A1C Total Care Diabetes

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

A1C TOTAL CARE DIABETES

Practice address

7216 Palm Ave Ste a
Highland, CA 92346-3280

Phone

(951) 314-3088

NPI assigned

Jul 20, 2023

Last updated

Jul 20, 2023By the provider in NPPES

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) 314-3088

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shanna R Newbold, M.D.

  • Emergency Medicine Physician
  • Banning, CA
  • NPI 1932407632
  NPD Authorized official

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1588344915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 PINE CREST CIR NE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980297469",
            "telephone_number": "951-314-3088",
            "fax_number": "951-314-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7216 PALM AVE STE A",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463280",
            "telephone_number": "951-314-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1C TOTAL CARE DIABETES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "NEWBOLD",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-314-3088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abcd Primary and Urgent Care Inc (First Choice Urgent and Primary Care)
• Amin S. Abdelmeseeh, MD
• Olajuwon Abijo
• Abude Dental Corporation (New Smiles Dental Studio)
• Peter Abude, D.D.S

• Endocrinology, Diabetes & Metabolism Physician in Highland, CA
• Providers in Highland, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.