Table: ccs_non_providers , last_name like B*

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  *

npi	last_name	first_name	middle_name	provider_type	specialty	effective_date	expiration_date	county	address_line_1	address_line_2	city	state	zip_code	phone
1871054981	Baba	Csaba	Frank	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/31/2019	None	San Joaquin	326 Vel Place	Unit A	Manteca	CA	95337	None
1619115656	Babanyan	Narine	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/1/2015	None	San Diego	10990 San Diego Mission Road	None	San Diego	CA	92108	(619) 641-4564
None	Babers	David	W	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/13/2001	None	Madera	9300 Valley Childrens Place	Mail Stop SC09	Madera	CA	93636	None
None	Baca-Morgan	Alexia	None	Psychologist	Psychology	3/7/2008	None	None	711 N Beaver Street	None	Flagstaff	AZ	86001	None
None	Bach	Yvonne	V	Physician	Pediatrics	9/12/2007	None	None	12100 Euclid Avenue	None	Garden Grove	CA	92840	None
None	Bacon	Krista	None	EPSDT Supplemental Services Provider	Registered Nurse	6/27/2014	None	San Bernardino	1912 Crestview Avenue	None	San Bernardino	CA	92404	None
None	Baczkowski	Teresa	M	EPSDT Supplemental Services Provider	Dietitians	7/11/2014	None	Los Angeles	1720 Cesar E Chavez Avenue	None	Los Angeles	CA	90033	(323) 260-5778
None	Badal	Jacqueline	None	EPSDT Supplemental Services Provider	Dietitians	7/27/2015	None	Sacramento	2400 Sierra Boulevard	#50	Sacramento	CA	95825	(619) 804-7635
1548612302	Badam	Yogitha	Naaga	Physician	Pediatrics	11/12/2019	None	Merced	737 W. Childs Avenue	None	Merced	CA	95341	None
None	Bader	Marc	N	EPSDT Supplemental Services Provider	Registered Nurse	10/30/2012	None	Santa Clara	710 Lawrence Expressway	None	Santa Clara	CA	95051	(408) 851-7422
1104007012	Bae	Karin	None	Occupational Therapist	Occupational Therapy	1/30/2023	None	Orange	710 E. Golden Avenue	Placentia, Ca	Placentia	CA	92870	None
1700208972	Bae	Michelle	None	Occupational Therapist	Occupational Therapy	3/14/2018	None	Los Angeles	1603 Navareth Way	None	Los Angeles	CA	90033	None
1952507998	Baer	Aline	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/8/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(877) 608-0044
None	Baer	Susan	M	EPSDT Supplemental Services Provider	Dietitians	8/26/2016	None	Orange	17100 Euclid Street	None	Fountain Valley	CA	92708	None
None	Baffigo	Ursula	M	Physician	Family Medicine	11/27/2002	None	None	2040 Camfield Avenue	None	Commerce	CA	90040	None
None	Bagai	Meera	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/25/2010	None	None	None	None	None	None	None	None
1831224070	Baggott	Christina	R	EPSDT Supplemental Services Provider	Registered Nurse	4/9/2015	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	(650) 497-8000
None	Baghai	Julia	None	EPSDT Supplemental Services Provider	Registered Nurse	5/10/2021	None	San Francisco	1825 4th Street	None	San Francisco	CA	94158	None
None	Bagnol	Celeste	None	Respiratory Care Practitioner	Respiratory Care Practice	5/16/2019	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	None
1699157776	Bagrodia	Ruchi	None	Physical Therapist	Physical Therapy	1/6/2017	None	Los Angeles	22100 Rim Fire Lane	None	Diamond Bar	CA	91765	None
1447791785	Bagumyan	Nare	None	Occupational Therapist	Occupational Therapy	1/11/2023	None	San Diego	334 Kolmar Street	None	La Jolla	CA	92037	None
1275738346	Bahl	Rajan	None	Physician	Psychiatry and Neurology: Psychiatry	6/13/2013	None	Alameda	2060 Fairmont Drive	None	San Leandro	CA	94578	(510) 437-4800
None	Bahn	Jennifer	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/8/2015	None	Los Angeles	1505 N Edgemont Avenue	None	Los Angeles	CA	90027	(323) 783-4371
1245745512	Bahner	Ariel	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/28/2021	None	Los Angeles	760 Westwood Plaza	None	UC Los Angeles	CA	90095	None
1679770192	Bahr-Crow	Janell	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/26/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(888) 505-0043
None	Bailes	Eileen	None	EPSDT Supplemental Services Provider	Registered Nurse	3/17/2023	None	Los Angeles	4221 Burns Avenue	Apartment 5	Los Angeles	CA	90029	None
1154450997	Bailey	Breeannon	None	Occupational Therapist	Occupational Therapy	1/10/2023	None	San Diego	215 W. California Avenue	None	Vista	CA	92083	None
None	Bailey	Janelle	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/12/2011	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	(858) 576-1700
None	Bailey	Jennifer	S	Physical Therapist	Physical Therapy	5/22/2007	None	None	None	None	None	None	None	None
None	Bailey	Marchell	P	EPSDT Supplemental Services Provider	Dietitians	5/22/2015	None	Los Angeles	4101 Torrance Boulevard	None	Torrance	CA	90503	(310) 540-7676
None	Bailey	Mark	J	Orthotist	Orthotics	6/6/2005	None	None	3838 Watt Avenue	Suite 110A	Sacramento	CA	95821	None
1518307586	Bailey	Mary	Ann	Occupational Therapist	Occupational Therapy	6/30/2015	None	Los Angeles	3832 Conqista Avenue	None	Long Beach	CA	90808	(562) 761-6868
None	Bailey	Megan	None	Non-Physician Medical Practitioner	Certified Physician Assistant	10/11/2023	None	Alameda	747 52nd Street	None	Oakland	CA	94609	None
None	Bailey	Shelley	E	Physical Therapist	Physical Therapy	3/1/1986	None	Sacramento	6501 Coyle Avenue	None	Carmichael	CA	95608	None
None	Bailey	Stacey	None	EPSDT Supplemental Services Provider	Dietitians	6/26/2013	None	Santa Barbara	545 E Montecito Street	None	Santa Barbara	CA	93103	(602) 499-2126
1104100692	Bailey-Olson	Mara	None	EPSDT Supplemental Services Provider	Registered Nurse	7/27/2017	None	San Francisco	3333 California Street	S1-10	San Francisco	CA	94118	(415) 514-2708
None	Bain	Randall	None	Non-Physician Medical Practitioner	Certified Physician Assistant	10/20/2023	None	San Francisco	1825 4th Street	None	San Francisco	CA	94158	None
None	Bain	Stefan	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/15/2005	None	None	None	None	None	None	None	None
None	Bains	Kayli	None	Occupational Therapist	Occupational Therapy	5/26/2022	None	Fresno	2738 Hampton Way Way	Clovis Ca	Clovis	CA	93611	None
1992206551	Bains	Rajvinder	Kaur	Occupational Therapist	Occupational Therapy	2/28/2018	None	Sutter	1707 Edwin Drive	None	Yuba City	CA	95993	None
None	Baird-Hendrey	Patricia	G	EPSDT Supplemental Services Provider	Registered Nurse	8/16/2012	None	Contra Costa	3450 Buskirk Avenue	Suite 150	Pleasant Hill	CA	94523	(925) 947-5204
None	Baisch	Steven	M	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/22/2013	None	San Francisco	2330 Post Street	UCSF/Mt. Zion Peds - Pediatric Social Services Box 1660,Floor 3	San Francisco	CA	94115	(415) 353-2943
None	Bajjalieha	Irene	None	EPSDT Supplemental Services Provider	Registered Nurse	4/2/2024	None	San Francisco	1825 4th Street	None	San Francisco	CA	94158	None
None	Baker	Amy	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/14/2008	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90801	None
None	Baker	Anna	L	Occupational Therapist	Occupational Therapy	11/9/2011	None	None	2110 Artesia Boulevard	Suite 204	Redondo Beach	CA	90278	None
None	Baker	Donna	M	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/1/1999	None	Orange	116 Sandy Hill Court	None	Calimesa	CA	92320	None
None	Baker	Ellen	None	Audiologist	Audiology	8/2/2000	None	Los Angeles	2655 1st Street	Suite 170	Simi Valley	CA	93065	None
None	Baker	Jimmie	B	Physical Therapist	Physical Therapy	12/16/2011	None	None	11308 Firenze Lane	None	Northridge	CA	91326	None
None	Baker	John	E	Speech Therapist	Speech Language Pathology	10/19/2009	None	None	None	None	None	None	None	None
None	Baker	Josey	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/10/2012	None	Tulare	3215 W Iris Avenue	None	Visalia	CA	93277	None
1851773717	Baker	Kadrina	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/10/2023	None	Los Angeles	13652 Cantara Street	None	Panorama City	CA	91402	None
None	Baker	Katherine	C	EPSDT Supplemental Services Provider	Registered Nurse	12/10/2008	None	Madera	9300 Valley Children's Place	None	Madera	CA	93636	(559) 353-8003
None	baker	marisa	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/6/2015	None	Contra Costa	1601 Ygnacio Valley Road	None	Walnut Creek	CA	94598	None
None	Baker	Shelly-Anne	marie	EPSDT Supplemental Services Provider	Registered Nurse	8/19/2019	None	Los Angeles	815 E Maple Street	Apartment 1	Glendale	CA	91205	None
None	balajadia	Bridget	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/2/2018	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Balan	Nirmala	None	Physician	Anesthesiology	3/16/2010	10/3/2019	None	14445 Olive View Drive	None	Sylmar	CA	91342	None
None	Balba	Mary	Jacquelyn	Physical Therapist	Physical Therapy	4/9/2024	None	Orange	E Park	None	Santa Ana	CA	92705	None
None	Balbas	Sonia	None	Physical Therapist	Physical Therapy	10/13/2017	None	Kern	1401 Garces Highway	None	Delano	CA	93215	(661) 721-5337
None	Balcarcel	Arlene	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/17/2019	None	Los Angeles	20687 Amar Road	Walnut California Los Angeles Suite 2	Walnut	CA	91789	None
1033564109	Baldivia	Pamela	Sue	EPSDT Supplemental Services Provider	Registered Nurse	8/30/2016	None	Los Angeles	757 Westwood Plaza	Suite B790A	Los Angeles	CA	90095	(310) 267-9574
None	Baldonado	Joerell	D	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/18/2017	None	Santa Clara	710 Lawrence Expressway	Department 190	Santa Clara	CA	95051	None
1639717044	Baldorado	Bryant	None	EPSDT Supplemental Services Provider	Registered Nurse	1/31/2022	None	Los Angeles	757 Westwood Plaza	None	UC Los Angeles	CA	90095	None
None	Baldwin	Jennifer	L	EPSDT Supplemental Services Provider	Registered Nurse	10/14/2015	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	(323) 361-2181
None	Baldwin	Jr	None	Psychologist	Psychology	8/7/2007	None	None	1335 State Street	None	Santa Barbara	CA	93101	None
None	Baldwin	Milagros	None	Speech Therapist	Speech Language Pathology	12/16/2014	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	(858) 966-5829
None	Baldwin-Myers	Adrienne	S	EPSDT Supplemental Services Provider	Registered Nurse	1/12/2016	None	Los Angeles	2650 Elm Avenue	Suite 301	Long Beach	CA	90802	(562) 728-5244
None	Bales	Joanne	None	Occupational Therapist	Occupational Therapy	5/22/2002	None	None	3550 Shasta Drive	None	Anderson	CA	96007	None
1235669854	Balestrini	Kira	None	Physician	Internal Medicine	12/2/2021	None	Tulare	201 E. Lakeview Avenue	None	Woodlake	CA	93286	None
1457688616	Balian	Chelsea	None	EPSDT Supplemental Services Provider	Registered Nurse	6/5/2014	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Balian	Lucy	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/14/2023	None	Los Angeles	1100 North State Street Street	Room A6F	Los Angeles	CA	90033	None
None	Balino	Therese	None	Occupational Therapist	Occupational Therapy	6/21/2023	None	San Mateo	65 Tower Road	None	San Mateo	CA	94402	None
1073639613	Balkam	Stephen	None	Physical Therapist	Physical Therapy	2/3/2023	None	San Diego	510 E. Naples Street	Chula Vista, Ca	Chula Vista	CA	91911	None
1699176511	Ball	Destinee	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/26/2023	None	Los Angeles	2331 Thoreau Street	None	Inglewood	CA	90303	None
None	Ball	Julie	A	Audiologist	Audiology	3/10/2003	None	None	200 N Harbor Boulevard	Suite 110	Anaheim	CA	92805	None
None	Ballamy	Leah	S	EPSDT Supplemental Services Provider	Dietitians	2/23/2001	None	None	None	None	None	None	None	None
None	ballard	madeline	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/1/2001	None	Contra Costa	1601 Ygnacio Valley Road	None	Walnut Creek	CA	94598	(925) 947-5353
None	ballard	madeline	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/1/2001	None	Contra Costa	None	None	None	None	None	(925) 947-5353
1639363328	Ballard	Melissa	None	Certified Nurse Practitioner	Certified Nurse Practitioner	7/9/2024	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
1063991370	Balli	Swetha	None	Physician	Family Medicine	12/6/2021	None	Kings	250 W. 5th Street	None	Hanford	CA	93230	None
1912226747	Ballonado	Ardene	Cequerra	EPSDT Supplemental Services Provider	Registered Nurse	11/2/2016	None	San Francisco	3333 California Street	S1-10	San Francisco	CA	94118	(415) 885-7268
None	Balma	Batina	E	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/20/2011	5/31/2017	None	None	None	None	None	None	None
None	Balthasar	Kieu	D	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/7/2008	None	Los Angeles	2650 Elm Avenue	None	Long Beach	CA	90806	None
1871851428	Baltic	Tammy	None	EPSDT Supplemental Services Provider	Registered Nurse	2/28/2013	None	Santa Clara	300 Pasteur Drive	Mc 5500	Stanford	CA	94305	(650) 497-8000
1588017628	Baltz	George	J	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/23/2019	None	Orange	1900 East 4th Street	None	Santa Ana	CA	92705	None
None	Baltz	Jami	E	EPSDT Supplemental Services Provider	Dietitians	9/5/2012	None	San Francisco	2524 Geary Avenue	None	San Francisco	CA	94115	(415) 833-3432
None	Balumbu	Tanesia	RP	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/9/2013	None	Santa Clara	700 Lawrence Expressway	Suite 312	Santa Clara	CA	95051	(408) 851-7080
None	Balwan	Melea	K	Speech Therapist	Speech Language Pathology	5/7/2004	None	None	1200 N State Street	None	Los Angeles	CA	90033	None
None	Balwan	Melea	K	Speech Therapist	Speech Language Pathology	5/7/2004	None	Los Angeles	1200 N State Street	None	Los Angeles	CA	90033	None
None	Balzotti	Angela	J	Physical Therapist	Physical Therapy	5/27/2009	7/31/2010	None	None	None	None	None	None	None
1275996761	Banares	Claudette	Lingat	Speech Therapist	Speech Language Pathology	2/27/2019	None	Los Angeles	2618 East Glenoaks Boulevard	Glendale	Glendale	CA	91206	None
1659578805	Bandau	Brian	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/11/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(877) 608-0044
None	Bane	Marissa	D	EPSDT Supplemental Services Provider	Dietitians	2/23/2012	None	Los Angeles	15031 Rinaldi Street	None	Mission Hills	CA	91346	(818) 946-1730
1629370903	Bangar	Parmala	Kumari	Physician	Pediatrics	11/22/2019	None	Fresno	N/A	Attn.: Robert Manzanedo Box 737	San Joaquin	CA	93660	None
None	Bangar	Parmala	K	Physician	Pediatrics	10/7/2011	10/6/2014	Fresno	1945 N Fine Avenue	Suite 116	Fresno	CA	93727	None
None	Banh	Tiffany	None	EPSDT Supplemental Services Provider	Dietitians	9/13/2022	None	Santa Clara	3546 Arcade Ave Avenue	None	San Jose	CA	95148	None
None	Baniqued	Melissa	Q	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/6/2015	None	San Diego	200 W Arbor Drive	None	San Diego	CA	92103	(619) 471-3257
None	Banks	Jane	None	EPSDT Supplemental Services Provider	Registered Nurse	9/24/2013	None	Fresno	9300 Valley Children's Place	None	Madera	CA	93638	(559) 779-2498
None	Banks	Kara	E	Physical Therapist	Physical Therapy	3/17/2015	None	San Bernardino	1760 W 16th Street	None	San Bernardino	CA	92411	(909) 473-1200
None	Banks	Kristen	None	EPSDT Supplemental Services Provider	Registered Nurse	4/11/2024	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	None
1790982130	Banks	Lonnie	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/7/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(888) 505-0043
None	Banks	Megan	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/29/2021	None	Los Angeles	8700 Beverly Boulevard	Suite TSB 210	Los Angeles	CA	90048	None
None	Banks	Paul	None	Physical Therapist	Physical Therapy	1/14/2005	None	None	None	None	None	None	None	None
None	Bankson	Donna	E	Speech Therapist	Speech Language Pathology	7/15/2008	9/30/2015	None	None	None	None	None	None	None
None	banning	pamela	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/6/2012	None	Contra Costa	1601 Ygnacio Valley Road	None	Walnut Creek	CA	94598	(925) 947-5353
None	Banuelos	Kimberly	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/18/2020	None	Fresno	1641 Rall Avenue	None	Clovis	CA	93611	None
None	Banuelos	Melissa	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/23/2021	None	Los Angeles	8700 Beverly Boulevard	Suite TSB 210	Los Angeles	CA	90048	None
None	Banuelos	Yesenia	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/15/2023	None	Los Angeles	4650 Sunset Boulevard	Mail Stop 38	Los Angeles	CA	90027	None
None	baptiste	alexa	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/17/2018	None	Los Angeles	18321 Clark Street	None	Tarzana	CA	91356	None
