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FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1689357048
Pharmacist - Pharmacotherapy in Loma Linda, CA

Active since August 10, 2023CLIA 05D2121136 · Waiver
24785 STEWART ST STE 111, LOMA LINDA, CA 92350(909) 558-4594 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, Aug 10, 2023 (2 updates tracked since 2023).

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 1689357048) is a healthcare organization registered as a pharmacotherapy in Loma Linda, California and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Ricardo Peverini, President, as its authorized official.

NPPES Registry Identity

NPI1689357048
Entity TypeOrganization
Primary Taxonomy1835P1200X
Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM
Location Address24785 STEWART ST STE 111Loma Linda, CA 92350-1721
Mailing AddressFile Number 54701Los Angeles, CA 90074-4701
Phone(909) 558-4594
Organization SubpartNo
Authorized OfficialRicardo PeveriniPresident · (909) 651-5582
Enumeration DateAugust 10, 2023
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1689357048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
24785 STEWART ST STE 111, Loma Linda, CA 92350
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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

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 05D2121136

Faculty Physicians & Surgeon Of Llusm Dba Chp · Loma Linda, CA
Active · expires Nov 1, 2026
CLIA Number05D2121136
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorLeah M. Humann
Laboratory Phone(909) 558-4594
Laboratory LocationFaculty Physicians & Surgeon Of Llusm Dba Chp24785 Stewart St, Ste 111 Evans Hall, Loma Linda, CA 92354
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

EDELWEISS VON MAACK NP-C
Nurse Practitioner (Gerontology)
24785 STEWART ST STE 111
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4594
SILVIA CRISTINA CASWELL DO
Preventive Medicine (Public Health & General Preventive Medicine)
24785 STEWART ST STE 111
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4594
MICHAEL ANDRES CARUSO M.D.
Family Medicine
24785 STEWART ST STE 111
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4594
DR. LEAH MARIE HUMANN M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
24785 STEWART ST STE 111
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4920

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 1689357048. It was assigned to this organization in the NPPES registry on August 10, 2023.

Where is Faculty Physicians And Surgeons Of Llusm located?

Faculty Physicians And Surgeons Of Llusm is located at 24785 Stewart St Ste 111, Loma Linda, CA 92350. The listed phone number is (909) 558-4594.

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

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

Does Faculty Physicians And Surgeons Of Llusm hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2121136) is associated with this NPI, valid through November 1, 2026. 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 July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.