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FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1124560214
Transplant Surgery in Las Vegas, NV

Active since November 07, 2016
2020 WELLNESS WAY, STE 506, LAS VEGAS, NV 89106(909) 558-3636(909) 651-4586 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2019, Mar 17, 2018, Sep 18, 2017 and 1 more (4 updates tracked since 2016).

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 1124560214) is a healthcare organization registered as a transplant surgery in Las Vegas, Nevada and active in the NPI registry since November 2016. The organization maintains a secondary practice location in Las Vegas and lists Ricardo Peverini, President, as its authorized official.

NPPES Registry Identity

NPI1124560214
Entity TypeOrganization
Primary Taxonomy204F00000X
Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM
Location Address2020 WELLNESS WAY, STE 506Las Vegas, NV 89106-4145
Mailing AddressFile # 54701Los Angeles, CA 90074-4701 · (909) 558-4000
Phone(909) 558-3636
Fax(909) 651-4586
Organization SubpartNo
Authorized OfficialRicardo PeveriniPresident · (909) 558-7448
Enumeration DateNovember 7, 2016
Last NPPES UpdateJuly 19, 20194 updates tracked since enumeration
✔ NPI 1124560214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
2020 WELLNESS WAY, Las Vegas, NV 89106
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Secondary Practice Location 1

Location 12020 Goldring Ave, Suite 506Las Vegas, NV 89106-4000 · Phone (909) 558-3636

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 4

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

YAKOV D SHAPOSHNIKOV MD, PC
Internal Medicine (Gastroenterology)
2020 WELLNESS WAY, SUITE 406
LAS VEGAS, NV 89106
Clark County (702) 737-3337
MARY ANNE MALIG CARDENAS APRN
Nurse Practitioner (Family)
2020 WELLNESS WAY
LAS VEGAS, NV 89106
Clark County (702) 432-2233
MIRA JANINE CANLAS HENSON APRN, FNP-C
Nurse Practitioner
2020 WELLNESS WAY
LAS VEGAS, NV 89106
Clark County (702) 432-2233
DR. YAKOV SHAPOSHNIKOV MD
Internal Medicine (Gastroenterology)
2020 WELLNESS WAY, #406
LAS VEGAS, NV 89106
Clark County (702) 737-3337

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 1124560214. It was assigned to this organization in the NPPES registry on November 7, 2016.

Where is Faculty Physicians And Surgeons Of Llusm located?

Faculty Physicians And Surgeons Of Llusm is located at 2020 Wellness Way Ste 506, Las Vegas, NV 89106. The listed phone number is (909) 558-3636.

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

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

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 with the weekly NPPES data releases published by CMS.