074-4701 |
| Practice Telephone | 9512906366 |
| Practice Fax Number | 9512906990 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |
| Authorized Official Name | MS. LISA WOLTER (PROVIDER ENROLLMENT REP) |
| Authorized Official Telephone | 9095583289 |
| Is Organization Subpart | Y |
| Parent Organization Name | FACULTY MEDICAL GROUP OF LLUSM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FMG OF LLUSM-ED URGENT CARE | Other Name - Individual/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 |
| 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 |
| 1679704563 | Faculty Medical Group of Llusm | Radiology | 26780 Barton Rd, Redlands, CA 92373-4308 | 2009-07-27 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689089609 | Reuben Lakshmanan | Emergency Medicine | 25520 Medical Center Dr, Murrieta, CA 92562-5965 | 2014-06-27 |
| 1619197043 | Bradley John Laitinen | Emergency Medicine | 20311 Stone Pt, Murrieta, CA 92562-8668 | 2007-04-26 |
| 1831716513 | Alex Davila Medical Services | Emergency Medicine | 41690 Ivy St Ste C5, Murrieta, CA 92562-9436 | 2020-06-29 |
| 1013394477 | Maurice Lemarie | Emergency Medicine | 41880 Kalmia St, Murrieta, CA 92562-8831 | 2015-05-05 |
| 1912004920 | Faculty Physicians and Surgeons of Llusm | Emergency Medicine | 28078 Baxter Rd, Murrieta, CA 92563-1400 | 2006-09-20 |
| 1386698280 | Ryan Hal Deboard | Emergency Medicine | 25500 Medical Center Dr, Murrieta, CA 92562-5965 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134108 | Robert Rene Gosselin | Emergency Medicine | 14017 Banner Mtn Lookout Rd, Nevada City, CA 95959-9657 | 2020-11-06 |
| 1942811260 | Peter Mann Md Inc | Emergency Medicine | 7634 Girard Ave, La Jolla, CA 92037-4420 | 2020-08-11 |
| 1356959266 | Rgx Medical | Emergency Medicine | 1050 E Cypress Ave, Burbank, CA 91501-1310 | 2020-07-16 |
| 1942825112 | Blasko Medical Consultants Inc. | Emergency Medicine | 11576 Petunia Ct, Mira Loma, CA 91752-5013 | 2020-06-12 |
| 1316561517 | Sagen Consulting, PC | Emergency Medicine | 10053 Bret Ave, Cupertino, CA 95014-3518 | 2020-06-03 |
| 1265051304 | Madhok Medical Corporation | Emergency Medicine | 2309 Noriega St # 5, San Francisco, CA 94122-4239 | 2020-04-09 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1851922900 | Anna Lankester Webster | Emergency Medicine | 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 | 2020-01-28 |
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
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.