FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1487603924
Psychologist in Loma Linda, CA

Active since May 10, 2006
11130 ANDERSON ST, SUITE 117, LOMA LINDA, CA 92354(909) 558-8576(909) 558-3905 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1487603924) is a healthcare organization registered as a psychologist 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

NPI1487603924
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM
Location Address11130 ANDERSON ST, SUITE 117Loma Linda, CA 92354-2802
Mailing AddressFile Number 54701Los Angeles, CA 90074-0001 · (909) 558-3111 · Fax (909) 558-3905
Fax(909) 558-3905
Organization SubpartNo
Authorized OfficialRicardo PeveriniPresident · (909) 558-7448
Enumeration DateMay 10, 2006
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1487603924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
11130 ANDERSON ST, Loma Linda, CA 92354

Other Identifiers 1

MedicaidGPS000762CA

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, 3 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
Clinical Psychologist
NPI 1700765997
11130 ANDERSON ST
Loma Linda, CA 92350
(909) 558-8706
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1285269068
24887 TAYLOR ST BLDG SUITE202
Loma Linda, CA 92350
(909) 651-4024
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1356530208
LOMA LINDA UNIVERSITY DEPT OF 11370 ANDERSON ST # 2400
Loma Linda, CA 92354
(909) 558-2880
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962977140
24920 MOUND ST
Loma Linda, CA 92350
(479) 420-1746
✔ PECOS✔ Accepts Medicare0.1 mi
Maxillofacial Surgery
NPI 1306157094
11092 ANDERSON ST
Loma Linda, CA 92350
(909) 558-4423
✔ PECOS✔ Accepts Medicare0.1 mi
Oral Surgery
NPI 1356721302
11092 ANDERSON ST STE 3306
Loma Linda, CA 92350
(909) 558-4671
✔ PECOS0.1 mi
Psychiatry
NPI 1700050515
24949 PROSPECT STREET
Loma Linda, CA 92354
(909) 677-8072
✔ PECOS✔ Accepts Medicare0.2 mi
Hematology/Oncology
NPI 1437653110
11175 CAMPUS ST
Loma Linda, CA 92350
(909) 558-0219
✔ PECOS0.2 mi
Critical Care (Intensivists)
NPI 1245612787
11175 CAMPUS ST STE A1120
Loma Linda, CA 92350
(909) 558-4773
✔ PECOS✔ Accepts Medicare0.2 mi
Thoracic Surgery
NPI 1689100349
11175 CAMPUS ST
Loma Linda, CA 92350
(909) 558-5959
✔ PECOS0.2 mi
Pediatric Medicine
NPI 1952745390
11175 CAMPUS ST
Loma Linda, CA 92350
(909) 558-4773
✔ PECOS0.2 mi
Nephrology
NPI 1386925634
11175 CAMPUS ST
Loma Linda, CA 92350
(901) 287-7337
✔ PECOS0.2 mi
General Surgery
NPI 1891852109
11175 CAMPUS ST STE 21111
Loma Linda, CA 92350
(909) 651-5948
✔ PECOS✔ Accepts Medicare0.2 mi
Endocrinology
NPI 1275911364
11175 CAMPUS STREET, CP-A1120
Loma Linda, CA 92350
(909) 558-4773
✔ PECOS0.2 mi
Emergency Medicine
NPI 1346771607
11175 CAMPUS ST
Loma Linda, CA 92350
(408) 839-0207
✔ PECOS0.2 mi
Anesthesiology
NPI 1083635528
11234 ANDERSON ST
Loma Linda, CA 92354
(909) 558-4475
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1013481969
11234 ANDERSON ST
Loma Linda, CA 92354
(909) 558-4000
✔ Accepts Medicare0.2 mi
Interventional Cardiology
NPI 1073531802
11234 ANDERSON ST #1617
Loma Linda, CA 92354
(909) 558-8591
✔ PECOS✔ Accepts Medicare0.2 mi
Interventional Radiology
NPI 1073539177
11234 ANDERSON ST
Loma Linda, CA 92354
(909) 558-8311
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1124225164
11234 ANDERSON STREET LLUMC HOUSE STAFF OFFICE CP 21005
Loma Linda, CA 92354
(909) 558-8131
✔ PECOS✔ Accepts Medicare0.2 mi
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 1487603924. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Faculty Physicians And Surgeons Of Llusm located?

Faculty Physicians And Surgeons Of Llusm is located at 11130 Anderson St Suite 117, Loma Linda, CA 92354. The listed phone number is (909) 558-8576.

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

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

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, 3 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 September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.