FACULTY PHYSICIANS AND SURGEONS OF LLUSM (NPI# 1871766121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871766121 |
| Entity Type | Organization |
| Organization Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Practice Address |
81 Highland Springs Ave Beaumont CA 92223-2511 |
| Mailing Address |
File Number 54701 Los Angeles CA 90074-0001 |
| Practice Telephone | 9095584000 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2009-08-31 |
| 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 | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| 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 |
81 HIGHLAND SPRINGS AVE |
| City | BEAUMONT |
| State | CA |
| Zip Code | 92223-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053379768 | Lui Kong Yap | Physician Assistant | 81 Highland Springs Ave, Ste.200, Beaumont, CA 92223 | 2006-05-02 |
| 1174050611 | Saida Hardoon | Family Medicine | 81 Highland Springs Ave, Beaumont, CA 92223-3176 | 2017-05-15 |
| 1629482641 | Beaver Medical Group Lp | Non-Pharmacy Dispensing Site | 81 Highland Springs Ave, Suite 200, Beaumont, CA 92223-3170 | 2014-06-18 |
| 1316381650 | Amar Dixit | Allergy & Immunology | 81 Highland Springs Ave, Beaumont, CA 92223-3176 | 2013-04-17 |
| 1124369087 | Douglas Stephan Anders | Family Medicine | 81 Highland Springs Ave, Suite 306, Beaumont, CA 92223-3170 | 2013-03-01 |
| 1790030773 | Seventh Day Adventists Loma Linda University Medical Center, Inc. | Pharmacy | 81 Highland Springs Ave, Suite 90, Beaumont, CA 92223-3170 | 2012-07-17 |
| 1093945578 | Loma Linda University Radiation Medicine | Radiology | 81 Highland Springs Ave, Beaumont, CA 92223-2511 | 2009-07-20 |
| 1982709432 | Mark Thomas Reis | Orthopaedic Surgery | 81 Highland Springs Ave, Suite 103, Beaumont, CA 92223-3170 | 2006-09-13 |
| 1407898646 | Sherif F. Khalil | Internal Medicine | 81 Highland Springs Ave, Ste 200, Beaumont, CA 92223 | 2006-06-12 |
| 1063452811 | Susannah Reay Elton | Physician Assistant | 81 Highland Springs Ave, Beaumont, CA 92223-3170 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
| 1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
| 1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| Find all providers in zip 92223 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751540 | Guillermo A. Young, Md Inc | Pediatrics | 1300 N Vermont Ave Ste 402, Los Angeles, CA 90027-6086 | 2019-10-16 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1477019669 | Pediatric Cardiac Center Inc | Pediatrics | 433 Del Norte Ave, Yuba City, CA 95991-4113 | 2019-02-13 |
| 1467885889 | Searle William Turner | Pediatrics | 5351 Avenida Maravillas, #118, Rancho Santa Fe, CA 92067-0118 | 2013-08-21 |
| 1245505866 | Pediatrix Cardiology of Orange County, P.C. | Pediatrics | 1010 W. La Veta Ave, Suite 575, Orange, CA 92868-4305 | 2012-03-15 |
| 1346511235 | Apichai Khongphatthanayothin | Pediatrics | 2020 Zonal Ave, Ird Room 111, Los Angeles, CA 90033 | 2012-01-24 |
| 1881985349 | Sanjay P Sinha | Pediatrics | 1140 W La Veta Ave Ste 750, Orange, CA 92868-4217 | 2011-05-02 |
| 1346531787 | Cassandra Hing-jen Sung | Pediatrics | 350 E Vanderbilt Way Ste A, San Bernardino, CA 92408 | 2011-04-19 |
| 1215258124 | Alexander Lowenthal | Pediatrics | 505 Parnassus Ave Rm 1235, San Francisco, CA 94143-2204 | 2010-06-15 |
| 1518283134 | Susanna Tran | Pediatrics | 50 Bellefontaine St Ste 405, Pasadena, CA 91105-3132 | 2010-04-08 |
| Find all providers with the same taxonomy | ||||
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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.