Table: ccs_non_providers , last_name like Q*

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
1548085327	Qaiser	Rabia	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	11/19/2024	None	Madera	975 Arthur Court, Madera, Ca	None	Madera	CA	93637	None
None	Qamar	Samina	None	Physician	Family Medicine	4/1/2008	None	None	1300 West Lodi Avenue	None	Lodi	CA	95242	None
None	Qualman	Haven	E	Speech Therapist	Speech Language Pathology	11/25/2002	None	None	3020 Childrens Way	Unit MC5010	San Diego	CA	92123	None
None	Quam	Yolanda	Y	Physician	Pediatrics	11/12/2008	None	None	1501A S Bon View Avenue	None	Ontario	CA	91761	None
None	Quan	Joanna	L	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/29/2006	None	None	None	None	None	None	None	None
None	Quan	Lynn	S	Occupational Therapist	Occupational Therapy	7/27/2007	None	None	9320 Telstar Avenue	Suite 226	El Monte	CA	91731	None
1689929697	Quave	Ross	J	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	7/19/2013	None	Los Angeles	393 E Walnut Street	None	Pasadena	CA	91188	None
None	Quddus	Osman	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	5/12/2021	None	Contra Costa	5000 Rowan Drive Drive	None	San Ramon	CA	94582	None
None	Queral	Debbie Marie	C	EPSDT Supplemental Services Provider	Registered Nurse	9/12/2016	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	(323) 361-2295
None	Quetano	Karen	Marie	Physical Therapist	Physical Therapy	11/26/2013	None	Santa Clara	751 S Bascom Avenue	None	San Jose	CA	95128	(408) 885-2994
None	Quezada	Adriana	None	Physical Therapist	Physical Therapy	10/1/2020	None	San Bernardino	2905 Snow Creek Lane	None	Ontario	CA	91761	None
None	Quezada	Kristin	N	Physical Therapist	Physical Therapy	3/14/2000	None	None	None	None	None	None	None	None
None	Quezada	Leticia	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	3/27/2009	None	None	None	None	None	None	None	None
None	Quibuyen	ElizabethMay	None	EPSDT Supplemental Services Provider	Registered Nurse	8/27/2024	None	Los Angeles	2701 Atlantic Avenue	None	Long Beach	CA	90806	None
None	Quiceno	Lindsay	Erin	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/9/2020	None	Los Angeles	1091 Wesley Ave	Pasadena	Pasadena	CA	91104	None
None	Quijano	Carolyn	None	EPSDT Supplemental Services Provider	Dietitians	11/30/2017	None	San Bernardino	25432 Orange Crest Way	None	Loma Linda	CA	92354	None
1922597566	Quilarque Gukovsky	Solciet	None	Physician	Pediatrics	1/28/2022	None	Tulare	590 W Putnam Avenue	Suite 3	Porterville	CA	93257	None
None	Quill	Laura	None	EPSDT Supplemental Services Provider	Registered Nurse	8/1/1997	None	San Francisco	400 Parnassus Avenue	None	San Francisco	CA	94143	None
None	Quillian	Alan	E	Physician	Pediatrics	8/22/2011	12/31/2015	None	None	None	None	None	None	None
None	Quimpo	Kathy	Lee	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	8/29/2024	None	Orange	1688 S Lewis Street	Anaheim, Ca	Anaheim	CA	92805	None
None	Quinn	Amanda	None	Licensed Clinical Social Worker (Individual)	Social Worker (Non-EPSDT)	3/1/2024	None	Fresno	2823 Fresno Street	None	Fresno	CA	93721	None
1023041225	Quinn	Chrisitine	M	Certified Nurse Practitioner	Certified Nurse Practitioner	12/19/2024	None	Los Angeles	Medical	None	UC Los Angeles	CA	90095	None
None	Quinn	Julia	None	Occupational Therapist	Occupational Therapy	9/12/2023	None	San Bernardino	5085 N. Lugo Avenue	San Bernardino , Ca County of San Bernardino	San Bernardino	CA	92404	None
None	Quinn	Juliana	None	EPSDT Supplemental Services Provider	Registered Nurse	10/1/2010	None	None	None	None	None	None	None	None
1770949372	Quinn	Lauren	Ashley	Occupational Therapist	Occupational Therapy	1/13/2016	None	San Francisco	787 39th Avenue	None	San Francisco	CA	94121	(734) 812-0258
None	Quinn	Megan	Michelle	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	12/18/2018	None	Fresno	4265 N Waterside Drive	None	Clovis	CA	93619	None
None	Quinn	Olivia	None	Speech Therapist	Speech Language Pathology	8/2/2023	None	Alameda	1443 Milvia Street	None	Berkeley	CA	94709	None
1114115292	Quintana	Janice	None	EPSDT Supplemental Services Provider	Dietitians	4/21/2020	None	Riverside	10800 Magnolia Avenue	None	Riverside	CA	92505	None
None	Quintana	Loreto	M	Occupational Therapist	Occupational Therapy	10/29/1979	None	None	None	None	None	None	None	None
None	Quintero	Ann	K	Speech Therapist	Speech Language Pathology	8/29/2005	None	None	751 Bascom Avenue	None	San Jose	CA	95128	None
None	Quintero	Cynthia	None	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	10/11/2013	None	Fresno	11060 N Fowler Avenue	None	Clovis	CA	93619	(559) 930-3515
1497017941	Quirk	Lindsay	None	EPSDT Supplemental Services Provider	Registered Nurse	7/2/2014	None	Los Angeles	4650 Sunset Boulevard	None	Los Angeles	CA	90027	None
None	Quiroz-Munoz	Alma	D	EPSDT Supplemental Services Provider	Social Worker (EPSDT Only)	4/7/2004	None	None	None	None	None	None	None	None
None	Quist	Gary	J	Physical Therapist	Physical Therapy	5/10/2016	None	Los Angeles	18300 Roscoe Boulevard	None	Northridge	CA	91328	(818) 885-3641
None	Quon	Sarah	Nicole	EPSDT Supplemental Services Provider	Dietitians	9/30/2020	None	Orange	245 E Lincoln Avenue	Orange, Ca Apartment 24	Orange	CA	92865	None
None	Quraishy	Karyn	None	Physical Therapist	Physical Therapy	9/15/2006	None	None	None	None	None	None	None	None