Shine Mmg Inc
NPI 1053930248 · Family Medicine Physician · Glendale, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shine Mmg Inc is a Family Medicine Physician organization in Glendale, CA (NPI 1053930248).
Provider details
- NPI number
- 1053930248
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Emil Golub, Cfo(424) 204-6004
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- Shine Mmg
Registry dates
- Enumerated
- 2020-04-08
- Last updated
- 2020-04-08
- Certified
- 2020-04-08
Frequently asked questions
- What is Shine Mmg Inc's NPI number?
- Shine Mmg Inc's National Provider Identifier (NPI) is 1053930248, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shine Mmg Inc?
- Shine Mmg Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shine Mmg Inc located?
- Shine Mmg Inc's practice location on file with NPPES is 450 N Brand Blvd Ste 625a, Glendale, CA 91203-2347.
- What is Shine Mmg Inc's phone number?
- The practice phone number listed in the NPPES registry for Shine Mmg Inc is (818) 745-0070.
- Does Shine Mmg Inc accept Medicare?
- Shine Mmg 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 Shine Mmg Inc?
- The authorized official listed on Shine Mmg Inc's NPPES record is Emil Golub, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shine Mmg Inc's NPI active?
- Yes — Shine Mmg Inc's NPI (1053930248) is active in the NPPES registry as of the last update on 2020-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.