FACULTY PHYSICIANS AND SURGEONS OF LLUSM - NPI 1619927647 - Clinical Neuropsychologist in Loma Linda, CA

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

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

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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 1619927647) is a healthcare organization registered as a clinical neuropsychologist 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

NPI1619927647

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM

Location Address11406 LOMA LINDA DR, SUITE 300Loma Linda, CA 92354-3711

Mailing AddressFile Number 54701Los Angeles, CA 90074-0001 · (909) 558-3111 · Fax (909) 558-3905

Phone(909) 558-6144

Fax(909) 558-3905

Organization SubpartNo

Authorized OfficialRicardo PeveriniPresident · (909) 558-7448

Enumeration DateMay 11, 2006

Last NPPES UpdateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1619927647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

11406 LOMA LINDA DR, Loma Linda, CA 92354

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Other Identifiers 1

MedicaidGPS000920CA

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.

MS. RANDI JEANNE WALKER OTRL, CHT

Occupational Therapist (Hand)

11406 LOMA LINDA DR, WEST ENTRANCE
LOMA LINDA, CA 92354

San Bernardino County (909) 558-6144

AMY KANGME PARK DO

Physical Medicine & Rehabilitation (Pain Medicine)

11406 LOMA LINDA DR
LOMA LINDA, CA 92354

San Bernardino County (909) 558-6277

SCOTT STRUM M.D.

Physical Medicine & Rehabilitation

11406 LOMA LINDA DR, STE 300
LOMA LINDA, CA 92354

San Bernardino County (909) 558-6277

MR. MINH Q. TRAN C.P.

Prosthetist

11406 LOMA LINDA DR, SUITE 407
LOMA LINDA, CA 92354

San Bernardino County (909) 558-6272

MR. MICHAEL JAMES DAVIDSON

Orthotist

11406 LOMA LINDA DR
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4000

RYAN CURTIS DOLINSKY PT

Physical Therapist (Orthopedic)

11406 LOMA LINDA DR
LOMA LINDA, CA 92354

San Bernardino County (909) 558-6144

DAVIN YAH-MING CHU M.D.

Physical Medicine & Rehabilitation

11406 LOMA LINDA DR, SUITE 516
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4000

DR. THADDEUS EARL WILSON M.D.

Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)

11406 LOMA LINDA DR, PHYSICAL MEDICINE AND REHABILITATION
LOMA LINDA, CA 92354

San Bernardino County (909) 558-6275

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 1619927647. 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 11406 Loma Linda Dr Suite 300, Loma Linda, CA 92354. The listed phone number is (909) 558-6144.

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

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

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 10 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.