None	Baptiste	Julie	Michelle	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/28/2016	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	(562) 933-1528
None	Baqi	Esau	None	Physical Therapist	Physical Therapy	3/4/2024	None	Los Angeles	10654 Wilkins Avenue	Unit 6	Los Angeles	CA	90024	None
None	Baquir	Jovi	None	EPSDT Supplemental Services Provider	Registered Nurse	10/21/2016	None	Santa Clara	700 Welch Road	Suite 301H	Palo Alto	CA	94305	(650) 723-8295
None	Baracco	Sarah	R	EPSDT Supplemental Services Provider	Dietitians	1/24/2012	None	Placer	1600 Eureka Road	None	Roseville	CA	95661	(916) 474-6242
None	Barajas	Joanna	Marie	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/7/2016	None	Madera	70 Makenna Drive	None	Madera	CA	93637	None
None	Barajas	Noelle	Juliet	Speech Therapist	Speech Language Pathology	5/20/2020	None	Riverside	6300 Cosmos Street	Eastvale, Ca	Eastvale	CA	92880	None
None	Baranco	Rachel	None	Physician	Pediatrics	2/28/2019	None	Los Angeles	10110 Juniper Street	None	Los Angeles	CA	90002	None
None	Barba	Amanda	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/15/2022	None	Sacramento	Stockton Blvd	None	Sacramento	CA	95817	None
None	Barba	Brenda	M	EPSDT Supplemental Services Provider	Dietitians	7/22/2008	None	None	9961 Sierra Avenue	None	Fontana	CA	92335	None
None	Barba	Christina	D	EPSDT Supplemental Services Provider	Registered Nurse	2/13/2015	None	San Diego	7910 Frost Street	Suite 200	San Diego	CA	92123	(858) 966-4951
None	Barba	Dawn	None	EPSDT Supplemental Services Provider	Registered Nurse	7/20/2021	None	Madera	9300 Valley Childrens Place Place	Oncology Clinic	Madera	CA	93636	None
1275165946	Barba	Jessica	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/14/2024	None	Los Angeles	9333 Imperial Highway	None	Downey	CA	90242	None
None	Barba	Laura	A	EPSDT Supplemental Services Provider	Registered Nurse	7/12/2007	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	(858) 966-4951
None	Barba	Michelle	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/20/2023	None	Los Angeles	8700 Beverly Boulevard	Suite PACT 900C	Los Angeles	CA	90048	None
None	Barbee	Christi	M	Audiologist	Audiology	7/10/2006	5/31/2007	None	None	None	None	None	None	None
None	Barber	Christyana	Monet	EPSDT Supplemental Services Provider	Registered Nurse	10/13/2021	None	Los Angeles	19039 Nordhoff Street	Apartment 216	Northridge	CA	91325	None
None	Barbieri	Anne	None	EPSDT Supplemental Services Provider	Registered Nurse	10/1/2023	None	Alameda	747 52nd Street	Hematology/Oncology	Oakland	CA	94609	None
None	Barbieri-Welge	Rene	L	Psychologist	Psychology	2/1/1999	None	None	8010 Frost Street	Suite 200	San Diego	CA	92123	None
None	Barbu	Ioana	None	Speech Therapist	Speech Language Pathology	7/14/2023	None	Marin	1350 South Eliseo Drive Drive	Suite 130	Greenbrae	CA	94904	None
None	Bargetto	Gina	D	Audiologist	Audiology	8/2/2000	None	None	5831 Cottle Road	None	San Jose	CA	95123	None
1760726616	Bari	Lisa	Yasmeen	Speech Therapist	Speech Language Pathology	8/5/2013	None	Orange	393 S Tustin Street	None	Orange	CA	92866	None
None	Barkan	Vicki	L	Speech Therapist	Speech Language Pathology	9/26/2001	None	None	1526 N Edgemont Street	None	Los Angeles	CA	90027	None
None	Barker	Andrea	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/30/2019	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Barkhordarzadeh	Shani	None	EPSDT Supplemental Services Provider	Registered Nurse	12/19/2023	None	Los Angeles	1521 Cardiff Ave.	None	Los Angeles	CA	90035	None
1942640214	Barkoff	Lynsey	M	EPSDT Supplemental Services Provider	Registered Nurse	4/16/2015	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	(650) 497-8000
1922321082	Barlow	Amber	None	Physical Therapist	Physical Therapy	1/13/2023	None	San Diego	420 N. Falconer Road	Escondido, Ca	Escondido	CA	92027	None
None	Barncord	Stephen	W	Psychologist	Psychology	11/1/2000	None	None	None	None	None	None	None	None
None	Barnes	Angela	None	EPSDT Supplemental Services Provider	Registered Nurse	5/27/2021	None	Santa Clara	770 Welch Road	Suite 100	Palo Alto	CA	94304	None
None	Barnes	Demedre	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/1/2015	None	San Bernardino	18300 Highway	18	Apple Valley	CA	92307	(760) 242-2311
None	Barnes	Melethia	J	Speech Therapist	Speech Language Pathology	6/1/1994	None	None	3020 Childrens Way	Unit MC5010	San Diego	CA	92123	None
None	Barnes	Melissa	J	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/24/2013	None	Ventura	147 N Brent Street	None	Ventura	CA	93003	(805) 652-5011
None	Barnett	Dan	None	Occupational Therapist	Occupational Therapy	1/27/2025	None	Riverside	26520 Cactus Avenue	None	Moreno Valley	CA	92555	None
None	Barnett	Kimberly	None	EPSDT Supplemental Services Provider	Registered Nurse	9/1/2005	None	None	None	None	None	None	None	None
1477207629	Barnett	Laurel	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/2/2022	None	Fresno	581 W. Minarets Ave Avenue	None	Clovis	CA	93611	None
None	Barnhardt	Deetta	S	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/8/2008	None	None	None	None	None	None	None	None
None	Barnhardt	DeEtta	S	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/8/2008	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	(650) 497-8303
None	Barnum	Anita	R	Respiratory Care Practitioner	Respiratory Care Practice	11/20/2020	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	None
1407178775	Baron Nelson	Mary	None	EPSDT Supplemental Services Provider	Registered Nurse	1/20/2015	None	Los Angeles	4650 Sunset Bvd	None	Los Angeles	CA	90027	None
None	Barouch	Joan	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/1/1989	None	Alameda	747 52nd Street	None	Oakland	CA	94609	None
None	Barr	Emily	M	EPSDT Supplemental Services Provider	Dietitians	10/3/2007	None	Orange	1201 W Laveta Avenue	None	Orange	CA	92868	None
1992112874	Barr	Lindsay	None	EPSDT Supplemental Services Provider	Registered Nurse	9/19/2016	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Barrack	Melissa	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/4/2019	None	San Diego	1959 Grand Avenue	Apartment 2	San Diego	CA	92109	None
None	Barragan	Karina	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/1/2024	None	Riverside	1150 North Indian Canyon Drive	Palm Springs Ca Riverside	Palm Springs	CA	92263	None
1558675124	Barragan	Laura	E	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/3/2019	None	Los Angeles	18040 Sherman Way	None	Reseda	CA	91335	None
None	Barragan Lucas	Marisol	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/2/2017	None	San Diego	3003 Health Cener Drive	None	San Diego	CA	92123	(858) 939-4132
None	Barraza	Alba	None	Speech Therapist	Speech Language Pathology	10/27/2005	None	None	6960 Destiny Drive	Suite 117	Rocklin	CA	95677	None
None	Barraza	Melissa	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	3/6/2024	None	Riverside	11384 Triumph Lane	None	Moreno Valley	CA	92557	None
None	Barraza Felix	Elizabeth	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/21/2022	None	San Bernardino	11234 Anderson Street	Loma Linda	Loma Linda	CA	92354	None
None	Barrera	Daniel	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	4/22/2024	None	Los Angeles	1505 N Edgemont Street	Floor 1st	Los Angeles	CA	90027	None
None	Barrera	Karina	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/5/2023	None	San Diego	Fifth Avenue	Mail Stop MER64	San Diego	CA	92103	None
None	Barreto	Janet	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	11/10/2023	None	Fresno	2823 Fresno Street	None	Fresno	CA	93721	None
None	Barreto	Kimmy	None	Occupational Therapist	Occupational Therapy	10/8/2022	None	Los Angeles	16414 Holmes Place Place	Cerritos, Ca	Cerritos	CA	90703	None
None	Barreto	Yazmin	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/27/2020	None	San Diego	4002 Vista Way	None	Oceanside	CA	92056	None
1942775929	Barrett	Edna	Sonya	Physical Therapist	Physical Therapy	10/5/2018	None	San Bernardino	25852 Lomas Verdes Street	None	Redlands	CA	92373	None
None	Barrett	La	Crystal	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/14/2011	None	Sonoma	3325 Chanate Road	None	Santa Rosa	CA	95404	(707) 576-4000
1407985906	barrett	linda	m	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/30/2013	None	Lassen	393 E Walnut Street	None	Pasadena	CA	91188	(888) 505-0043
None	Barrett	Luke	Miller	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/22/2019	None	San Diego	200 W Arbor Drive	None	Carlsbad	CA	92013	None
None	Barrett	Luke	Miller	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/22/2019	None	San Diego	200 W Arbor Drive	None	San Diego	CA	92103	None
None	Barriga Solorio	Jessica	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/8/2023	None	Fresno	5664 E. Burns Avenue	None	Fresno	CA	93727	None
None	Barrios	Denise	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/6/2015	None	Los Angeles	1505 N Edgemont Street	1st Floor	Los Angeles	CA	90027	(323) 783-3136
1154797439	Barrios	Mariana	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/4/2021	None	Orange	1900 East 4th Street	None	Santa Ana	CA	92705	None
None	Barron	Jessica	Melissa	Speech Therapist	Speech Language Pathology	6/1/2020	None	Los Angeles	9817 Cullman Avenue	Whittier Ca La	Whittier	CA	90603	None
1659781698	Barros	Rebecca	Veronica	Physician	Pediatrics	3/26/2018	None	Orange	1201 W. La Veta Avenue Avenue	None	Orange	CA	92868	None
1124783931	Barrow	Candice	None	EPSDT Supplemental Services Provider	Dietitians	8/15/2022	None	Los Angeles	11914 Kathyann Street	None	Lake View Terrace	CA	91342	None
1750758363	Barrows	Jessica	None	Physical Therapist	Physical Therapy	8/25/2017	None	Fresno	6220 E Pontiac Way	None	Fresno	CA	93727	(559) 312-7823
None	Barry	David	C	Physician	Internal Medicine	5/30/2007	None	None	914 Pine Street	None	Mount Shasta	CA	96067	None
1790330082	Barry	Jennifer	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/25/2019	None	Yuba	D Street	None	Marysville	CA	95901	None
None	Barsotti	Carme	None	Physical Therapist	Physical Therapy	6/28/2023	None	Nevada	400 Hoover Lane Ext Lane	None	Nevada City	CA	95959	None
None	Bartell	LaVella	None	EPSDT Supplemental Services Provider	Registered Nurse	3/26/2002	None	Madera	9300 Valley Childrens Place	None	Madera	CA	93638	None
1093189342	Bartlett	Paula	None	Occupational Therapist	Occupational Therapy	1/12/2016	None	Alameda	1083 Eve Lane	None	Livermore	CA	94550	None
None	Bartlett	Robyn	None	EPSDT Supplemental Services Provider	Registered Nurse	5/21/2024	None	Sacramento	2425 Stockton Boulevard	None	Sacramento	CA	95817	None
None	Bartolome	Dana	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	8/13/2024	None	Santa Clara	725 Welch Road	Palo Alto Ca	Palo Alto	CA	94304	None
None	Barton	Cheryl	Estepa	EPSDT Supplemental Services Provider	Registered Nurse	12/4/2020	None	Los Angeles	4650 W. Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Barton	Eva	None	EPSDT Supplemental Services Provider	Registered Nurse	3/27/2023	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	None
None	Barton	Linda	S	Audiologist	Audiology	5/13/2002	None	None	2923 Webster Street	Suite 201	Oakland	CA	94609	None
None	Barton	Lorayne	None	Physician	Pediatrics	5/21/2015	None	Los Angeles	1200 N State Street	None	Los Angeles	CA	90033	None
None	Barton	Lorayne	None	Physician	Pediatrics: Neonatal-Perinatal Medicine	5/21/2015	None	Los Angeles	1200 N State Street	None	Los Angeles	CA	90033	None
None	Basa	Quennie	None	Physical Therapist	Physical Therapy	5/23/2011	None	Los Angeles	9449 E Imperial Highway	None	Downey	CA	90242	None
None	Basa	Quennie	None	Physical Therapist	Physical Therapy	5/23/2011	None	Los Angeles	9353 Imperial Highway	Floor 3	Downey	CA	90242	None
None	basbas	Lindsey	None	EPSDT Supplemental Services Provider	Registered Nurse	4/21/2020	None	San Bernardino	1993 Date Tree Road	Colton, Ca	Colton	CA	92324	None
None	Basch	Jennifer	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/5/2019	None	Los Angeles	757 Westwood Plaza	Westwood, Ca	UC Los Angeles	CA	90095	None
None	Bashar	Jennifer	None	Occupational Therapist	Occupational Therapy	1/25/2010	None	Los Angeles	7601 Imperial Highway	None	Downey	CA	90242	None
None	Bashar	Jennifer	C	Occupational Therapist	Occupational Therapy	6/24/2009	None	None	7601 Imperial Highway	None	Downey	CA	90242	None
None	Basile	Anne	None	Audiologist	Audiology	1/1/2000	None	San Diego	200 W Arbor Drive	Mc 8452	San Diego	CA	92103	None
1952566853	Basravi	Seerath	None	EPSDT Supplemental Services Provider	Dietitians	1/7/2016	None	Alameda	373 River Oaks Circle	Apartment 405	San Jose	CA	95134	None
None	Bass	Alice	M	Audiologist	Audiology	11/3/2009	None	None	None	None	None	None	None	None
None	Bass	Martha	A	Physical Therapist	Physical Therapy	4/25/2006	None	None	6210 E Twin Peak Circle	None	Anaheim	CA	92807	None
None	Bastos	Carolina	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/10/2021	None	Alameda	747 52nd Street	None	Oakland	CA	94609	None
None	Basurto	Jennifer	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/1/1996	None	None	None	None	None	None	None	None
1023487766	Basutkar	Vineeta	None	EPSDT Supplemental Services Provider	Registered Nurse	3/24/2017	None	Los Angeles	10833 Le Conte Avenue	None	Los Angeles	CA	90095	None
1336345826	Batalia	Gene	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/23/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	None
None	Bater	Melissa	None	Occupational Therapist	Occupational Therapy	10/29/2012	None	San Bernardino	1760 W 16th Street	None	San Bernardino	CA	92411	(909) 473-1200
None	Bates	Brady	Carlisle	Psychologist	Psychology	12/2/2014	None	Madera	9300 Valley Children's Place	None	Madera	CA	93636	None
None	bates	lisa	None	Physical Therapist	Physical Therapy	10/9/2019	None	None	16 Kensington Circle	Apartment e	Garnerville	NY	10923	None
1497245815	Batham	Diane	Elizabeth	EPSDT Supplemental Services Provider	Registered Nurse	5/15/2018	None	Orange	5831 Vallecito Drive	None	Westminster	CA	92683	None
None	Batista	Brittney	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	10/7/2024	None	Santa Clara	725 Welch Road	Palo Alto Ca	Palo Alto	CA	94304	None
None	Batista	Melissa	L	Psychologist	Psychology	12/19/2011	None	None	505 N Euclid Avenue	Suite 300	Anaheim	CA	92801	None
None	Batoon	Joan	S	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/26/2020	None	Contra Costa	1425 S. Main Street	None	Walnut Creek	CA	94596	None
None	Battig	Priska	None	Occupational Therapist	Occupational Therapy	5/5/2016	None	San Diego	2103 Loquat Place	None	Oceanside	CA	92054	None
1659909307	Battle	Andrea	None	Occupational Therapist	Occupational Therapy	12/13/2022	None	Sacramento	4211 Turnbridge Drive	None	Sacramento	CA	95823	None
1205673555	Battle	Christina	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	7/15/2024	None	Madera	9300 Valley Children's Place	None	Madera	CA	93636	None
1336781988	Battle	Kashay	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/17/2022	None	Fresno	8680 N. Glenn Avenue	Apartment 225	Fresno	CA	93711	None
None	Batzel	Ruth	L	EPSDT Supplemental Services Provider	Registered Nurse	12/10/2009	None	Sonoma	3325 Chanate Road	None	Santa Rosa	CA	95404	(707) 573-5159
1902056062	Bau	Sherona	Ngashea	EPSDT Supplemental Services Provider	Registered Nurse	3/27/2017	None	Los Angeles	10833 Le Conte Avenue	None	Los Angeles	CA	90095	(310) 206-3748
None	Baucom-Pro	Colleen	S	EPSDT Supplemental Services Provider	Dietitians	2/28/2007	None	None	None	None	None	None	None	None
None	Baudino	Lori	M	Psychologist	Psychology	5/7/2009	None	None	8339 Holy Cross Place	None	Los Angeles	CA	90045	None
None	Bauer	Jennifer	B	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/1/1996	None	None	None	None	None	None	None	None
None	Baugh	Nancy	C	EPSDT Supplemental Services Provider	Dietitians	5/1/1995	None	None	None	None	None	None	None	None
None	Baugh	Nancy	None	EPSDT Supplemental Services Provider	Dietitians	5/1/1995	None	Santa Clara	750 Welch Road	Suite 214 MC 5891	Palo Alto	CA	94304	(650) 497-8310
None	Baum	Camila	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/17/2021	None	San Francisco	2425 Geary Boulevard	None	San Francisco	CA	94115	None
1235285503	baumgaertner	joseph	None	Physical Therapist	Physical Therapy	5/19/2004	None	Los Angeles	1798 N Garey Avenue	None	Pomona	CA	91767	None
None	Baumgartner	Anna	L	Psychologist	Psychology	5/27/2009	None	Los Angeles	2653 Elm Avenue	Suite 200	Long Beach	CA	90806	None
