FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1083664379
Dermatology in Redlands, CA

Active since May 10, 2006
104 E OLIVE AVE, STE. 100, REDLANDS, CA 92373(909) 792-5197 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 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 1083664379) is a healthcare organization registered as a dermatology in Redlands, California and active in the NPI registry since May 2006. The organization lists Ricardo Peverini, President, as its authorized official.

NPPES Registry Identity

NPI1083664379
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM
Location Address104 E OLIVE AVE, STE. 100Redlands, CA 92373-5255
Mailing AddressFile Number 54701Los Angeles, CA 90074-0001 · (909) 558-3111
Organization SubpartNo
Authorized OfficialRicardo PeveriniPresident · (909) 558-7448
Enumeration DateMay 10, 2006
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
NPI 1083664379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

104 E OLIVE AVE, Redlands, CA 92373

Other Identifiers 1

MedicaidGR0091661CA

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 5

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

Dentist (General Practice)
104 E OLIVE AVE, SUITE 205
REDLANDS, CA 92373
Durable Medical Equipment & Medical Supplies
104 E OLIVE AVE, STE 104
REDLANDS, CA 92373
Clinic/Center (Sleep Disorder Diagnostic)
104 E OLIVE AVE, STE 104
REDLANDS, CA 92373
Clinic/Center (Sleep Disorder Diagnostic)
104 E OLIVE AVE, SUITE 104
REDLANDS, CA 92373
Dentist (Pediatric Dentistry)
104 E OLIVE AVE, SUITE 200
REDLANDS, CA 92373

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 1083664379. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Faculty Physicians And Surgeons Of Llusm located?

Faculty Physicians And Surgeons Of Llusm is located at 104 E Olive Ave Ste. 100, Redlands, CA 92373. The listed phone number is (909) 792-5197.

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

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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.