FACULTY PHYSICIANS AND SURGEONS OF LLUSM (NPI# 1912004920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912004920 |
| Entity Type | Organization |
| Organization Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Practice Address |
28078 Baxter Rd Murrieta CA 92563-1400 |
| Mailing Address |
54701 File Number Los Angeles CA 90074-4701 |
| Practice Telephone | 9095583111 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | RICARDO PEVERINI (PRESIDENT) |
| Authorized Official Telephone | 9095587448 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0091665 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 28062 Baxter Rd, Murrieta, CA 925631401 | 9095584000 |
| 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 | 92563-1400 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801800438 | Benjamin Gould Cox Jr. | Neurological Surgery | 25485 Medical Center Dr Ste 200, Murrieta, CA 92562-6927 | 2006-07-28 |
| 1619905684 | Mark Anthony Spicer | Neurological Surgery | 28078 Baxter Road, Suite 430, Murrieta, CA 92563-1404 | 2006-06-29 |
| 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 |
| 1609216712 | Temecula Valley Neurosurgery Inc | Neurological Surgery | 25150 Hancock Ave Ste 210, Murrieta, CA 92562-5989 | 2013-07-03 |
| 1427355619 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 28078 Baxter Rd, Murrieta, CA 92563 | 2011-02-24 |
| 1770809329 | Gerald Oh | Neurological Surgery | 25150 Hancock Ave Ste 210, Murrieta, CA 92562-5989 | 2010-04-07 |
| 1073713657 | Daniel Lane Friedlich | Neurological Surgery | 25150 Hancock Ave, Suite 210, Murrieta, CA 92562-5987 | 2007-07-20 |
| 1639296767 | Benjamin G Cox Jr Md A Medical Corporation | Neurological Surgery | 25485 Medical Center Dr Ste 200, Murrieta, CA 92562-6927 | 2007-03-23 |
| 1881627743 | Pamela L. Alvarez | Neurological Surgery | 24910 Las Brisas Rd, Suite 115, Murrieta, CA 92562 | 2006-07-07 |
| 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.