None	Bautista	Martha	None	Respiratory Care Practitioner	Respiratory Care Practice	7/27/2023	None	Madera	41169 Goodwin Way	Pulmonary Clinic	Madera	CA	93636	None
None	Bautista	Veronica	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/27/2019	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
1003183146	Bautista-Durand	Maria	None	Certified Nurse Practitioner	Certified Nurse Practitioner	3/12/2024	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Bautista-Durand	Maria	Imelda	EPSDT Supplemental Services Provider	Registered Nurse	7/5/2012	None	Los Angeles	2400 S Flower Street	None	Los Angeles	CA	90007	(213) 742-1109
None	Bautista Ramirez	Julio	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/25/2024	None	Santa Clara	700 Lawrence Expressway	Department 312	Santa Clara	CA	95051	None
None	Bava	Laura	None	Psychologist	Psychology	6/26/2012	None	Los Angeles	4650 W Sunset Boulevard	None	Los Angeles	CA	90027	(323) 361-6609
1205031473	Baxter	Lori	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/1/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(877) 608-0044
None	Baxter	Myra	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/10/2001	None	None	None	None	None	None	None	None
1568815629	Baxter	Stephanie	None	Audiologist	Audiology	11/15/2016	None	Los Angeles	4650 Sunset Boulevard	36	Los Angeles	CA	90027	None
None	Bayley	Bonnie	Z	Speech Therapist	Speech Language Pathology	4/1/1995	None	Marin	250 Bon Air Road	None	Greenbrae	CA	94904	None
None	Bayney-Fleener	Vattene	None	Speech Therapist	Speech Language Pathology	2/27/2008	None	None	5806 Lexington Avenue	None	Los Angeles	CA	90038	None
None	Bayona	Regin	P	EPSDT Supplemental Services Provider	Registered Nurse	1/20/2015	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94305	(650) 724-1000
None	Bazan	Loriann Sau	Lin	Occupational Therapist	Occupational Therapy	5/14/2012	None	Tuolumne	21640 Fortuna Mine Road	None	Sonora	CA	95370	(209) 532-5477
None	Bazo	eve	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/28/2018	None	San Francisco	1975 4th Street	None	UC San Francisco	CA	94143	None
None	Beacham	Amy	None	Physical Therapist	Physical Therapy	1/31/2023	None	Placer	4951 Valley View Drive	Newcastle Department 1	Newcastle	CA	95658	None
1184282121	Beal	Isabella	None	Physical Therapist	Physical Therapy	10/11/2024	None	San Diego	3020 Children's Way	Mail Stop 5068	San Diego	CA	92123	None
None	Beall	Jennifer	None	Respiratory Care Practitioner	Respiratory Care Practice	12/23/2013	None	San Bernardino	2195 Club Center Drive	Suite G	San Bernardino	CA	92408	(909) 835-1803
None	Bean	Tambia	E	Occupational Therapist	Occupational Therapy	12/2/2003	None	None	None	None	None	None	None	None
None	Beane	Jennifer	A	Physical Therapist	Physical Therapy	11/15/2010	None	None	2315 Stockton Boulevard	None	Sacramento	CA	95817	None
None	Beane	Vicki	L	Occupational Therapist	Occupational Therapy	11/1/1990	None	None	9161 Sierra Avenue	Suite 111	Fontana	CA	92335	None
None	Beard	Breaon	Latrice	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/1/2018	None	Los Angeles	13403 Destino Place	None	Cerritos	CA	90703	None
None	Beard	Elmine	None	EPSDT Supplemental Services Provider	Registered Nurse	11/30/2021	None	San Bernardino	250 East Caroline St. Sui San Bernardino, Ca 92408 Street	Suite E	San Bernardino	CA	92408	None
1780875575	Bearden	Allison	None	Physician	Pediatrics: Pediatric Infectious Diseases	2/1/2021	None	Los Angeles	1200 N. State Street	None	Los Angeles	CA	90033	None
1780875575	Bearden	Allison	None	Physician	Pediatrics	2/1/2021	None	Los Angeles	1200 N. State Street	None	Los Angeles	CA	90033	None
None	Bearden	Jennifer	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/23/2008	None	San Diego	354 Santa Fe Drive	None	Encinitas	CA	92024	None
None	Beasley	Adam	None	Physician	Pediatrics	9/13/2023	9/12/2026	Los Angeles	1000 W Carson Street	None	Torrance	CA	90509	None
None	Beaston	Lora	A	EPSDT Supplemental Services Provider	Dietitians	5/13/2016	None	San Diego	3020 Children's Way, MS5029	None	San Diego	CA	92123	(858) 966-7758
None	Beaton	Sara	None	EPSDT Supplemental Services Provider	Registered Nurse	3/17/2015	None	San Bernardino	2195 Club Center	None	San Bernardino	CA	92408	(909) 651-1807
1740587690	Beattie	Jess	E	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/15/2011	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(888) 505-0043
None	Beattie	Jess	E	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/15/2011	None	None	None	None	None	None	None	(562) 657-9000
None	Beaudoin	Jessica	C	EPSDT Supplemental Services Provider	Dietitians	2/6/2014	None	Los Angeles	4101 Torrance Boulevard	None	Torrance	CA	90503	None
1083028930	Beaver	Melissa	None	EPSDT Supplemental Services Provider	Registered Nurse	6/1/2017	None	Los Angeles	200 UCLA Medical Plaza	Suite 330	UC Los Angeles	CA	90095	(310) 267-8212
None	Becerra	Edgar	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	8/31/2024	None	Riverside	Camino Real	None	Coachella	CA	92236	None
None	Beck	Heath	None	EPSDT Supplemental Services Provider	Registered Nurse	12/11/2023	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Beck	Natalie	C	EPSDT Supplemental Services Provider	Dietitians	6/8/2011	None	Santa Barbara	5333 Holister Avenue	Suite 250	Santa Barbara	CA	93111	None
1477318103	Beck	Shelli	None	EPSDT Supplemental Services Provider	Registered Nurse	3/7/2024	None	Sacramento	7995 Milwheel Court	None	Sacramento	CA	95829	None
None	Becker	Brittney	N	Speech Therapist	Speech Language Pathology	2/10/2016	None	San Bernardino	11406 Loma Linda Drive	None	Loma Linda	CA	92354	(909) 558-6144
None	Becker	Caitlin	None	Physical Therapist	Physical Therapy	12/27/2022	None	Nevada	21275 Donner Drive	None	Soda Springs	CA	95728	None
None	Becker	Emily	E	Speech Therapist	Speech Language Pathology	4/20/2010	None	None	None	None	None	None	None	None
1467656488	Becker	Gary	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/14/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(888) 505-0043
None	Becker	Susan	N	Audiologist	Audiology	2/17/2004	None	None	None	None	None	None	None	None
None	Beckerle	Megan	None	EPSDT Supplemental Services Provider	Registered Nurse	4/28/2010	None	Orange	1201 W La Veta Aveneu	None	Orange	CA	92868	(714) 509-8638
None	Beckerleg	Anna	None	EPSDT Supplemental Services Provider	Registered Nurse	11/8/2018	None	Los Angeles	4650 Sunset Boulevard	Office 82	Los Angeles	CA	90027	None
None	Beckham	Shelley	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/14/2012	None	Orange	101 The City Drive	South	Orange	CA	92868	None
None	Beckman-Kennedy	Mary	A	EPSDT Supplemental Services Provider	Dietitians	7/2/2018	None	Orange	101 E Valencia Mesa Drive	None	Fullerton	CA	92835	None
None	Beckwith	Patricia	None	EPSDT Supplemental Services Provider	Dietitians	4/1/1995	None	Los Angeles	200 Medical Plaza	Suite 265	Los Angeles	CA	90095	None
1881724797	Becraft	Renee	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/12/2019	None	Los Angeles	845 E. Willow	None	Signal Hill	CA	90755	None
None	Beddoe	Bernice	C	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/20/2011	None	San Bernardino	2195 Club Center Drive	Suite G	San Bernardino	CA	92408	None
1871047027	Bedford	Kelsea	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/5/2016	None	Fresno	3280 W Illumination Drive	None	Fresno	CA	93711	None
1962864710	Bedolla Rocha	Elisabeth	None	Physician	Family Medicine	8/31/2020	None	Santa Cruz	204 E Beach Street	None	Watsonville	CA	95076	None
None	Beduya	Beverly	S	Physical Therapist	Physical Therapy	6/18/2009	None	None	17400 Minnehaha Street	None	Granada Hills	CA	91344	None
None	Bedworth	Beverly	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/8/2006	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90801	None
None	Begashaw	Cassidy	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	11/17/2023	None	Santa Clara	725 Welch Road	Palo Alto Ca	Palo Alto	CA	94304	None
None	Begino	Claudia	E	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/17/2008	None	None	None	None	None	None	None	None
None	Begum	Razika	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/18/2024	None	Contra Costa	1425 S Main Street	None	Walnut Creek	CA	94596	None
None	Behm	Shirley	None	EPSDT Supplemental Services Provider	Registered Nurse	10/6/2010	1/31/2016	None	None	None	None	None	None	None
None	Behnke	Kimberly	E	Physical Therapist	Physical Therapy	8/27/2008	None	None	823 Gateway Center Street	None	Granada Hills	CA	91344	None
None	Beitch	Jessica	C	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/22/2013	None	San Francisco	400 Parnassus Avenue	A-45 Plaza	San Francisco	CA	94143	(415) 353-2795
None	Beitel	Gary	D	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/3/2006	8/31/2013	None	None	None	None	None	None	None
None	Bejar	Araceli	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/30/2014	None	Kern	420 34th Street	None	Bakersfield	CA	93305	(661) 327-4647
None	Beken	Elizabeth	F	EPSDT Supplemental Services Provider	Registered Nurse	10/19/2012	None	Santa Clara	770 Welch Road	Suite 350	Palo Alto	CA	94304	(650) 736-1359
1821653783	Belay	Adriana	None	EPSDT Supplemental Services Provider	Registered Nurse	2/17/2021	None	Los Angeles	5608 Coliseum Street	Los Angeles Ca	Los Angeles	CA	90016	None
None	Belen	Jacqueline	P	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/19/2016	None	Orange	6640 Alton Parkway	None	Irvine	CA	92618	(714) 830-6506
1306088604	Bell	Alison	None	EPSDT Supplemental Services Provider	Registered Nurse	9/2/2014	None	Los Angeles	1333 S Mayflower Avenue	2nd Floor	Monrovia	CA	91016	(626) 775-3514
1922547538	Bell	Andre	None	Physical Therapist	Physical Therapy	8/18/2022	None	San Diego	3020 Children's Way	Mail Stop 5068	San Diego	CA	92123	None
None	Bell	Elizabeth	P	EPSDT Supplemental Services Provider	Registered Nurse	8/3/2009	None	Los Angeles	4700 Sunset Boulevard	Suite 3B	Los Angeles	CA	90027	(323) 783-1124
1174648471	Bell	Ella	Yvonne	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/23/2016	None	San Francisco	2200 O'Farrell	None	San Francisco	CA	94115	(415) 833-4315
None	Bell	Kimberly	K	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/13/2008	None	Placer	1600 Eureka Road	None	Roseville	CA	95661	None
1649818873	Bell	Lauren	None	EPSDT Supplemental Services Provider	Dietitians	11/4/2021	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Bell	Nancy	M	Occupational Therapist	Occupational Therapy	9/14/2006	None	None	None	None	None	None	None	None
None	Bell	Sheela	None	Physical Therapist	Physical Therapy	3/30/2023	None	San Bernardino	12934 Club Drive	Redlands, Ca Usa	Redlands	CA	92373	None
None	Bell	Traci	D	EPSDT Supplemental Services Provider	Registered Nurse	1/23/2012	None	None	None	None	None	None	None	None
None	Bella	Sally	A	Speech Therapist	Speech Language Pathology	1/1/1992	None	None	500 W Hospital Road	None	French Camp	CA	95231	None
None	Bellamy	Sandra	None	Physical Therapist	Physical Therapy	10/31/2002	None	None	1800 N California Street	None	Stockton	CA	95204	None
None	Bell-Berch	Jenny	None	EPSDT Supplemental Services Provider	Registered Nurse	7/16/2014	None	Santa Barbara	427 W Pueblo	Suite C	Santa Barbara	CA	93102	(805) 569-7850
1891455440	Belles	Micaela	None	EPSDT Supplemental Services Provider	Dietitians	1/15/2025	None	San Francisco	239 Ortega Street	None	San Francisco	CA	94122	None
None	Bellfort-salinas	Silvia	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/16/2014	None	Alameda	4945 Shafter Avenue	None	Oakland	CA	94609	(628) 224-5505
1063011823	Belliard	Victoria	None	Occupational Therapist	Occupational Therapy	9/1/2021	None	San Bernardino	11215 San Juan Street	None	Loma Linda	CA	92354	None
None	Bellissima	Mary Ann	L	Audiologist	Audiology	12/6/2007	None	Madera	9300 Valley Children's Place	None	Madera	CA	93638	None
None	Bello	Gina	None	Occupational Therapist	Occupational Therapy	4/4/2021	None	San Diego	1302 Loring Street Street	None	San Diego	CA	92109	None
None	Bello	Meghan	A	EPSDT Supplemental Services Provider	Registered Nurse	3/1/2011	None	Madera	9300 Valley Children's Place	None	Madera	CA	93636	(559) 353-3000
None	Belmont	Sabrina	L	Physical Therapist	Physical Therapy	11/17/2008	None	Fresno	2823 Fresno Street	None	Fresno	CA	93721	None
None	Belmonte	Camille	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	2/7/2025	None	Los Angeles	6041 Cadillac Avenue	Floor 4	Los Angeles	CA	90034	None
None	Beltrami	Monica	A	Occupational Therapist	Occupational Therapy	7/1/1995	None	San Francisco	3700 California Street	None	San Francisco	CA	94118	None
None	Beltran	Emiliano	J	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/25/2019	None	Fresno	722 Clovis Avenue	Apartment 195	Clovis	CA	93611	None
None	Beltran	Kimberly	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/6/2022	None	San Bernardino	11234 Anderson Street	None	Loma Linda	CA	92354	None
1306045133	Beltran	Rosemary	Pelayo	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/1/2017	None	Los Angeles	13652 Cantara Street	None	Panorama City	CA	91402	(818) 375-2977
None	Beltran	Thaomy	None	Physical Therapist	Physical Therapy	5/8/2009	None	San Francisco	1917 Ellis Street	1	San Francisco	CA	94115	None
None	Belza	Melanie	Grace	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/27/2019	None	Orange	North Tustin Avenue	Office 1001	Santa Ana	CA	92705	None
1427350859	Benassi	Kari	None	EPSDT Supplemental Services Provider	Registered Nurse	4/30/2013	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Benavides	Courtney	Suzanne	EPSDT Supplemental Services Provider	Registered Nurse	11/17/2023	None	San Diego	Jasmine Place	None	Escondido	CA	92025	None
None	Benavides	Susana	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/30/2017	None	Imperial	207 W Legion Road	None	Brawley	CA	92227	(760) 351-3295
None	Bendell-Estroff	Debra	None	Psychologist	Psychology	11/27/2006	None	None	10833 Le Conte Avenue	Unit 12-441M	Los Angeles	CA	90095	None
None	Bender	Hayley	N	Occupational Therapist	Occupational Therapy	7/22/2016	None	San Diego	3020 Children's Way	Mc 5068	San Diego	CA	92123	(858) 966-5829
None	Beneck	Amy	L	Occupational Therapist	Occupational Therapy	8/9/2010	None	None	10981 Meades	None	Orange	CA	92869	None
None	Benedetto	Kristee	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/29/2005	None	Los Angeles	3126 Madera Avenue	None	Los Angeles	CA	90039	(323) 359-7877
1689057127	Benedict	Darcy	None	Physician	Family Medicine	2/7/2022	None	Los Angeles	5850 South Main Street	Los Angeles, Ca Usa	Los Angeles	CA	90003	None
None	Benegas	Ericka	N	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/8/2015	None	Los Angeles	1505 N Edgemont Avenue	None	Los Angeles	CA	90027	(323) 783-4371
None	Beneke	Amanda	R	Speech Therapist	Speech Language Pathology	11/3/2016	None	Los Angeles	806 W Adams Boulevard	None	Los Angeles	CA	90007	(213) 748-5481
None	Benekos	Erin	K	EPSDT Supplemental Services Provider	Registered Nurse	8/7/2012	None	Los Angeles	2653 Elm Avenue	Mail Stop 54	Long Beach	CA	90806	(562) 728-5000
None	Benes	Angela	None	Speech Therapist	Speech Language Pathology	7/6/2010	None	None	4100 Jurupa Street	Suite 108	Ontario	CA	91761	None
1093121238	Benetti	Teresa	K	EPSDT Supplemental Services Provider	Dietitians	6/21/2016	None	Alameda	6253 Dougherty Road	Apartment 7307	Dublin	CA	94568	(916) 801-7496
None	Bengtson	Amanda	Marie	EPSDT Supplemental Services Provider	Registered Nurse	1/31/2020	None	Santa Clara	5547 Mary Jo Way	None	San Jose	CA	95124	None
None	Bengtsson	Maria	Alejandra	Occupational Therapist	Occupational Therapy	10/16/2012	None	Contra Costa	1601 Ygnacio Valley Road	None	Walnut Creek	CA	94598	None
None	Benisano	Kendra	None	EPSDT Supplemental Services Provider	Registered Nurse	11/1/2024	None	Alameda	3505 Broadway	Oakland, Ca, Usa Floor 7	Oakland	CA	94611	None
None	Benitez	Kitzia	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/16/2024	None	Los Angeles	4650 Sunset Boulevard	Mail Stop 38	Los Angeles	CA	90027	None
None	Benitez	Mayra	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/30/2000	None	San Bernardino	11234 Anderson Street	None	Loma Linda	CA	92354	None
None	Benjamin	Daniel	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/9/2022	None	Sacramento	Stockton Blvd	None	Sacramento	CA	95817	None
None	Benn	Melanie	C	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/8/2009	None	None	None	None	None	None	None	None
