FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1376795369
Otolaryngology in Redlands, CA
NPI Status: Active since October 21, 2008
Contact Information
1895 ORANGE TREE LN STE 102
REDLANDS, CA
ZIP 92374
Phone: (909) 558-2824
- Organization
- Otolaryngology
- CLIA Number: 05D2169590
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-22-2027
About FACULTY PHYSICIANS AND SURGEONS OF LLUSM
This page provides the complete NPI Profile along with additional information for Faculty Physicians And Surgeons Of Llusm, a provider established in Redlands, California operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1376795369 assigned on October 2008. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Faculty Physicians And Surgeons Of Llusm operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ricardo Peverini M.d. (President)
- NPI
- 1376795369
- Provider Name
- FACULTY PHYSICIANS AND SURGEONS OF LLUSM
- Entity Type
- Organization
- Location Address
- 1895 ORANGE TREE LN STE 102 REDLANDS, CA 92374
- Location Phone
- (909) 558-2824
- Mailing Address
- FILE # 54701 LOS ANGELES, CA 90074
- Mailing Phone
- (909) 558-3111
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-21-2008
- Last Update Date
- 10-17-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2169590
- Facility Type
- Physician Office
- Certificate Effective Date
- July 23, 2025
- Certificate Expiration Date
- July 22, 2027
- Laboratory Director
- RICHARD KIM
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Faculty Physicians And Surgeons Of Llusm in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1376795369, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
REDLANDS, CA 92374
REDLANDS, CA 92374
REDLANDS, CA 92374
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376795369, enumerated as an "organization" on October 21, 2008.
The provider is located at 1895 ORANGE TREE LN STE 102 REDLANDS, CA 92374 and the phone number is (909) 558-2824.
Otolaryngology with taxonomy code 207Y00000X.
