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 Neurological Surgery Physician · NPI 1588034169

Faculty Physicians and Surgeons of Llusm is a Neurological Surgery Physician in Upland, California. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3

Practice location Address checks out

350 S Euclid Ave Unit C
Upland, CA 91786-6665
Phone: (909) 558-6388
Fax: (909) 651-4586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1588034169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedSeptember 25, 2015
Last updated in NPPESJuly 19, 2019
Mailing addressFile # 54701, Los Angeles, CA 90074-4701