FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1104161579
Plastic Surgery in Loma Linda, CA

Active since December 11, 2012
25805 BARTON RD, SUITE 101, LOMA LINDA, CA 92354(909) 558-5500 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 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 1104161579) is a healthcare organization registered as a plastic surgery in Loma Linda, California and active in the NPI registry since December 2012. The organization lists Ricardo Peverini, President, as its authorized official.

NPPES Registry Identity

NPI1104161579
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM
Location Address25805 BARTON RD, SUITE 101Loma Linda, CA 92354-3814
Mailing AddressFile # 54701Los Angeles, CA 90074-4701
Organization SubpartNo
Authorized OfficialRicardo PeveriniPresident · (909) 558-7448
Enumeration DateDecember 11, 2012
Last NPPES UpdateJuly 19, 2019
✔ NPI 1104161579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
25805 BARTON RD, Loma Linda, CA 92354

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, 18 practice at this address and 1,553 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
Nephrology
NPI 1669496832
25865 BARTON RD SUITE 101
Loma Linda, CA 92354
(909) 558-3636
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1073704250
25805 BARTON RD SUITE 107
Loma Linda, CA 92354
(909) 478-7700
✔ PECOSSame address
General Surgery
NPI 1407829658
25865 BARTON ROAD SUITE 101
Loma Linda, CA 92354
(909) 558-3636
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1255968392
25865 BARTON RD STE 101
Loma Linda, CA 92354
(909) 558-2890
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1912584657
25865 BARTON RD STE 101 BLDG D
Loma Linda, CA 92354
(909) 558-2890
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1871242677
25865 BARTON RD STE 101
Loma Linda, CA 92354
(909) 558-2890
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1508151556
25865 BARTON RD STE D-101
Loma Linda, CA 92354
(909) 558-2842
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1982710869
25865 BARTON RD STE 101
Loma Linda, CA 92354
(843) 792-1414
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1467847905
25865 BARTON RD STE 101 BULIDING D
Loma Linda, CA 92354
(909) 558-2890
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1720289374
25865 BARTON RD STE 101
Loma Linda, CA 92354
(909) 558-3364
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1316292931
25865 BARTON RD STE 101
Loma Linda, CA 92354
(909) 558-3636
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1174688071
25865 BARTON RD STE 101
Loma Linda, CA 92354
(909) 558-3636
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1972715183
25845 BARTON RD
Loma Linda, CA 92354
(909) 558-2828
✔ PECOSSame address
Pediatric Medicine
NPI 1699948265
25845 BARTON RD SUITE F
Loma Linda, CA 92354
(443) 812-5287
✔ PECOSSame address
Pediatric Medicine
NPI 1437438280
25845 BARTON RD
Loma Linda, CA 92354
(909) 558-2828
✔ PECOSSame address
Pediatric Medicine
NPI 1760825236
25845 BARTON RD
Loma Linda, CA 92354
(909) 558-2828
✔ PECOSSame address
Pediatric Medicine
NPI 1447518964
25845 BARTON RD
Loma Linda, CA 92354
(909) 558-2828
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1013370204
25845 BARTON RD STE 101
Loma Linda, CA 92354
(909) 558-3904
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1871857227
25845 BARTON RD STE F
Loma Linda, CA 92354
(909) 558-3904
✔ PECOSSame address
Sports Medicine
NPI 1447679667
25845 BARTON RD
Loma Linda, CA 92354
(909) 558-2828
✔ PECOS✔ Accepts MedicareSame address
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 1104161579. It was assigned to this organization in the NPPES registry on December 11, 2012.

Where is Faculty Physicians And Surgeons Of Llusm located?

Faculty Physicians And Surgeons Of Llusm is located at 25805 Barton Rd Suite 101, Loma Linda, CA 92354. The listed phone number is (909) 558-5500.

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

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

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, 18 practice at this address and 1,553 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 July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.