Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mangrove Medical Group

Organization Dermatology Physician · NPI 1326038381

Mangrove Medical Group provides Dermatology Physician services in Chico, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
Specialties on file
8
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1040 Mangrove Ave
Chico, CA 95926-3509
Phone: (530) 345-0064
Fax: (530) 345-0680
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (CA)
Dermatology Physician Taxonomy 207N00000X
Dermatopathology Physician Taxonomy 207ND0900X
Gynecology Physician Taxonomy 207VG0400X
General Practice Physician Taxonomy 208D00000X (CA)
Mammography Clinic/Center Taxonomy 261QR0206X · Licence RHC 110619 (CA)
Clinical Medical Laboratory Taxonomy 291U00000X · Licence 05DO644223 (CA)
Nurse Practitioner Taxonomy 363L00000X (CA)

Record details

NPI number1326038381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Mullins — Administrator · (530) 345-0064
Other names Mangrove Lab & Xray; Mangrove Lab & Xray
NPI enumeratedOctober 21, 2005
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022
Mailing address1040 Mangrove Ave, Chico, CA 95926-3509

Other providers in Chico