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: 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 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

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, 9 practice at this address and 1,477 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 1134538564
2195 CLUB CENTER DR
San Bernardino, CA 92408
(909) 558-2617
✔ PECOSSame address
Pediatric Medicine
NPI 1407890429
2195 CLUB CENTER DR STE G
San Bernardino, CA 92408
(909) 835-1801
✔ PECOSSame address
Ophthalmology
NPI 1730104944
2195 CLUB CENTER DR STE L
San Bernardino, CA 92408
(909) 558-2154
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1306379110
2195 CLUB CENTER DR STE G
San Bernardino, CA 92408
(909) 835-1802
✔ PECOSSame address
Clinical Psychologist
NPI 1770776510
2195 CLUB CENTER DR STE A
San Bernardino, CA 92408
(909) 558-4000
✔ PECOSSame address
Clinical Psychologist
NPI 1528134186
2195 CLUB CENTER DR STE A
San Bernardino, CA 92408
(909) 651-1899
✔ PECOSSame address
Clinical Psychologist
NPI 1881711901
2195 CLUB CENTER DR STE A
San Bernardino, CA 92408
(909) 835-1899
✔ PECOSSame address
Optometry
NPI 1598497570
2195 CLUB CENTER DR
San Bernardino, CA 92408
(909) 582-1545
✔ PECOSSame address
Pediatric Medicine
NPI 1467890632
2195 CLUB CENTER DR STE A
San Bernardino, CA 92408
(909) 558-4000
✔ PECOS✔ Accepts MedicareSame address
Sleep Medicine
NPI 1275829533
250 E CAROLINE ST STE J
San Bernardino, CA 92408
(909) 835-1810
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1730316100
250 E CAROLINE ST STE J
San Bernardino, CA 92408
(909) 558-4000
✔ PECOS0.1 mi
General Surgery
NPI 1639286495
197 EAST CAROLINE STREET SUITE 1400
San Bernardino, CA 92408
(909) 558-3636
✔ PECOS0.1 mi
Nephrology
NPI 1578710158
197 E CAROLINE ST STE 1400
San Bernardino, CA 92408
(909) 558-3636
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1154784437
197 E CAROLINE ST
San Bernardino, CA 92408
(909) 558-3636
✔ PECOS✔ Accepts Medicare0.1 mi
Allergy/Immunology
NPI 1013930874
250 E CAROLINE ST STE J
San Bernardino, CA 92408
(909) 651-1900
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1780097170
250 E CAROLINE ST STE E
San Bernardino, CA 92408
(909) 651-1910
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1528197365
250 E CAROLINE ST STE E
San Bernardino, CA 92408
(909) 651-1910
✔ PECOS0.1 mi
Pulmonary Disease
NPI 1750510293
250 E CAROLINE ST
San Bernardino, CA 92408
(909) 651-1900
✔ PECOS0.1 mi
Qualified Audiologist
NPI 1407464233
197 E CAROLINE ST STE 1100
San Bernardino, CA 92408
(909) 558-2824
0.1 mi
Neurology with Special Qualifications in Child Neurology
NPI 1053543165
250 E CAROLINE ST STE J
San Bernardino, CA 92408
(909) 835-1810
✔ PECOS0.1 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 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.

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, 9 practice at this address and 1,477 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 February 2, 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.