| Name |
profile-of-enrolled-medi-cal-fee-for-service-ffs-providers |
|---|
| Updated |
2025-06-30 |
|---|
| Current |
False |
|---|
| Tables |
| enrolled_medi_cal_fee_for_service_ffs_providers | |
objectid - varchar(11)
provider_source - varchar(34)
provider_number - varchar(15)
npi - varchar(10)
owner_number - varchar(12)
service_location_number - varchar(23)
legal_name - varchar(50)
enroll_status_eff_dt - varchar(20)
provider_taxonomy - varchar(23)
nemt_nmt_provider_type - varchar(24)
anc_provider_type - varchar(36)
fi_provider_type_cd - varchar(19)
fi_provider_type - varchar(85)
provider_license - varchar(16)
fi_provider_specialty_cd - varchar(24)
fi_provider_specialty - varchar(51)
out_of_state_indicator - varchar(22)
in_out_state - varchar(56)
address_attention - varchar(43)
address - varchar(24)
address2 - varchar(24)
city - varchar(17)
state - varchar(5)
zip - varchar(5)
zip_4 - varchar(5)
dhcs_county_cd - varchar(14)
fips_county_cd - varchar(14)
county - varchar(15)
latitude - decimal(12,8)
longitude - decimal(12,8)
countyname - varchar(46)
|
| fi_provider_specialty_code_reference | |
provider_spec_cd - varchar(16)
provider_spec_desc - varchar(77)
|
| fi_provider_type_code_reference | |
provider_type_cd - varchar(16)
provider_type_desc - varchar(85)
|
|
|---|
| Sources |
medi-cal-provider-application.html --> None
enrolled-medi-cal-fee-for-service-ffs-providers.csv --> enrolled_medi_cal_fee_for_service_ffs_providers
fi-provider-specialty-code-reference.csv --> fi_provider_specialty_code_reference
fi-provider-type-code-reference.csv --> fi_provider_type_code_reference
|
|---|
| Updates |
| 2025-06-25 12:58:56 |
|
0 |
| 2025-06-06 12:17:29 |
|
0 |
| 2025-04-11 11:36:17 |
|
1 |
| 2025-03-28 19:29:25 |
|
0 |
| 2025-03-21 14:14:01 |
|
0 |
| 2025-03-15 10:15:39 |
|
0 |
| 2025-03-10 09:59:42 |
|
1 |
| 2025-02-22 13:36:29 |
|
1 |
| 2025-02-16 17:02:15 |
|
0 |
| 2025-02-06 15:55:59 |
|
0 |
| 2025-02-06 14:51:25 |
|
0 |
| 2025-02-04 17:44:20 |
|
0 |
| 2025-02-02 18:55:13 |
|
0 |
| 2025-01-31 10:03:08 |
|
0 |
| 2025-01-03 14:48:48 |
|
0 |
| 2024-12-29 00:08:59 |
|
0 |
| 2024-12-27 20:55:37 |
|
0 |
| 2024-12-27 20:52:57 |
|
1 |
| 2024-11-18 11:13:31 |
|
None |
| 2024-11-16 14:52:09 |
|
None |
| 2024-09-18 13:19:12 |
|
None |
| 2024-09-09 16:01:28 |
|
None |
| 2024-09-09 13:48:58 |
|
None |
| 2024-09-08 21:07:15 |
|
None |
| 2024-09-03 11:41:36 |
|
None |
| 2024-09-03 10:36:06 |
|
None |
| 2024-08-15 14:01:22 |
|
None |
| 2024-08-15 14:00:43 |
|
None |
| 2024-08-15 14:00:25 |
|
None |
| 2024-08-15 13:52:12 |
|
None |
| 2024-08-15 13:50:34 |
|
None |
| 2024-08-15 13:49:34 |
|
None |
|
|---|