MANGROVE LAB & XRAY
NPI 1326038381
Family Medicine in Chico, CA

Active since October 21, 2005CLIA 05D0644223 · Accreditation
1040 MANGROVE AVE, CHICO, CA 95926(530) 345-0064(530) 345-0680 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2022, Sep 22, 2021, Jul 8, 2020 (3 updates tracked since 2020).

About Mangrove Lab & Xray NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANGROVE LAB & XRAY (NPI 1326038381) is a healthcare organization registered as a family medicine in Chico, California and active in the NPI registry since October 2005. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Elizabeth A Mullins, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326038381
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMANGROVE MEDICAL GROUP
Location Address1040 MANGROVE AVEChico, CA 95926-3509
Mailing Address1040 Mangrove AveChico, CA 95926-3509 · (530) 345-0064 · Fax (530) 345-0680
Fax(530) 345-0680
Organization SubpartNo
Authorized OfficialElizabeth A MullinsAdministrator · (530) 345-0064
Enumeration DateOctober 21, 2005
Last NPPES UpdateJanuary 4, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
NPI 1326038381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/Center · Radiology, MammographyTaxonomy 261QR0206X · License RHC 110619 (CA)
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 05DO644223 (CA)
Also ListedNurse PractitionerTaxonomy 363L00000X
1040 MANGROVE AVE, Chico, CA 95926

Other Names 1

Other NameMangrove Lab & Xray

Other Identifiers 1

Other470000743CA · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0644223

Mangrove Medical Group · Chico, CA
Active · expires Dec 22, 2027
CLIA Number05D0644223
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Huifang Zhou
Laboratory Phone(530) 345-0064
Laboratory LocationMangrove Medical Group1040 Mangrove Ave, Chico, CA 95926
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1040 MANGROVE AVE
CHICO, CA 95926
General Practice
1040 MANGROVE AVE
CHICO, CA 95926
General Practice
1040 MANGROVE AVE
CHICO, CA 95926
General Practice
1040 MANGROVE AVE
CHICO, CA 95926
Nurse Practitioner (Women's Health)
1040 MANGROVE AVE
CHICO, CA 95926
Family Medicine
1040 MANGROVE AVE
CHICO, CA 95926
General Practice
1040 MANGROVE AVE
CHICO, CA 95926
Nurse Practitioner
1040 MANGROVE AVE
CHICO, CA 95926

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mangrove Medical Group's NPI number?

The NPI number for Mangrove Medical Group is 1326038381. It was assigned to this organization in the NPPES registry on October 21, 2005. The provider is also known as Mangrove Lab & Xray.

Where is Mangrove Medical Group located?

Mangrove Medical Group is located at 1040 Mangrove Ave, Chico, CA 95926. The listed phone number is (530) 345-0064.

What is Mangrove Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mangrove Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0644223) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mangrove Medical Group was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.