-122.224776035785 |
37.7798441425932 |
10 |
Husni, Claudia |
1003016643 |
Physician |
INTERNAL MEDICINE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
14 |
Gold, Karen |
1003023946 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
3 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
38250 |
8500 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
28 |
Bruce, Louise |
1003008772 |
Nurse Practitioner |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.97078849959 |
35.3824379999138 |
30 |
Spellman, Keith |
1003056433 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.329789269359 |
34.0979749635737 |
35 |
Kato, Roberta |
1003062530 |
Physician |
PULMONARY DISEASE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.132916000373 |
38.0065680004129 |
37 |
Wong, Christina |
1003068420 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.420882575171 |
33.9598822296812 |
42 |
pedneault, gary |
1003076845 |
Physician |
UNKNOWN |
7257 W Manchester Ave Apt 3 |
Los Angeles |
Los Angeles |
90045 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.9598822301 |
-118.420882575 |
-117.122650002795 |
32.812365973311 |
44 |
MEETER, DENA |
1003084294 |
Nurse Practitioner |
UNKNOWN |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-117.152023500284 |
32.7983220001602 |
48 |
Leonard, Stephanie |
1003074469 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.240379999837 |
34.1367570001355 |
49 |
Matchett, John |
1003100959 |
Dentist |
UNKNOWN |
801 S Chevy Chase Dr, Suite 20 |
Glendale |
Los Angeles |
91205 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
29750 |
8500 |
34.136757 |
-118.24038 |
-122.224776035785 |
37.7798441425932 |
56 |
Hens-Piazza, Virginia |
1003121260 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.15612921659 |
33.1407478633233 |
58 |
Stitzel, Stephanie |
1003124645 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-116.32904549985 |
33.1939799996773 |
66 |
Iacoviello, Cecilia |
1003140336 |
Nurse Practitioner |
UNKNOWN |
4343 Yaqui Pass Rd., PO BOX 2369 |
PALM SPRINGS |
UNKNOWN |
92004 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
33.19398 |
-116.3290455 |
-121.931844043068 |
37.3128740632874 |
68 |
Roosevelt, Matthew |
1003142985 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-122.562671472411 |
38.0957045424307 |
81 |
Ramirez-McLaughlin, Michalle |
1003195603 |
Nurse Practitioner |
UNKNOWN |
6100 Redwood Blvd |
Novato |
Marin |
94945 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY CLINIC MARIN |
1003900101 |
38250 |
8500 |
38.0957045424 |
-122.562671472 |
-122.525146456044 |
37.9715220318164 |
86 |
Gonzalez, Leticia |
1003209933 |
Nurse Practitioner |
UNKNOWN |
16 Ritter St |
San Rafael |
Marin |
94901 |
California |
2015 |
2016 |
1 |
AIU |
CENTER RITTER |
1417370032 |
21250 |
21250 |
37.9715220325 |
-122.525146456 |
-122.730009116028 |
38.4800536013926 |
104 |
Dryden, Wendy |
1003252354 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
UNKNOWN |
95403 |
California |
2014 |
2015 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-118.463696418155 |
34.2281841459816 |
108 |
Bisong, Eunice |
1003255779 |
Physician |
UNKNOWN |
15206 Parthenia Street |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-122.132916000373 |
38.0065680004129 |
116 |
Cozad, Madeline |
1003298456 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-118.045836668228 |
34.0764334702285 |
120 |
Mann, Lindsay |
1003352659 |
Nurse Practitioner |
UNKNOWN |
10418 Valley Blvd |
El Monte |
UNKNOWN |
91731 |
California |
2017 |
2018 |
2 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
29750 |
8500 |
34.0764334701 |
-118.045836668 |
-122.224776035785 |
37.7798441425932 |
132 |
Perez, Rebecca |
1003824186 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.748589048346 |
38.4279142321561 |
133 |
Greaves, Lyman |
1003826553 |
Physician |
FAMILY PRACTICE |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2015 |
2017 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4279142323 |
-122.748589048 |
-117.228721500197 |
33.2096760004471 |
137 |
Holland, Patricia |
1003830878 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.743877948009 |
38.4400615036355 |
139 |
Kruusmagi, Ellen |
1003831793 |
Physician |
FAMILY PRACTICE |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2014 |
2015 |
3 |
MU |
CO INDIAN HEALTH SONOMA |
1265457980 |
38250 |
8500 |
38.4400615041 |
-122.743877948 |
-122.231195302121 |
37.7991749638535 |
140 |
Abramowitz, Sharon |
1003834094 |
Physician |
PSYCHIATRY |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.74240064977 |
33.4999257507728 |
141 |
Duda, Frances |
1003835059 |
Physician |
UNKNOWN |
31862 Coast Hwy, Ste 203 |
Laguna Beach |
Orange |
92651 |
California |
2019 |
2020 |
3 |
MU |
CHILDRENS MEDICAL NEWPORT |
1356328330 |
38250 |
8500 |
33.4999257513 |
-117.74240065 |
-118.329789269359 |
34.0979749635737 |
151 |
Ko, Richard |
1003841693 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.463696418155 |
34.2281841459816 |
153 |
Alexander, Brooke |
1003846510 |
Physician |
UNKNOWN |
15206 Parthenia Street, |
North Hills |
Los Angeles |
91340 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-118.398478499783 |
34.1866995081758 |
173 |
GODES, IRINA |
1003896366 |
Physician |
PEDIATRIC MEDICINE |
12157 Victory Blvd |
North Hollywood |
Los Angeles |
91606 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.1866995076 |
-118.3984785 |
-122.224776035785 |
37.7798441425932 |
185 |
Montang, Lisa |
1003916263 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
189 |
Richey, Sara |
1003918848 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
190 |
Sadeghi, Faezeh |
1003919127 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
191 |
Chester, Karen |
1003919309 |
Physician |
OPTOMETRY |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.758442318058 |
34.4424059156006 |
