Healthcare Provider Details

I. General information

NPI: 1053365726
Provider Name (Legal Business Name): THOMAS RAYMOND NEWLANDER CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2767 OLIVE HIGHWAY
OROVILLE CA
95966
US

IV. Provider business mailing address

PO BOX 5040
OROVILLE CA
95966
US

V. Phone/Fax

Practice location:
  • Phone: 530-533-8500
  • Fax: 530-532-8433
Mailing address:
  • Phone: 530-532-8584
  • Fax: 530-532-8433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN247916
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number921
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: