Table: ccs_non_providers , last_name like I*

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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
1427207398	Iamicel	Lisa	None	EPSDT Supplemental Services Provider	Registered Nurse	12/3/2012	None	Los Angeles	10833 Le Conte Avenue	None	Los Angeles	CA	90095	None
None	Iannessa	Carol	N	Physical Therapist	Physical Therapy	3/17/2005	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90801	None
None	Ibanez	Marsha	B	Physical Therapist	Physical Therapy	11/5/2012	None	Los Angeles	7601 E Imperial Highway	None	Downey	CA	90242	(562) 401-6847
None	Ibarra	Ana	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/9/2022	None	Los Angeles	2801 Atlantic Avenue	Long Beach, Ca, Los Angeles	Long Beach	CA	90806	None
None	ibarra	cierra	None	EPSDT Supplemental Services Provider	Registered Nurse	3/12/2024	None	Alameda	744 52nd Street	Oakland Ca Building 1	Oakland	CA	94609	None
None	Ibarra	Genesis	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/1/2021	None	Contra Costa	1790 Ellis Street	None	Concord	CA	94520	None
1912389586	Ibarra	Marina	Renee	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/6/2016	None	Madera	9300 Valley Children's Place	None	Madera	CA	93636	(559) 353-5270
None	Ibarra-Yaquian	Monica	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/22/2013	None	San Francisco	400 Parnassus Avenue	Room A-45 PLZ LEVEL	San Francisco	CA	94143	(415) 353-1388
1801076906	ibasco	ihda	None	Occupational Therapist	Occupational Therapy	2/1/2023	None	Orange	W La Palma Avenue	Anaheim, Ca	Anaheim	CA	92801	None
None	Ibrahim	Carolyn	None	Occupational Therapist	Occupational Therapy	3/13/2018	None	Santa Barbara	3940 Via Lucero	Apartment 6	Santa Barbara	CA	93110	None
None	Ibrahim	Robert	N	Occupational Therapist	Occupational Therapy	5/19/2009	None	None	None	None	None	None	None	None
None	Icenhower	Gail	Sandra	Speech Therapist	Speech Language Pathology	2/18/2014	None	Nevada	10710 Donner Pass Road	None	Truckee	CA	96161	(530) 587-1062
None	Ichimura	Jan	F	Physical Therapist	Physical Therapy	6/9/2014	None	Orange	101 The City Drive	None	Orange	CA	92868	(714) 456-6942
1043295736	Iden	Sultanna	None	EPSDT Supplemental Services Provider	Registered Nurse	3/26/2002	None	Sacramento	2521 Stockton Boulevard	None	Sacramento	CA	95817	(916) 734-7098
None	Idlet-Whittle	Nancy	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/16/2012	None	Fresno	2823 Fresno Street	None	Fresno	CA	93721	(559) 459-6000
1770701708	Ifekwunigwe	Chistopher	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/5/2022	None	Los Angeles	4425 S. Central Avenue	None	Los Angeles	CA	90011	None
None	Iffland	Julie	None	Occupational Therapist	Occupational Therapy	4/26/2023	None	Los Angeles	2714 182 Place	Redondo Beach Ca	Redondo Beach	CA	90278	None
None	Ifikchyan	Meline	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/29/2024	None	Los Angeles	1420 South Central Avenue	Glendale Ca	Glendale	CA	91206	None
1265703623	Igirio	Kenlly	None	Physical Therapist	Physical Therapy	5/28/2013	None	Riverside	11544 Allwood Drive	None	Riverside	CA	92503	None
None	Ihani	Shirin	None	Physical Therapist	Physical Therapy	3/28/2023	None	Orange	309 Via El Patio	None	San Clemente	CA	92673	None
None	Ikeda	Emi	M	Speech Therapist	Speech Language Pathology	7/6/2011	None	None	None	None	None	None	None	None
None	Ikenador	Stephanie	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/30/2024	None	Contra Costa	1601 Ygnacio Valley Rd	Walnut Creek Ca Building (925) 941-4081	Walnut Creek	CA	94598	None
1396147278	Ikuta	Kathleen	S	Physical Therapist	Physical Therapy	5/9/2016	None	San Francisco	215 Ashbury Street	Apartment 1	San Francisco	CA	94117	(714) 330-3695
