EVOLUTION ENT
NPI 1194145771
Otolaryngology - Plastic Surgery within the Head & Neck in Riverside, CA

Active since April 22, 2014
4646 BROCKTON AVE, SUITE 201, RIVERSIDE, CA 92506(951) 788-1447(951) 788-1485 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Evolution Ent NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVOLUTION ENT (NPI 1194145771) is a healthcare organization registered as a plastic surgery within the head & neck in Riverside, California and active in the NPI registry since April 2014. The organization lists Gary Mitchell Feinberg, President, as its authorized official.

NPPES Registry Identity

NPI1194145771
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameGARY M. FEINBERG ENT, INC.
Location Address4646 BROCKTON AVE, SUITE 201Riverside, CA 92506
Mailing AddressPo Box 7270Moreno Valley, CA 92552-7270 · (951) 656-1500 · Fax (951) 656-1510
Fax(951) 788-1485
Organization SubpartNo
Authorized OfficialGary Mitchell FeinbergPresident · (951) 788-1447
Enumeration DateApril 22, 2014
Last NPPES UpdateJuly 25, 2018
✔ NPI 1194145771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
4646 BROCKTON AVE, Riverside, CA 92506

Other Names 1

Doing Business AsEvolution Ent

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evolution Ent is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Evolution Ent, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Otolaryngology
NPI 1730187881
4646 BROCKTON AVE SUITE 201
Riverside, CA 92506
(951) 788-1447
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1184971194
6848 MAGNOLIA AVE STE 220
Riverside, CA 92506
(951) 981-2200
✔ PECOS✔ Accepts Medicare2.0 mi

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 Gary M. Feinberg Ent, Inc.'s NPI number?

The NPI number for Gary M. Feinberg Ent, Inc. is 1194145771. It was assigned to this organization in the NPPES registry on April 22, 2014. The provider is doing business as Evolution Ent.

Where is Gary M. Feinberg Ent, Inc. located?

Gary M. Feinberg Ent, Inc. is located at 4646 Brockton Ave Suite 201, Riverside, CA 92506. The listed phone number is (951) 788-1447.

What is Gary M. Feinberg Ent, Inc.'s specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Gary M. Feinberg Ent, Inc. enrolled in Medicare?

Yes. Gary M. Feinberg Ent, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gary M. Feinberg Ent, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Otolaryngology, reassign their Medicare billing to Gary M. Feinberg Ent, Inc.. 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 at this address and 2 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 Gary M. Feinberg Ent, Inc. was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.