Individual provider Active NPI

Michael Samuel Donia, D.C.

  • Chiropractor
  • Redlands, CA
National Provider Identifier
1356496996
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28061 Issued in CA
Practice address
219 E Olive Ave
Redlands, CA 92373-5251
Phone
(909) 793-2225
Fax
(909) 793-2221
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28061 CA Primary
Sports Physician Chiropractor 111NS0005X DC28061 CA
Occupational Health Chiropractor 111NX0100X DC28061 CA

Addresses

Primary practice location

219 E Olive Ave
Redlands, CA 92373-5251

Mailing address

219 E Olive Ave
Redlands, CA 92373-5251
Phone (909) 793-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000596 CA Practitioner - Chiropractic 0244249639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1455 W Park Ave
Suite a
Redlands, CA 92373-8178
Phone (909) 793-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28061CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Donia Chiropractic, Inc. Chiropractor CurrentSince Apr 28, 2016 Accepting new patients
Movement Evolved Physical Therapy P.C. CurrentSince Sep 14, 2025 Accepting new patients

Locations

1455 W Park Ave
Ste A
Redlands, CA 92373
Phone (909) 657-9652

Organizations & group practices 2

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1356496996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E OLIVE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735251",
            "telephone_number": "909-793-2225",
            "fax_number": "909-793-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E OLIVE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735251",
            "telephone_number": "909-793-2225",
            "fax_number": "909-793-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONIA",
        "first_name": "MICHAEL",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28061",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC28061",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "DC28061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.