Individual provider Active NPI

Michelle Love Donton Newsom, M.D.

  • Anesthesiology Physician
  • Loma Linda, CA
National Provider Identifier
1487896890
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A115823 Issued in CA
Practice address
11234 Anderson Street
MC RM 2532
Loma Linda, CA 92354-2804
Phone
(909) 558-8054
Fax
(909) 558-0187
NPI assigned
Mar 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A115823 CA Primary

Addresses

Primary practice location

11234 Anderson Street
MC RM 2532
Loma Linda, CA 92354-2804

Mailing address

11234 Anderson Street
MC RM 2532
Loma Linda, CA 92354-2804

Other names 1

  • Michelle Love Sellona Donton Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130726000681 CA Practitioner - Anesthesiology 0941441315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

155 Glasson Way
Grass Valley, CA 95945-5723
Phone (530) 274-6000

Hospital & facility affiliations

  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A115823CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C CurrentSince Dec 14, 2013 Accepting new patients
Beaver Medical Group P C Anesthesiology CurrentSince Dec 14, 2013 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 18, 2018 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 18, 2018 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Loma Linda Univ Anesthesiology Medical Group Inc Anesthesiology Past Accepting new patients
Sierra Nevada Anesthesia Medical Assoc Inc Anesthesiology Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients

Locations

408 Sierra College Dr
Grass Valley, CA 95945
Phone (530) 271-2282

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1487896890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON STREET",
            "address_2": "MC RM 2532",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON STREET",
            "address_2": "MC RM 2532",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-8054",
            "fax_number": "909-558-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "MICHELLE LOVE",
        "middle_name": "DONTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A115823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE LOVE",
            "last_name": "DONTON",
            "middle_name": "SELLONA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.