OrganizationActive
Faculty Physicians and Surgeons of Llusm
NPI 1861892705 · Pediatric Surgery Physician · Upland, CA
Provider details
- NPI number
- 1861892705
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ricardo Peverini, President(909) 558-7445
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
901 San Bernardino Rd
Upland, CA 91786-4912
Phone: (909) 558-4000
Approximate (ZIP-level) locationGet directions
Mailing address
File # 54701
Los Angeles, CA 90074-4701
Registry dates
- Enumerated
- 2014-08-28
- Last updated
- 2019-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.