Individual provider Active NPI

Robert Clark Gifford, DPM

  • Foot & Ankle Surgery Podiatrist
  • Riverside, CA
National Provider Identifier
1700104320
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5046 Issued in CA
Practice address
6405 Day St
Riverside, CA 92507-0901
Phone
(951) 697-5577
Fax
(951) 697-5578
NPI assigned
May 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5046 CA Primary

Addresses

Primary practice location

6405 Day St
Riverside, CA 92507-0901

Mailing address

6405 Day St
Riverside, CA 92507-0901
Phone (951) 697-5577

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ92058ZOtherCASITE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000456 CA Practitioner - Podiatry 1052553393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Medical Clinic IncGroup PAC ID 2961492327, 173 clinicians

Practice addresses (Care Compare)

6405 Day St
Riverside, CA 92507-0901
Phone (951) 697-5556

7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 683-6370

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of nail tissue276
Removal or shaving of skin growth202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Riverside Medical Clinic, Inc CurrentSince Aug 1, 2013 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Aug 1, 2013 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
RMC Surgery Center, LLC Past Accepting new patients

Locations

830 Magnolia Ave
Corona, CA 92879
Phone (951) 493-6815

818 Magnolia Ave
Corona, CA 92879
Phone (562) 213-9978

12742 Limonite Ave
Eastvale, CA 92880
Phone (951) 739-2712

33040 Antelope Rd
Murrieta, CA 92563

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

6250 Clay St
Riverside, CA 92509
Phone (951) 360-5250

7150 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3818

19314 Jesse Ln
Riverside, CA 92508
Phone (951) 782-3640

7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714

6405 Day St
Riverside, CA 92507
Phone (909) 683-6370

21634 Retreat Pkwy
Temescal Valley, CA 92883
Phone (951) 782-5157

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1700104320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 DAY ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070901",
            "telephone_number": "951-697-5577",
            "fax_number": "951-697-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 DAY ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070901",
            "telephone_number": "951-697-5577",
            "fax_number": "951-697-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "ROBERT",
        "middle_name": "CLARK",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SITE PTAN",
            "identifier": "ZZZ92058Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.