FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1285684605
Pediatrics in Moreno Valley, CA

NPI Status: Active since May 10, 2006

Contact Information

11401 HEACOCK ST
SUITE 330
MORENO VALLEY, CA
ZIP 92557
Phone: (951) 247-8697
Fax: (909) 558-3905

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  • Organization
  • Pediatrics

About FACULTY PHYSICIANS AND SURGEONS OF LLUSM

This page provides the complete NPI Profile along with additional information for Faculty Physicians And Surgeons Of Llusm, a pediatrician established in Moreno Valley, California operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1285684605 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ricardo Peverini M.d. (President)

NPI
1285684605
Provider Name
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Entity Type
Organization
Location Address
11401 HEACOCK ST SUITE 330 MORENO VALLEY, CA 92557
Location Phone
(951) 247-8697
Location Fax
(909) 558-3905
Mailing Address
FILE NUMBER 54701 LOS ANGELES, CA 90074
Mailing Phone
(909) 558-3111
Mailing Fax
(909) 558-3905
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2006
Last Update Date
07-19-2019
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A pediatrician like Faculty Physicians And Surgeons Of Llusm is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICARDO PEVERINI M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(909) 558-7448

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GROO6902DMEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285684605
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165128860
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 8 + 8 + 6 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1285684605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679743686THERAPEUTIC SLEEP LAB OF RIVERSIDE
Organization
Clinical Medical Laboratory11401 HEACOCK ST SUITE 340
MORENO VALLEY, CA 92557
(877) 836-8227
1134385859DR. ROBERT F SMITH DDS
Individual
Dentist11401 HEACOCK ST SUITE 320
MORENO VALLEY, CA 92557
(951) 247-7040
1467618199 DAVID L REAGAN DDS
Individual
Dentist11401 HEACOCK ST SUITE 320
MORENO VALLEY, CA 92557
(951) 247-7040
1386902211 JANICE TSAI M.D.
Individual
Pediatrics11401 HEACOCK ST SUITE 330
MORENO VALLEY, CA 92557
(951) 247-8697
1669540084DAVID REAGAN & ROBERT SMITH DDS SMITH ROBERT F GEN PTR.
Organization
Dentist (General Practice)11401 HEACOCK ST SUITE 320
MORENO VALLEY, CA 92557
(951) 247-7040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285684605, enumerated in the NPI registry as an "organization" on May 10, 2006

The provider is located at 11401 Heacock St Suite 330 Moreno Valley, Ca 92557 and the phone number is (951) 247-8697

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.