Organization Active NPI

David Alonso, MD Inc

Doing business as Magnolia Health & Wellness

  • Primary Care Clinic/Center
  • Chico, CA
National Provider Identifier
1235497611
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A112504 Issued in CA
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1467403246MedicaidCA
05D2283386OtherCACLIA

Other names 3

  • Magnolia Health & Wellness Doing business as
  • Magnolia comprehensive Internal Medicine Doing business as
  • North State Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140430000146 CA Part B Supplier - Clinic/Group Practice 3173756061 Receives reassigned benefits from 3 practitioners
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
05D2283386North State Primary Care, a Div of Bass Medical564 Rio Lindo Ave, Ste 102, Chico, CA 95926Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.