MGM PHYSICIAN ASSISTANT INC
NPI 1023871779
Physician Assistant - Surgical in Riverside, CA
About Mgm Physician Assistant Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MGM PHYSICIAN ASSISTANT INC (NPI 1023871779), doing business as La Casa Wound Specialist, is a healthcare organization registered as a surgical in Riverside, California and active in the NPI registry since February 2024. The organization lists Gina Habeeb, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mgm Physician Assistant Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Mgm Physician Assistant Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mgm Physician Assistant Inc's NPI number?
The NPI number for Mgm Physician Assistant Inc is 1023871779. It was assigned to this organization in the NPPES registry on February 5, 2024. The provider is doing business as La Casa Wound Specialist.
Where is Mgm Physician Assistant Inc located?
Mgm Physician Assistant Inc is located at 1525 3rd St Ste 205, Riverside, CA 92507. The listed phone number is (310) 810-6554.
What is Mgm Physician Assistant Inc's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Mgm Physician Assistant Inc enrolled in Medicare?
Yes. Mgm Physician Assistant Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mgm Physician Assistant Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Mgm Physician Assistant Inc, in Anesthesiology, Critical Care (Intensivists), Emergency Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mgm Physician Assistant Inc was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mgm Physician Assistant Inc · NPI 1023871779
Surgical organization in Riverside, California. Organization record, active in the CMS NPPES registry since February 5, 2024.
## Identity
- **NPI:** 1023871779 (Entity type: Organization)
- **Enumerated:** February 5, 2024
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Also known as:** La Casa Wound Specialist (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Gina Habeeb, CEO
## Practice location
- **Address:** 1525 3RD ST STE 205, Riverside, CA 92507-9000
- **Phone:** (310) 810-6554
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (1), Critical Care (Intensivists) (1), Emergency Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023871779) · Data from the CMS NPPES public registry.