FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1679043400
Family Medicine in Redlands, CA
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 1679043400) is a healthcare organization registered as a family medicine in Redlands, California and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through July 7, 2028, maintains 2 additional practice locations, and lists Ricardo Peverini, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Group Practice 1
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
2,571Medicare 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, 12 practice at this address and 1,444 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 74
Nearest to this location (20)
See all 2,571Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2346910
Faculty Physicians & Surgeons Of Llusm Fam Med 106A · Loma Linda, CAFrequently 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 1679043400. It was assigned to this organization in the NPPES registry on December 5, 2018.
Where is Faculty Physicians And Surgeons Of Llusm located?
Faculty Physicians And Surgeons Of Llusm is located at 25828 Redlands Blvd Ste 102, Redlands, CA 92373. The listed phone number is (909) 558-6600.
What is Faculty Physicians And Surgeons Of Llusm's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 12 practice at this address and 1,444 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Faculty Physicians And Surgeons Of Llusm hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2346910) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Faculty Physicians And Surgeons Of Llusm was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Faculty Physicians And Surgeons Of Llusm · NPI 1679043400
Family Medicine organization in Redlands, California. Organization record, active in the CMS NPPES registry since December 5, 2018.
## Identity
- **NPI:** 1679043400 (Entity type: Organization)
- **Enumerated:** December 5, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ricardo Peverini, PRESIDENT
## Practice location
- **Address:** 25828 REDLANDS BLVD STE 102, Redlands, CA 92373-8450
- **Phone:** (909) 558-6600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,571 clinicians in 74 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (353), Pediatric Medicine (243), Emergency Medicine (191); 12 practice at this address and 1,444 within 10 miles; [full list](https://npiprofile.com/npi/1679043400/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679043400) · Data from the CMS NPPES public registry.