Faculty Physicians and Surgeons of Llusm is a Neurological Surgery Physician (organization) practicing in Riverside, California. The National Provider Identifier (NPI) is #1316997174, which was assigned on May 11, 2006, and the registration record was last updated on September 22, 2025. The practitioner's main practice location is at 4646 Brockton Ave, Riverside, CA 92506-0102; the contact telephone number is 7603415570, and the fax number is 9095583905. The primary taxonomy of Faculty Physicians and Surgeons of Llusm is Neurological Surgery Physician (207T00000X). The authorized official for Faculty Physicians and Surgeons of Llusm is Ricardo Peverini (President).
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
| NPI | 1316997174 |
| Entity Type | Organization |
| Organization Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Provider Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Practice Address |
4646 Brockton Ave Riverside CA 92506-0102 |
| Practice Telephone | 7603415570 |
| Practice Fax Number | 9095583905 |
| Mailing Address |
File Number 54701 Los Angeles CA 90074-0001 |
| Mailing Telephone | 9095583111 |
| Mailing Fax Number | 9095583905 |
| Certification Date | 2025-09-22 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2025-09-22 |
| Is Organization Subpart | N |
| Official Name | RICARDO PEVERINI |
| Official Title | PRESIDENT |
| Credential | M.D. |
| Telephone | 9095587448 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 193200000X MULTI-SPECIALTY GROUP |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| GR006902W | CA | MEDICAID |
| Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| Classification | Neurological Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Neurosight PC | 10601 Walker St Ste 170, Cypress, CA 90630-4759 | Neurological Surgery Physician | 2026-04-20 |
| Cameron James Fontenot | 3401 N Broad St, Philadelphia, PA 19140-5189 | Neurological Surgery Physician | 2026-05-05 |
| Fidus Medical LLC | 53 Calle Palmeras Ste 601, San Juan, PR 00901-2410 | Neurological Surgery Physician | 2026-04-28 |
| Abdallah Salemdawod | 1725 W Harrison St Ste 855, Chicago, IL 60612-5113 | Neurological Surgery Physician | 2026-04-22 |
| Alireza Karandish · Ali Karandish | 111 E 210th St, Bronx, NY 10467-2401 | Neurological Surgery Physician | 2026-05-01 |
| Anthony Dambrosio Md PLLC | 1 Blue Hill Plz Lbby Level, Pearl River, NY 10965-3111 | Neurological Surgery Physician | 2026-04-23 |
| Alliance Neurosurgical P.C. | 39 Union St, Carteret, NJ 07008-3323 | Neurological Surgery Physician | 2026-05-04 |
| Diego Tonathiu Soto Rubio | 250 Blossom St, Webster, TX 77598-4204 | Neurological Surgery Physician | 2026-05-09 |
| Alex Yohan Alexander | 200 1st St Sw, Rochester, MN 55905-0002 | Neurological Surgery Physician | 2026-05-05 |
| Ortho Vip LLC | 628 Maitland Ave, Altamonte Springs, FL 32701-6834 | Neurological Surgery Physician | 2026-04-24 |
| Find all providers with the same taxonomy | |||
| Street Address |
4646 BROCKTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-0102 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sharon Headrick | 4646 Brockton Ave, Suite 202, Riverside, CA 92506-0128 | Medical Physician Assistant | 2008-11-19 |
| Robert A Hardesty | 4646 Brockton Ave, Suite 302, Riverside, CA 92506-0102 | Specialist | 2006-07-21 |
| Gary M. Feinberg Ent, Inc. | 4646 Brockton Ave, Suite 201, Riverside, CA 92506 | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 2014-04-22 |
| Linnea Hondorp | 4646 Brockton Ave, Riverside, CA 92506-0102 | Registered Nurse | 2017-05-02 |
