Gina Habeeb

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

7172 Magnolia Ave
Riverside, CA 92504-3804

Phone

(951) 788-2224

NPI assigned

May 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MGM Physician Assistant IncGroup PAC ID 5890132096, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MGM Physician Assistant Inc

  • Surgical Physician Assistant
  • Riverside, CA
  • NPI 1023871779
  Medicare reassignment Care Compare group Authorized official
• Gina Habeeb Physician Assistant Inc

  • Clinic/Center
  • Torrance, CA
  • NPI 1699533232
  NPD Authorized official
• Izuchukwu Okpara MD Inc

  • Surgery Physician
  • Valencia, CA
  • NPI 1679004592
  Medicare reassignment
• Mint Health Solutions, Inc

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1316543119
  Medicare reassignment
• Optimum Wound Care Inc

  • Surgery Physician
  • Woodland Hills, CA
  • NPI 1578217451
  Medicare reassignment
• SNF Wound Care

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1114393311
  Medicare reassignment
• Gina Habeeb Physician Assistant Inc

  • Primary Care Nurse Practitioner
  • Torrance, CA
  • NPI 1730936402

  Multi-Specialty

  NPD (past) Authorized official
• Kelker Professional Corporation

  • Critical Care Medicine (Internal Medicine) Physician
  • Colton, CA
  • NPI 1376488577

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1801386149",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7172 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043804",
            "telephone_number": "951-788-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABEEB",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hongphuc Phu Ha, DO
• Jenny Y Ha, DDS
• Lewis D. Ha, MD
• Nicole-Nincho Phu Ha, O.D.
• John Richard Haalboom Jr.
• Dina Habib
• Hafsa Habib, OTD
• Miral Habib
• Hacienda Village
• Irelynn Hacker

• Surgical Physician Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.