MANGROVE LAB & XRAY
NPI 1326038381
Family Medicine in Chico, CA
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
Specialties & Licenses 8
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mangrove Lab & Xray is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Mangrove Lab & Xray, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Mangrove Medical Group enrolled in Medicare?
Yes. Mangrove Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mangrove Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Mangrove Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (3) and General Practice (2). Of these, 8 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Mangrove Lab & Xray · NPI 1326038381
Family Medicine organization in Chico, California. Organization record, active in the CMS NPPES registry since October 21, 2005.
## Identity
- **NPI:** 1326038381 (Entity type: Organization)
- **Enumerated:** October 21, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Mangrove Medical Group
- **Organization subpart:** No
- **Authorized official:** Elizabeth Mullins, ADMINISTRATOR
## Practice location
- **Address:** 1040 MANGROVE AVE, Chico, CA 95926-3509
- **Phone:** (530) 345-0064 · **Fax:** (530) 345-0680
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (3), General Practice (2); 8 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2022
- **Other identifiers:** Other 470000743 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326038381) · Data from the CMS NPPES public registry.