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FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1124077516
Pediatrics in San Bernardino, CA

Active since May 10, 2006CLIA 05D0886837 · Waiver
250 E CAROLINE ST STE J, SAN BERNARDINO, CA 92408(909) 651-1900 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 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 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

NPI1124077516
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM
Location Address250 E CAROLINE ST STE JSan Bernardino, CA 92408-3758
Mailing AddressFile Number 54701Los Angeles, CA 90074-0001 · (909) 558-3111
Phone(909) 651-1900
Organization SubpartNo
Authorized OfficialRicardo PeveriniPresident · (909) 558-7448
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 19, 2019
✔ NPI 1124077516 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.
250 E CAROLINE ST STE J, San Bernardino, CA 92408
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Other Identifiers 1

MedicaidGR006902HCA

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

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, CA
Active · expires May 1, 2028
CLIA Number05D0886837
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorChad Vercio
Laboratory Phone(909) 651-1900
Laboratory LocationFaculty Physicians And Surgeons Of Llusm25845 Barton Rd, Bldg F, Ste 101, Loma Linda, CA 92354
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

BARBARA K ARIUE M.D.
Pediatrics (Pediatric Allergy/Immunology)
250 E CAROLINE ST STE J
SAN BERNARDINO, CA 92408
San Bernardino County (909) 651-1900
GAMIL FTEEH M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
250 E CAROLINE ST STE J
SAN BERNARDINO, CA 92408
San Bernardino County (909) 835-1810
DR. DAVID MATTHEW YOUNG PH.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
250 E CAROLINE ST STE J
SAN BERNARDINO, CA 92408
San Bernardino County (909) 651-1900
SUNITHA LENA NUNE M.D.
Psychiatry & Neurology (Sleep Medicine)
250 E CAROLINE ST STE J
SAN BERNARDINO, CA 92408
San Bernardino County (909) 835-1810
SALAR BANI HANI
Pediatrics (Pediatric Nephrology)
250 E CAROLINE ST STE J
SAN BERNARDINO, CA 92408
San Bernardino County (909) 651-1900
PILAR PICHON M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
250 E CAROLINE ST STE J
SAN BERNARDINO, CA 92408
San Bernardino County (909) 558-4000

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 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.

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.