FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1962452714
Ophthalmology in San Bernardino, CA

Active since May 11, 2006
2195 CLUB CENTER DR, SUITE A-L, SAN BERNARDINO, CA 92408(909) 558-2154 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 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 1962452714) is a healthcare organization registered as an ophthalmology in San Bernardino, California and active in the NPI registry since May 2006. The organization lists Ricardo Peverini, President, as its authorized official.

NPPES Registry Identity

NPI1962452714
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM
Location Address2195 CLUB CENTER DR, SUITE A-LSan Bernardino, CA 92408-4170
Mailing AddressFile Number 54701Los Angeles, CA 90074-0001 · (909) 558-3111
Organization SubpartNo
Authorized OfficialRicardo PeveriniPresident · (909) 558-7448
Enumeration DateMay 11, 2006
Last NPPES UpdateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
NPI 1962452714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOptometristTaxonomy 152W00000X
Also ListedPediatricsTaxonomy 208000000X
2195 CLUB CENTER DR, San Bernardino, CA 92408

Other Identifiers 2

MedicaidGR0069027CA
MedicaidGR006902VCA

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 4

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

Psychologist (Clinical Child & Adolescent)
2195 CLUB CENTER DR
SAN BERNARDINO, CA 92408
Speech-Language Pathologist
2195 CLUB CENTER DR, SUITE G
SAN BERNARDINO, CA 92408
Genetic Counselor, MS
2195 CLUB CENTER DR, STE A
SAN BERNARDINO, CA 92408
Optometrist
2195 CLUB CENTER DR
SAN BERNARDINO, CA 92408

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 1962452714. 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 2195 Club Center Dr Suite A-L, San Bernardino, CA 92408. The listed phone number is (909) 558-2154.

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

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Faculty Physicians And Surgeons Of Llusm was last updated on February 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.