FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1073563748
Pediatrics in Moreno Valley, CA

Active since May 11, 2006
11441 HEACOCK ST, SUITE C, MORENO VALLEY, CA 92557(951) 247-5809(909) 558-3905 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Faculty Physicians And Surgeons Of Llusm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,571

Medicare enrollment records show 2,571 clinicians reassign Medicare billing to Faculty Physicians And Surgeons Of Llusm, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 1,536 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 74

Nurse Practitioner353
Pediatric Medicine243
Emergency Medicine191
Anesthesiology164
Diagnostic Radiology153
Family Practice121
Certified Registered Nurse Anesthetist (CRNA)119
Hospitalist101
66 other specialties1,126

Nearest to this location (20)

See all 2,571
Pediatric Medicine
NPI 1043874647
11441 HEACOCK ST STE 330
Moreno Valley, CA 92557
(951) 247-8697
✔ PECOSSame address
Pediatric Medicine
NPI 1447516919
11441 HEACOCK ST STE C
Moreno Valley, CA 92557
(951) 247-5809
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1760917835
11441 HEACOCK ST STE C
Moreno Valley, CA 92557
(909) 558-8142
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1124386198
11441 HEACOCK ST SUITE C
Moreno Valley, CA 92557
(951) 247-5809
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912736703
11401 HEACOCK ST STE 330
Moreno Valley, CA 92557
(951) 247-8697
✔ PECOS0.2 mi
Pediatric Medicine
NPI 1386902211
11401 HEACOCK ST SUITE 330
Moreno Valley, CA 92557
(951) 247-8697
✔ PECOS0.2 mi
Pediatric Medicine
NPI 1659662583
12815 HEACOCK ST
Moreno Valley, CA 92553
(951) 601-6399
✔ PECOS1.6 mi
Psychiatry
NPI 1720348659
23119 COTTONWOOD AVE STE 100
Moreno Valley, CA 92553
(951) 318-7386
✔ PECOS✔ Accepts Medicare2.5 mi
Otolaryngology
NPI 1265965339
6405 DAY ST
Riverside, CA 92507
(951) 697-5570
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1629720578
2799 GATEWAY DR STE 100
Riverside, CA 92507
(833) 450-5957
✔ PECOS2.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457090086
23520 CACTUS AVE
Moreno Valley, CA 92553
(951) 486-4000
✔ Accepts Medicare3.3 mi
Emergency Medicine
NPI 1992201677
14350 MERIDIAN PKWY # 2
Riverside, CA 92518
(951) 827-7669
✔ PECOS✔ Accepts Medicare4.1 mi
Hospitalist
NPI 1861840316
14350 MERIDIAN PKWY
Riverside, CA 92518
(909) 475-2612
✔ PECOS4.1 mi
Rheumatology
NPI 1356724074
26520 CACTUS AVE
Moreno Valley, CA 92555
(951) 486-4000
✔ PECOS✔ Accepts Medicare4.2 mi
Infectious Disease
NPI 1770003519
26520 CACTUS AVE
Moreno Valley, CA 92555
(951) 486-4000
✔ PECOS4.2 mi
General Surgery
NPI 1053643536
26520 CACTUS AVE
Moreno Valley, CA 92555
(951) 468-4175
✔ PECOS✔ Accepts Medicare4.2 mi
Gynecological Oncology
NPI 1447575568
26520 CACTUS AVE STE B2020
Moreno Valley, CA 92555
(951) 486-4000
✔ PECOS✔ Accepts Medicare4.2 mi
Anesthesiology
NPI 1508251992
26520 CACTUS AVE
Moreno Valley, CA 92555
(909) 558-4389
✔ PECOS✔ Accepts Medicare4.2 mi
Critical Care (Intensivists)
NPI 1659791614
26520 CACTUS AVE
Moreno Valley, CA 92555
(951) 486-4177
✔ PECOS✔ Accepts Medicare4.2 mi
Obstetrics/Gynecology
NPI 1396061651
26520 CACTUS AVE
Moreno Valley, CA 92555
(951) 486-4000
✔ PECOS✔ Accepts Medicare4.2 mi
See all 2,571 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Faculty Physicians And Surgeons Of Llusm enrolled in Medicare?

Yes. Faculty Physicians And Surgeons Of Llusm is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Faculty Physicians And Surgeons Of Llusm?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,571 clinicians in 74 Medicare specialties reassign their Medicare billing to Faculty Physicians And Surgeons Of Llusm. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (353), Pediatric Medicine (243) and Emergency Medicine (191). Of these, 4 practice at this address and 1,536 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.