LUTHER MANGOBA, MD INC.
NPI 1558387209
Family Medicine in Riverside, CA
About Luther Mangoba, Md Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUTHER MANGOBA, MD INC. (NPI 1558387209) is a healthcare organization registered as a family medicine in Riverside, California and active in the NPI registry since July 2006. The organization lists Luther Mangoba, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Luther Mangoba, Md Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Luther Mangoba, MD Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 Luther Mangoba, MD Inc.'s NPI number?
The NPI number for Luther Mangoba, MD Inc. is 1558387209. It was assigned to this organization in the NPPES registry on July 14, 2006.
Where is Luther Mangoba, MD Inc. located?
Luther Mangoba, MD Inc. is located at 9041 Magnolia Ave Suite 008, Riverside, CA 92503. The listed phone number is (951) 687-0004.
What is Luther Mangoba, MD Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Luther Mangoba, MD Inc. enrolled in Medicare?
Yes. Luther Mangoba, MD Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Luther Mangoba, MD Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Luther Mangoba, MD 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. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Luther Mangoba, MD Inc. was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Luther Mangoba, Md Inc. · NPI 1558387209
Family Medicine organization in Riverside, California. Organization record, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1558387209 (Entity type: Organization)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Luther Mangoba, PRESIDENT
## Practice location
- **Address:** 9041 MAGNOLIA AVE, SUITE 008, Riverside, CA 92503-3900
- **Phone:** (951) 687-0004 · **Fax:** (951) 687-0080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2014
- **Other identifiers:** Other 05D1038270 (CA); Medicaid 00A775740 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1558387209) · Data from the CMS NPPES public registry.