Active NPI
David Alonso, MD Inc
Doing business as Magnolia Health & Wellness
- Primary Care Clinic/Center
- Chico, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A112504
- Legal business name
- DAVID ALONSO, MD INC
- Doing business as
- Magnolia Health & Wellness
Magnolia comprehensive Internal Medicine
North State Primary Care - Practice address
- 564 Rio Lindo Ave Ste 102
Chico, CA 95926-1852 - Phone
- (530) 965-9900
- Fax
- (530) 965-9265
- NPI assigned
- Apr 24, 2012
- Last updated
- Oct 21, 2024
- 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
- Ms. Hilary Roberts
- Title
- Office Manager
- Phone
- (530) 965-9900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A112504 | CA | Primary |
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
564 Rio Lindo Ave Ste 102
Chico, CA 95926-1852
Mailing address
564 Rio Lindo Ave Ste 102
Chico, CA 95926-1852
Phone (530) 965-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467403246 | Medicaid | CA | |
| 05D2283386 | Other | CA | CLIA |
Other names 3
- Magnolia Health & Wellness
- Magnolia comprehensive Internal Medicine
- North State Primary Care
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 |
|---|---|---|---|
| 05D2283386 | North State Primary Care, a Div of Bass Medical | Certificate of waiver | Jun 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
1645 Esplanade
Ste 1
Chico, CA 95926
Phone (530) 896-0386
564 Rio Lindo Ave
Chico, CA 95926
Phone (530) 228-7119
564 Rio Lindo Ave
Ste 102
Chico, CA 95926
Phone (530) 965-9265
Interoperability endpoints
- https://api.platform.athenahealth.com/26590/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Chico, CA
- NPI 1467403246
-
- Family Nurse Practitioner
- Chico, CA
- NPI 1003434226
-
- Family Nurse Practitioner
- Chico, CA
- NPI 1063771277
-
- Internal Medicine Physician
- Chico, CA
- NPI 1962409573
-
- Family Medicine Physician
- Woodland, CA
- NPI 1912940594
-
- Specialist
- Chico, CA
- NPI 1306941463
-
- Specialist
- Chico, CA
- NPI 1467546119
-
- Nurse Practitioner
- Chico, CA
- NPI 1255724324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1235497611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 RIO LINDO AVE STE 102",
"city": "CHICO",
"state": "CA",
"postal_code": "959261852",
"telephone_number": "530-965-9900",
"fax_number": "530-965-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 RIO LINDO AVE STE 102",
"city": "CHICO",
"state": "CA",
"postal_code": "959261852",
"telephone_number": "530-965-9900",
"fax_number": "530-965-9265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID ALONSO, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-24",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "HILARY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "530-965-9900",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A112504",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467403246",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D2283386",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Magnolia Health & Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Magnolia comprehensive Internal Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North State Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 21, 2024; 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.