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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANGROVE MEDICAL GROUP

Deactivated Organization

MANGROVE MEDICAL GROUP is a Family Medicine organization located in CHICO, California. NPI 1326038381 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · CHICO, CA

This NPI has been deactivated. The record was deactivated on December 16, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1326038381
Provider Type
Organization
NPI Issued
Oct 21, 2005 (16.153424657534 yrs)
Last Updated
Jan 4, 2022
Deactivated
Dec 16, 2021
License
RHC 110619 (CA)

Practice Information

Address
1040 MANGROVE AVE
CHICO, CA, 959263509
Browse CA providers · Browse ZIP 95926
Phone
5303450064
Fax
5303450680
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Dermatopathology
Additional Specialty
Gynecology
Additional Specialty
General Practice
Additional Specialty
Radiology, Mobile Mammography

Other Family Medicine Organizations in CHICO, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.