192 |
Husayn, Farooq |
1003926973 |
Physician |
UNKNOWN |
215 Pesetas Ln |
Santa Barbara |
Santa Barbara |
93110 |
California |
2016 |
2017 |
4 |
MU |
CLINIC SANSUM |
1932121514 |
46750 |
8500 |
34.4424059162 |
-119.758442318 |
-117.29368569284 |
33.0374764437829 |
193 |
HEANY, MARY |
1003922725 |
Certified Nurse - Midwife |
UNKNOWN |
1130 2nd St |
Encinitas |
San Diego |
92024 |
California |
2015 |
2016 |
5 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
55250 |
8500 |
33.0374764438 |
-117.293685693 |
-117.152023500284 |
32.7983220001602 |
217 |
Lopez, Sara |
1003954116 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.256769000189 |
34.0030619996116 |
226 |
Garcia de Alba, Ruben |
1003965542 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2015 |
2016 |
5 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
55250 |
8500 |
34.003062 |
-118.256769 |
-122.132916000373 |
38.0065680004129 |
229 |
Standefer, Charlotte |
1003973769 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2015 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-119.772030605628 |
36.8052047600917 |
230 |
pomerantz, albert |
1003972191 |
Dentist |
UNKNOWN |
4820 N 1st St Ste 101 |
Fresno |
Fresno |
93726 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
36.8052047602 |
-119.772030606 |
-122.028876790931 |
36.9749133592642 |
234 |
Sickels, Wendy |
1003980863 |
Physician |
UNKNOWN |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2018 |
2019 |
3 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
38250 |
8500 |
36.9749133589 |
-122.028876791 |
-118.413825981784 |
34.1944379999138 |
235 |
Winters, Stephen |
1003983016 |
Physician |
FAMILY PRACTICE |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2013 |
2013 |
2 |
MU |
COMMUNITY CLINIC VALLEY |
1588740989 |
29750 |
8500 |
34.194438 |
-118.413825982 |
-118.329789269359 |
34.0979749635737 |
253 |
BELZER, MARVIN |
1013009778 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-120.839395499603 |
37.5104714898674 |
261 |
Wenstrup, Susie |
1013020288 |
Physician |
UNKNOWN |
800 Delbon Ave, Suite A |
Turlock |
Stanislaus |
95380 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH STANISLAUS |
1831394998 |
29750 |
8500 |
37.5104714898 |
-120.8393955 |
-117.152023500284 |
32.7983220001602 |
265 |
Tremoulet, Adriana |
1013015445 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.385354438756 |
40.5834973198455 |
267 |
Saini, Deepika |
1013032762 |
Physician |
PEDIATRIC MEDICINE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2018 |
2019 |
5 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
55250 |
8500 |
40.5834973202 |
-122.385354439 |
-121.620135641347 |
39.1559550570803 |
277 |
Samson, Prudencio |
1013045863 |
Physician |
UNKNOWN |
1965 Live Oak Blvd |
Yuba City |
Sutter |
95991 |
California |
2016 |
2017 |
1 |
AIU |
County of Sutter |
1487872263 |
21250 |
21250 |
39.1559550572 |
-121.620135641 |
-117.152023500284 |
32.7983220001602 |
286 |
Edmonds, Eric |
1013048412 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.748589048346 |
38.4279142321561 |
287 |
Kozart, Michael |
1013060888 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2013 |
2014 |
3 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
38250 |
8500 |
38.4279142323 |
-122.748589048 |
-122.748589048346 |
38.4279142321561 |
289 |
Danan, Edmee |
1013063957 |
Physician |
PSYCHIATRY |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-122.231195302121 |
37.7991749638535 |
306 |
Curtis, Valerie |
1013081629 |
Physician |
UNKNOWN |
1411 East 31st Street, Suite 208 |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.152023500284 |
32.7983220001602 |
314 |
SHEETS, ROBERT |
1013088772 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
315 |
HUANG, JEANNIE |
1013088871 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
316 |
KUNG, FAITH |
1013088863 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-118.184624999844 |
33.8077440000856 |
323 |
NICHOLAS, ELISA |
1013102581 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-119.337547068442 |
36.2234687042174 |
328 |
Truong, Lan |
1013100874 |
Physician |
OBSTETRICS/GYNECOLOGY |
1101 N Cherry St, OB/GYN Department |
Tulare |
Tulare |
93274 |
California |
2015 |
2017 |
3 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
38250 |
8500 |
36.2234687039 |
-119.337547068 |
-122.224776035785 |
37.7798441425932 |
349 |
Heckert, Catherine |
1013157353 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-118.553502967688 |
34.2004409997524 |
358 |
Hashemi, Maryam |
1013175033 |
Physician |
PSYCHIATRY |
7150 Tampa Ave. |
Reseda |
Los Angeles |
91335 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.200441 |
-118.553502968 |
-122.730009116028 |
38.4800536013926 |
359 |
RONCALLI, LUCIA |
1013175918 |
Physician |
FAMILY PRACTICE |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-118.3042091923 |
33.9028713183567 |
362 |
Lee, Lloyd |
1013177690 |
Physician |
UNKNOWN |
14112 S Kingsley Dr |
Gardena |
Los Angeles |
90249 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.9028713178 |
-118.304209192 |
-121.931844043068 |
37.3128740632874 |
369 |
Chen, Wei |
1013190370 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
370 |
Pham, Thu Lan |
1013192228 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.562698424193 |
38.095736927917 |
374 |
MARTIN, ANN |
1013196591 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1003900101 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-119.800377524303 |
36.8843745979094 |
379 |
Marsh, Pamela |
1013202977 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2018 |
2019 |
5 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
55250 |
8500 |
36.8843745978 |
-119.800377524 |
-122.730009116028 |
38.4800536013926 |
380 |
Greenblatt, Aaron |
1013208198 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2015 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.835717512153 |
