DR. RANDOLPH DOUGLAS GIBBS (NPI# 1487859294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487859294 |
| Entity Type | Individual |
| Full Name | DR. RANDOLPH DOUGLAS GIBBS |
| Credential | MD |
| Practice Address |
91275 66th Ave Suite 500 Mecca CA 92254 |
| Practice Telephone | 6146590871 |
| Mailing Telephone | 7603961249 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2012-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202C00000X | Independent Medical Examiner | 35046271 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0504029 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053672675 | Randolph Douglas Gibbs II | Orthopaedic Surgery | 2301 25th St S, Fargo, ND 58103-6104 | 2012-05-30 |
| Street Address |
91275 66TH AVE SUITE 500 |
| City | MECCA |
| State | CA |
| Zip Code | 92254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932280633 | Clinicas De Salud Del Pueblo Inc | Clinic/Center | 91275 66th Ave, Suite 500, Mecca, CA 92254 | 2006-10-18 |
| 1336586999 | Joann Smith Smith | Advanced Practice Midwife | 91275 66th Ave, Suite 500, Mecca, CA 92254-6515 | 2013-05-22 |
| 1164790846 | Mfimecca Family Resource Center | Community/Behavioral Health | 91275 66th Ave, 100, Mecca, CA 92254 | 2011-12-08 |
| 1629302336 | Christian Anthony Maciel | Marriage & Family Therapist | 91275 66th Ave, Suite 500, Mecca, CA 92254-6515 | 2009-09-28 |
| 1063684207 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 91275 66th Ave, Suite 300, Mecca, CA 92254 | 2008-03-27 |
| 1053535328 | Radd Horchin | Dentist | 91275 66th Ave, 300, Mecca, CA 92254 | 2007-04-11 |
| 1275690653 | Manika Pandey | Family Medicine | 91275 66th Ave, 500, Mecca, CA 92254 | 2007-01-03 |
| 1023188687 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 91275 66th Ave, Suite 500, Mecca, CA 92254 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839816 | County of Riverside | Community/Behavioral Health | 91-275 Ave 66, Mecca, CA 92254 | 2020-04-03 |
| 1851864060 | Riverside Latino Commission On Alcohol & Drug Abuse Services, Inc. | Clinic/Center | 91275 66th Avenue, Suite 100, Mecca, CA 92254 | 2019-01-10 |
| 1679980585 | Cecilia Tafoya | Psychiatric Unit | 65057 Wolff Drive, Mecca, CA 92254 | 2014-07-14 |
| 1831348515 | Amis Pharmacy Corporation | Pharmacy | 91275 Avenue 66, Suite 200, Mecca, CA 92254 | 2008-09-17 |
| 1114108578 | Katherine Roman | Nurse Practitioner | 91275 66th Street, 500, Mecca, CA 92254 | 2007-11-14 |
| 1811054315 | Barbara P Ramos | Nurse Practitioner | 91275 Ave 66th, 500, Mecca, CA 92254 | 2007-01-03 |
| 1184716458 | Maryanne Ian Laxa | Pediatrics | 91275 66th St, Mecca, CA 92254 | 2006-09-28 |
| 1902897218 | Clinicas De Salud Del Pueblo, Inc. | Clinic/Center | 91275 66th Ave., Suite 300, Mecca, CA 92254 | 2005-11-04 |
| 1700359312 | Riverside County Latino Commission On Alcohol and Drug Abuse Services | Clinic/Center | 91275 66th Ave., Mecca, CA 92254 | 2019-01-07 |
| 1003455346 | Marivel Sanchez | Counselor | 101845 Sea Breeze Dr, Mecca, CA 92254-4028 | 2020-01-03 |
| Find all providers in zip 92254 | ||||
| Taxonomy Code | 202C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new] |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.