Dr Shanna R Newbold M D Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

DR SHANNA R NEWBOLD M D INC

Doing business as

SAN GORGONIO WOUND CARE

Practice address

264 N Highland Springs Ave Ste a
Banning, CA 92220-3082

Phone

(951) 381-2122

Fax

(951) 561-7155

NPI assigned

Oct 7, 2022

Organization subpart

No

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

Authorized official

Name

Shanna Newbold, MDNPI 1932407632

Title

Owner

Phone

(951) 381-2122

Specialties & licenses 1

Addresses

Other names 1

• SAN GORGONIO WOUND CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanna R Newbold, M.D.

  • Emergency Medicine Physician
  • Banning, CA
  • NPI 1932407632
  Medicare reassignment Care Compare group NPD Authorized official
• Benjamin Arthur Rinard, PA

  • Medical Physician Assistant
  • San Bernardino, CA
  • NPI 1750943668
  Medicare reassignment Care Compare group
• Catherine Domingo Oms, RN, PAC

  • Medical Physician Assistant
  • San Bernardino, CA
  • NPI 1982880795
  Medicare reassignment

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1104541572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N HIGHLAND SPRINGS AVE STE A",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N HIGHLAND SPRINGS AVE STE A",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203082",
            "telephone_number": "951-381-2122",
            "fax_number": "951-561-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHANNA R NEWBOLD M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "NEWBOLD",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-381-2122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN GORGONIO WOUND CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah D. Dixson, PA-C
• Susan H Doddridge, P.A-C
• Shu Dong, N.P.
• Lynn Marie Dorrough, CAMTC #527
• Sharlene Ann Dorsey, LCSW
• Dr. Ohannessian Dental Corp
• Rocio G Drye, LCSW
• Dai Vien Du, M.D.
• Jennifer Marlene Duben, CMT
• Okie Lee Dubose Jr., RPH

• Emergency Medicine Physician in Banning, CA
• Providers in Banning, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.