38.4013980004174 |
384 |
Salera, Donald |
1013215862 |
Dentist |
UNKNOWN |
320 Lorraine Ct. |
Sebastopol |
Sonoma |
95472 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.401398 |
-122.835717512 |
-118.463696418155 |
34.2281841459816 |
397 |
bekhit, dalia |
1013249580 |
Dentist |
UNKNOWN |
15206 Parthenia Street, |
North Hills |
Los Angeles |
91340 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-118.463696418155 |
34.2281841459816 |
400 |
Pierre Oduwo-Oketch, Natalie |
1013257062 |
Nurse Practitioner |
UNKNOWN |
15206 Parthenia Street |
North Hills |
Los Angeles |
91343 |
California |
2018 |
2019 |
3 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
38250 |
8500 |
34.228184146 |
-118.463696418 |
-122.224776035785 |
37.7798441425932 |
404 |
Marriner, Ken |
1013264126 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.730009116028 |
38.4800536013926 |
416 |
Watts, Suzanne |
1013296326 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.730009116028 |
38.4800536013926 |
418 |
Madden, Kendall |
1013302066 |
Physician |
UNKNOWN |
3569 Round Barn Cir Ste 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2017 |
2018 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.184624999844 |
33.8077440000856 |
427 |
Crosbie, Erin |
1013312065 |
Nurse Practitioner |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
3 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
38250 |
8500 |
33.807744 |
-118.184625 |
-122.302085033298 |
37.8743801080556 |
433 |
Matsumura, Maki |
1013316488 |
Nurse Practitioner |
UNKNOWN |
1510 4th St, Suite 1 |
Berkeley |
Alameda |
94710 |
California |
2015 |
2016 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
37.8743801077 |
-122.302085033 |
-122.730009116028 |
38.4800536013926 |
436 |
Luckett, Andrew |
1013351550 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.385354438756 |
40.5834973198455 |
439 |
Spradley, Rachael |
1013357367 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
UNKNOWN |
96001 |
California |
2014 |
2015 |
1 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-122.385354438756 |
40.5834973198455 |
448 |
Rezai, Mohammed |
1013399195 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2017 |
2018 |
2 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
29750 |
8500 |
40.5834973202 |
-122.385354439 |
-118.182572999644 |
33.8040359999615 |
461 |
Swensson, Richard |
1013912054 |
Physician |
UNKNOWN |
790 East Willow Street, Suite150 |
Long Beach |
Los Angeles |
90801 |
California |
2017 |
2018 |
3 |
MU |
CARDIOVASCULAR PACIFIC |
1700821691 |
38250 |
8500 |
33.804036 |
-118.182573 |
-117.941601643101 |
33.849404004791 |
468 |
Hong, Jane |
1013933225 |
Physician |
OBSTETRICS/GYNECOLOGY |
1174 N Euclid St |
Anaheim |
Orange |
92801 |
California |
2013 |
2014 |
2 |
MU |
CARE OB/GYN WOMEN'S |
1295865400 |
29750 |
8500 |
33.8494040053 |
-117.941601643 |
-123.801499006874 |
39.4322470387699 |
487 |
James, Linda |
1013959915 |
Physician |
UNKNOWN |
721 River Dr, Suite B |
Fort Bragg |
Mendocino |
95437 |
California |
2017 |
2018 |
6 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
63750 |
8500 |
39.4322470385 |
-123.801499007 |
-117.15612921659 |
33.1407478633233 |
488 |
Shaffer, Peggy |
1013962240 |
Physician |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
1 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-122.730705722791 |
38.4794050139303 |
497 |
Camarata, Gerald |
1013969815 |
Physician |
UNKNOWN |
3562 Round Barn Circle, Suite 216 |
Santa Rosa |
Sonoma |
95403 |
California |
2019 |
2020 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4794050143 |
-122.730705723 |
-123.211126833337 |
39.1278118681233 |
504 |
Teran, Guy |
1013992452 |
Physician |
INTERNAL MEDICINE |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
63750 |
8500 |
39.1278118679 |
-123.211126833 |
-117.15612921659 |
33.1407478633233 |
529 |
Diaz, Ian |
1023038411 |
Physician |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
4 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
46750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.152023500284 |
32.7983220001602 |
538 |
YORGIN, PETER |
1023039831 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.302085033298 |
37.8743801080556 |
554 |
Nakagawa, Evelyn |
1023077294 |
Physician |
INTERNAL MEDICINE |
1510 4th St, Suite 1 |
Berkeley |
Alameda |
94710 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
37.8743801077 |
-122.302085033 |
-123.803844077242 |
39.43025401611 |
556 |
Wallace, John |
1023079803 |
Physician |
INTERNAL MEDICINE |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2011 |
2012 |
1 |
AIU |
COAST CLINICS MENDOCINO |
1083783757 |
21250 |
21250 |
39.4302540158 |
-123.803844077 |
-121.456646999859 |
38.5524089999754 |
561 |
Park, Jeanny |
1023090206 |
Physician |
UNKNOWN |
2516 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2018 |
2019 |
6 |
MU |
CARDI REGENTS/UCDPBG/PED |
1144213166 |
63750 |
8500 |
38.552409 |
-121.456647 |
-121.945085999919 |
37.3213945092493 |
563 |
Younger, Joel |
1023088127 |
Physician |
UNKNOWN |
2881 Hemlock Ave, Suite B |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.3213945093 |
-121.945086 |
-118.329789269359 |
34.0979749635737 |
570 |
FORD, HENRI |
1023100310 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
571 |
Grushkin, Carl |
1023101557 |
Physician |
NEPHROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.499895500277 |
37.96045199976 |
584 |
Austin, Melanie |
1023111226 |
Certified Nurse - Midwife |
UNKNOWN |
3260 Kerner Blvd |
San Rafael |
Marin |
94901 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
37.960452 |
-122.4998955 |
-122.231195302121 |
37.7991749638535 |
587 |
Ng, Valerie |
1023111481 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.010372999914 |
37.6862310002605 |
589 |
Meme, Diane |
1023110954 |
