# FACULTY PHYSICIANS AND SURGEONS OF LLUSM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952064222
- **Authorized official:** RICARDO PEVERINI MD (PRESIDENT)
- **Authorized official phone:** (909) 651-5582

## Contact information

- **Practice address:** 1695 N SUNRISE WAY, PALM SPRINGS, CA 92262-3701
- **Practice address phone:** (909) 558-3636
- **Mailing address:** FILE NUMBER 54701, LOS ANGELES, CA 90074-4701
- **Mailing address phone:** (909) 651-4352
- **Mailing address fax:** (909) 651-4586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | — | NULL | Yes |
| 204F00000X | Transplant Surgery Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/14/2021
- **Last updated:** 10/14/2021