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Care you can count on

When you decide to put your health into our hands, it immediately becomes our number one priority. We've been serving the North State community for over 10 years. We value the relationships with each patient, and believe that goes a long way in improving their health care outcomes. Give us a call to find out how we can help you today.

564 Rio Lindo Ave, Ste 102

Chico, CA 95926

(530) 965-9900 phone

(530) 965-9265 fax 

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Please call (530) 965-9900 to see if we are accepting new patients at this time.

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Our team has been dedicated to comprehensive primary care. Services include general well checks, compassionate consultations, and thorough evaluations.

Medical Consultation


The Care You Deserve

Physical Examination


Taking Care of You

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Joy Culp FNP


Joy Ackles is a dedicated healthcare professional with over two decades of experience in the field. She embarked on her journey in nursing in her hometown of Chico, where she obtained her nursing degree, laying the foundation for her passion for patient care. Eager to expand her skills and knowledge, Joy pursued advanced training as a Nurse Practitioner at Sonoma State. Since joining the medical community, Joy has continually demonstrated her commitment to providing exceptional care to her patients. Her compassionate approach and clinical expertise have earned her the trust and respect of both her colleagues and the individuals under her care. In 2013, Joy began her collaboration with Dr. Alonso, a partnership that has flourished over the years. Together, they have worked tirelessly to deliver comprehensive healthcare services, focusing on preventive care, diagnosis, and treatment. With a deep-rooted dedication to ongoing learning and professional development, Joy remains at the forefront of advancements in healthcare practices. She is deeply invested in her patients' well-being, striving to empower them with the knowledge and support they need to lead healthy and fulfilling lives. Outside of her professional endeavors, Joy enjoys spending time with her family, exploring the outdoors, and engaging in activities that promote physical and mental well-being. Joy Ackles is not just a Nurse Practitioner; she is a trusted healthcare partner, advocate, and ally, committed to making a meaningful difference in the lives of those she serves.

Madison Dempewolf FNP


Madison Dempewolf, originally hailing from the coastal town of Santa Cruz, embarked on her nursing journey at Chico State University. Drawn by a passion for healthcare and a commitment to serving her community, Madison completed her nursing degree, laying the groundwork for her fulfilling career. Upon graduation, Madison, alongside her husband, made the decision to establish roots in Chico, where they both found opportunities to contribute to the esteemed Enloe Medical Center. For over five years, Madison dedicated herself to providing compassionate care to patients, honing her clinical skills and cultivating meaningful connections with colleagues and patients alike. Driven by a desire to expand her impact and scope of practice, Madison pursued further education at Sonoma State University, where she completed the rigorous nurse practitioner program. Eager to bring her newfound expertise back to her community, Madison eagerly accepted a position at North State Primary Care in August of 2020. With her unwavering dedication to patient well-being and a commitment to lifelong learning, Madison embodies the essence of a healthcare professional who is not only skilled in her craft but also deeply invested in the holistic care and empowerment of her patients. Outside of her professional endeavors, Madison cherishes spending time with her family, exploring the natural beauty of Northern California, and engaging in activities that foster personal growth and well-being. Madison Dempewolf is more than a Nurse Practitioner; she is a compassionate caregiver, a trusted ally, and a beacon of health and wellness within her community.

David Alonso MD


​David Alonso, MD is a dedicated physician with a passion for providing comprehensive healthcare and advancing medical education in his community. He completed his medical education at Temple University School of Medicine and went on to complete his residency at Dartmouth-Hitchcock Medical Center. With nearly 25 years of experience, Dr. Alonso is board certified in internal medicine and has been running a successful primary care office, where he offers a range of services including hormone optimization and weight loss programs. Throughout his career, Dr. Alonso has demonstrated a commitment to education, mentoring medical students, residents, and nurse practitioner students. His enthusiasm for teaching has not only contributed to the growth of future healthcare professionals but has also fostered a culture of continuous learning within his practice. In addition to his clinical work, Dr. Alonso is actively involved in organized medicine. He has served as the past president of the local medical society, advocating for the needs of healthcare professionals and patients alike. Furthermore, he holds the position of president in a local non-profit organization dedicated to bringing graduate medical education to his region, ensuring access to high-quality training opportunities for aspiring physicians. Outside of his professional endeavors, Dr. Alonso finds joy in the outdoors and indulges his adventurous spirit through flying. Whether exploring nature's wonders or soaring through the skies, he embraces life's experiences with enthusiasm and a thirst for knowledge. Dr. Alonso's unwavering dedication to healthcare, education, and community enrichment makes him a respected leader and trusted physician in his field.

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Monday: 8:30am - 4:30pm
Tuesday: 8:30am - 4:30pm 
Wednesday: 8:30am - 4:30pm
Thursday: 8:30am - 4:30pm
Friday: 8:30am - 2:30pm 
Sat: Closed
Sun: Closed

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564 Rio Lindo Ave, Ste 102, Chico, CA 95926

(530) 965-9900 phone

(530) 965-9265 fax

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*For medical assistance place call the office or use the patient portal

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