Physician |
UNKNOWN |
1209 Woodrow Ave., Suite B-10 |
Modesto |
Stanislaus |
95350 |
California |
2016 |
2016 |
1 |
AIU |
COUNTY HLTH STANISLAUS |
1093910275 |
21250 |
21250 |
37.686231 |
-121.010373 |
-119.564159055096 |
36.0997594969033 |
591 |
Martinez, Jose |
1023118668 |
Physician |
UNKNOWN |
1310 Hanna Ave, Ste 1 |
Corcoran |
Kings |
93212 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1881930964 |
38250 |
8500 |
36.0997594971 |
-119.564159055 |
-118.329789269359 |
34.0979749635737 |
594 |
MARGETIS, MONIQUE |
1023116472 |
Physician |
PULMONARY DISEASE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-124.137814189873 |
40.7789547799392 |
602 |
O'Brien, Elizabeth |
1023133790 |
Certified Nurse - Midwife |
UNKNOWN |
3200 Walford Ave, suite B |
Eureka |
Humboldt |
95503 |
California |
2013 |
2014 |
1 |
AIU |
CARE MEDICAL HEALTH |
1679798425 |
21250 |
21250 |
40.7789547799 |
-124.13781419 |
-122.132916000373 |
38.0065680004129 |
613 |
Rice, Abraham |
1023157864 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-121.436356500352 |
38.5128719996431 |
627 |
tran, charles |
1023175890 |
Dentist |
UNKNOWN |
6175 Stockton Blvd., Suite 260 |
Sacramento |
Sacramento |
95824 |
California |
2016 |
2017 |
1 |
AIU |
charles c tran |
1023175890 |
21250 |
21250 |
38.512872 |
-121.4363565 |
-119.251855838176 |
34.2762568924417 |
637 |
Dergalust, Robert |
1023190782 |
Physician |
NEUROLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
3 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
-122.224776035785 |
37.7798441425932 |
640 |
Arita, Robin |
1023193596 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.152023500284 |
32.7983220001602 |
641 |
NEWTON, PETER |
1023189883 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.601491988165 |
34.1941222461448 |
643 |
Dale, Veronica |
1023193570 |
Nurse Practitioner |
UNKNOWN |
6800 Owensmouth Ave Ste 160 |
Canoga Park |
Los Angeles |
91303 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1941222456 |
-118.601491988 |
-118.184624999844 |
33.8077440000856 |
647 |
MESSENGER, LYNN |
1023203593 |
Nurse Practitioner |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
5 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
55250 |
8500 |
33.807744 |
-118.184625 |
-118.256434514441 |
33.9855840003014 |
651 |
Osborne, Ellen |
1023203569 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
5970 South Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2013 |
2014 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-121.620135641347 |
39.1559550570803 |
655 |
Schank, Sandra |
1023221462 |
Physician |
UNKNOWN |
1965 Live Oak Blvd. |
Yuba City |
Sutter |
95991 |
California |
2016 |
2017 |
1 |
AIU |
County of Sutter |
1487872263 |
21250 |
21250 |
39.1559550572 |
-121.620135641 |
-122.385354438756 |
40.5834973198455 |
662 |
choudhry, sara |
1023225521 |
Physician |
INTERNAL MEDICINE |
1035 placer street |
redding |
Shasta |
96001 |
California |
2016 |
2017 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.5834973202 |
-122.385354439 |
-117.152023500284 |
32.7983220001602 |
666 |
Scott, MaryLou |
1023223252 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-120.136599167917 |
36.002491514272 |
667 |
Connell, Steven |
1023240447 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
148 E Kings Street |
Avenal |
Kings |
93204 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
29750 |
8500 |
36.002491514 |
-120.136599168 |
-118.329789269359 |
34.0979749635737 |
675 |
SOHN, EUGENE |
1023264553 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.385354438756 |
40.5834973198455 |
676 |
Vaughan, Gregory |
1023270030 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-119.833663499871 |
36.5415030001634 |
692 |
Brammer, Christopher |
1023343084 |
Nurse Practitioner |
UNKNOWN |
2357 W. Tahoe Ave |
Caruthers |
Fresno |
93609 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1881930964 |
38250 |
8500 |
36.541503 |
-119.8336635 |
-117.15612921659 |
33.1407478633233 |
697 |
RATH, JAMIE |
1023342227 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-121.931844043068 |
37.3128740632874 |
699 |
Sighinolfi, Michael |
1023350360 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.090917554601 |
34.090742927744 |
705 |
Cheung, Betty |
1023362605 |
Nurse Practitioner |
UNKNOWN |
923 S San Gabriel Blvd |
San Gabriel |
Los Angeles |
91776 |
California |
2013 |
2014 |
2 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
29750 |
8500 |
34.0907429285 |
-118.090917555 |
-122.730009116028 |
38.4800536013926 |
719 |
Patton, Mary |
1023441359 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HEALTH SOUTHWEST |
1558512624 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.132222999892 |
37.4734260001099 |
726 |
Mokaya, Diana |
1023458528 |
Physician |
UNKNOWN |
1885 Bay Rd, Suite 240 |
East Palo Alto |
San Mateo |
94303 |
California |
2018 |
2019 |
2 |
MU |
COUNTY COMMUNITY SOUTH |
1073640918 |
29750 |
8500 |
37.473426 |
-122.132223 |
-122.132490074257 |
38.0066599453003 |
730 |
Powell, Jonathan |
1023447737 |
Physician |
UNKNOWN |
2500 Alhambra Ave, Contra Costa Regional Medical Center |
Martinez |
Contra Costa |
94553 |
California |
2015 |
2016 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006659945 |
-122.132490074 |
-118.155398834688 |
34.0268212301157 |
736 |
Bello, Opeyemi |
1023497351 |
Nurse Practitioner |
UNKNOWN |
507 S. Atlantic Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN CENTER BIENVENIDOS |
1497001226 |
21250 |
21250 |
34.02682123 |
-118.155398835 |
-116.32904549985 |
33.1939799996773 |
753 |
HUOT, JAMES |
1033122296 |
Physician |
GENERAL PRACTICE |
4343 Yaqui Pass Road, PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2018 |
2020 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
33.19398 |
-116.3290455 |
-121.931844043068 |
37.3128740632874 |
759 |
Ong, Timothy |
