Organization Active NPI

Madelyn Holzman MD MC

  • Urology Physician
  • Chico, CA
National Provider Identifier
1043447436
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C53106 Issued in CA
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

Updated by the provider on Mar 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Madelyn HolzmanNPI 1184624769
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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1043447436MedicaidCA
DP5009OtherCAMEDICARE RAILROAD #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090810000179 CA Part B Supplier - Clinic/Group Practice 6507919586 Receives reassigned benefits from 1 practitioner
Practice locations: Chico, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1098788Madelyn Holzman, MD572 Rio Lindo Avenue Suite 201, Chico, CA 95926Certificate of waiverApr 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.