Mangrove Medical Group
NPI 1326038381ActiveOrganization· Family Medicine· Chico, CA
Family Medicine in Chico, California, registered in NPPES in October 2005. The authorized official on file is Elizabeth A. Mullins, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1326038381 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 21, 2005 |
| Last updated in NPPES | Jan 4, 2022 |
| Certified by provider | Jan 4, 2022 |
| Reactivated | Jan 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | CA |
| Dermatology | 207N00000X | — | — |
| Dermatology, Dermatopathology | 207ND0900X | — | — |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | — | — |
| General Practice | 208D00000X | — | CA |
| Clinic/Center, Radiology, Mammography | 261QR0206X | RHC 110619 | CA |
| Clinical Medical Laboratory | 291U00000X | 05DO644223 | CA |
| Nurse Practitioner | 363L00000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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