FACULTY PHYSICIANS AND SURGEONS OF LLUSM — NPI 1265686109 (Board-Certified Cardiologist (Heart & Blood Vessel Specialist) in LOMA LINDA, CA)

CMS-1500 Box 24J / 33a • NPI

1265686109

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207RC0000X (CMS 06)

Board-Certified Cardiologist (Heart & Blood Vessel Specialist)

Box 32 Service Location & ZIP+4

11234 ANDERSON ST STE 1617, LOMA LINDA, CA, 92354-2804

✓ 9-Digit EDI 837 ZIP+4 (92354-2804)

Practice Phone & Referral Fax

(909) 558-4200

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265686109 (FACULTY PHYSICIANS AND SURGEONS OF LLUSM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1265686109` (NPI-2 Organization / Facility)
Provider / Legal Name	FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Plain-English Specialty	Board-Certified Cardiologist (Heart & Blood Vessel Specialist) NUCC Code: `207RC0000X` (Internal Medicine, Cardiovascular Disease)
Certifying / Licensing Body	American Board of Internal Medicine — Cardiovascular Disease
Practice Location Address	11234 ANDERSON ST STE 1617, LOMA LINDA, CA, 92354-2804
Practice Telephone / Fax	Tel: (909) 558-4200
Administrative Mailing Address	FILE # 54701, LOS ANGELES, CA, 90074-4701
Enumeration & Last Sync	Enumerated: 2008-11-05 \| CMS Record Updated: 2023-09-19
Authorized Official	RICARDO PEVERINI (PRESIDENT)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

11234 ANDERSON ST STE 1617, LOMA LINDA, CA, 92354-2804

🗺️ Open in Google Maps 🏥 More Providers in LOMA LINDA

🔒 Are you FACULTY PHYSICIANS AND SURGEONS OF LLUSM? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (207RC0000X)

What Does Taxonomy Code 207RC0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0000X translates to:
"Board-Certified Cardiologist (Heart & Blood Vessel Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 06 (Physician/Cardiovascular Disease (Cardiology)) • CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine — Cardiovascular Disease
Clinical Scope: Chest pain (angina), palpitations, atrial fibrillation, heart murmurs, shortness of breath on exertion, resistant hypertension, or post-heart attack care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (FACULTY PHYSICIANS AND SURGEONS OF LLUSM)

Typical CPT / Diagnostic Procedures:

Transthoracic Doppler Echocardiography (TTE — CPT 93306)
12-Lead Electrocardiogram (ECG) & Holter / Event Arrhythmia Monitoring
Exercise Treadmill & Myocardial Perfusion Nuclear Stress Testing
Diagnostic Coronary Angiography & Percutaneous Coronary Intervention (PCI)

Common Therapeutic Classes:

High-Intensity Statins (Atorvastatin, Rosuvastatin) & Ezetimibe
Beta-Blockers (Metoprolol Succinate, Carvedilol, Bisoprolol)
Sacubitril/Valsartan, Empagliflozin & Spironolactone (Heart Failure GDMT)
Apixaban, Rivaroxaban & Clopidogrel (Atrial Fibrillation & Stent Thrombosis Prevention)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`170100000X` — Medical Genetics, Ph.D. Medical Genetics Plain English: Licensed & Credentialed Medical Genetics, Ph.D. Medical Genetics	State: N/A \| License: `Verified` \| Primary: Secondary
`207SG0205X` — Medical Genetics, Ph.D. Medical Genetics Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Ph.D. Medical Genetics	State: N/A \| License: `Verified` \| Primary: Secondary
`207ZC0006X` — Pathology, Clinical Pathology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Clinical Pathology	State: N/A \| License: `Verified` \| Primary: Secondary
`207ZP0102X` — Pathology, Anatomic Pathology & Clinical Pathology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology	State: N/A \| License: `Verified` \| Primary: Secondary
`208G00000X` — Thoracic Surgery (Cardiothoracic Vascular Surgery) Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RC0000X` — Internal Medicine, Cardiovascular Disease Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

FACULTY PHYSICIANS AND SURGEONS OF LLUSM (NPI #1265686109)