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DR. RANDOLPH DOUGLAS GIBBS MD
NPI 1487859294
Independent Medical Examiner in Mecca, CA

Active since June 20, 2007PECOS Enrolled
91275 66TH AVE, SUITE 500, MECCA, CA 92254(614) 659-0871 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Randolph Douglas Gibbs Md NPPES

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

DR. RANDOLPH DOUGLAS GIBBS MD (NPI 1487859294) is an individual independent medical examiner provider in Mecca, California, licensed in Ohio (35046271) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487859294
Entity TypeIndividualMale
Primary Taxonomy202C00000X
Provider Legal NameDR. RANDOLPH DOUGLAS GIBBSCredential: MD
Location Address91275 66TH AVE, SUITE 500Mecca, CA 92254
Mailing Address91275 66th Ave, Suite 500Mecca, CA 92254 · (760) 396-1249
Phone(614) 659-0871
Sole ProprietorYes
Enumeration DateJune 20, 2007
Last NPPES UpdateJanuary 13, 2012
✔ NPI 1487859294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndependent Medical ExaminerAllopathic & Osteopathic Physicians
Taxonomy Code202C00000X
License✔ Licensed in OH · 35046271
Definition
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.
91275 66TH AVE, Mecca, CA 92254
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Other Identifiers 3

Medicaid0504029OH
Medicare UPINCO2303OH
Medicare ID-Type UnspecifiedG10510891OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randolph Douglas Gibbs Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLINICAS DE SALUD DEL PUEBLO, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
91275 66TH AVE, SUITE 500
MECCA, CA 92254
Riverside County (760) 396-1249
RADD HORCHIN DDS
Dentist
91275 66TH AVE, 300
MECCA, CA 92254
Riverside County (760) 396-0521
CLINICAS DE SALUD DEL PUEBLO, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
91275 66TH AVE, SUITE 300
MECCA, CA 92254
Riverside County (760) 396-0521
DR. JAVIER HERNANDEZ M.D.
Pediatrics
91275 66TH AVE, 500
MECCA, CA 92254
Riverside County (760) 396-1249
MFIMECCA FAMILY RESOURCE CENTER
Community/Behavioral Health
91275 66TH AVE, 100
MECCA, CA 92254
Riverside County (951) 683-6596
MANIKA PANDEY MD
Family Medicine
91275 66TH AVE, 500
MECCA, CA 92254
Riverside County (760) 396-1249
DR. VANCE LAIDLAW FLETCHER M.D.
Family Medicine (Adult Medicine)
91275 66TH AVE
MECCA, CA 92254
Riverside County (760) 396-1249
MRS. JOANN SMITH SMITH CNM, ARNP
Advanced Practice Midwife
91275 66TH AVE, SUITE 500
MECCA, CA 92254
Riverside County (760) 396-1249

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 Randolph Gibbs's NPI number?

The NPI number for Randolph Gibbs is 1487859294. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Randolph Gibbs located?

Randolph Gibbs practices at 91275 66th Ave Suite 500, Mecca, CA 92254. The listed phone number is (614) 659-0871.

What is Randolph Gibbs's specialty?

The primary specialty registered for this NPI is Independent Medical Examiner with taxonomy code 202C00000X.

Is Randolph Gibbs enrolled in Medicare?

Yes. Randolph Gibbs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randolph Gibbs was last updated on January 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.