FACULTY PHYSICIANS AND SURGEONS OF LLUSM
NPI 1508255175
Transplant Surgery in Glendale, CA

NPI Status: Active since January 20, 2015

Contact Information

1505 WILSON TERRACE
SUITE 155
GLENDALE, CA
ZIP 91206
Phone: (909) 558-3636

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  • Organization
  • Transplant Surgery

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 provider established in Glendale, California operating as a Transplant Surgery. The healthcare provider is registered in the NPI registry with number 1508255175 assigned on January 2015. The practitioner's primary taxonomy code is 204F00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Faculty Physicians And Surgeons Of Llusm operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ricardo Peverini Md (President)

NPI
1508255175
Provider Name
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Entity Type
Organization
Location Address
1505 WILSON TERRACE SUITE 155 GLENDALE, CA 91206
Location Phone
(909) 558-3636
Mailing Address
FILE # 54701 LOS ANGELES, CA 90074
Mailing Phone
(909) 558-3111
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-20-2015
Last Update Date
07-19-2019
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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

Transplant Surgery

Taxonomy Code
204F00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
3363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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 MD

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

Reviews for FACULTY PHYSICIANS AND SURGEONS OF LLUSM

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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.
1508255175
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25084510114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 4 + 5 + 1 + 0 + 1 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1508255175 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609830348 SHIRLEY M CHAN
Individual
Obstetrics & Gynecology1505 WILSON TERRACE SUITE 350
GLENDALE, CA 91206
(818) 243-8431
1104929900 MICHAEL FRIELDS MD
Individual
Obstetrics & Gynecology1505 WILSON TERRACE SUITE 130
GLENDALE, CA 91206
(818) 247-1476
1730262122DR. MIHRAN SHIRINIAN M.D.
Individual
Internal Medicine (Hematology & Oncology)1505 WILSON TERRACE SUITE 340
GLENDALE, CA 91206
(818) 543-7574
1538125059SHIRLEY M CHAN M D A MEDICAL CORPORATION
Organization
Obstetrics & Gynecology1505 WILSON TERRACE STE 350
GLENDALE, CA 91206
(818) 243-8431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508255175, enumerated in the NPI registry as an "organization" on January 20, 2015

The provider is located at 1505 Wilson Terrace Suite 155 Glendale, Ca 91206 and the phone number is (909) 558-3636

This medical organization specializes in Transplant Surgery with taxonomy code 204F00000X

This NPI record was last updated on January 20, 2015. 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].
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