| Daisy Wu, Dpm, Inc. | 4646 Brockton Ave, Suite 202, Riverside, CA 92506-0102 | Podiatrist | 2010-03-26 |
| Physician Management Services of California, LLC | 4646 Brockton Ave, Riverside, CA 92506-0102 | Family Medicine Physician | 2020-09-11 |
| Raincross Medical Group | 4646 Brockton Ave, Riverside, CA 92506-0102 | Family Nurse Practitioner | 2016-10-14 |
| Kelly L Salazar | 4646 Brockton Ave, Riverside, CA 92506-0102 | Physician Assistant | 2024-07-29 |
| Victoria Katherine Begley | 4646 Brockton Ave, Suite 302, Riverside, CA 92506-0102 | Nurse Practitioner | 2006-07-12 |
| Mary Elizabeth Barba | 4646 Brockton Ave, Riverside, CA 92506-0102 | Family Nurse Practitioner | 2014-08-15 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Marcia Ann Gay | 4472 Beechwood Place, Riverside, CA 92506-0102 | Nurse Practitioner | 2005-10-07 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Beverly D. Thomas-Marsh | 6700 Indiana Ave Ste 165, Riverside, CA 92506 | Mental Health Counselor | 2018-05-15 |
| Skylar Kund | 6571 Hemingway Dr, Riverside, CA 92506 | Behavior Technician | 2021-01-31 |
| Beatriz Arredondo | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | Behavioral Analyst | 2020-10-14 |
| Alexander Huerta | 17130 Van Burren Blvd, Riverside, CA 92506 | Behavior Technician | 2024-05-20 |
| Creative Minds Networking | 6809 Indiana Ave, Riverside, CA 92506 | Behavioral Analyst | 2021-08-10 |
| Ngan Thi Kim Nguyen | The Oncology Institute of Hope and Innovation, 4646 Brockton Ave. #203, Riverside, CA 92506 | Hematology & Oncology Physician | 2017-04-02 |
| Fazel Chiropractic Inc | 3579 Arlington Ave, Suite #100, Riverside, CA 92506 | Chiropractor | 2021-06-03 |
| London Campbell | 3695 Ocean Ranch Blvd, Oceanside, CA 92506 | Behavior Technician | 2025-01-07 |
| Georgina Laus Villacorta | 8070 Jurupa Avenue, Riverside, CA 92506 | Registered Nurse | 2021-06-21 |
| Prevail Health Solutions, LLC | 7450 Chateau Ridge Ln, Riverside, CA 92506 | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2018-06-22 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ent Faculty Group | 201 E Sample Rd, Deerfield Beach, FL 33064-3502 | Otolaryngology Physician | 2026-03-10 |
| Northwestern Medical Faculty Foundation | 15300 West Ave Ste 100, Orland Park, IL 60462-4600 | Orthopaedic Surgery Physician | 2026-04-02 |
| Proliance Surgeons Inc P S | 22443 Se 240th St Ste 201, Maple Valley, WA 98038-5879 | Hand Physical Therapist | 2026-05-05 |
| Huntington Faculty Medical Affiliates, University Faculty Practice Cor | 533 Route 111, Hauppauge, NY 11788-4350 | Family Medicine Physician | 2026-04-09 |
| North Shore Faculty Medical Affiliates, University Faculty Prac | 300 Community Dr, Manhasset, NY 11030-3816 | Obstetrics & Gynecology Physician | 2026-04-21 |
| Orthopedic Surgeons Ltd | 686 Yorktown Rd, Lewisberry, PA 17339-9522 | Physical Therapist | 2026-04-09 |
| Mather Faculty Medical Affiliates, University Faculty Practice Corp | 1500 Route 112 Bldg 5, Port Jefferson Station, NY 11776-8055 | Internal Medicine Physician | 2026-04-09 |
| Proliance Surgeons Inc P S | 405 Sw 41st St Ste 407, Renton, WA 98057-4926 | Hand Physical Therapist | 2026-05-05 |
| Phelps Faculty Medical Affiliates, University Faculty Practice Corpora | 25 Smith St Ste 210, Nanuet, NY 10954-2971 | Pediatrics Physician | 2026-03-05 |
| Specialized Surgeons LLC | 33111 W. Seven Mile Rd., Livonia, MI 48152 | Oral & Maxillofacial Surgery (D.M.D.) | 2006-07-28 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |