Dr Shanna R Newbold M D Inc
NPI 1104541572 · Emergency Medicine Physician · Banning, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr Shanna R Newbold M D Inc is a Emergency Medicine Physician organization in Banning, CA (NPI 1104541572).
Provider details
- NPI number
- 1104541572
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shanna Newbold, Owner(951) 381-2122
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- San Gorgonio Wound Care
Registry dates
- Enumerated
- 2022-10-07
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Frequently asked questions
- What is Dr Shanna R Newbold M D Inc's NPI number?
- Dr Shanna R Newbold M D Inc's National Provider Identifier (NPI) is 1104541572, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Shanna R Newbold M D Inc?
- Dr Shanna R Newbold M D Inc is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dr Shanna R Newbold M D Inc located?
- Dr Shanna R Newbold M D Inc's practice location on file with NPPES is 264 N Highland Springs Ave Ste a, Banning, CA 92220-3082.
- What is Dr Shanna R Newbold M D Inc's phone number?
- The practice phone number listed in the NPPES registry for Dr Shanna R Newbold M D Inc is (951) 381-2122.
- Does Dr Shanna R Newbold M D Inc accept Medicare?
- Dr Shanna R Newbold M D Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dr Shanna R Newbold M D Inc?
- The authorized official listed on Dr Shanna R Newbold M D Inc's NPPES record is Shanna Newbold, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Shanna R Newbold M D Inc's NPI active?
- Yes — Dr Shanna R Newbold M D Inc's NPI (1104541572) is active in the NPPES registry as of the last update on 2026-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.