Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Miri Mulder Michaelson, MD

Individual provider Anesthesiology Physician · NPI 1467515536

Shannon Miri Mulder Michaelson, MD is an Anesthesiology in Loma Linda, California. Graduated from Loma Linda University School of Medicine in 1983, 43 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
43
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11234 Anderson St Rm 2532
Loma Linda, CA 92354-2804
Phone: (909) 558-4475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence G53813 (CA)

Record details

NPI number1467515536
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESNovember 16, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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