Gina Habeeb Physician Assistant Inc

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

GINA HABEEB PHYSICIAN ASSISTANT INC

Practice address

2790 Skypark Dr Ste 210
Torrance, CA 90505-5388

Phone

(310) 619-7370

Fax

(888) 451-7370

NPI assigned

May 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gina Habeeb, PA-CNPI 1801386149

Title

Owner

Phone

(310) 619-7370

Specialties & licenses 2

Addresses

Other names 1

• VITALITY CARE CLINIC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Habeeb

  • Surgical Physician Assistant
  • Riverside, CA
  • NPI 1801386149

  Multi-Specialty

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1730936402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BAHIA PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074023",
            "telephone_number": "310-619-7370",
            "fax_number": "888-451-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 SKYPARK DR STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055388",
            "telephone_number": "310-619-7370",
            "fax_number": "888-451-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA HABEEB PHYSICIAN ASSISTANT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "HABEEB",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-619-7370",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITALITY CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Gilliland, M.D.
• Debra Ann Gilmore, N.P.
• Gilbert Bisa Gimeno, RN
• Asia T. Gin
• Gina Habeeb Physician Assistant Inc
• Ginelle Guckenburg Marriage & Family Inc.
• Emily Anne Ginn, MD
• Kaitlyn Jill Ginoza
• Gregory T Ginsburg, M.D.
• Courtney L. Ginter, PT

• Primary Care Nurse Practitioner in Torrance, CA
• Providers in Torrance, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.