Active NPI
Madelyn Holzman MD MC
- Urology Physician
- Chico, CA
National Provider Identifier
1043447436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C53106
- Legal business name
- MADELYN HOLZMAN MD MC
- Practice address
- 572 Rio Lindo Ave
Ste 201
Chico, CA 95926-1851 - Phone
- (530) 893-1127
- Fax
- (530) 893-1128
- NPI assigned
- Jun 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madelyn Holzman
- Title
- MD/President
- Phone
- (530) 893-1127
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | C53106 | CA | Primary |
Addresses
Primary practice location
572 Rio Lindo Ave
Ste 201
Chico, CA 95926-1851
Mailing address
572 Rio Lindo Ave
Ste 201
Chico, CA 95926-1851
Phone (530) 893-1127
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043447436 | Medicaid | CA | |
| DP5009 | Other | CA | MEDICARE RAILROAD # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1098788 | Madelyn Holzman, MD | Certificate of waiver | Apr 27, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Chico, CA
- NPI 1184624769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269907200000",
"number": "1043447436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 RIO LINDO AVE",
"address_2": "STE 201",
"city": "CHICO",
"state": "CA",
"postal_code": "959261851",
"telephone_number": "530-893-1127",
"fax_number": "530-893-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 RIO LINDO AVE",
"address_2": "STE 201",
"city": "CHICO",
"state": "CA",
"postal_code": "959261851",
"telephone_number": "530-893-1127",
"fax_number": "530-893-1128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADELYN HOLZMAN MD MC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-12",
"last_updated": "2010-03-30",
"status": "A",
"authorized_official_last_name": "HOLZMAN",
"authorized_official_first_name": "MADELYN",
"authorized_official_title_or_position": "MD/PRESIDENT",
"authorized_official_telephone_number": "530-893-1127"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "CA",
"license": "C53106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043447436",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD #",
"identifier": "DP5009",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.