1033125075 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
766 |
Velek, Rachel |
1033129614 |
Physician |
UNKNOWN |
1411 East 31st St, OakCare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.743877948009 |
38.4400615036355 |
767 |
Riley, Mary |
1033134754 |
Physician |
FAMILY PRACTICE |
144 Stony Point Road |
Santa Rosa |
Sonoma |
95401 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-118.274036032937 |
34.0035569999557 |
770 |
Okoye, Charles |
1033136544 |
Physician |
FAMILY PRACTICE |
4405 S Main St |
Los Angeles |
Los Angeles |
90037 |
California |
2013 |
2013 |
2 |
MU |
CHARLES I MD OKOYE |
1033136544 |
29750 |
8500 |
34.003557 |
-118.274036033 |
-118.597537018019 |
34.2089190004116 |
776 |
vadmal, veena |
1033148838 |
Physician |
PSYCHIATRY |
7621 Canoga Ave |
Canoga Park |
Los Angeles |
91304 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.208919 |
-118.597537018 |
-118.393975957624 |
34.2395150830547 |
779 |
KEESARA, VINAY |
1033150933 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
5 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
55250 |
8500 |
34.2395150827 |
-118.393975958 |
-117.042200502551 |
33.1502588369758 |
781 |
WOSK, BERNARD |
1033154984 |
Physician |
UNKNOWN |
2721 Washington Avenue, Suite C |
Escondido |
San Diego |
92025 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
38250 |
8500 |
33.1502588368 |
-117.042200503 |
-118.329789269359 |
34.0979749635737 |
786 |
Javier, Joyce |
1033172754 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931844043068 |
37.3128740632874 |
788 |
Lo, Constance |
1033175997 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
790 |
Thiry-Zaragoza, Monique |
1033178520 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
795 |
Abu-Eid, Cherine |
1033173307 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE, Anesthesiology Department |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
806 |
Freedman, Julie |
1033206891 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
813 |
Tarczy-Hornoch, Kristina |
1033211974 |
Physician |
OPHTHALMOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
821 |
Weaver, John |
1033227467 |
Physician |
INTERNAL MEDICINE |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
831 |
Afroz, Syed |
1033249099 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.540590000228 |
39.5044739997753 |
832 |
Skau, Randell |
1033250428 |
Physician |
GENERAL SURGERY |
2809 Olive Hwy, Suite 220 |
Oroville |
Butte |
95966 |
California |
2014 |
2015 |
2 |
MU |
CORPORATION OROHEALTH |
1013933167 |
29750 |
8500 |
39.504474 |
-121.54059 |
-120.121778773172 |
36.0078165287099 |
840 |
Patel, Nirav |
1033261284 |
Dentist |
UNKNOWN |
1000 Skyline Blvd |
Avenal |
Kings |
93204 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
38250 |
8500 |
36.007816529 |
-120.121778773 |
-118.463696418155 |
34.2281841459816 |
845 |
Barmore, Timothy |
1033265285 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
15206 Parthenia Street |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-122.133636000301 |
37.4709959995658 |
848 |
Pinto, Rebecca |
1033269451 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1798 Bay Rd # A |
East Palo Alto |
San Mateo |
94303 |
California |
2018 |
2019 |
6 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
63750 |
8500 |
37.470996 |
-122.133636 |
-122.532927443447 |
38.0685794121102 |
855 |
Rezai, Neshat |
1033275029 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-121.98973500037 |
36.963917999716 |
858 |
Franck, Leelia |
1033276696 |
Physician |
UNKNOWN |
21507 East Cliff Drive |
Santa Cruz |
Santa Cruz |
95062 |
California |
2018 |
2019 |
3 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
38250 |
8500 |
36.963918 |
-121.989735 |
-122.231195302121 |
37.7991749638535 |
862 |
Srivastava, Rupa |
1033279716 |
Physician |
UNKNOWN |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
866 |
Tuttie, Ann |
1033286505 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
868 |
LOPEZ, GRACIELA |
1033287305 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
872 |
GOTTSCHALK, MICHAEL |
1033280888 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-122.231195302121 |
37.7991749638535 |
877 |
Tukenmez, Denise |
1033296066 |
Physician |
UNKNOWN |
1411 E 31st Street, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.865599124 |
33.7803484876926 |
884 |
Mahajerin, Arash |
1033315247 |
Physician |
UNKNOWN |
1201 W La Veta Ave, Division of Hematology |
Orange |
Orange |
92868 |
California |
2018 |
2019 |
2 |
MU |
CENTER FOR COMPREHENSIVE THE |
1679875942 |
29750 |
8500 |
33.7803484883 |
-117.865599124 |
-122.132916000373 |
38.0065680004129 |
890 |
Orengo-McFarlane, Michelle |
1033348263 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.748589048346 |
38.4279142321561 |
892 |
Green, Ellen |
1033353982 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-118.97078849959 |
35.3824379999138 |
895 |
Olango, Garth |
1033359914 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.931844043068 |
37.3128740632874 |
896 |
Ho, Andrew |
1033361225 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.413825981784 |
34.1944379999138 |
903 |
Torres-Campos, Elvina |
1033372917 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY CLINIC VALLEY |
1588740989 |
21250 |
21250 |
34.194438 |
-118.413825982 |
-122.562698424193 |
38.095736927917 |
904 |
Lau, Elizabeth |
1033374681 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC MARIN |
1912091018 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-118.265307950601 |
34.0072110002875 |
908 |
Morales, Shenyell |
1033380761 |
Nurse Practitioner |
UNKNOWN |
4211 Avalon Blvd, Suite A |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH KEDREN |
1417378597 |
21250 |
21250 |
34.007211 |
-118.265307951 |
-122.132916000373 |
38.0065680004129 |
911 |
Yang, Patrice |
