Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Faculty Medical Group of Llusm

Organization Transplant Surgery Physician · NPI 1679625156

Faculty Medical Group of Llusm provides Transplant Surgery Physician services in Riverside, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3762 Tibbetts St
Riverside, CA 92506-2605 Not confirmed with CMS for 17 years — call before visiting
Phone: (909) 558-3111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Transplant Surgery Physician (primary) Taxonomy 204F00000X

Record details

NPI number1679625156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedJanuary 17, 2007
Last updated in NPPESMay 5, 2009
Mailing address54701 File Number, Los Angeles, CA 90074-4701