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 is a Dermatology Physician in Chico, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
Specialties on file
8
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Practice location Address checks out

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