1033381389 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2017 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
913 |
Batchu, Kshonija |
1033383625 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
915 |
donrad, nicole |
1033390091 |
Dentist |
UNKNOWN |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.15612921659 |
33.1407478633233 |
923 |
Phelan, Elisha |
1033424569 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
34000 |
8500 |
33.1407478629 |
-117.156129217 |
-122.748589048346 |
38.4279142321561 |
929 |
Duncan, Parker |
1033434923 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2018 |
2019 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.730009116028 |
38.4800536013926 |
936 |
Tindall, Kayla |
1033458153 |
Physician |
UNKNOWN |
3569 Round Barn Cir, Suite 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2018 |
2019 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-119.781764924112 |
36.7436855680346 |
940 |
Harris, Miriam |
1033476452 |
Physician |
UNKNOWN |
155 N Fresno St |
Fresno |
Fresno |
93701 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1265530018 |
38250 |
8500 |
36.7436855676 |
-119.781764924 |
-118.090917554601 |
34.090742927744 |
944 |
Law, Wan Ching |
1033486022 |
Nurse Practitioner |
UNKNOWN |
923 S San Gabriel Blvd |
San Gabriel |
Los Angeles |
91776 |
California |
2020 |
2020 |
6 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
63750 |
8500 |
34.0907429285 |
-118.090917555 |
-122.231195302121 |
37.7991749638535 |
946 |
Indulkar, Lilavati |
1033486527 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.947541034691 |
38.4087507018834 |
963 |
Ramsey, Emily |
1033531694 |
Nurse Practitioner |
UNKNOWN |
3802 Main Street |
Occidental |
Sonoma |
95465 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HEALTH CTRS WEST |
1598768962 |
21250 |
21250 |
38.4087507017 |
-122.947541035 |
-116.32904549985 |
33.1939799996773 |
971 |
Morales-Litchard, Carmen |
1033534672 |
Physician |
UNKNOWN |
4343 Yaqui Pass Road |
Borrego Springs |
San Diego |
92004 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-118.97078849959 |
35.3824379999138 |
974 |
Parker, Tana |
1033553466 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.187343371599 |
33.8090145901513 |
997 |
Manio, Rosette |
1043217292 |
Physician |
UNKNOWN |
455 E Columbia |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
3 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
38250 |
8500 |
33.8090145898 |
-118.187343372 |
-117.377738999555 |
33.1986510001436 |
1016 |
Talamantez, Karen |
1043245160 |
Nurse Practitioner |
UNKNOWN |
818 Pier View Way |
Oceanside |
San Diego |
92054 |
California |
2013 |
2013 |
2 |
MU |
COMM CLINIC-WEST VISTA |
1649363375 |
29750 |
8500 |
33.198651 |
-117.377739 |
-119.251855838176 |
34.2762568924417 |
1021 |
PHILIP, STEPHANUS |
1043255797 |
Physician |
INTERNAL MEDICINE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-120.982856782315 |
37.6471734770744 |
1027 |
Patel, Shobha |
1043272552 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
830 Scenic Dr |
Modesto |
Stanislaus |
95353 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH STANISLAUS |
1891991741 |
29750 |
8500 |
37.647173477 |
-120.982856782 |
-118.184624999844 |
33.8077440000856 |
1032 |
Grabowski, Carol |
1043280373 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-122.231195302121 |
37.7991749638535 |
1040 |
Zorthian, Barooyr |
1043294853 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.329789269359 |
34.0979749635737 |
1043 |
FISHER, LYNDA |
1043301344 |
Physician |
ENDOCRINOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.413825981784 |
34.1944379999138 |
1045 |
Greenberg, Sandra |
1043292485 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave, Dept. of Pediatrics |
North Hollywood |
Los Angeles |
91605 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY CLINIC VALLEY |
1588740989 |
21250 |
21250 |
34.194438 |
-118.413825982 |
-118.329789269359 |
34.0979749635737 |
1046 |
GEFFNER, MITCHELL |
1043302391 |
Physician |
ENDOCRINOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
1067 |
SIEGEL, STUART |
1043319577 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.562698424193 |
38.095736927917 |
1068 |
Nijagal, Malini |
1043322233 |
Physician |
OBSTETRICS/GYNECOLOGY |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-122.454596636226 |
40.4741927282119 |
1076 |
Schock, Julie |
1043332521 |
Nurse Practitioner |
NURSE PRACTITIONER |
16300 Cloverdale Rd |
Anderson |
Shasta |
96001 |
California |
2017 |
2018 |
5 |
MU |
COMMUNITY HLTH CT SHASTA |
1013931476 |
55250 |
8500 |
40.4741927282 |
-122.454596636 |
-122.939818285585 |
40.7376560239064 |
1077 |
Novak, Michael |
1043345994 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
31 Easter Avenue |
Weaverville |
Trinity |
96093 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITIES MOUNTAIN |
1356422307 |
29750 |
8500 |
40.7376560241 |
-122.939818286 |
-122.132916000373 |
38.0065680004129 |
1080 |
Macedo, Joseph |
1043354814 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
1083 |
Hoh, Arlen |
1043356082 |
Physician |
INTERNAL MEDICINE |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-115.56148168693 |
32.7942179997609 |
1086 |
ahmad, bushra |
1043356850 |
Physician |
UNKNOWN |
202 North 8th Street |
El Centro |
Imperial |
92243 |
California |
2018 |
2019 |
3 |
MU |
COUNTY BEHAVIORAL IMPERIAL |
1225258841 |
38250 |
8500 |
32.794218 |
-115.561481687 |
-118.016667000282 |
34.0608600002888 |
1088 |
RASEKHI, MOHAMMAD |
1043361546 |
Physician |
UNKNOWN |
12100 Valley Blvd, SUITE#109A |
El Monte |
Los Angeles |
91732 |
California |
2018 |
2019 |
2 |
MU |
CALIFORNIA MED CTR SOUTHERN |
1225357114 |
29750 |
8500 |
34.06086 |
-118.016667 |
-122.132916000373 |
38.0065680004129 |
1097 |
Daniels, Stephen |
1043380199 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
1103 |
Sandstrom, Anna |
