FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1124077516
Pediatrics in San Bernardino, CA
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 1124077516) is a healthcare organization registered as a pediatrics in San Bernardino, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Ricardo Peverini, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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
2,571Medicare 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, 10 practice at this address and 1,481 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 74
Nearest to this location (20)
See all 2,571Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0886837
Faculty Physicians And Surgeons Of Llusm · Loma Linda, CAFrequently 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 1124077516. 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 250 E Caroline St Ste J, San Bernardino, CA 92408. The listed phone number is (909) 651-1900.
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, 10 practice at this address and 1,481 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Faculty Physicians And Surgeons Of Llusm hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0886837) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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.
# Faculty Physicians And Surgeons Of Llusm · NPI 1124077516
Pediatrics organization in San Bernardino, California. Organization record, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1124077516 (Entity type: Organization)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Ricardo Peverini, PRESIDENT
## Practice location
- **Address:** 250 E CAROLINE ST STE J, San Bernardino, CA 92408-3758
- **Phone:** (909) 651-1900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,571 clinicians in 74 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (353), Pediatric Medicine (243), Emergency Medicine (191); 10 practice at this address and 1,481 within 10 miles; [full list](https://npiprofile.com/npi/1124077516/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2019
- **Other identifiers:** Medicaid GR006902H (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124077516) · Data from the CMS NPPES public registry.