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FACULTY MEDICAL GROUP OF LLUSM
NPI 1295781219
Transplant Surgery in Loma Linda, CA

Active since May 25, 2006
25865 BARTON RD, STE 101, LOMA LINDA, CA 92354(909) 558-3636 Get Directions Write a Review

NPPES record last updated: February 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Faculty Medical Group Of Llusm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FACULTY MEDICAL GROUP OF LLUSM (NPI 1295781219) is a healthcare organization registered as a transplant surgery in Loma Linda, California and active in the NPI registry since May 2006. The organization lists Ricardo Peverini, President Faculty Medical Group Of, as its authorized official.

NPPES Registry Identity

NPI1295781219
Entity TypeOrganization
Primary Taxonomy204F00000X
Legal Business NameFACULTY MEDICAL GROUP OF LLUSM
Location Address25865 BARTON RD, STE 101Loma Linda, CA 92354-3895
Mailing AddressFile Number 54701Los Angeles, CA 90074-4701 · (909) 558-3111
Phone(909) 558-3636
Organization SubpartNo
Authorized OfficialRicardo PeveriniPresident Faculty Medical Group Of · (909) 558-7448
Enumeration DateMay 25, 2006
Last NPPES UpdateFebruary 27, 2009
✔ NPI 1295781219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
25865 BARTON RD, Loma Linda, CA 92354
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Other Identifiers 2

MedicaidGR0068911CA
Medicare PINZZZ01227ZCA

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.

DR. RAFAEL VILLICANA MD
Internal Medicine (Nephrology)
25865 BARTON RD, SUITE 101
LOMA LINDA, CA 92354
San Bernardino County (909) 558-3636
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Dermatology
25865 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-3636
DR. MINA OH RAKOSKI M.D.
Internal Medicine (Gastroenterology)
25865 BARTON RD, STE 101
LOMA LINDA, CA 92354
San Bernardino County (909) 558-3364
MR. RANDALL THOMAS CULLER PA-C
Physician Assistant
25865 BARTON RD, SUITE 101
LOMA LINDA, CA 92354
San Bernardino County (909) 668-3636

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 Medical Group Of Llusm's NPI number?

The NPI number for Faculty Medical Group Of Llusm is 1295781219. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Faculty Medical Group Of Llusm located?

Faculty Medical Group Of Llusm is located at 25865 Barton Rd Ste 101, Loma Linda, CA 92354. The listed phone number is (909) 558-3636.

What is Faculty Medical Group 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 Medical Group Of Llusm was last updated on February 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.