1043382856 |
Physician |
ENDOCRINOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931844043068 |
37.3128740632874 |
1113 |
Luo, Jiann-Gang |
1043403066 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.385354438756 |
40.5834973198455 |
1120 |
Bagul, Nitin |
1043414204 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2017 |
2018 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.5834973202 |
-122.385354439 |
-122.818340137088 |
38.3960343403126 |
1121 |
Jordan, Veronica |
1043416480 |
Physician |
UNKNOWN |
6800 Palm Avenue, Suite C1 |
Sebastopol |
Sonoma |
95472 |
California |
2016 |
2017 |
4 |
MU |
COUNTY HEALTH CENTER WEST |
1538334065 |
46750 |
8500 |
38.3960343401 |
-122.818340137 |
-122.947541034691 |
38.4087507018834 |
1123 |
Moore, Rain |
1043419559 |
Physician |
UNKNOWN |
3802 Main St |
Occidental |
Sonoma |
95465 |
California |
2016 |
2017 |
5 |
MU |
COUNTY HEALTH CTRS WEST |
1598768962 |
55250 |
8500 |
38.4087507017 |
-122.947541035 |
-118.13939999981 |
34.0493039997798 |
1133 |
yang, jun |
1043440084 |
Physician |
PSYCHIATRY |
941 S. Atlantic Blvd,, Suite 221 |
Monterey Park |
Los Angeles |
91754 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.049304 |
-118.1394 |
-122.525146456044 |
37.9715220318164 |
1135 |
Carrouche, Carmen |
1043451198 |
Nurse Practitioner |
UNKNOWN |
16 Ritter St |
San Rafael |
Marin |
94901 |
California |
2014 |
2015 |
1 |
AIU |
CENTER RITTER |
1417370032 |
21250 |
21250 |
37.9715220325 |
-122.525146456 |
-122.730009116028 |
38.4800536013926 |
1136 |
Pacheco, Lupe |
1043460645 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.97078849959 |
35.3824379999138 |
1137 |
Shah, Harshit |
1043453079 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.098784525386 |
37.6505478673902 |
1147 |
Puranam, Srilekha |
1043469778 |
Physician |
UNKNOWN |
664 Southland Mall |
Hayward |
Alameda |
94545 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.6505478672 |
-122.098784525 |
-117.152023500284 |
32.7983220001602 |
1150 |
Nation, Javan |
1043478902 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-122.231195302121 |
37.7991749638535 |
1152 |
Braddock, Jennifer |
1043491251 |
Certified Nurse - Midwife |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
1154 |
McCoy, Thomas |
1043493943 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.113358336718 |
33.9019679682472 |
1157 |
Sanner, Gary |
1043506009 |
Dentist |
UNKNOWN |
10318 E. Rosecrans Ave. |
Bellflower |
Los Angeles |
90706 |
California |
2012 |
2013 |
1 |
AIU |
Crown Dental Group |
1538487640 |
21250 |
21250 |
33.9019679684 |
-118.113358337 |
-116.510709295997 |
33.8268182960276 |
1158 |
Limtao, Ferdinand |
1043509490 |
Nurse Practitioner |
UNKNOWN |
275 N El Cielo Rd |
Palm Springs |
Riverside |
92262 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.8268182957 |
-116.510709296 |
-118.413825981784 |
34.1944379999138 |
1177 |
Lee, Lawrence |
1043543051 |
Dentist |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2020 |
2020 |
4 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
46750 |
8500 |
34.194438 |
-118.413825982 |
-118.413825981784 |
34.1944379999138 |
1197 |
conwright, keisha |
1043600588 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
21250 |
21250 |
34.194438 |
-118.413825982 |
-117.228721500197 |
33.2096760004471 |
1198 |
Elliott, Jill |
1043612294 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.51450250029 |
37.8729540000271 |
1207 |
Hall, Joshwin |
1043637010 |
Dentist |
UNKNOWN |
630 Drake Ave |
Sausalito |
Marin |
94965 |
California |
2016 |
2017 |
1 |
AIU |
CITY HEALTH AND MARIN |
1285804948 |
21250 |
21250 |
37.872954 |
-122.5145025 |
-117.228721500197 |
33.2096760004471 |
1208 |
Hatano, Yui |
1043635394 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-117.228721500197 |
33.2096760004471 |
1209 |
Wu, Michelle |
1043638687 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-117.353578499648 |
33.9868710002965 |
1212 |
Konzem, David |
1043641822 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2880 Hulen Pl |
Riverside |
Riverside |
92507 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY ACTION URBAN |
1538407325 |
21250 |
21250 |
33.986871 |
-117.3535785 |
-121.98018152206 |
36.9883873259144 |
1224 |
Chen, Connie |
1043680697 |
Dentist |
UNKNOWN |
1830 Commercial Way |
Santa Cruz |
Santa Cruz |
95065 |
California |
2016 |
2016 |
1 |
AIU |
COMMUNITY DENTAL DIENTES |
1437213279 |
21250 |
21250 |
36.9883873258 |
-121.980181522 |
-123.211126833337 |
39.1278118681233 |
1227 |
Ngo, Tina |
1043687007 |
Dentist |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2016 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-119.399005209123 |
36.5458731980897 |
1228 |
Casey, Ryan |
1043695463 |
Nurse Practitioner |
UNKNOWN |
444 W El Monte Way |
Dinuba |
Tulare |
93618 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1235578444 |
21250 |
21250 |
36.5458731975 |
-119.399005209 |
-122.191812000423 |
39.7473525278969 |
1243 |
Ali, Yusuf |
1053313544 |
Physician |
UNKNOWN |
203 Walker St. Ste 3 |
Orland |
Glenn |
95963 |
California |
2014 |
2014 |
2 |
MU |
CHILDREN'S CENTER ORLANDS |
1457500217 |
29750 |
8500 |
39.7473525284 |
-122.191812 |
-122.231195302121 |
37.7991749638535 |
1246 |
Hoffman, David |
1053321646 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.730009116028 |
38.4800536013926 |
1255 |
Allen, Nancy |
1053341354 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
4 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
46750 |
8500 |
38.4800536014 |
-122.730009116 |
-121.931844043068 |
37.3128740632874 |
1276 |
Hebson, Cathleen |
1053375931 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.730009116028 |
38.4800536013926 |
1289 |
Patterson, Angela |
1053400424 |
Nurse Practitioner |
NURSE PRACTITIONER |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.132916000373 |
