Mgm Physician Assistant Inc
NPI 1023871779ActiveOrganization· Physician Assistant, Surgical· Riverside, CA
Physician Assistant, Surgical in Riverside, California, registered in NPPES in February 2024. The authorized official on file is Gina Habeeb, PA, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023871779 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 5, 2024 |
| Last updated in NPPES | Dec 3, 2025 |
| Certified by provider | Dec 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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