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FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1477503407
Pediatrics in Loma Linda, CA

Active since May 11, 2006
11234 ANDERSON ST, LOMA LINDA, CA 92350(909) 558-4000 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2026, Jun 24, 2025, Nov 19, 2019 and 2 more (5 updates tracked since 2018).

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 1477503407) is a healthcare organization registered as a pediatrics in Loma Linda, California and active in the NPI registry since May 2006. The organization lists Ricardo Peverini, President, as its authorized official.

NPPES Registry Identity

NPI1477503407
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM
Location Address11234 ANDERSON STLoma Linda, CA 92350-1716
Mailing AddressFile Number 54701Los Angeles, CA 90074-4701 · (909) 651-4300 · Fax (909) 651-4586
Phone(909) 558-4000
Organization SubpartNo
Authorized OfficialRicardo PeveriniPresident · (909) 558-7448
Enumeration DateMay 11, 2006
Last NPPES UpdateJanuary 7, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1477503407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
11234 ANDERSON ST, Loma Linda, CA 92350
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Other Identifiers 1

MedicaidGR0069023CA

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 20

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

DR. THUCAN TIMOTHY BUI DO
Emergency Medicine
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4344
VAHE YACOUBIAN MD, MPH
Orthopaedic Surgery
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (818) 813-4234
AISHA Q EALEY APRN, ACCCNS-N
Clinical Nurse Specialist (Neonatal)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4248
MR. RANDAL KEITH GILMAN PA
Physician Assistant
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4475
AMR AZZAM MD, PHD
Ophthalmology (Retina Specialist)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-2182
DARSH THAKRAR M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
HAITHAM SIAG MBBCH
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (914) 267-6104
PRESTON ANDREW SHIRSAT
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4074

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 1477503407. 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 11234 Anderson St, Loma Linda, CA 92350. The listed phone number is (909) 558-4000.

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 January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.