Mgm Physician Assistant Inc
NPI 1023871779 · Surgical Physician Assistant · Riverside, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mgm Physician Assistant Inc is a Surgical Physician Assistant organization in Riverside, CA (NPI 1023871779).
Provider details
- NPI number
- 1023871779
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Gina Habeeb, Ceo(951) 788-2224
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- La Casa Wound Specialist
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2025-12-03
- Certified
- 2025-12-03
Frequently asked questions
- What is Mgm Physician Assistant Inc's NPI number?
- Mgm Physician Assistant Inc's National Provider Identifier (NPI) is 1023871779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mgm Physician Assistant Inc?
- Mgm Physician Assistant Inc is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mgm Physician Assistant Inc located?
- Mgm Physician Assistant Inc's practice location on file with NPPES is 1525 3rd St Ste 205, Riverside, CA 92507-9000.
- What is Mgm Physician Assistant Inc's phone number?
- The practice phone number listed in the NPPES registry for Mgm Physician Assistant Inc is (310) 810-6554.
- Does Mgm Physician Assistant Inc accept Medicare?
- Mgm Physician Assistant Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mgm Physician Assistant Inc?
- The authorized official listed on Mgm Physician Assistant Inc's NPPES record is Gina Habeeb, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mgm Physician Assistant Inc's NPI active?
- Yes — Mgm Physician Assistant Inc's NPI (1023871779) is active in the NPPES registry as of the last update on 2025-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.