1952423634	Bennett	Debra	None	EPSDT Supplemental Services Provider	Registered Nurse	12/1/2000	None	Alameda	747 52nd Street	Oakland Ca Alameda	Oakland	CA	94609	None
None	Bennett	Katherine	H	EPSDT Supplemental Services Provider	Dietitians	9/19/2008	None	Orange	1201 W La Veta Avenue	None	Orange	CA	92868	(714) 509-4099
None	Bennetts	Christine	Hunter	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/1/1998	None	Sacramento	2825 Capitol Ave	Sacramento Ca Suite 420	Sacramento	CA	95816	None
None	Bennett Soto	Elisa	None	Speech Therapist	Speech Language Pathology	9/29/2017	None	San Diego	5524 Foxtail Loop	None	Carlsbad	CA	92010	None
None	Ben-Ron	None	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/16/2019	None	Orange	Wildflower	None	Irvine	CA	92604	None
1972083608	Benson	Braddon	C	Occupational Therapist	Occupational Therapy	5/23/2024	None	San Bernardino	28630 Fenwick Way	None	Highland	CA	92346	None
None	Benson	Karen	M	EPSDT Supplemental Services Provider	Dietitians	3/22/2011	None	None	None	None	None	None	None	None
None	Benson	Monika	None	EPSDT Supplemental Services Provider	Registered Nurse	7/20/2020	None	Orange	1201 West La Veta Avenue	Bmt Administration	Orange	CA	92868	None
None	Benson	Teri	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/27/2024	None	Los Angeles	8700 Beverly Boulevard	Suite PACT 900C	Los Angeles	CA	90048	None
None	Benson	Yvette	None	EPSDT Supplemental Services Provider	Registered Nurse	6/26/2023	None	Madera	9300 Valley Children's Boulevard	None	Madera	CA	93636	None
None	Ben-Tall	Ayala	None	Psychologist	Psychology	5/15/2003	None	None	3020 Children's Way	None	San Diego	CA	92123	None
None	Bentley	Rachel	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/19/2008	None	None	None	None	None	None	None	None
None	Bentley-Stern	Barbara	L	Psychologist	Psychology	3/25/2002	None	Los Angeles	730 Welch Road	2nd Floor	Palo Alto	CA	94304	None
1902092380	Beranek	Marlene	None	EPSDT Supplemental Services Provider	Registered Nurse	7/31/2017	None	Los Angeles	1000 W Carson Street	High Risk Infant Clinic	Torrance	CA	90509	(310) 222-2314
None	Berdecia	Audrey	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/26/2023	None	Los Angeles	4650 Sunset Boulevard	Mail Stop 38	Los Angeles	CA	90027	None
None	berenberg	annie	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/6/2015	None	Contra Costa	1601 Ygnacio Valley Road	None	Walnut Creek	CA	94598	(925) 947-5353
None	Berendes	Shannon	L	Audiologist	Audiology	2/14/2008	None	None	280 Hospital Parkway	Building B	San Jose	CA	95119	None
None	Berenhaut	Esther	None	EPSDT Supplemental Services Provider	Dietitians	8/15/2006	None	Los Angeles	4650 Sunset Boulevard	Mail Stop 8	Los Angeles	CA	90027	None
None	Berg	Brittany	None	Speech Therapist	Speech Language Pathology	12/4/2001	None	None	None	None	None	None	None	None
None	Berge	Karina	None	EPSDT Supplemental Services Provider	Registered Nurse	7/27/2017	None	San Francisco	3333 California Street	Suite S1-10	San Francisco	CA	94118	(415) 514-2700
None	Berger	Diana	None	Physical Therapist	Physical Therapy	3/8/2024	None	San Mateo	2406 Dekoven Avenue	None	Belmont	CA	94002	None
1639517816	Berger	Glenda	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/22/2018	None	Shasta	2175 Rosalina Avenue	None	Redding	CA	96001	None
None	Bergeron	Kiane	None	Physical Therapist	Physical Therapy	6/5/2021	None	San Diego	Eastern Street	None	Poway	CA	92064	None
None	Berggren	Jamie	None	Occupational Therapist	Occupational Therapy	10/3/2019	None	Los Angeles	2913 3rd Street Street	Santa Monica , California Apartment 309	Santa Monica	CA	90405	None
None	Berggren	Tracy	A	Non-Physician Medical Practitioner	Certified Physician Assistant	6/11/2024	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
1104016591	Bergstedt	Joy	Danielle	Physical Therapist	Physical Therapy	1/11/2017	None	San Francisco	1500 Owens Street	Suite 400	San Francisco	CA	94158	None
None	Bergthold	Andrea	None	EPSDT Supplemental Services Provider	Registered Nurse	7/5/2016	None	Fresno	5882 E Laurite	None	Fresno	CA	93727	None
None	Berkenkotter	Eren	None	EPSDT Supplemental Services Provider	Registered Nurse	12/1/2000	None	Alameda	445 Bellevue Avenue	Suite 202	Oakland	CA	94610	None
None	Berkenkotter	Eren	G	Psychologist	Psychology	9/6/2007	None	Alameda	445 Bellevue Avenue	Suite 202	Oakland	CA	94610	None
1750702486	Berman	Elana	S	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/12/2019	None	Los Angeles	2081 Palos Verdes Dr North	None	Lomita	CA	90717	None
None	Berman	Gilah	L	EPSDT Supplemental Services Provider	Dietitians	4/5/2012	None	Santa Cruz	1555 Soquel Drive	None	Santa Cruz	CA	95066	(831) 239-5810
None	Berman	Larry	None	Physical Therapist	Physical Therapy	9/8/2003	None	San Diego	4120 Waring Road	None	Oceanside	CA	92056	None
None	Bermudez	Bernadine	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/9/2008	None	None	None	None	None	None	None	None
None	Bermundo	Carmelita	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/1/1991	None	None	None	None	None	None	None	None
None	Bernal	Christie	L	EPSDT Supplemental Services Provider	Registered Nurse	1/4/2013	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	(323) 361-2501
None	Bernal	Daniel	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/21/2021	None	San Diego	5196 Topside Ln	None	San Diego	CA	92154	None
None	Bernal	Holly	J	EPSDT Supplemental Services Provider	Registered Nurse	9/24/2002	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Bernal Barreneche	Ana	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	12/5/2023	None	San Diego	9300 Campus Point Drive	None	La Jolla	CA	92037	None
None	Bernard	Caitlin	E	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/17/2013	None	Fresno	2823 Fresno Street	None	Fresno	CA	93721	None
None	Bernard	Rebecca	S	Psychologist	Psychology	5/1/2007	None	None	3020 Childrens Way	None	San Diego	CA	92123	None
None	Bernardes	Charity	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/5/2014	None	Los Angeles	1100 N State Street	Room A6F	Los Angeles	CA	90033	(323) 409-1349
None	Bernardi	Holly	None	EPSDT Supplemental Services Provider	Registered Nurse	9/12/2011	None	None	None	None	None	None	None	None
None	bernardino	glicelda	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/10/2017	None	Contra Costa	1601 Ygnacio Valley Road	None	Walnut Creek	CA	94598	(925) 947-5353
None	Bernardino	James	V	Prosthetist	Prosthetics/Orthotics	9/21/2010	None	None	1524 21st Street	Suite B	Bakersfield	CA	93301	None
None	Bernath	Rachael	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/15/2022	None	Sacramento	Stockton Blvd	None	Sacramento	CA	95817	None
1659732998	Berndsen	Nicole	None	EPSDT Supplemental Services Provider	Registered Nurse	11/30/2017	None	Los Angeles	8700 Beverly Boulevard	None	Los Angeles	CA	90048	(310) 967-1715
None	Bernhardt	Cara	Lyn	EPSDT Supplemental Services Provider	Dietitians	1/29/2021	None	Placer	829 Shearer Street	None	Roseville	CA	95678	None
None	Berringer	Michele	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/9/2013	None	Orange	27700 Medical Center Road	None	Mission Viejo	CA	92692	(949) 364-1400
None	Berruecos	Diana	Patricia	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/19/2020	None	Sacramento	2025 Morse Avenue	None	Sacramento	CA	95825	None
1770341208	Berry	Caitlyn	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	10/30/2024	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	None
None	Berry	Celia	None	Speech Therapist	Speech Language Pathology	11/30/2022	None	San Bernardino	124 Tamarisk Street	None	Redlands	CA	92373	None
None	Berry	Cynthia	R	Physical Therapist	Physical Therapy	12/1/1987	None	San Francisco	1625 Van Ness Avenue	3rd Floor	San Francisco	CA	94109	None
None	Berry	Gina	None	EPSDT Supplemental Services Provider	Dietitians	10/27/2008	None	Orange	30 Mark W Springs Road	None	Santa Rosa	CA	95404	None
None	Bertini	Marilia	Gabriela	Physical Therapist	Physical Therapy	3/19/2024	None	Orange	19 Front Row Lane	None	Aliso Viejo	CA	92656	None
None	Bertoldi	Cindy	A	EPSDT Supplemental Services Provider	Registered Nurse	1/21/2011	None	Sacramento	2825 Capitol Avenue	None	Sacramento	CA	95816	(916) 733-1757
1114367687	Bertoldo	Amanda	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/30/2021	None	San Bernardino	9961 Sierra Avenue	Fontana Ca San Bernardino	Fontana	CA	92335	None
None	Bertrand	Sharon	None	Occupational Therapist	Occupational Therapy	7/1/1999	None	Siskiyou	914 Pine Street	None	Mount Shasta	CA	96067	None
None	Bertulfo-Sanchez	Alicia	None	EPSDT Supplemental Services Provider	Registered Nurse	12/1/1985	None	Los Angeles	4650 W Sunset Boulevard	None	Los Angeles	CA	90027	(323) 361-2102
None	Besmer	Aleyna	T	EPSDT Supplemental Services Provider	Dietitians	9/15/2010	None	None	None	None	None	None	None	None
None	Besmer	Aleyna	T	EPSDT Supplemental Services Provider	Dietitians	9/15/2010	9/15/2010	None	None	None	None	None	None	None
1588851679	Besner	Deborah	K	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/6/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(888) 505-0043
None	Bessler	Susan	J	EPSDT Supplemental Services Provider	Dietitians	7/1/1996	None	None	747 52nd Street	None	Oakland	CA	94609	None
None	Best	Doreen	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/12/2022	None	Sonoma	30 Mark West Springs Road	Santa Rosa, Ca, Sonoma County	Larkfield	CA	95403	None
None	Betancourt	Sandra	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/26/2012	None	None	None	None	None	None	None	None
None	Betesh	Lisa	None	EPSDT Supplemental Services Provider	Registered Nurse	9/11/2017	None	Los Angeles	8723 Alden Drive	Suite 240	Los Angeles	CA	90048	(310) 423-0656
1588860423	Betterman	Shari	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/6/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(877) 608-0044
None	Betting	Denise	M	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/20/2010	None	San Joaquin	500 W Hospital Road	None	French Camp	CA	95231	None
1912221987	Bettino	Nicola	None	Speech Therapist	Speech Language Pathology	7/25/2014	None	Los Angeles	1230 Madrid Avenue	None	Torrance	CA	90501	(310) 740-2036
1215622709	Betts	Samantha	None	Occupational Therapist	Occupational Therapy	8/26/2024	None	Ventura	2540 Ruby Drive	None	Oxnard	CA	93030	None
None	Betz	Cecily	None	EPSDT Supplemental Services Provider	Registered Nurse	6/24/2009	None	None	None	None	None	None	None	None
1063907038	Beukelman	Page	Naomi	Audiologist	Audiology	7/19/2019	None	San Diego	4605 Campus Avenue	Apartment 7	San Diego	CA	92116	None
1831568013	Beutner	Katherine	Rebecca	EPSDT Supplemental Services Provider	Registered Nurse	10/1/2015	None	Santa Clara	300 Pasteur Drive	None	Stanford	CA	94305	None
1255958419	Bevill	Kristina	None	Audiologist	Audiology	7/5/2022	None	San Diego	3020 Children's Way	Mail Stop MC	San Diego	CA	92123	None
None	Bevins	Katie	None	Occupational Therapist	Occupational Therapy	3/8/2023	None	Los Angeles	37005 Hillcrest Drive	None	Palmdale	CA	93552	None
None	Beyer	April	None	Physical Therapist	Physical Therapy	10/21/2008	None	None	9400 Rosecrans Avenue	None	Bellflower	CA	90706	None
None	Bezaire	Heidi	D	EPSDT Supplemental Services Provider	Dietitians	9/12/2011	None	None	None	None	None	None	None	None
1346270113	Bhajal	Sukhvinder	S	Physician	Internal Medicine: Cardiovascular Disease	11/19/2018	None	Tulare	2611 N Dinuba Boulevard	None	Visalia	CA	93291	(559) 623-0700
1922366954	Bhar	Shubha	None	Physician	Internal Medicine	11/28/2017	None	Stanislaus	1540 Florida Avenue	None	Modesto	CA	95350	None
1225316573	Bhathal	Amarpaul	Singh	Physician	Pediatrics	6/16/2015	None	Fresno	2760 S Elm Avenue	None	Fresno	CA	93706	(661) 635-3050
None	Bhattacharjee	Emily	B	EPSDT Supplemental Services Provider	Dietitians	7/17/2015	None	San Diego	3030 Children's Way	None	San Diego	CA	92123	(773) 577-3649
1174885784	Bhushan	Gita	None	Occupational Therapist	Occupational Therapy	11/12/2014	None	Siskiyou	914 Pine Street	Rehab Department	Mount Shasta	CA	96067	(530) 926-9397
1760592075	Bhuva	Dinesh N	H	Physician	Orthopaedic Surgery	3/1/1983	10/3/2019	Santa Clara	45 S 17th Street	None	San Jose	CA	95112	(408) 998-5551
None	Biaggi	Julie	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/17/2010	None	Los Angeles	10833 Le Conte Avenue	None	Los Angeles	CA	90095	(310) 267-9732
None	bialas	magdalena	a	Physical Therapist	Physical Therapy	5/21/2020	None	Orange	393 South Tustin Street	None	Orange	CA	92866	None
None	Bianchini	Ginevra	None	EPSDT Supplemental Services Provider	Dietitians	6/1/2012	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	(323) 361-6410
None	Biard	Shelby	J	Audiologist	Audiology	1/13/2006	None	None	1 Mercardo Street	Suite 205	Durango	CO	81301	None
1518487727	Bichkoff	Hannah	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/4/2023	None	San Francisco	1825 4th Street	San Francisco, Ca Room M3305	San Francisco	CA	94158	None
1083814669	Bickers	Betty	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/26/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	None
None	Bieber	Erin	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	11/15/2023	None	San Diego	PO Box 371632	San Diego, Ca	San Diego	CA	92137	None
None	biederman	jessica	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/17/2016	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	(650) 497-8303
1487604062	Bien	Christine	None	Physical Therapist	Physical Therapy	1/30/2023	None	Orange	1635 Center Street	None	Santa Ana	CA	92704	None
None	Bier	Betty	J	EPSDT Supplemental Services Provider	Registered Nurse	4/1/1996	5/7/2019	None	None	None	None	None	None	None
None	Bierman	Sabrina	None	EPSDT Supplemental Services Provider	Dietitians	2/18/2019	None	San Diego	9115 Judicial Drive	Unit 4331	San Diego	CA	92122	None
1447796453	Bifano	Alyson	J	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/24/2019	None	San Diego	10990 San Diego Mission Road	None	San Diego	CA	92108	None
1811396427	Billingsly	Anasa	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/28/2023	None	San Diego	200 W. Arbor Dr Drive	None	San Diego	CA	92103	None
1164585501	Billon	Sharon	Frances	Physician	Dermatology	1/1/1995	10/3/2019	San Luis Obispo	207 Bridge Street	None	Arroyo Grande	CA	93420	(805) 481-5100
None	Bills	Vicky	L	EPSDT Supplemental Services Provider	Registered Nurse	12/13/2011	None	None	None	None	None	None	None	None
None	Binder	Hayley	A	Physical Therapist	Physical Therapy	8/14/2007	2/20/2019	None	None	None	None	None	None	None
None	Binder	Thomas	G	EPSDT Supplemental Services Provider	Dietitians	3/14/2011	None	None	None	None	None	None	None	None
None	Binnall	Deborah	A	Occupational Therapist	Occupational Therapy	8/1/1991	None	None	None	None	None	None	None	None
None	Binnings	Peter	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/10/2014	None	Alameda	747 52nd Street	None	Oakland	CA	94609	(510) 428-3571
None	Bira	Kimberly	None	EPSDT Supplemental Services Provider	Registered Nurse	12/27/2018	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Bird	James	M	Prosthetist	Prosthetics	5/24/2010	None	None	None	None	None	None	None	None
None	Bird	Robert	None	Orthotist	Orthotics	10/25/2011	None	None	750 S Mooney Boulevard	None	Visalia	CA	93277	None
1073245635	Birmingham	Kathryn	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/23/2023	None	San Diego	5225 Fiore Terrace	Apartment D113	San Diego	CA	92122	None
None	Bishop	Ashley	N	Speech Therapist	Speech Language Pathology	12/23/2016	None	Los Angeles	8700 Beverly Boulevard	None	Los Angeles	CA	90048	(310) 423-6281
1194013581	Bishop	Christine	Marie	Speech Therapist	Speech Language Pathology	8/6/2013	None	Orange	393 S Tustin Street	None	Orange	CA	92866	(714) 289-2400
1639417975	Bishop	Monica	C	Speech Therapist	Speech Language Pathology	9/10/2012	None	San Bernardino	620 Church Place	Apartment 5	Redlands	CA	92374	(909) 913-3975
None	Bisnar	Edgar	Alan	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/6/2017	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Bitting	Anna	None	EPSDT Supplemental Services Provider	Registered Nurse	1/26/2005	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Bjerke	Scott	None	Speech Therapist	Speech Language Pathology	1/27/2020	None	San Bernardino	25333 Barton Road	Department East Campus Rehabilitation	Loma Linda	CA	92354	None
