Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Faculty Physicians and Surgeons of Llusm

Organization Surgery Physician · NPI 1013967405

Faculty Physicians and Surgeons of Llusm provides Surgery Physician services in Riverside, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

3762 Tibbetts St
Riverside, CA 92506-2605
Phone: (951) 686-2224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1013967405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedMay 10, 2006
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing addressFile Number 54701, Los Angeles, CA 90074-0001

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