FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY
NPI 1386875110
Radiology - Diagnostic Radiology in Loma Linda, CA

Active since July 28, 2009
25455 BARTON RD STE 107B, LOMA LINDA, CA 92354(909) 558-3016 Get Directions Write a Review

NPPES record last updated: August 28, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Radiology
  • Diagnostic Radiology

About FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY

This page provides the complete NPI Profile along with additional information for Faculty Medical Group Of Llusm-radiology, a provider established in Loma Linda, California operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1386875110 assigned on July 2009. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Faculty Medical Group Of Llusm-radiology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Faculty Medical Group Of Llusm-radiology. The authorized official of this NPI record is Ricardo Peverini M.d. (President)

NPI
1386875110 Verify this NPI
Provider Legal Name
FACULTY MEDICAL GROUP OF LLUSM
Other Organization Name
FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
25455 BARTON RD STE 107B LOMA LINDA, CA 92354
Location Phone
(909) 558-3016
Mailing Address
FILE # 54701 LOS ANGELES, CA 90074
Mailing Phone
(909) 558-3111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2009
Last Update Date
08-28-2009
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICARDO PEVERINI M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(909) 558-7448

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386875110, enumerated as an "organization" on July 28, 2009.

The provider is located at 25455 BARTON RD STE 107B LOMA LINDA, CA 92354 and the phone number is (909) 558-3016.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.