None	Bjork	Anna Lee	N	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/1/1993	2/28/2015	None	None	None	None	None	None	None
1669705257	Bjork	Erin	S	Physical Therapist	Physical Therapy	1/8/2013	None	Sacramento	3630 Business Drive	None	Sacramento	CA	95820	(916) 734-2458
1255060786	Bjorkman	Alisa	None	Occupational Therapist	Occupational Therapy	9/18/2023	None	Orange	920 Turtle Crest Drive	Irvine, Ca, Orange County	Irvine	CA	92603	None
None	Black	Alice	A	EPSDT Supplemental Services Provider	Registered Nurse	6/1/1996	None	San Francisco	3700 California Street	None	San Francisco	CA	94118	None
None	Black	Cherise	None	EPSDT Supplemental Services Provider	Registered Nurse	10/10/2023	None	Madera	46924 Chukchansi Road	Coarsegold, Ca	Coarsegold	CA	93614	None
None	Black	Dennis	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/7/2007	12/31/2011	None	None	None	None	None	None	None
None	Black	Erika	L	Physical Therapist	Physical Therapy	2/6/2007	None	None	441 N Lakeview Avenue	None	Anaheim	CA	92807	None
None	Black	Talitha	K	Occupational Therapist	Occupational Therapy	12/15/2005	None	None	None	None	None	None	None	None
1891131579	Blaikie	Angela	None	Physical Therapist	Physical Therapy	6/26/2023	None	Sacramento	2772 San Luis Court	None	Sacramento	CA	95818	None
1538770680	Blair	Jennifer	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/30/2021	None	Orange	524 Goldenwest Street	None	Huntington Beach	CA	92648	None
None	blake	jacki	None	EPSDT Supplemental Services Provider	Registered Nurse	12/31/2009	None	San Bernardino	25724 Sunrise Way	None	Loma Linda	CA	92354	None
None	Blake	Wendy	None	EPSDT Supplemental Services Provider	Registered Nurse	3/31/2015	None	Sacramento	1625 Stockton Boulevard	Suite 112	Sacramento	CA	95816	(916) 262-9139
None	Blalock	Leah	S	EPSDT Supplemental Services Provider	Dietitians	2/13/2001	None	Orange	1201 W Laveta Avenue	None	Orange	CA	92868	None
None	Blamey	Kaitlin	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/8/2020	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Blanchard	Sara	None	EPSDT Supplemental Services Provider	Registered Nurse	4/8/2022	None	Los Angeles	1120 South Grand Avenue	Apartment 3309	Los Angeles	CA	90015	None
None	Blanco	Abel	Oscar	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/23/2018	None	Fresno	6568 E. Dayton Avenue	None	Fresno	CA	93727	None
None	Blanco	Marin	None	Physical Therapist	Physical Therapy	5/24/2024	None	Orange	1270 S Wildview Ter	None	Anaheim	CA	92808	None
None	Blankenship	Alissa	None	EPSDT Supplemental Services Provider	Registered Nurse	10/18/2017	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	None
1639450711	Blanton	Tiffany	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/19/2023	None	Riverside	10800 Magnolia Avenue	None	Riverside	CA	92505	None
None	Blas	Juan	P	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/10/2006	None	None	None	None	None	None	None	None
1417153081	Blazen	Jean	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/2/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(888) 505-0043
None	Blazer	Jennifer	L	Physical Therapist	Physical Therapy	8/15/2011	None	None	3020 Childrens Way	Unit MC5068	San Diego	CA	92123	None
None	Bleasdale	Holly	D	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/1/1995	None	None	None	None	None	None	None	None
None	Blen	Elmo	None	Occupational Therapist	Occupational Therapy	5/2/2023	None	Los Angeles	11045 Bigelow Circle	Cerritos Ca	Cerritos	CA	90703	None
None	Blessing	Ciara	M	Speech Therapist	Speech Language Pathology	9/13/2005	None	None	423 Locust Street	None	San Francisco	CA	94118	None
None	Bletzacker	Megan	None	EPSDT Supplemental Services Provider	Registered Nurse	5/17/2021	None	Los Angeles	4650 W Sunset Boulevard	None	Los Angeles	CA	90027	None
1477063048	Blick	Megan	None	EPSDT Supplemental Services Provider	Dietitians	10/23/2017	None	Los Angeles	1339 Barry Avenue	Apartment 9	W Los Angeles	CA	90025	(805) 990-2111
None	Blinkoff	Jillian	L	Audiologist	Audiology	2/19/2016	None	Santa Clara	700 Lawrence Expwy	None	Santa Clara	CA	95051	(408) 553-6907
None	Bliss	Erika	B	EPSDT Supplemental Services Provider	Registered Nurse	1/13/2011	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	(323) 361-2501
None	Blitz	Jill	R	Physical Therapist	Physical Therapy	8/22/2006	None	None	4650 W Sunset Boulevard	None	Los Angeles	CA	90027	None
1750869566	Bloch	Nicole	None	EPSDT Supplemental Services Provider	Dietitians	8/2/2018	None	Los Angeles	4101 Torrance Boulevard	None	Torrance	CA	90503	None
None	Block	Carol	L	Physical Therapist	Physical Therapy	5/1/1984	None	Santa Clara	2425 Samaritan Drive	None	San Jose	CA	95124	(408) 997-3306
None	Block	Wendy	N	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/22/2007	None	None	None	None	None	None	None	None
1497294433	Bloodworth	Christina	None	Speech Therapist	Speech Language Pathology	4/5/2017	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	None
None	Bloom	Lucy	None	Speech Therapist	Speech Language Pathology	4/10/2009	None	None	None	None	None	None	None	None
None	Bloombaum	Elizabeth	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/26/2001	None	None	None	None	None	None	None	None
1215195425	Bloomberg-Rissman	Rosalie	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/2/2008	None	San Diego	3003 Health Center Drive	None	San Diego	CA	92123	(858) 939-4129
None	Bloomquist	Holly	R	Physical Therapist	Physical Therapy	3/2/2008	3/14/2019	None	4510 Viewridge Avenue	None	San Diego	CA	92123	None
None	Blum	Stacey	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/1/1991	None	None	None	None	None	None	None	None
1598167959	Blumberg	Jay	E	Physical Therapist	Physical Therapy	7/23/2015	None	San Diego	3020 Children's Way	Mc5068	San Diego	CA	92123	(858) 576-1700
None	Bluml	Renee	M	EPSDT Supplemental Services Provider	Dietitians	10/1/1998	None	None	None	None	None	None	None	None
None	Blunt	Erica	G	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/30/2008	None	None	None	None	None	None	None	None
None	Bly	Trudy	A	EPSDT Supplemental Services Provider	Registered Nurse	9/2/2010	2/21/2019	None	None	None	None	None	None	None
None	Boado	Jenne	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/18/2016	None	Kern	420 34th Street	None	Bakersfield	CA	93301	(661) 327-4647
None	Bobie	Melissa	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/24/2015	None	Orange	1201 W La Veta	None	Orange	CA	92868	(714) 997-3000
None	Bocalbos	Rachelle	P	EPSDT Supplemental Services Provider	Dietitians	1/24/2017	None	Los Angeles	9333 E Imperial Highway	None	Downey	CA	90242	(562) 657-9395
None	Boccarossa	Caroline	None	Speech Therapist	Speech Language Pathology	9/13/2024	None	Fresno	E. Cromwell Avenue	None	Fresno	CA	93720	None
1295092633	Bochnak	Meghan	None	Physical Therapist	Physical Therapy	1/3/2019	None	San Diego	3020 Children's Way	Mc 5068	San Diego	CA	92123	None
None	Bochnak	Meghan	None	Physical Therapist	Physical Therapy	1/3/2019	None	San Diego	6825 Xana Way	None	Carlsbad	CA	92009	None
None	Bock	Jennifer	None	EPSDT Supplemental Services Provider	Registered Nurse	12/10/2013	None	Orange	1201 W La Veta Avenue	None	Orange	CA	92868	None
None	Bock	Kimberly	Renae	EPSDT Supplemental Services Provider	Registered Nurse	5/23/2017	None	San Bernardino	24414 University Avenue	#144	Loma Linda	CA	92354	(951) 295-7299
None	Bocobo	Omar	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/5/2004	None	None	None	None	None	None	None	None
1104076991	Bodan	Francisco	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/29/2021	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	None
None	Bodnyk	Susan	T	Occupational Therapist	Occupational Therapy	2/9/2009	2/21/2019	None	None	None	None	None	None	None
1902447055	Boehlke	Kylan	None	Certified Nurse Practitioner	Certified Nurse Practitioner	7/10/2024	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Boerner	Amara	None	Occupational Therapist	Occupational Therapy	3/18/2016	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	None
None	Boersma	Meagan	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/25/2014	None	Fresno	2823 Fresno Street	None	Fresno	CA	93721	(559) 459-6000
None	Boettcher	Mendy	A	Psychologist	Psychology	5/1/2007	None	None	None	None	None	None	None	None
None	Bogard	Brenda	None	Physical Therapist	Physical Therapy	6/7/2021	None	Merced	3140 Apron Avenue	Atwater, Ca Merced County	Atwater	CA	95301	None
None	Bogetz-gelb	Gail	E	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/23/2004	None	San Francisco	2333 Buchanan Street	None	San Francisco	CA	94115	None
None	Boghossian	Lara	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/6/2015	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	(323) 361-2485
None	Bohanan	Deseree	D	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/25/2020	None	Yolo	Colgate	None	Davis	CA	95616	None
1497180392	Bohm	Mary	Beth	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/11/2019	None	Riverside	32846 Sycamore Canyon Lane	Winchester, Ca, Riverside	Winchester	CA	92596	None
None	Bohn	Marjorie	A	Physician	Pediatrics	5/17/2011	None	None	3883 Airway Drive	Suite 120	American Canyon	CA	94503	None
None	Bohn	Ralph	P	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/1/1994	None	None	None	None	None	None	None	None
None	Bohuslavsky	Betsy	None	EPSDT Supplemental Services Provider	Registered Nurse	11/3/2016	None	Los Angeles	400 S Morengo Avenue	8	Pasadena	CA	91101	(626) 463-3985
None	Boissier	Natasha	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/16/2011	None	None	None	None	None	None	None	None
None	Bojescu	Lorrie	None	Physical Therapist	Physical Therapy	5/19/2006	None	None	None	None	None	None	None	None
None	Bojorquez	Lauren	E	Physical Therapist	Physical Therapy	2/23/2011	None	None	1201 West La Veta Avenue	None	Orange	CA	92868	None
None	Bolandian	Chris	P	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/7/2008	None	None	None	None	None	None	None	None
None	Bolanos	Rebecca	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/5/2022	None	San Bernardino	11234 Anderson Street	None	Loma Linda	CA	92354	None
None	bolanos	Sandra	None	Respiratory Care Practitioner	Respiratory Care Practice	3/21/2013	None	San Bernardino	2195 Club Center Drive	Suite G	San Bernardino	CA	92408	(909) 835-1808
None	Bold	Jennifer	None	Audiologist	Audiology	2/18/2000	None	San Diego	3030 Children's Way	Room 5010	San Diego	CA	92123	None
None	Bolden	Sunny	N	Speech Therapist	Speech Language Pathology	12/22/2016	None	Los Angeles	4650 Sunset Boulevard	Suite 36	Los Angeles	CA	90027	(323) 361-6373
None	Boleman	Falicity	M	Physical Therapist	Physical Therapy	5/9/2014	None	Los Angeles	1115 S Sunset Avenue	None	West Covina	CA	91790	None
1861982720	Boles	Stephanie	None	Speech Therapist	Speech Language Pathology	6/15/2018	None	Los Angeles	910 East Alosta Avenue	None	Azusa	CA	91702	None
1982154118	Bolivar Escobar	Melissa	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/20/2023	None	Los Angeles	UCLA Medical Plaza	None	UC Los Angeles	CA	90095	None
None	Bollinger	Lily	None	Physical Therapist	Physical Therapy	6/4/2024	None	Ventura	800 Morado Place	None	Oxnard	CA	93030	None
1619106804	Bolos	Christine	None	Occupational Therapist	Occupational Therapy	1/19/2023	None	San Diego	6991 Balboa Ave	None	San Diego	CA	92111	None
None	Bondesson	Kelly	F	Speech Therapist	Speech Language Pathology	10/30/2002	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	(858) 966-5838
None	Bonesteel	Amanda	None	EPSDT Supplemental Services Provider	Registered Nurse	1/26/2022	None	Fresno	3495 Robinwood Avenue	None	Clovis	CA	93619	None
1942719125	Bongurala	Archana	Reddy	Physician	Pediatrics	8/11/2023	None	Kern	4900 California Avenue	Suite 400B	Bakersfield	CA	93309	None
None	Bonilla	Amy	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/6/2017	None	San Bernardino	11234 Anderson Street	None	Loma Linda	CA	92354	None
None	Bonilla	Monica	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/29/2019	None	San Diego	3020 Children's Way	Mc 5100	San Diego	CA	92123	None
None	Bonilla	Sabrina	Marie	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/16/2020	None	Fresno	3498 Shaft Street	None	Selma	CA	93662	None
None	Bonilla	Sandra	E	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/10/2009	None	Los Angeles	1505 Edgemont Street	Floor 1	Los Angeles	CA	90027	None
None	Bonnette	Jean	C	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/23/2014	None	Los Angeles	4950 W Sunset Boulevard	None	Los Angeles	CA	90027	(323) 783-0055
None	Bonovitz	Marie	B	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/4/2007	None	None	None	None	None	None	None	None
None	Bonsall	Maria	T	Occupational Therapist	Occupational Therapy	11/2/2005	None	None	217 Trillium Way	None	Aptos	CA	95003	None
None	Bonus	Elisa	Capuno	EPSDT Supplemental Services Provider	Dietitians	7/26/2016	None	Riverside	11329 Riverleaf Drive	None	Riverside	CA	92505	(714) 423-4390
1740422500	Bonzon	Alexis	Jerome	Occupational Therapist	Occupational Therapy	2/2/2018	None	Sacramento	3329 Hornsea Way	None	Sacramento	CA	95834	None
1669676672	Bonzon	Rowena	None	Occupational Therapist	Occupational Therapy	1/15/2016	None	Sacramento	2315 Stockton Boulevard	None	Sacramento	CA	95817	(916) 285-8746
None	Bonzon	Teodulo	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/5/2014	None	Los Angeles	1100 State Street	None	Los Angeles	CA	90033	(323) 409-6883
None	Booker	Shelly	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/11/2023	None	Fresno	2823 Fresno Street	None	Fresno	CA	93720	None
None	Boone	Kia	None	EPSDT Supplemental Services Provider	Registered Nurse	6/29/2022	None	Los Angeles	8700 Beverly Boulevard	Pediatrics - Ssb 240 Department 310-423-7779	Los Angeles	CA	90048	None
None	Boone	Thomas	William	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/19/2020	None	Sacramento	2025 Morse Avenue	None	Sacramento	CA	95825	None
None	Boothby	Joan	T	EPSDT Supplemental Services Provider	Dietitians	3/13/2006	None	None	None	None	None	None	None	None
None	Boparai	Nanak	S	Physician	Pediatrics	6/11/2007	None	None	931 Market Street	None	Yuba City	CA	95991	None
1790768240	Boramanand	Nicole	K	EPSDT Supplemental Services Provider	Registered Nurse	11/5/2020	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Borba	Cassandra	J	Physical Therapist	Physical Therapy	1/26/2010	None	None	None	None	None	None	None	None
None	Borch	Patrick	G	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/16/2009	None	None	3600 Broadway Street	Floor 4,Suite 42	Oakland	CA	94618	None
1477826352	Boren	Brittney	None	Physical Therapist	Physical Therapy	4/24/2015	None	Fresno	716 Magnolia Avenue	None	Clovis	CA	93611	(559) 696-3975
None	Borger	Amy	J	EPSDT Supplemental Services Provider	Dietitians	9/5/2007	None	None	None	None	None	None	None	None
1114960325	Bornhagen	Carey	None	Occupational Therapist	Occupational Therapy	2/14/2023	None	Orange	24000 Alicia Parkway	Suite 17-376	Mission Viejo	CA	92691	None
1649223579	Borrego	Karen	None	Physical Therapist	Physical Therapy	2/1/2023	None	Orange	W La Palma Avenue	Anaheim, Ca	Anaheim	CA	92801	None
1811404338	Borrman	Alison	E	EPSDT Supplemental Services Provider	Registered Nurse	12/5/2018	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Bosiljevac	Teresa	R	Audiologist	Audiology	9/10/2007	None	None	1900 University Avenue	Suite 101	East Palo Alto	CA	94303	None
None	Bostock	Julie	A	Physical Therapist	Physical Therapy	5/8/2009	None	None	None	None	None	None	None	None
None	boston	darryl	e	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/5/2015	None	Los Angeles	15107 Vanowen Street	Van Nuys, Ca 91405	Van Nuys	CA	91405	(818) 902-5183
None	Bosworth	Celia	A	Occupational Therapist	Occupational Therapy	1/3/2008	None	None	None	None	None	None	None	None
None	Boterenbrood	Julie	A	Occupational Therapist	Occupational Therapy	10/19/2011	None	None	None	None	None	None	None	None
1083744155	Botero	Jaime	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/18/2022	None	Los Angeles	3961 Via Marisol	None	Los Angeles	CA	90042	None
None	Bottcher	Margaret	None	EPSDT Supplemental Services Provider	Registered Nurse	2/1/1995	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Bouchard	Katherine	A	Occupational Therapist	Occupational Therapy	2/6/2002	None	Tuolumne	16536 Foothill Lane	None	Sonora	CA	95370	None
None	Boudreau-Hogg	Megan	None	Speech Therapist	Speech Language Pathology	11/13/2013	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	None
