LIBERTY GILBERT MABENA
NPI 1407580376
Nurse Practitioner - Family in Loma Linda, CA
About Liberty Gilbert Mabena NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY GILBERT MABENA (NPI 1407580376) is an individual family provider in Loma Linda, California, licensed in California (NP95020367) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Liberty Gilbert Mabena is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Liberty Mabena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loma Linda, CA 92350
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Liberty Mabena's NPI number?
The NPI number for Liberty Mabena is 1407580376. It was assigned to this individual provider in the NPPES registry on July 14, 2022.
Where is Liberty Mabena located?
Liberty Mabena practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.
What is Liberty Mabena's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Liberty Mabena enrolled in Medicare?
Yes. Liberty Mabena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Liberty Mabena's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Liberty Mabena reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The 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 Liberty Mabena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Liberty Mabena was last updated on July 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Liberty Gilbert Mabena · NPI 1407580376
Family physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since July 14, 2022.
## Identity
- **NPI:** 1407580376 (Entity type: Individual)
- **Enumerated:** July 14, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95020367 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Faculty Physicians And Surgeons Of Llusm (NPI 1477503407, Loma Linda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1407580376) · Data from the CMS NPPES public registry.