FACULTY PHYSICIANS AND SURGEONS OF LLUSM - NPI 1073563748

Q: What is Faculty Physicians And Surgeons Of Llusm's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Faculty Physicians And Surgeons Of Llusm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FACULTY PHYSICIANS AND SURGEONS OF LLUSM (NPI 1073563748) is a healthcare organization registered as a pediatrics in Moreno Valley, California and active in the NPI registry since May 2006. The organization lists Ricardo Peverini, President, as its authorized official.

NPPES Registry Identity

NPI1073563748

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM

Location Address11441 HEACOCK ST, SUITE CMoreno Valley, CA 92557-7907

Mailing AddressFile Number 54701Los Angeles, CA 90074-0001 · (909) 558-3111 · Fax (909) 558-3905

Phone(951) 247-5809

Fax(909) 558-3905

Organization SubpartNo

Authorized OfficialRicardo PeveriniPresident · (909) 558-7448

Enumeration DateMay 11, 2006

Last NPPES UpdateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1073563748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

11441 HEACOCK ST, Moreno Valley, CA 92557

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Other Identifiers 1

MedicaidGR006902LCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONG S. KIM, M.D., INC

Internal Medicine

11441 HEACOCK ST, STE. F
MORENO VALLEY, CA 92557

Riverside County (951) 243-8000

VISITH PRIROMPRINTR MD

Obstetrics & Gynecology

11441 HEACOCK ST, SUITE B1
MORENO VALLEY, CA 92557

Riverside County (951) 924-1906

DR. JEFFREY TAYLOR OLSON M.D.

Internal Medicine

11441 HEACOCK ST, SUITE C
MORENO VALLEY, CA 92557

Riverside County (951) 247-5809

BOG RYUL LEE L.A.C

Acupuncturist

11441 HEACOCK ST, SUITE #B2
MORENO VALLEY, CA 92557

Riverside County (951) 571-0075

SHREEJI HEALTHCARE INC

Pharmacy (Community/Retail Pharmacy)

11441 HEACOCK ST
MORENO VALLEY, CA 92557

Riverside County (909) 360-8352

ASPEN MEDICAL GROUP, INC.

Obstetrics & Gynecology

11441 HEACOCK ST, SUITE B-1
MORENO VALLEY, CA 92557

Riverside County (951) 924-1906

CDA CLINICAL PHARMACY CORPORATION

Pharmacy (Community/Retail Pharmacy)

11441 HEACOCK ST, STE D
MORENO VALLEY, CA 92557

Riverside County (951) 242-2540

ONE ACUPUNCTURE CLINIC INC

Acupuncturist

11441 HEACOCK ST, STE B2
MORENO VALLEY, CA 92557

Riverside County (951) 601-0420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faculty Physicians And Surgeons Of Llusm's NPI number?

The NPI number for Faculty Physicians And Surgeons Of Llusm is 1073563748. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Faculty Physicians And Surgeons Of Llusm located?

Faculty Physicians And Surgeons Of Llusm is located at 11441 Heacock St Suite C, Moreno Valley, CA 92557. The listed phone number is (951) 247-5809.

What is Faculty Physicians And Surgeons Of Llusm's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Faculty Physicians And Surgeons Of Llusm was last updated on September 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.