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: 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 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

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, 1,517 practice 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
Clinical Social Worker
NPI 1932319241
51 W OLIVE AVE
Redlands, CA 92373
(909) 793-1078
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1821517780
101 E REDLANDS BLVD STE 106
Redlands, CA 92373
(909) 792-8866
✔ PECOS0.3 mi
Anesthesiology
NPI 1700827870
2 W FERN AVE
Redlands, CA 92373
(909) 793-3311
✔ PECOS✔ Accepts Medicare0.3 mi
Anesthesiology
NPI 1932147790
2 W FERN AVE
Redlands, CA 92373
(909) 793-3311
✔ PECOS✔ Accepts Medicare0.3 mi
Diagnostic Radiology
NPI 1679782049
2 W FERN AVE
Redlands, CA 92373
(909) 793-3311
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1003512088
2 W FERN AVE
Redlands, CA 92373
(909) 793-3311
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1194387373
2 W FERN AVE
Redlands, CA 92373
(909) 793-3311
✔ PECOS✔ Accepts Medicare0.6 mi
Pain Management
NPI 1740608199
2 W FERN AVE
Redlands, CA 92373
(909) 793-3311
✔ PECOS0.6 mi
Anesthesiology
NPI 1003860032
2 W FERN AVE
Redlands, CA 92373
(909) 793-3311
✔ PECOS✔ Accepts Medicare0.8 mi
Pediatric Medicine
NPI 1700150885
1338 E PALM AVE
Redlands, CA 92374
(917) 331-3216
✔ PECOS✔ Accepts Medicare1.3 mi
Clinical Social Worker
NPI 1942956214
1508 BARTON RD # 186
Redlands, CA 92373
(909) 255-2860
✔ PECOS1.6 mi
Hematology/Oncology
NPI 1598706129
245 TERRACINA BLVD STE 206
Redlands, CA 92373
(909) 793-4336
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1487267233
245 TERRACINA BLVD STE 102
Redlands, CA 92373
(909) 792-2605
✔ PECOS✔ Accepts Medicare1.8 mi
Urology
NPI 1528178803
345 TERRACINA BLVD
Redlands, CA 92373
(909) 793-2714
✔ PECOS✔ Accepts Medicare1.8 mi
Otolaryngology
NPI 1578141545
259 TERRACINA BLVD
Redlands, CA 92373
(909) 328-5400
✔ PECOS✔ Accepts Medicare1.8 mi
Clinical Psychologist
NPI 1760510150
1686 BARTON RD STE E
Redlands, CA 92373
(909) 558-9551
✔ PECOS✔ Accepts Medicare1.9 mi
Psychiatry
NPI 1225599707
1686 BARTON RD
Redlands, CA 92373
(909) 558-9547
✔ PECOS✔ Accepts Medicare1.9 mi
Geriatric Psychiatry
NPI 1255519849
1686 BARTON RD
Redlands, CA 92373
(714) 330-3545
✔ PECOS✔ Accepts Medicare1.9 mi
Internal Medicine
NPI 1639669104
350 TERRACINA BLVD
Redlands, CA 92373
(909) 335-5500
✔ PECOS✔ Accepts Medicare1.9 mi
Marriage and Family Therapist
NPI 1336417864
721 NEVADA ST STE 209
Redlands, CA 92373
(909) 792-0747
✔ PECOS✔ Accepts Medicare2.3 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 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.

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, 1,517 practice 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.