None	Ilharreguy	Christin	None	Physical Therapist	Physical Therapy	3/17/2023	None	Los Angeles	825 Maryhurst Drive	Claremont, Ca	Claremont	CA	91711	None
None	Im	Nina	None	Occupational Therapist	Occupational Therapy	3/15/2023	None	Orange	La Palma Avenue	None	Anaheim	CA	92801	None
1144205949	Imagire	Robin	None	EPSDT Supplemental Services Provider	Registered Nurse	12/8/2000	None	Sacramento	1650 Response Road	None	Sacramento	CA	95815	None
1356788004	imai	dana	None	Occupational Therapist	Occupational Therapy	6/14/2013	None	Riverside	8500 Verbena Drive	None	Riverside	CA	92504	None
None	Imai-Ruebensaal	Aileen	None	Occupational Therapist	Occupational Therapy	10/9/2020	None	Los Angeles	2801 Atlantic Avenue	None	Long Beach	CA	90806	None
None	Imbler	Bryce	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	1/29/2020	None	Los Angeles	2801 Atlantic Avenue	Long Beach	Long Beach	CA	90806	None
1780974360	Imthurn	Laura	R	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	Inada	Sharon	H	Audiologist	Audiology	3/19/2004	None	None	25825 Vermont Avenue	None	Harbor City	CA	90710	None
1629108550	Indresano	Albert	T	Physician	Oral and Maxillofacial Surgery	9/3/2014	None	Alameda	1411 E 31st Street	None	Oakland	CA	94602	(510) 437-4800
None	Indula	Jennifer	R	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/21/2007	None	None	None	None	None	None	None	None
None	Indula-Allen	Jennifer	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	6/24/2024	None	Monterey	PO Box Hh	Monterey Ca. Box HH	Monterey	CA	93942	None
None	Inenaga	Eiri	H	Occupational Therapist	Occupational Therapy	1/16/2009	None	None	725 Welch Road	None	Palo Alto	CA	94304	None
None	Inenaga	Leslie	None	Occupational Therapist	Occupational Therapy	3/28/2023	None	Santa Clara	780 Thornton Way	None	San Jose	CA	95128	None
None	Ines	Nicole	None	EPSDT Supplemental Services Provider	Registered Nurse	6/4/2015	None	Santa Clara	770 Welch Road	Suite 261	Palo Alto	CA	94304	(650) 498-6078
None	Ingemansson	Cassandra	R	EPSDT Supplemental Services Provider	Registered Nurse	9/23/2020	None	Sacramento	4900 Broadway	Suite 2800	Sacramento	CA	95820	None
None	Ingram	Priya	None	Occupational Therapist	Occupational Therapy	2/17/2015	None	San Francisco	1625 Van Ness Avenue	3rd Floor	San Francisco	CA	94109	(415) 600-2961
None	Injety	Shannon	None	Physical Therapist	Physical Therapy	3/14/2004	None	None	1001 E Cooley Drive	Suite 101	Colton	CA	92324	None
None	Injety	Yohann	Subushan	Physical Therapist	Physical Therapy	10/24/2002	None	San Bernardino	2551 Shady Glen	None	San Bernardino	CA	92408	(909) 556-7612
1467651638	Innerfeld	Robert	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/8/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	None
1366888927	Intorre	Anita	A	Physical Therapist	Physical Therapy	9/18/2015	None	San Diego	3020 Children's Way	Mc 5068	San Diego	CA	92123	(858) 966-5829
1841679982	Ippoliti	Shannon	None	Physician	Pediatrics	3/3/2023	None	Los Angeles	455 Columbia Street	Long Beach, Ca Suite 201	Long Beach	CA	90806	None
None	Irani	Naomi	None	EPSDT Supplemental Services Provider	Registered Nurse	3/27/2023	None	San Diego	PO Box 3173	None	Chula Vista	CA	91909	None
1922538552	Iranosian	Anna	Abulyan	EPSDT Supplemental Services Provider	Dietitians	6/20/2017	None	Los Angeles	501 S Buena Vista Street	None	Burbank	CA	91505	(818) 847-4586
None	Irizarry	Nicole	M	Physical Therapist	Physical Therapy	11/13/2008	None	None	510 E Naples Street	None	Chula Vista	CA	91911	None
None	Irolla	Chrysta	R	Prosthetist	Prosthetics/Orthotics	7/17/2014	None	San Francisco	521 Parnassus Avenue	C-36	San Francisco	CA	94143	(415) 476-1788
None	Irvin	Lineon	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/6/2020	None	Santa Barbara	1400 E. Church Street	Santa Maria Ca	Santa Maria	CA	93454	None
