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FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1235189911
Pediatrics in Redlands, CA

Active since May 11, 2006
25828 REDLANDS BLVD STE 101, REDLANDS, CA 92373(909) 307-0964 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 7, 2025, Jul 19, 2019 (2 updates tracked since 2019).

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 1235189911) is a healthcare organization registered as a pediatrics 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

NPI1235189911
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM
Location Address25828 REDLANDS BLVD STE 101Redlands, CA 92373-8451
Mailing AddressFile Number 54701Los Angeles, CA 90074-0001 · (909) 558-3111 · Fax (909) 558-3905
Phone(909) 307-0964
Organization SubpartNo
Authorized OfficialRicardo PeveriniPresident · (909) 558-7448
Enumeration DateMay 11, 2006
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1235189911 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.
25828 REDLANDS BLVD STE 101, Redlands, CA 92373
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Other Identifiers 1

MedicaidGR0069024CA

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 2

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

ALLANA HARBOLDT
Nurse Practitioner (Family)
25828 REDLANDS BLVD STE 101
REDLANDS, CA 92373
San Bernardino County (909) 558-6600
AVERYL NYRA D NARVASA RN, CPNP
Nurse Practitioner (Pediatrics)
25828 REDLANDS BLVD STE 101
REDLANDS, CA 92373
San Bernardino County (909) 307-0964

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 1235189911. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Faculty Physicians And Surgeons Of Llusm located?

Faculty Physicians And Surgeons Of Llusm is located at 25828 Redlands Blvd Ste 101, Redlands, CA 92373. The listed phone number is (909) 307-0964.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Faculty Physicians And Surgeons Of Llusm was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.