None	Boulas	Mariam	None	EPSDT Supplemental Services Provider	Dietitians	1/23/2012	None	Los Angeles	1600 W Avenue	J	Lancaster	CA	93534	(661) 949-5086
1417237298	Bourdaniotis	Vicky	None	EPSDT Supplemental Services Provider	Dietitians	10/17/2024	None	Placer	3100 Douglas Boulevard	Suite 204	Roseville	CA	95661	None
None	Bourne	Ashley	Edda	EPSDT Supplemental Services Provider	Registered Nurse	12/22/2015	None	Los Angeles	4650SUNSET Boulevard	MS 75	Los Angeles	CA	90027	None
None	Bours	Daniel	B	Physical Therapist	Physical Therapy	12/26/2013	None	Santa Clara	2400 Moorpark Avenue	Suite 50	San Jose	CA	95128	(408) 885-7100
None	Boveda	Daniela	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/16/2021	None	Los Angeles	8700 Beverly Boulevard	Suite TSB 210	Los Angeles	CA	90048	None
None	Bowen	David	W	Audiologist	Audiology	10/30/2009	None	None	420 Bullard Avenue	Suite 101	Clovis	CA	93612	None
None	Bowen	Devon	None	Occupational Therapist	Occupational Therapy	2/1/2024	None	Orange	770 Wesleyan Bay	None	Costa Mesa	CA	92626	None
None	Bowerman	Sara	B	Psychologist	Psychology	4/18/2006	None	None	1558 Daunting Drive	None	El Dorado Hills	CA	95762	None
None	Bowers	Annabelle	Lee	Speech Therapist	Speech Language Pathology	10/16/2012	None	San Bernardino	1400 Barton Road	#1103	Redlands	CA	92373	None
None	Bowers	Christy	None	Speech Therapist	Speech Language Pathology	5/22/2002	None	None	1900 Beverly Way	Unit 117	Long Beach	CA	90803	None
None	Bowers	Christy	None	Speech Therapist	Speech Language Pathology	1/1/2001	None	Los Angeles	1900 E Beverly Way	Unit 117	Long Beach	CA	90803	None
1215348750	Bowers	Patricia	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/12/2019	None	San Bernardino	9310 Sierra Avenue	None	Fontana	CA	92335	None
None	Bowers	Sharon	None	EPSDT Supplemental Services Provider	Dietitians	8/20/2019	None	Los Angeles	43342 Fenner Avenue	None	Lancaster	CA	93536	None
1992040612	Bowlby	Lori	T	EPSDT Supplemental Services Provider	Registered Nurse	2/13/2003	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Bowles	LaVette	None	EPSDT Supplemental Services Provider	Registered Nurse	2/25/2003	None	Los Angeles	200 UCLA Medical Center	None	UC Los Angeles	CA	90095	None
None	Bowlin	Marylynn	None	EPSDT Supplemental Services Provider	Registered Nurse	3/14/2000	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	None
None	Bowman	Caitlin	None	EPSDT Supplemental Services Provider	Registered Nurse	5/5/2022	None	Los Angeles	3510 Julian Avenue	None	Long Beach	CA	90808	None
None	Bowman	Gerald	None	Orthotist	Orthotics	2/1/1996	None	None	19231 Victory Boulevard	Suite 350	Reseda	CA	91335	None
1922252550	Bowman	Laura	None	Speech Therapist	Speech Language Pathology	2/19/2015	None	San Francisco	988 Fulton Street	Apartment 111	San Francisco	CA	94117	(860) 614-1208
1093977100	Bown	Marjorie	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/27/2019	None	San Bernardino	2574 S Arcadian Shores Road	None	Ontario	CA	91761	None
None	Bowness	Denise	F	Occupational Therapist	Occupational Therapy	8/1/1997	None	None	None	None	None	None	None	None
None	Bowron	Amanda	S	Speech Therapist	Speech Language Pathology	4/28/2010	1/12/2018	None	None	None	None	None	None	None
None	Boyd	Mary	M	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/1/1990	None	Los Angeles	6041 Cadillac Avenue	None	Los Angeles	CA	90034	None
1689755050	Boyd	Sara	None	EPSDT Supplemental Services Provider	Dietitians	5/2/2018	None	Sacramento	876 3rd Avenue	None	Sacramento	CA	95818	None
None	Boyd	Whitney	E	Physical Therapist	Physical Therapy	2/27/2007	None	None	1800 N California Street	None	Stockton	CA	95204	None
None	Boyer	Laura	A	Physical Therapist	Physical Therapy	9/10/2012	None	San Diego	3020 Children's Way	Mc 5068	San Diego	CA	92123	(858) 966-5829
None	Boyer	Margaret	C	Psychologist	Psychology	5/1/2007	None	None	300 Pasteur Drive	None	Stanford	CA	94305	None
None	Boyer-Ray	Shalynn	None	EPSDT Supplemental Services Provider	Registered Nurse	11/18/2021	None	San Bernardino	2195 Club Center Drive	Suite G	San Bernardino	CA	92408	None
None	boyle	april	J	EPSDT Supplemental Services Provider	Dietitians	5/24/2005	None	Orange	6640 Alton Parkway	None	Irvine	CA	92618	(949) 932-6760
None	Boyle	Marlene	None	EPSDT Supplemental Services Provider	Registered Nurse	2/16/2016	None	Los Angeles	8900 Beverly Boulevard	None	Los Angeles	CA	90048	(310) 423-2641
1891249744	Boyle	Megan	Michelle	Speech Therapist	Speech Language Pathology	1/7/2020	None	Butte	816 Neal Dow Avenue	Chico, Ca, Butte County	Chico	CA	95926	None
1669219259	Bozorg	Hanna	None	Certified Nurse Practitioner	Certified Nurse Practitioner	10/15/2024	None	Santa Clara	725 Welch Road	Palo Alto, Ca	Palo Alto	CA	94304	None
None	bozzello	kendall	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/16/2017	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Braaten	Charlotte	L	EPSDT Supplemental Services Provider	Registered Nurse	10/30/2012	None	Santa Clara	710 Lawrence Expwy	None	Santa Clara	CA	95051	None
None	Bracamonte	Maria	H	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/22/2013	None	San Francisco	400 Parnassus Avenue	A-45	San Francisco	CA	94143	(415) 514-5831
None	Bracchi	Audrey	E	Audiologist	Audiology	11/1/1999	None	None	2521 Stockton Boulevard	Floor 6	Sacramento	CA	95817	None
None	Brackett	Deborah	L	Physical Therapist	Physical Therapy	1/9/2012	None	None	24572 Mosquero Lane	None	Mission Viejo	CA	92691	None
None	Brackett	Lauren	None	EPSDT Supplemental Services Provider	Registered Nurse	8/23/2023	None	Sacramento	116 Feather Falls Circle	None	Folsom	CA	95630	None
None	Brackney	Anne	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/19/2020	None	Sacramento	2825 Capitol Avenue	Social Work Department Suite 420	Sacramento	CA	95816	None
None	Bradbury	Katie	Mae	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/13/2022	None	San Diego	1356 Evergreen Drive	Cardiff Ca	Cardiff	CA	92007	None
None	Bradbury	Nancy	C	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/13/2015	None	San Diego	4647 Zion Avenue	None	San Diego	CA	92120	(619) 528-5000
None	Bradbury	Steven	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/10/2023	None	Riverside	Cactus	None	Moreno Valley	CA	92555	None
1669014742	Bradley	Anna	None	EPSDT Supplemental Services Provider	Registered Nurse	8/22/2022	None	San Francisco	1825 4th Street	Floor 6TH	San Francisco	CA	94158	None
1548574551	Bradley	Brandy	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/13/2017	None	Kern	14500 Las Palmas Drive	None	Bakersfield	CA	93306	None
None	Bradley	Caryn	None	Physical Therapist	Physical Therapy	12/28/2015	None	Los Angeles	827 10th Street	Apartment 5	Santa Monica	CA	90403	None
1063883551	Bradley	Lauren	None	EPSDT Supplemental Services Provider	Registered Nurse	10/7/2019	None	Madera	9300 Valley Childrens Place	None	Madera	CA	93636	None
None	Bradley	Nathan	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/24/2021	None	San Diego	3610 3610 Village Drive	Apartment J	Carlsbad	CA	92008	None
1659656528	Bradley II	Troy	D	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/23/2019	None	Riverside	5225 Canyon Crest Drive	Suite 103	Riverside	CA	92507	None
None	Bradshaw	Ginny	L	Occupational Therapist	Occupational Therapy	2/10/2012	None	None	725 Welch Road	Floor 3	Palo Alto	CA	94304	None
1124545694	Brady	Ashley	Morgan	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/7/2019	None	San Diego	3020 Children's Way	Office MC 5100	La Jolla	CA	92037	None
None	Brady	Karen	None	Physical Therapist	Physical Therapy	1/9/2003	None	None	557 Pilgrim Drive	Suite B	Foster City	CA	94404	None
None	Brady	Patricia	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/1/1976	None	Santa Clara	751 S. Bascom Avenue	None	San Jose	CA	95128	None
None	Brady	Rachel	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/27/2021	None	San Bernardino	11234 Anderson Street	None	Loma Linda	CA	92354	None
None	Brager	Letesha	Rochell	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/6/2019	None	Riverside	1150 North Indian Canyon Drive	None	Palm Springs	CA	92262	None
None	Brahce	Evan	None	Physical Therapist	Physical Therapy	1/4/2024	None	Ventura	9914 Jamestown Street	None	Ventura	CA	93004	None
None	Brahm	Kayla	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/28/2021	None	Los Angeles	8700 Beverly Boulevard	Suite TSB 210	Los Angeles	CA	90048	None
None	Brahmbhatt	Rajendra	H	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/20/2006	None	None	None	None	None	None	None	None
1437476314	Braillard	Ruth	None	Physical Therapist	Physical Therapy	12/21/2017	None	San Diego	1809 National Avenue	None	San Diego	CA	92113	(619) 515-2300
None	Brainerd	Amy	None	Audiologist	Audiology	11/24/1999	None	Madera	9300 Valley Childrens Place	None	Madera	CA	93636	None
None	Brainerd	Amy	T	Audiologist	Audiology	11/24/1999	None	Fresno	6159 N Fresno Street	Suite 103	Fresno	CA	93710	None
None	Brake	Nicosia	None	EPSDT Supplemental Services Provider	Registered Nurse	5/31/2016	None	Fresno	1740 E Shepherd Avenue	Apartment 241	Fresno	CA	93720	None
None	Braley	Paul	G	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/4/2003	1/31/2023	Stanislaus	1441 Florida Avenue	None	Modesto	CA	95350	(209) 578-1211
None	Brambila	Adriana	None	EPSDT Supplemental Services Provider	Registered Nurse	4/13/2011	None	None	None	None	None	None	None	None
1740679315	Bramble	Manuel	Alfred	Physician	Pediatrics	6/30/2018	6/29/2021	San Francisco	3333 California Street	Suite S1-10	San Francisco	CA	94118	None
None	Brancatelli	Heidi	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/21/2014	None	Santa Cruz	1555 Soquel Drive	None	Santa Cruz	CA	95065	(831) 462-7306
None	Branco	Nelson	None	Physician	Pediatrics	9/5/1996	None	None	5 Bon Air Road	Suite 105	Larkspur	CA	94939	None
None	Brandes	DeAnn	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/10/2017	None	Ventura	1651 Amarelle Street	None	Newbury Park	CA	91320	(415) 640-8934
None	Brandt	Harry	None	Orthotist	Orthotics	9/24/2013	None	Contra Costa	3161 Putnam Boulevard	None	Pleasant Hill	CA	94523	None
None	Brandt	Krista	None	Physical Therapist	Physical Therapy	10/29/2022	None	Sacramento	4640 Oxbow Drive	None	Sacramento	CA	95864	None
1750437174	Brandt	Victoria	None	EPSDT Supplemental Services Provider	Dietitians	2/3/2020	None	Contra Costa	1425 South Main Street	None	Walnut Creek	CA	94596	None
1609345008	Brannam	Chandler	Elizabeth	Physical Therapist	Physical Therapy	12/14/2020	None	San Diego	3020 Children's Way	Mail Stop 5068	San Diego	CA	92123	None
None	Brannon	Stephanie	None	Physical Therapist	Physical Therapy	2/8/2023	None	Contra Costa	3480 Buskirk Avenue	Suite 150	Pleasant Hill	CA	94523	None
None	Brantley	Antrina	None	EPSDT Supplemental Services Provider	Registered Nurse	1/17/2012	None	Alameda	747 52nd Street	None	Oakland	CA	94609	(510) 428-3885
None	Brase	Bernadette	L	Physical Therapist	Physical Therapy	11/27/2006	None	None	6815 Noble Avenue	None	Van Nuys	CA	91405	None
None	Brasil	Amanda	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	11/4/2024	None	San Diego	Kansas Street	None	San Diego	CA	92104	None
None	Brasseur	Kimberly	S	EPSDT Supplemental Services Provider	Registered Nurse	7/9/2010	None	None	None	None	None	None	None	None
None	Bratkovich	Suzanne	None	Physical Therapist	Physical Therapy	4/11/2023	None	Sacramento	Stockton Boulevard	None	Sacramento	CA	95817	None
1144330390	Brattan	Cornelia	Ingeborg	Occupational Therapist	Occupational Therapy	5/7/2013	None	Butte	2767 Olive Highway	Suite 15	Oroville	CA	95966	(530) 538-8700
1851353924	Braunstein	Rachel	None	Physician	Radiology: Diagnostic	7/31/2012	None	Alameda	1411 E 31st Street	None	Oakland	CA	94602	None
None	Bravo	Denise	None	Physical Therapist	Physical Therapy	11/5/2012	None	Los Angeles	1798 N Garey Avenue	None	Pomona	CA	91767	(909) 865-9810
None	Bravo	Elsa	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/7/2017	None	Fresno	2823 Fresno Street	290 N Wayte Lane	Fresno	CA	93701	(559) 306-1117
None	Bravo	Karla	C	Physical Therapist	Physical Therapy	10/11/2014	None	Los Angeles	2051 Marengo Street	None	Los Angeles	CA	90033	(323) 409-5096
None	Bravo	Lorena	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/26/2022	None	Los Angeles	3630 E. Imperial Highway	Lynwood, Ca	Lynwood	CA	90262	None
1316391493	Bravo	Michelle	Nicole	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/8/2012	None	Madera	9300 Valley Children's Place	None	Madera	CA	93636	(559) 353-3000
None	Bravo	Michelle	N	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/8/2012	None	None	None	None	None	None	None	None
None	Bravo	Michelle	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/8/2012	None	Fresno	6253 N. Forestiere Avenue	Fresno, Ca Fresno	Fresno	CA	93722	None
1760101711	Bray	Meghan	None	EPSDT Supplemental Services Provider	Dietitians	6/26/2023	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Bray	Susan	E	Audiologist	Audiology	7/25/2003	None	Los Angeles	612 W Duarte Road	Suite 601	Arcadia	CA	91007	(626) 445-2844
1194778233	Breen	Jennifer	None	Occupational Therapist	Occupational Therapy	2/16/2023	None	Orange	455 W. Baker Avenue	None	Fullerton	CA	92832	None
None	Bremond	Stephanie	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/13/2011	None	None	None	None	None	None	None	None
None	Bremseth	Emily	N	EPSDT Supplemental Services Provider	Dietitians	5/18/2007	None	Madera	9300 Valley Children's Place	None	Madera	CA	93638	(559) 353-6042
None	Brenan	Andrew	D	Physical Therapist	Physical Therapy	8/25/2010	None	None	6600 Bruceville Road	None	Sacramento	CA	95823	None
1871288530	Brennan	Holly	None	Physical Therapist	Physical Therapy	12/22/2023	None	Orange	28 Goldenrain	Aliso Viejo, Ca	Aliso Viejo	CA	92656	None
None	Brennan	Jessica	None	EPSDT Supplemental Services Provider	Registered Nurse	5/14/2013	None	San Francisco	533 Parnassus Avenue	U585	San Francisco	CA	94143	None
1396380770	Brennan	Shanda	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/18/2021	None	Riverside	28301 Vista Del Valle	None	Hemet	CA	92544	None
1396117800	Brennan	Stefanie	Lee	EPSDT Supplemental Services Provider	Registered Nurse	3/23/2017	None	Los Angeles	10833 Le Conte Avenue	None	Los Angeles	CA	90095	None
1144701392	Brereton	Kaila	None	EPSDT Supplemental Services Provider	Registered Nurse	1/24/2019	None	San Francisco	3333 California Street	Suite S1-10	San Francisco	CA	94118	None
None	Brescia	Alaina	Marie	Physical Therapist	Physical Therapy	12/9/2013	None	Los Angeles	10535 Rose Avenue	Apartment 27	Los Angeles	CA	90034	(610) 420-9442
None	Breseno	Justina	M	Physician	Pediatrics	4/1/2000	None	None	6485 Day Street	Suite 103	Riverside	CA	92507	None
None	Breska	Jennifer	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/8/2018	None	Santa Barbara	1400 E Church Street	None	Santa Maria	CA	93454	None
None	Breslin	Anna	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/4/2017	None	Fresno	417 S. Reed Avenue	None	Reedley	CA	93654	None
None	Bresolin	Barbara	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/27/2018	None	San Bernardino	11234 Anderson Street	None	Loma Linda	CA	92354	None
1295907822	Bressler-Scotti	Mary	E	EPSDT Supplemental Services Provider	Registered Nurse	3/23/2017	None	Los Angeles	10833 Le Conte Avenue	None	Los Angeles	CA	90095	(310) 825-8232
None	Breton	Rebecca	M	Physician	Pediatrics	6/30/2021	None	Santa Cruz	21507 E Cliff Drive	None	Santa Cruz	CA	95062	None
None	Brewer	Yvette	None	Physical Therapist	Physical Therapy	5/1/1993	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	None
1871037010	Brewis	Stephanie	Kate	EPSDT Supplemental Services Provider	Registered Nurse	3/19/2019	None	Los Angeles	4650 W Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Brewster	Joy	W	Speech Therapist	Speech Language Pathology	10/1/1991	None	None	3020 Childrens Way	Unit MC5068	San Diego	CA	92123	None
None	Brexa	Jeanne	M	Occupational Therapist	Occupational Therapy	8/1/2004	None	None	22 Corporate Plaza Drive	None	Newport Beach	CA	92660	None
None	Briceno	Lucia	None	EPSDT Supplemental Services Provider	Dietitians	7/24/2015	None	Los Angeles	2051 Marengo Street	None	Los Angeles	CA	90033	None
None	Briceno	Lucia	None	EPSDT Supplemental Services Provider	Dietitians	7/24/2015	None	Los Angeles	1200 N State, Street	Ipt, Room 1H212	Los Angeles	CA	90033	(323) 409-6979