None	Irvine	Andrea	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	9/3/2015	None	Santa Clara	2425 Samaritan Drive	Social Services Dept	San Jose	CA	95124	(408) 559-2110
None	Irwin	Diane	M	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/29/2010	None	None	None	None	None	None	None	None
None	Irwin	Diane	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/29/2010	None	Los Angeles	1510 E First Street	None	Long Beach	CA	90802	(949) 307-2532
None	Isaacs	Sara	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/17/2011	None	None	None	None	None	None	None	None
None	isaacs	sara	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/17/2011	None	San Francisco	1975 Fourth Street	Box 4061	San Francisco	CA	94158	(415) 353-2655
None	Isaacs	Tayla	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	6/15/2017	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	(323) 361-2485
None	Isaacson	Ted	M	Speech Therapist	Speech Language Pathology	6/27/2005	None	None	191 West Burton Mesa Boulevard	Suite B	Lompoc	CA	93436	None
None	isagholi	meghrik	None	Occupational Therapist	Occupational Therapy	4/27/2018	None	Los Angeles	2560 Colorado Boulevard	None	Eagle Rock	CA	90041	None
None	Ishikawa	Lynne	None	Occupational Therapist	Occupational Therapy	6/1/1988	None	Fresno	2823 Fresno Street	None	Fresno	CA	93721	(559) 459-1842
None	Islas	Antonio	None	Physical Therapist	Physical Therapy	1/19/2023	None	Riverside	12366 Jacaranda Way	None	Riverside	CA	92503	None
None	Isley	Veronica	None	EPSDT Supplemental Services Provider	Registered Nurse	3/15/2019	None	Los Angeles	11184 Orville Street	None	Culver City	CA	90230	None
1326320771	Isorena	Jennifer	None	EPSDT Supplemental Services Provider	Registered Nurse	1/20/2023	None	Los Angeles	200 Medical Plaza 214	None	Los Angeles	CA	90095	(310) 825-6078
1801998331	Israel	Laura	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/20/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	(888) 505-0043
1497146617	Istrin	Amy	None	Occupational Therapist	Occupational Therapy	5/20/2022	None	Los Angeles	14954 Hesby Street	Sherman Oaks Ca Los Angeles	Sherman Oaks	CA	91403	None
None	Italia	Abigail	R	Physical Therapist	Physical Therapy	9/7/2006	None	None	275 W Macarthur	None	Oakland	CA	94611	None
None	Ito	Melody	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/7/2007	None	None	None	None	None	None	None	None
1194777615	Itrich	Suzanne	None	Occupational Therapist	Occupational Therapy	2/8/2023	None	Orange	13601 Browning Avenue	Tustin, Ca Orange County	Tustin	CA	92780	None
None	Iverson	Jessica	R	Audiologist	Audiology	3/10/2010	None	None	11775 Education Street	Suite 102	Auburn	CA	95602	None
1134522394	Iveson	Braden	None	Non-Physician Medical Practitioner	Certified Physician Assistant	10/4/2024	None	Santa Clara	300 Pasteur Drive	None	Stanford	CA	94305	None
None	Ivey	Kristen	D	Physical Therapist	Physical Therapy	12/13/2005	None	None	None	None	None	None	None	None
None	Iwamoto	Bailey	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	8/24/2023	None	San Diego	4647 Zion Avenue	None	San Diego	CA	92120	None
None	iwasaki	theresa	None	Physical Therapist	Physical Therapy	1/26/2023	None	Los Angeles	3107 Lama Avenue	Long Beach Ca	Long Beach	CA	90808	None
1265448112	Iyengar	Radha	None	Physician	Pediatrics	9/26/2018	None	San Diego	1295 Carlsbad Village Drive	Suite 100	Carlsbad	CA	92008	None
None	Iyengar	Radha	A	Physician	Pediatrics	12/1/1991	None	None	3050 Madison Street	None	Carlsbad	CA	92008	None
None	Iyer	Urvashi	None	Speech Therapist	Speech Language Pathology	11/5/2012	None	Los Angeles	1798 N Garey Avenue	None	Pomona	CA	91767	(909) 865-9810
None	Izzo	Frances	A	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	2/29/2004	None	None	None	None	None	None	None	None