FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1245605781
Pathology - Anatomic Pathology & Clinical Pathology in Loma Linda, CA

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

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since December 09, 2015

11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-6122(909) 651-4586 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2019, Dec 9, 2015 (2 updates tracked since 2015).

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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 1245605781) is a healthcare organization registered as an anatomic pathology & clinical pathology in Loma Linda, California and active in the NPI registry since December 2015. The organization lists Ricardo Peverini, President, as its authorized official.

NPPES Registry Identity

NPI1245605781

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM

Location Address11234 ANDERSON STLoma Linda, CA 92354-2804

Mailing AddressFile # 54701Los Angeles, CA 90074-4701 · (909) 651-4000 · Fax (909) 651-4586

Phone(909) 558-6122

Fax(909) 651-4586

Organization SubpartNo

Authorized OfficialRicardo PeveriniPresident · (909) 558-7448

Enumeration DateDecember 9, 2015

Last NPPES UpdateJuly 19, 20192 updates tracked since enumeration

✔ NPI 1245605781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X

Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X

Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X

Also ListedPathology · Forensic PathologyTaxonomy 207ZF0201X

Also ListedPathology · HematologyTaxonomy 207ZH0000X

Also ListedPathology · ImmunopathologyTaxonomy 207ZI0100X

Also ListedPathology · Medical MicrobiologyTaxonomy 207ZM0300X

Also ListedPathology · NeuropathologyTaxonomy 207ZN0500X

Also ListedPathology · Molecular Genetic PathologyTaxonomy 207ZP0007X

Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X

Also ListedPathology · Chemical PathologyTaxonomy 207ZP0104X

Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X

Also ListedPathology · Pediatric PathologyTaxonomy 207ZP0213X

11234 ANDERSON ST, Loma Linda, CA 92354

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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, 739 practice at this address and 1,479 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

Gregory Aaen, M.D.

Pediatric Medicine

NPI 1780898304

LLUMC, HOUSE STAFF OFFICE CP 21005, 11234 ANDERSON ST.
Loma Linda, CA 92354

(909) 558-4000

✔ PECOS✔ Accepts MedicareSame address

Carolyn Abbasi

Anesthesiology

NPI 1811287311

11234 ANDERSON ST GME OFFICE CSP 21005
Loma Linda, CA 92354

(877) 558-4015

✔ PECOSSame address

Marian Abdelmalek, DO

Internal Medicine

NPI 1285218024

11234 ANDERSON ST GME OFFICE WESTERLY SUITE C
Loma Linda, CA 92354

(909) 558-4074

✔ PECOS✔ Accepts MedicareSame address

Dmitry Abramov, M.D.

Advanced Heart Failure and Transplant Cardiology

NPI 1649439670

11234 ANDERSON ST STE SP1637
Loma Linda, CA 92354

(909) 558-4200

✔ PECOS✔ Accepts MedicareSame address

Anna Acosta, NNP

Nurse Practitioner

NPI 1154193597

11234 ANDERSON ST
Loma Linda, CA 92354

(909) 558-4000

✔ PECOSSame address

Michael Acquistapace, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1508136193

11234 ANDERSON ST
Loma Linda, CA 92354

(909) 558-4000

✔ Accepts MedicareSame address

Afshin Ahoubim, M.D

Critical Care (Intensivists)

NPI 1932513488

11234 ANDERSON ST
Loma Linda, CA 92354

(909) 558-4000

✔ PECOS✔ Accepts MedicareSame address

Robert Allison, M.B.B.S.

Emergency Medicine

NPI 1841721586

11234 ANDERSON ST
Loma Linda, CA 92350

(909) 558-4344

✔ PECOS✔ Accepts MedicareSame address

Faisal Ansari, DO

Hospitalist

NPI 1134745110

11234 ANDERSON ST # MC-1516
Loma Linda, CA 92350

(909) 558-4884

✔ PECOS✔ Accepts MedicareSame address

Juan Baez, M.D.

Diagnostic Radiology

NPI 1427210160

11234 ANDERSON ST STE MC-B623A
Loma Linda, CA 92354

(909) 558-4013

✔ PECOSSame address

Khazenay Bakhsh, DO

Pulmonary Disease

NPI 1184940033

11234 ANDERSON ST RM MC1516
Loma Linda, CA 92354

(909) 558-4000

✔ PECOS✔ Accepts MedicareSame address

Ramesh Bansal, M.D.

Adult Congenital Heart Disease (ACHD)

NPI 1508884388

11234 ANDERSON ST #1617
Loma Linda, CA 92354

(909) 558-8591

✔ PECOS✔ Accepts MedicareSame address

James Betoni, D.O.

Obstetrics/Gynecology

NPI 1477530715

11234 ANDERSON ST
Loma Linda, CA 92354

(909) 558-4771

✔ PECOS✔ Accepts MedicareSame address

Aditya Bharadwaj, M.D.

Interventional Cardiology

NPI 1871729822

11234 ANDERSON ST SPC 1617
Loma Linda, CA 92354

(909) 558-4200

✔ PECOS✔ Accepts MedicareSame address

Rahul Bhardwaj, M.D.

Cardiac Electrophysiology

NPI 1730318452

11234 ANDERSON ST RM 1617
Loma Linda, CA 92354

(909) 558-4200

✔ PECOS✔ Accepts MedicareSame address

Baher Boctor, M.D.

Interventional Pain Management

NPI 1164657771

11234 ANDERSON ST
Loma Linda, CA 92354

(909) 558-4475

✔ PECOS✔ Accepts MedicareSame address

Warren Boling, M.D.

Neurosurgery

NPI 1912007790

11234 ANDERSON ST RM 2562B
Loma Linda, CA 92354

(909) 558-4479

✔ PECOS✔ Accepts MedicareSame address

Kelsey Bullock

Psychiatry

NPI 1972981926

11234 ANDERSON ST
Loma Linda, CA 92354

(909) 558-9532

✔ PECOS✔ Accepts MedicareSame address

Shannon Calaguas, M.D.

Otolaryngology

NPI 1396309845

11234 ANDERSON STREET GME OFFICE WESTERLY SUITE C
Loma Linda, CA 92354

(909) 558-2600

✔ PECOS✔ Accepts MedicareSame address

Kristin Carr, MD

Infectious Disease

NPI 1750768362

11234 ANDERSON ST
Loma Linda, CA 92354

(760) 585-8944

✔ 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 1245605781. It was assigned to this organization in the NPPES registry on December 9, 2015.

Where is Faculty Physicians And Surgeons Of Llusm located?

Faculty Physicians And Surgeons Of Llusm is located at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-6122.

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

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

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, 739 practice at this address and 1,479 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.