None	Bricker	Renee	S	Speech Therapist	Speech Language Pathology	1/16/2007	12/31/2008	None	None	None	None	None	None	None
None	Bridgers	Laura	C	EPSDT Supplemental Services Provider	Registered Nurse	9/3/2013	None	San Francisco	505 Parnassus Avenue	Box 0136	San Francisco	CA	94143	(415) 476-0180
None	Bridges Turnipseed	Stephine	F	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/25/2016	None	San Bernardino	13274 Cabazon Place	None	Victorville	CA	92395	(760) 927-6462
None	Bridwell	Margaret	L	Occupational Therapist	Occupational Therapy	10/5/2005	None	None	4650 W Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Brigel	Jason	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	12/15/2023	None	Santa Clara	730 Welch Road Road	Palo Alto Ca	Palo Alto	CA	94304	None
None	Briggs	Michelle	L	Occupational Therapist	Occupational Therapy	2/10/2012	None	None	321 Middlefield Road	Suite 130	Menlo Park	CA	94025	None
None	Briggs	Peter	D	Occupational Therapist	Occupational Therapy	2/10/2012	None	None	1060 Twin Dolphin Road	None	Redwood City	CA	94065	None
None	Briggs	Sally	S	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/29/2008	None	None	None	None	None	None	None	None
None	Bright	Kyarra	None	Speech Therapist	Speech Language Pathology	8/2/2022	None	Orange	393 South Tustin Street	None	Orange	CA	92866	None
1821640319	Brikker	Michelle	None	Audiologist	Audiology	1/6/2020	None	Orange	1301 W Providence Avenue	None	Orange	CA	92868	None
None	Brink	Austin	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/1/1997	None	None	None	None	None	None	None	None
None	Brink	Marie	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/17/2019	None	Los Angeles	3330 Lomita Boulevard	None	Torrance	CA	90505	None
1336457092	Brinkley	Annelie	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	12/13/2023	None	Los Angeles	1600 W Avenue J Avenue	Lancaster Ca Los Angeles	Lancaster	CA	93534	None
None	Brinkman	Alice	M	Physician	Pediatrics	11/18/2010	12/31/2016	Fresno	2505 E Divisadero Street	Suite 101	Fresno	CA	93721	None
None	Brinkoetter	Laura	J	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/29/2008	None	None	None	None	None	None	None	None
1932535812	Brinson	Cirsten	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/18/2018	None	Los Angeles	1600 West Ave J Avenue	None	Lancaster	CA	93534	None
1881165413	Briones	Irma	None	Occupational Therapist	Occupational Therapy	10/20/2023	None	San Diego	1609 E. Madison Avenue	None	El Cajon	CA	92019	None
None	Briones	Manuel	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/2/2013	None	Los Angeles	393 Walnut Street	None	Pasadena	CA	91188	(888) 505-0043
None	Brisbane	Glenda	None	Audiologist	Audiology	1/27/2000	None	Los Angeles	1200 N State Street	None	Los Angeles	CA	90033	None
1730398850	Briseno-Toomey	Debbie	A	EPSDT Supplemental Services Provider	Registered Nurse	7/12/2007	None	Los Angeles	1333 S Mayflower Avenue	2nd Floor	Monrovia	CA	91016	(626) 775-3514
1932791357	Brister	Vanessa	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/4/2021	None	Fresno	3630 N Wheeler Avenue	None	Fresno	CA	93722	None
None	Bristow	Lauren	B	EPSDT Supplemental Services Provider	Registered Nurse	9/13/2011	None	Los Angeles	2653 Elm Avenue	Suite 200	Long Beach	CA	90806	(562) 728-5000
None	Brito	Monique	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/15/2022	None	Los Angeles	4794 Calle De Grande	None	La Verne	CA	91750	None
1003047887	Brizuela	Carla	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/5/2017	None	Orange	1201 W La Veta Avenue	None	Orange	CA	92868	None
None	Brizuela	Jennifer	I	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/15/2015	None	Ventura	3291 Loma Vista Road	None	Ventura	CA	93003	(805) 652-3280
None	Broadnax	Jean	Clarice	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/17/2016	None	Solano	975 Sereno Drive	None	Vallejo	CA	94589	(707) 651-4423
None	Brock	Amina	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/14/2019	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	None
None	Brockel-Gandsey	Nikki	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/3/2014	None	Fresno	5564 N Cleo Avenue	None	Fresno	CA	93722	(559) 248-6078
None	Brodbeck-Rook	Christina	E	Physical Therapist	Physical Therapy	8/14/2007	None	None	12139 Mount Vernon Avenue	Suite 2110	Grand Terrace	CA	92313	None
None	Brodie	Manisha	None	Physical Therapist	Physical Therapy	5/24/2023	None	Santa Clara	457 Fairmont Avenue Avenue	Mountain View	Mountain View	CA	94041	None
None	Brokken	Karen	C	EPSDT Supplemental Services Provider	Dietitians	3/21/2006	None	None	None	None	None	None	None	None
1215312293	Bromley	Taylor	K	Speech Therapist	Speech Language Pathology	2/5/2018	None	San Diego	3665 Kearny Villa Road	None	San Diego	CA	92123	None
None	Bronson-Castain	Gabriella	None	Psychologist	Psychology	12/10/2014	None	Alameda	747 52nd Street	None	Oakland	CA	94609	(510) 428-3751
1538364161	brookes	janice	e	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/6/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(877) 608-0044
1568974467	Brooks	Alexis	None	EPSDT Supplemental Services Provider	Dietitians	1/9/2020	None	Los Angeles	23621 S. Main Street	None	Carson	CA	90745	None
None	Brooks	Dedra	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/22/2004	1/31/2018	None	None	None	None	None	None	None
None	Brooks	Jane	B	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/13/2004	12/13/2004	None	None	None	None	None	None	None
None	Brooks	Julie	None	EPSDT Supplemental Services Provider	Registered Nurse	8/23/2017	None	Santa Clara	751 S Bascom	None	San Jose	CA	95128	(408) 569-4336
1952355778	Brooks	Laural	None	Physical Therapist	Physical Therapy	3/11/2023	None	Orange	26454 Bautista	Mission Viejo, Ca Orange County	Mission Viejo	CA	92692	None
None	Brooks	Nina	None	EPSDT Supplemental Services Provider	Dietitians	10/2/2024	None	Monterey	450 East Romie Lane Lane	None	Salinas	CA	93901	None
None	Brooks	Pam	None	EPSDT Supplemental Services Provider	Dietitians	1/27/2017	None	Shasta	2175 Rosaline Avenue	None	Redding	CA	96001	(530) 225-6268
None	Brooks	Tanisha	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/14/2014	None	Fresno	328 E Fedora Avenue	None	Fresno	CA	93704	(559) 301-7177
None	Broom	Jessica	R	Occupational Therapist	Occupational Therapy	3/22/2007	9/30/2008	None	None	None	None	None	None	None
None	Brosnahan	Cynthia	M	EPSDT Supplemental Services Provider	Registered Nurse	11/15/2012	None	Placer	1600 Eureka Road	Mob 2	Roseville	CA	95661	(916) 474-2274
None	Brotherwood	Adam	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/2/2013	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	(323) 361-2485
None	Brotherwood	Michelle	Y	EPSDT Supplemental Services Provider	Dietitians	9/24/2012	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	(323) 361-3486
None	Broukhim	Mahnaz	None	Physician	Anesthesiology	11/14/2011	None	None	6430 W Sunset Boulevard	Suite 600	Los Angeles	CA	90028	None
1083247514	Brousseau	Erica	Frances	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/13/2020	None	San Diego	398 Lado De Loma Drive	Apartment B	Vista	CA	92083	None
1265637466	Brown	Alfred	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/6/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(877) 608-0044
1720334790	Brown	Alyson	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/24/2019	None	San Diego	17140 Bernardo Center Drive	None	San Diego	CA	92128	None
None	Brown	Berkley	None	EPSDT Supplemental Services Provider	Registered Nurse	9/22/2009	None	Los Angeles	10833 Le Conte Avenue	None	Los Angeles	CA	90095	(310) 825-6708
None	Brown	Beth	A	Speech Therapist	Speech Language Pathology	7/1/1994	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	(858) 966-5838
None	Brown	Catherine	Anne	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/14/2017	None	San Diego	200 W Arbor Drive	8918	San Diego	CA	92103	(619) 838-6409
1366100042	Brown	Christine	None	EPSDT Supplemental Services Provider	Dietitians	4/11/2022	None	San Bernardino	3353 Pokeroot Lane Lane	San Bernardino, Ca	San Bernardino	CA	92407	None
None	Brown	Cynthia	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/10/2025	None	Los Angeles	8700 Beverly Blvd Boulevard	Suite PACT 900C	Los Angeles	CA	90048	None
1407217656	Brown	Danielle	None	Physical Therapist	Physical Therapy	1/24/2023	None	San Diego	510 E Naples Street	None	Chula Vista	CA	91911	None
None	Brown	Frederick	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/25/2013	None	Los Angeles	9400 E Rosecrans Av	None	Bellflower	CA	90706	None
1114168507	Brown	Gwen	None	EPSDT Supplemental Services Provider	Registered Nurse	5/2/2018	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Brown	Jenni	None	EPSDT Supplemental Services Provider	Dietitians	7/1/2019	None	Los Angeles	1856 10th Street	Apartment D	Santa Monica	CA	90404	None
None	Brown	Jessica	L	EPSDT Supplemental Services Provider	Dietitians	11/25/2009	None	Orange	1201 W Laveta Avenue	None	Orange	CA	92868	None
1861015166	Brown	Julia	Louise	EPSDT Supplemental Services Provider	Dietitians	6/10/2020	None	Orange	4119 Carol Drive	Fullerton, Ca, Orange County Apartment 4	Fullerton	CA	92833	None
None	Brown	Julie	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/21/2010	None	None	None	None	None	None	None	None
None	Brown	Kerren	D	Occupational Therapist	Occupational Therapy	5/1/1992	10/31/2016	None	None	None	None	None	None	None
1881186286	Brown	Kristin	None	Physical Therapist	Physical Therapy	4/15/2024	None	San Diego	420 Falconer Rd Road	None	Escondido	CA	92027	None
None	Brown	Lisa	E	EPSDT Supplemental Services Provider	Registered Nurse	5/16/2012	None	Placer	1600 Eureka Road	None	Roseville	CA	95661	(916) 474-2345
1528598026	Brown	Megan	Marie-Redeen	EPSDT Supplemental Services Provider	Registered Nurse	7/5/2017	None	Sacramento	4037 Quarter Dome Circle	None	Rancho Cordova	CA	95742	(916) 206-6616
1588117386	Brown	Melanie	Tully	Audiologist	Audiology	2/27/2017	None	Los Angeles	4650 Sunset Boulevard	36	Los Angeles	CA	90027	(323) 361-2024
1578244117	Brown	Melissa	None	Speech Therapist	Speech Language Pathology	11/17/2024	None	Fresno	6832 East Dwight Way	Fresno, Ca, Fresno County	Fresno	CA	93727	None
None	Brown	Nancy	None	Speech Therapist	Speech Language Pathology	1/27/2011	None	None	101 West Burton Mesa	Suite B	Lompoc	CA	93436	None
None	Brown	Raenisha	D	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/31/2006	None	None	None	None	None	None	None	None
1508062530	Brown	Roxanne	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/12/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	None
None	Brown	Shonda	M	EPSDT Supplemental Services Provider	Dietitians	9/22/2009	None	Orange	1201 W Laveta Avenue	None	Orange	CA	92868	None
1720699028	Brown	Tiffany	None	EPSDT Supplemental Services Provider	Registered Nurse	1/4/2021	None	Santa Clara	300 Pasteur Drive	None	Stanford	CA	94305	None
None	Brown	Tracie	Nicole	EPSDT Supplemental Services Provider	Registered Nurse	5/16/2016	None	San Francisco	550 16th Street	5th Floor	UC San Francisco	CA	94143	(415) 476-6395
1912619131	Brown	Zakia	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/13/2024	None	Merced	3168 Gardenia Avenue	Merced, Ca	Merced	CA	95341	None
1760795538	Browne	Andrew	O	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/26/2013	None	Orange	441 N Lakeview Avenue	None	Anaheim	CA	92807	None
1316930225	browne	debra	None	EPSDT Supplemental Services Provider	Registered Nurse	3/30/2005	None	Los Angeles	4650 Sunset	None	Los Angeles	CA	90027	None
None	Browne	Mariah	None	EPSDT Supplemental Services Provider	Registered Nurse	1/16/2024	None	Los Angeles	27513 Wellington Court	None	Valencia	CA	91354	None
1134250772	Brown-Hall	Monica	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/1/2013	None	San Bernardino	325 W Hospitality Lane	None	San Bernardino	CA	92408	(909) 386-5500
1174601660	BROWN IV	George	None	Physician	Emergency Medicine	6/4/2024	None	Alameda	2500 Merced Street	None	San Leandro	CA	94577	None
None	Brownlee-Cervantes	Jaclyn	E	EPSDT Supplemental Services Provider	Dietitians	7/26/2011	None	San Francisco	106 La Casa Via	None	Walnut Creek	CA	94598	None
None	Broyard Johnson	Andrea	M	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/9/2006	None	None	None	None	None	None	None	None
1457336422	Broyles	Amy	None	Physical Therapist	Physical Therapy	2/5/2016	None	Sacramento	2315 Stockton Boulevard	None	Sacramento	CA	95817	(916) 734-7040
None	Bruce	Colette	R	EPSDT Supplemental Services Provider	Registered Nurse	2/13/2009	None	Orange	1201 W La Veta Avenue	None	Orange	CA	92868	(714) 509-4032
None	Bruce	Melissa	None	EPSDT Supplemental Services Provider	Registered Nurse	9/4/2014	None	San Diego	PO Box 21	None	La Jolla	CA	92038	(619) 820-0695
None	Brun	Cathy	None	EPSDT Supplemental Services Provider	Registered Nurse	3/1/2016	None	San Bernardino	2195 Club Center Drive	Suite G	San Bernardino	CA	92408	None
None	Brunetto	Diana	M	EPSDT Supplemental Services Provider	Dietitians	9/19/2008	None	San Diego	200 W Arbor Drive	None	San Diego	CA	92103	None
None	Bruns	Denae	None	Occupational Therapist	Occupational Therapy	11/19/2013	None	Tulare	400 W Mineral King	None	Visalia	CA	93277	(559) 624-5348
None	Brunson	Adriana	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/17/2024	None	San Bernardino	11234 Anderson Street	None	Loma Linda	CA	92354	None
None	Brunt	Gregory	None	Orthotist	Orthotics	2/2/2006	None	None	None	None	None	None	None	None
None	Bruschaber	Gregg	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/20/2005	None	None	None	None	None	None	None	None
None	Brushwyler	Elizabeth	D	Physical Therapist	Physical Therapy	9/23/2009	None	None	3601 Marconi Avenue	None	Sacramento	CA	95821	None
None	Bryan	Amy	None	EPSDT Supplemental Services Provider	Dietitians	10/2/2024	None	Los Angeles	1412 Colby Avenue	Apartment 306	Los Angeles	CA	90025	None
None	Bryant	Christie	None	Physical Therapist	Physical Therapy	5/27/2021	None	Merced	3140 Apron Avenue	None	Atwater	CA	95301	None
1760610232	Bryant	Efrem	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/4/2021	None	Los Angeles	12254 Bellflower Boulevard	None	Downey	CA	90242	None
None	Bryant	Jonathan	D	Audiologist	Audiology	2/22/2000	None	None	None	None	None	None	None	None
None	Bryant	Lauren	Melin	EPSDT Supplemental Services Provider	Registered Nurse	1/15/2020	None	Los Angeles	2442 Highland Pines Road	Pomona Ca	Pomona	CA	91767	None
None	Bryant	Michelle	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	6/28/2024	None	Los Angeles	1050 Linden Avenue	Long Beach, Ca	Long Beach	CA	90813	None
None	Bryant	Zack	None	Physician	Family Medicine	1/7/2020	None	Fresno	372 W. Cypress Avenue	None	Reedley	CA	93654	None
None	Bryars	Teresa	None	EPSDT Supplemental Services Provider	Dietitians	10/1/2001	None	None	None	None	None	None	None	None
None	Bryner-Cardoza	Janet	L	Physical Therapist	Physical Therapy	4/14/2014	None	Tulare	840 S Akers	None	Visalia	CA	93277	(559) 624-3700
None	Buchanan	Brandi	L	Occupational Therapist	Occupational Therapy	6/22/2005	None	None	None	None	None	None	None	None
None	Buchbinder	Barbara	Ann	EPSDT Supplemental Services Provider	Registered Nurse	7/20/2020	None	Orange	1201 West La Veta Avenue	Bmt Administration	Orange	CA	92868	None
None	Bucher	Barbara	R	EPSDT Supplemental Services Provider	Registered Nurse	2/4/2011	None	None	None	None	None	None	None	None
None	Buchinski	John	None	Physical Therapist	Physical Therapy	12/15/2022	None	Santa Cruz	919 Walnut Avenue	None	Santa Cruz	CA	95060	None
None	Bucifal	Kristina	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/24/2019	None	San Diego	354 Santa Fe Drive	Office ENC46	Encinitas	CA	92024	None
None	Buck	Allison	Marie	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/21/2019	None	Los Angeles	14942 Weeks Drive	None	La Mirada	CA	90638	None
None	Buckley	Juliette	I	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/9/2017	None	San Diego	751 Medical Center Drive	None	Chula Vista	CA	91911	(619) 502-3452
None	Buckley	Lisa	None	EPSDT Supplemental Services Provider	Registered Nurse	2/4/2021	None	Los Angeles	2319 Rockefeller Lane	Redondo Beach , Ca Unit C	Redondo Beach	CA	90278	None
None	Buday	Andrea	Jean	EPSDT Supplemental Services Provider	Registered Nurse	12/4/2012	None	San Bernardino	35365 Bonita Drive	None	Yucaipa	CA	92399	(951) 313-0749
None	Budd	Ingrid	D	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/17/2005	None	None	None	None	None	None	None	None
