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DR SHANNA R NEWBOLD M D INC
NPI 1104541572
Emergency Medicine in Banning, CA

Active since October 07, 2022
264 N HIGHLAND SPRINGS AVE STE A, BANNING, CA 92220(951) 381-2122(951) 561-7155 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2026, Mar 13, 2025, Jan 12, 2023 and 2 more (5 updates tracked since 2022).

About Dr Shanna R Newbold M D Inc NPPES

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

DR SHANNA R NEWBOLD M D INC (NPI 1104541572), doing business as San Gorgonio Wound Care, is a healthcare organization registered as an emergency medicine in Banning, California and active in the NPI registry since October 2022. The organization lists Shanna Newbold, Owner, as its authorized official.

NPPES Registry Identity

NPI1104541572
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameDR SHANNA R NEWBOLD M D INC
Location Address264 N HIGHLAND SPRINGS AVE STE ABanning, CA 92220-3082
Mailing Address264 N Highland Springs Ave Ste ABanning, CA 92220-3082
Phone(951) 381-2122
Fax(951) 561-7155
Organization SubpartNo
Authorized OfficialShanna NewboldOwner · (951) 381-2122
Enumeration DateOctober 7, 2022
Last NPPES UpdateMarch 10, 20265 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1104541572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
264 N HIGHLAND SPRINGS AVE STE A, Banning, CA 92220
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Other Names 1

Doing Business AsSan Gorgonio Wound Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SHANNA R NEWBOLD M.D.
Emergency Medicine
264 N HIGHLAND SPRINGS AVE STE A
BANNING, CA 92220
Riverside County (661) 326-2000

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 Dr Shanna R Newbold M D Inc's NPI number?

The NPI number for Dr Shanna R Newbold M D Inc is 1104541572. It was assigned to this organization in the NPPES registry on October 7, 2022. The provider is doing business as San Gorgonio Wound Care.

Where is Dr Shanna R Newbold M D Inc located?

Dr Shanna R Newbold M D Inc is located at 264 N Highland Springs Ave Ste A, Banning, CA 92220. The listed phone number is (951) 381-2122.

What is Dr Shanna R Newbold M D Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Dr Shanna R Newbold M D Inc was last updated on March 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.