1427566348	Buehler	Jamie	None	Audiologist	Audiology	3/27/2019	None	Orange	1301 W. Providence Avenue	None	Orange	CA	92868	None
None	Bueno	Angeli	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/2/2012	None	Solano	1000 Nut Tree Road	None	Vacaville	CA	95687	(707) 624-7015
1932280021	Bueno	Robin	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/30/2023	None	Los Angeles	1505 N Edgemont Street	Los Angeles, Ca Los Angeles Floor 1ST	Los Angeles	CA	90027	None
1497139661	Buenrostro	Marcena	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/25/2023	None	San Bernardino	4931 Fauna Street	None	Montclair	CA	91763	None
1700035771	Buettgenbach	Karina	I	Occupational Therapist	Occupational Therapy	2/12/2015	None	San Diego	3020 Children's Way	Mc 6018	San Diego	CA	92123	(858) 793-9591
None	Bui	Armi	Fuertes	EPSDT Supplemental Services Provider	Registered Nurse	12/12/2004	None	Los Angeles	4650 Sunset Boulevard	Mail Stop 54	Los Angeles	CA	90027	None
None	Bui	Linda	None	Occupational Therapist	Occupational Therapy	5/22/2023	None	Santa Clara	780 Thornton Way	None	San Jose	CA	95128	None
None	Bui	Thanh	T	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/7/2008	None	None	None	None	None	None	None	None
1073529822	Buitrago	Jennifer	None	EPSDT Supplemental Services Provider	Registered Nurse	9/22/2014	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Bujold	Carin	R	EPSDT Supplemental Services Provider	Dietitians	1/1/1995	None	None	None	None	None	None	None	None
None	Bukolt	Rebecca	None	EPSDT Supplemental Services Provider	Registered Nurse	4/28/2022	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	None
None	Bulanadi	Josah	None	EPSDT Supplemental Services Provider	Registered Nurse	10/1/2013	None	Orange	2325 S Mira Court	Unit 140	Anaheim	CA	92802	None
None	Bulanadi	Josah	R	EPSDT Supplemental Services Provider	Registered Nurse	10/1/2013	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	(562) 933-8400
1477791218	Bulaon-Castillo	Lucille	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/22/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(888) 505-0043
None	Bull	Susanne	H	Speech Therapist	Speech Language Pathology	8/1/2003	None	None	2170 South Avenue	None	South Lake Tahoe	CA	96150	None
1376532846	Bullard	Ronald	Dean	Physician	Pediatrics	8/6/2019	None	Kern	1305 Bear Mountain Blvd Boulevard	None	Arvin	CA	93203	None
None	Bullock	Dina	D	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/28/2003	None	None	3020 Children's Way	None	San Diego	CA	92123	None
None	Bumacod	Estrelita	None	Physical Therapist	Physical Therapy	5/2/2017	None	Kern	1401 Garces Highway	None	Delano	CA	93215	None
1700369048	Bunawan	Stephanie	None	EPSDT Supplemental Services Provider	Dietitians	8/7/2019	None	San Bernardino	1540 Corte Santana	None	Upland	CA	91786	None
1790757516	Bunch	Thomas	Jared	Physician	Internal Medicine: Clinical Cardiac Electrophysiology	1/16/2018	None	Santa Clara	300 Pasteur Road	None	Stanford	CA	94305	None
None	Bungcayao	Lisa	D	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/4/2002	None	Sacramento	1625 Stockton Boulevard	Suite 112	Sacramento	CA	95818	(916) 262-9155
None	Bunuan	Alexander	None	Occupational Therapist	Occupational Therapy	4/13/2023	None	Los Angeles	Telstar	None	El Monte	CA	91731	None
None	Buranahirun	Cathliyn	None	Psychologist	Psychology	9/17/2012	None	Los Angeles	4650 Sunset Boulevard	MS 54	Los Angeles	CA	90027	(323) 361-8687
None	Burckert	Eleana	None	Physical Therapist	Physical Therapy	2/6/2023	None	Fresno	Ashlan Avenue	None	Fresno	CA	93704	None
None	Burdick	Aimee	None	Physical Therapist	Physical Therapy	11/8/2013	None	Los Angeles	221 12 Glendora Avenue	None	Long Beach	CA	90803	None
None	Burdock	Nicole	None	EPSDT Supplemental Services Provider	Dietitians	6/9/2023	None	Placer	5232 Chelsea Creek Road	Rosevile, Ca, Placer County	Roseville	CA	95747	None
None	Burford	Akilah	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/11/2019	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Burge	Mary	E	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/1/1997	None	None	None	None	None	None	None	None
None	Burgener-Vader	Stephanie	A	Speech Therapist	Speech Language Pathology	9/4/2012	None	San Diego	8010 Frost Street	Suite 200	San Diego	CA	92123	(858) 965-5838
None	Burger	Lisa	C	Speech Therapist	Speech Language Pathology	3/29/2007	None	None	1301 W Providence Avenue	None	Orange	CA	92868	None
None	Burgson	Honah	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/1/2018	None	Alameda	1601 Ygnacio Valley Road	None	Walnut Creek	CA	94598	(707) 696-7216
None	Burhans	Denise	None	Audiologist	Audiology	8/31/1999	12/31/2018	None	None	None	None	None	None	None
None	Burich	Sarah	None	Occupational Therapist	Occupational Therapy	4/3/2023	None	Sacramento	844 Farmhouse Way	None	Folsom	CA	95630	None
None	Burk	Lynn	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/26/2007	None	None	None	None	None	None	None	None
None	Burke	Christina	Maria	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/11/2017	None	Orange	101 The City Drive	South	Orange	CA	92868	(714) 456-8979
1205160660	Burke	Cynthia	Michele	EPSDT Supplemental Services Provider	Registered Nurse	5/2/2018	None	San Francisco	3333 California Street	None	UC San Francisco	CA	94143	(415) 476-2706
None	Burke	Mary	Ann	Physical Therapist	Physical Therapy	10/27/2008	None	None	3900 Lakeville Highway	None	Petaluma	CA	94954	None
None	Burke	Meghan	D	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/1/2012	None	Sacramento	5151 F Street	None	Sacramento	CA	95819	(916) 733-1442
None	Burke	Meredith	None	Speech Therapist	Speech Language Pathology	7/26/2012	None	Los Angeles	2100 W 3rd Street	None	Los Angeles	CA	90057	None
None	Burke	Robert	A	Physical Therapist	Physical Therapy	11/1/2007	None	None	500 West Hospital Road	None	French Camp	CA	95231	None
1639647928	Burke	Shannon	Leigh	EPSDT Supplemental Services Provider	Dietitians	9/19/2019	None	San Francisco	2791 Greenwich Street Street	Apartment #3	San Francisco	CA	94123	None
None	burke	shelley	ann	EPSDT Supplemental Services Provider	Registered Nurse	10/27/2014	12/31/2014	Los Angeles	4650 Sunset Boulevard	Mail Stop 90	Los Angeles	CA	90027	(323) 361-8738
None	Burke-Doe	Annie	P	Physical Therapist	Physical Therapy	5/1/1999	None	None	625 W Citracado Parkway	Suite 102	Escondido	CA	92025	None
None	Burkett	Sara	None	Speech Therapist	Speech Language Pathology	1/13/2009	2/29/2012	None	None	None	None	None	None	None
1184891236	Burkhardt	Brandon	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/18/2022	None	Los Angeles	4850 Vista De Oro Avenue	None	View Park	CA	90043	None
1669616371	Burkhart	Melinda	None	Speech Therapist	Speech Language Pathology	5/13/2013	None	Ventura	1601 Eastman Avenue	Suite 103	Ventura	CA	93003	(805) 650-6290
1912934373	Burkley	Kathryn	Elizabeth	EPSDT Supplemental Services Provider	Dietitians	9/11/2020	None	Santa Barbara	531 Quail Run Road	None	Buellton	CA	93427	None
None	Burlando	Andrea	J	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/11/2006	3/31/2014	None	None	None	None	None	None	None
1730813403	Burnett	Kate	None	EPSDT Supplemental Services Provider	Registered Nurse	8/30/2022	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Burns	Amy	None	Physical Therapist	Physical Therapy	3/31/2022	None	Los Angeles	N Wilson Ave	None	Pasadena	CA	91104	None
None	Burns	Daniel	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/3/2013	6/30/2015	Kern	420 34th Street	None	Bakersfield	CA	93301	(661) 327-4647
1790839603	Burns	Jill	None	EPSDT Supplemental Services Provider	Dietitians	6/13/2024	None	Placer	3100 Douglas Boulevard	None	Roseville	CA	95661	None
1891038006	Burns	Julianne	None	Physician	Pediatrics	8/20/2021	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
1891038006	Burns	Julianne	None	Physician	Pediatrics: Pediatric Infectious Diseases	8/20/2021	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
1114305539	Burns	Lorianne	Catherine	Physician	Pediatrics	10/26/2018	None	San Francisco	3333 California Street	Suite S1-10	San Francisco	CA	94118	None
1982264842	Burns	Megan	None	Occupational Therapist	Occupational Therapy	6/14/2019	None	Fresno	5965 E. Shields Avenue	Unit 108	Fresno	CA	93727	None
None	Burns	Meredith	None	EPSDT Supplemental Services Provider	Registered Nurse	7/19/2021	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	None
1396320743	Burns	Mikaela	None	EPSDT Supplemental Services Provider	Dietitians	9/20/2023	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Burns	Terri	None	EPSDT Supplemental Services Provider	Registered Nurse	6/16/2017	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	(562) 728-5000
None	Burns	Whitney	None	EPSDT Supplemental Services Provider	Registered Nurse	2/20/2025	None	San Diego	3020 Children's Way	Mc5137	San Diego	CA	92123	None
None	Buroker	Jacqueline	J	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/12/2006	None	None	None	None	None	None	None	None
None	burris	brenda	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/25/2013	None	Los Angeles	13652CANTARA Street	None	Panorama City	CA	91402	None
None	Burris	Reem	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/3/2021	None	Yuba	726 4th Street	Marysville	Marysville	CA	95901	None
None	Burritt	Emily	J	EPSDT Supplemental Services Provider	Dietitians	2/10/2005	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	None
None	Burritt	Emily	J	EPSDT Supplemental Services Provider	Dietitians	2/10/2005	None	Los Angeles	None	None	None	None	None	None
1366106882	Burrous	Elizabeth	None	EPSDT Supplemental Services Provider	Registered Nurse	9/25/2023	None	Santa Clara	300 Pasteur Drive	None	Stanford	CA	94305	None
None	Burrows	Christina	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/9/2022	None	Sacramento	Stockton Blvd	None	Sacramento	CA	95817	None
None	Burstein	Amir	None	Physical Therapist	Physical Therapy	7/15/2011	None	None	2380 Juniper Avenue	None	Morro Bay	CA	93442	None
None	Burt	Stacy	M	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/11/2011	None	None	None	None	None	None	None	None
None	Burton	Pamela	None	EPSDT Supplemental Services Provider	Registered Nurse	8/17/2022	None	Los Angeles	4650 Sunset Boulevard	Los Angeles, Ca	Los Angeles	CA	90027	None
None	Burton	Sara	None	Occupational Therapist	Occupational Therapy	11/22/2013	None	San Diego	2642 5th Avenue	Apartment 14	San Diego	CA	92103	None
None	Burton	Wendy	E	Speech Therapist	Speech Language Pathology	2/13/2004	None	Los Angeles	7601 E Imperial Highway	None	Downey	CA	90241	None
None	Burton	Wendy	E	Speech Therapist	Speech Language Pathology	2/13/2004	None	None	7601 Imperial Highway	None	Downey	CA	90242	None
None	Busby	Jill	Kristine	Speech Therapist	Speech Language Pathology	12/20/2012	None	Kern	11201 Patagonia Way	None	Bakersfield	CA	93306	(661) 333-2474
None	Bush	Caron	None	Physical Therapist	Physical Therapy	9/13/2016	None	Alameda	747 52nd Street	None	Oakland	CA	94609	None
None	Bush	Jessica	None	EPSDT Supplemental Services Provider	Registered Nurse	12/13/2022	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	None
None	Bush	Judy	E	Occupational Therapist	Occupational Therapy	11/17/2008	10/25/2019	None	9161 Sierra Avenue	None	Fontana	CA	92335	None
None	Busing	Lauren	None	EPSDT Supplemental Services Provider	Registered Nurse	10/1/2018	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	None
1336655489	Busk	Danielle	None	Physical Therapist	Physical Therapy	3/20/2023	None	Orange	2911 West Stonybrook Drive	None	Anaheim	CA	92804	None
1376759035	Busse	Carole	S	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/6/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(877) 608-0044
None	Buss-Gregory	Jennie	M	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/1/2016	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	(858) 576-1700
1619405214	Bustamante	Ellen	None	Speech Therapist	Speech Language Pathology	8/23/2017	None	San Bernardino	2629 Silverado Creek Place	None	Ontario	CA	91761	(714) 928-4009
None	Bustillo	Camille	None	Occupational Therapist	Occupational Therapy	6/9/2021	None	Orange	Calle De Las Sonatas	None	Rancho Santa Margarita	CA	92688	None
None	Bustillos	Jennifer	E	EPSDT Supplemental Services Provider	Registered Nurse	7/23/2015	None	Madera	9300 Valley Children's Place	None	Madera	CA	93636	(559) 353-5410
None	Bustos	Haydee	None	Physical Therapist	Physical Therapy	4/13/2023	None	Los Angeles	9320 Telstar Avenue	Office 6265696450	El Monte	CA	91731	None
1316293723	Buswell	Nichole	Marie	EPSDT Supplemental Services Provider	Registered Nurse	12/11/2014	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	(323) 361-8738
1275904013	Butcher	Megan	None	Audiologist	Audiology	4/16/2018	None	San Diego	3020 Children's Way	Mc 5010	San Diego	CA	92123	None
None	Butkus	Lucille	A	Occupational Therapist	Occupational Therapy	5/1/1997	None	None	None	None	None	None	None	None
None	Butler	Alexis	S	EPSDT Supplemental Services Provider	Registered Nurse	11/3/2011	None	Santa Clara	725 Welch Road	Suite 160	Palo Alto	CA	94304	(650) 497-8953
1023254869	Butler	Blair	Cynthia	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/22/2016	None	Los Angeles	757 Westwood Plaza	Department OF CARE COORDINATION-UCLA MATTEL	UCLA	CA	90095	(310) 267-9732
None	Butler	Camy	H	EPSDT Supplemental Services Provider	Dietitians	3/13/2007	None	None	None	None	None	None	None	None
1992923965	Butler	Denise	None	Occupational Therapist	Occupational Therapy	11/14/2023	None	Tulare	43825 Road 148	None	Orosi	CA	93647	None
None	Butman	Claudette	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/8/2023	None	San Francisco	1101 Van Ness Avenue	San Francisco Ca	San Francisco	CA	94109	None
1407030778	Butner	Kristina	M	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/12/2019	None	Orange	24502 Pacific Park Drive	None	Aliso Viejo	CA	92656	None
None	Butscher	Mary	Ann	Physical Therapist	Physical Therapy	5/9/2014	None	Los Angeles	1798 N Garey Avenue	None	Pomona	CA	91767	(909) 865-9810
1316274236	Butt	Lamen	None	EPSDT Supplemental Services Provider	Dietitians	3/8/2017	None	Los Angeles	3023 Lees Avenue	None	Long Beach	CA	90808	(562) 657-9354
None	Buttacavoli	Stephanie	S	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/30/2007	None	None	None	None	None	None	None	None
None	Buvelot	Doris	None	EPSDT Supplemental Services Provider	Registered Nurse	11/9/2016	None	Santa Clara	725 Welch Road	None	Palo Alto	CA	94304	None
None	Buvelot	Doris	None	EPSDT Supplemental Services Provider	Registered Nurse	11/9/2016	None	Santa Clara	300 Pasteur Drive	#G313	Palo Alto	CA	94304	(650) 721-1811
None	Buxbaum	Evan	R	Physician	Pediatrics	8/17/2011	12/31/2012	Humboldt	3305 Renner Drive	None	Fortuna	CA	95540	None
1104266147	Byerly	Talea	Fae	Speech Therapist	Speech Language Pathology	5/6/2022	None	Santa Barbara	1127 Harbor Lane	None	Santa Barbara	CA	93109	None
None	Byer-Mendoza	Christine	None	EPSDT Supplemental Services Provider	Registered Nurse	1/24/2019	None	San Diego	1116 Sagewood Drive	None	Oceanside	CA	92056	None
1144252404	Byers	Christine	None	Physical Therapist	Physical Therapy	2/7/2023	None	Orange	6441 San Marcos Way	Buena Park, Ca, Orange	Buena Park	CA	90620	None
1568963809	Byers	Rachel	Wharton	EPSDT Supplemental Services Provider	Registered Nurse	2/4/2019	None	Los Angeles	300 Stein Plaza	Suite 420	UC Los Angeles	CA	90095	None
None	Byers	Shirley	J	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/1/2010	None	None	9888 Genesee Avenue	Box LJ23	La Jolla	CA	92037	None
None	Byrd	Michelle	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/9/2014	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	None
1528360419	byrd	zelda	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/26/2011	None	San Bernardino	17104 Nile Lily Way	None	Fontana	CA	92337	(909) 438-7527
None	Byrne	Eilish	None	Physical Therapist	Physical Therapy	4/14/2003	None	None	725 Welch Road	Floor 3	Palo Alto	CA	94304	None
1841666039	Byrne	Kimberly	None	Occupational Therapist	Occupational Therapy	7/3/2018	None	San Diego	3020 Children's Way	None	San Diego	CA	92123	None
None	Bytheway	Effie	None	EPSDT Supplemental Services Provider	Registered Nurse	7/1/2004	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Byun	Yewon	Jenny	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/11/2017	None	San Diego	9300 Campus Point Drive	None	La Jolla	CA	92037	None