38.0065680004129 |
1300 |
Cavallaro, Domenic |
1053407056 |
Dentist |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2015 |
2017 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-118.293532020986 |
33.8315565468972 |
1305 |
Mendelson-Gutierrez, Donna |
1053404392 |
Physician |
PSYCHIATRY |
1000 W Carson St # 488, Harbor - UCLA Hospital |
Torrance |
Los Angeles |
90502 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.8315565466 |
-118.293532021 |
-116.32904549985 |
33.1939799996773 |
1308 |
Ghafari, Dauod |
1053417691 |
Physician |
FAMILY PRACTICE |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
38250 |
8500 |
33.19398 |
-116.3290455 |
-120.060166500384 |
36.7205355023116 |
1312 |
Sadsad, Ramon |
1053422444 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1000 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1902823461 |
46750 |
8500 |
36.7205355017 |
-120.0601665 |
-122.132916000373 |
38.0065680004129 |
1319 |
Lewis, Elise |
1053440016 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2015 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
1323 |
Nguyen, Jamie |
1053442020 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
1328 |
Hamlett, Liliana |
1053452292 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.098767760324 |
32.9032747346413 |
1329 |
Chauche, Nicole |
1053452300 |
Physician |
FAMILY PRACTICE |
9974 Scripps Ranch Blvd, 363 |
San Diego |
San Diego |
92131 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY CLINIC VISTA |
1851300123 |
21250 |
21250 |
32.9032747346 |
-117.09876776 |
-118.203022217801 |
34.0626159023021 |
1332 |
KANG, XIN |
1053458166 |
Physician |
PSYCHIATRY |
1520 San Pablo St, HCT 4100 |
Los Angeles |
Los Angeles |
90033 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.062615902 |
-118.203022218 |
-116.514480558031 |
33.9638247028478 |
1334 |
Buechler, Steven |
1053464057 |
Dentist |
UNKNOWN |
11750 Cholla Dr Ste B |
Desert Hot Springs |
UNKNOWN |
92240 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.9638247028 |
-116.514480558 |
-117.152023500284 |
32.7983220001602 |
1340 |
MARINKOVIC, MAJA |
1053469767 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.231195302121 |
37.7991749638535 |
1348 |
Imes, Richard |
1053483354 |
Physician |
OPHTHALMOLOGY |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.224776035785 |
37.7798441425932 |
1354 |
Mondoux, Nicole |
1053487033 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.43748018856 |
34.0404355863333 |
1358 |
Chuang, Kenneth |
1053487553 |
Physician |
PSYCHIATRY |
11080 W Olympic Blvd, 4th Floor |
Los Angeles |
Los Angeles |
90064 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0404355856 |
-118.437480189 |
-122.132916000373 |
38.0065680004129 |
1362 |
McDonald, Diana |
1053493700 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-117.313887296162 |
34.0910337037425 |
1366 |
Prakasam, Liliana |
1053493734 |
Nurse Practitioner |
UNKNOWN |
570 S. Mt Vernon Ave, Suite G |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HEALTH UNICARE |
1265854061 |
38250 |
8500 |
34.0910337043 |
-117.313887296 |
-118.045836668228 |
34.0764334702285 |
1368 |
Barrera, Raul |
1053498303 |
Physician |
UNKNOWN |
10418 Valley Blvd Ste B |
El Monte |
UNKNOWN |
91731 |
California |
2017 |
2018 |
6 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
63750 |
8500 |
34.0764334701 |
-118.045836668 |
-118.184624999844 |
33.8077440000856 |
1371 |
PAIK, BRIAN |
1053506527 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2012 |
2013 |
2 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
29750 |
8500 |
33.807744 |
-118.184625 |
-117.168045241794 |
34.2665055120198 |
1372 |
FRANCIS, JANETTE |
1053503326 |
Nurse Practitioner |
UNKNOWN |
29101 Hospital Rd, PO Box 70 |
Lake Arrowhead |
San Bernardino |
92352 |
California |
2016 |
2017 |
1 |
MU |
COMMUNITY HOSP MOUNTAINS |
1245380799 |
21250 |
21250 |
34.2665055117 |
-117.168045242 |
-118.255999499777 |
34.0525710002515 |
1377 |
Harmandarian, Anna |
1053516518 |
Dentist |
UNKNOWN |
404 S Figueroa St, Suite 207 |
Los Angeles |
Los Angeles |
90071 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY COMPREHENSIVE |
1245210749 |
21250 |
21250 |
34.052571 |
-118.2559995 |
-122.132916000373 |
38.0065680004129 |
1391 |
BOLY, LAWRENCE |
1053537852 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1568540763 |
63750 |
8500 |
38.006568 |
-122.132916 |
-124.137814189873 |
40.7789547799392 |
1404 |
Meshri, Gita |
1053560011 |
Physician |
UNKNOWN |
3200 Walford Ave |
Eureka |
Humboldt |
95503 |
California |
2013 |
2014 |
1 |
AIU |
CARE MEDICAL HEALTH |
1679798425 |
21250 |
21250 |
40.7789547799 |
-124.13781419 |
-121.931844043068 |
37.3128740632874 |
1409 |
Salmon, Patricia |
1053569228 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
1421 |
Wang, Shirley |
1053595686 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
1424 |
Akileswaran, Chitra |
1053600734 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.532927443447 |
38.0685794121102 |
1432 |
Han, Pil |
1053628461 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0685794125 |
-122.532927443 |
-122.132916000373 |
38.0065680004129 |
1434 |
Laing, Brian |
1053649640 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
1442 |
Lee, Marcus |
1053678870 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
1460 |
Boisvert, Nichole |
1053726653 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
1465 |
Takeda, Alisa |
1053738021 |
Nurse Practitioner |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.224776035785 |
37.7798441425932 |
1478 |
Aguinaldo-Wetterholm, Samantha |
1053775064 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.272051357184 |
38.7394045671671 |
1493 |
MILAZZO, CAROL |
1063423861 |
Physician |
UNKNOWN |
406 Sunrise Ave, Suite 280 |
Roseville |
Placer |
95661 |
California |
2016 |
2018 |
5 |
MU |
CAROL F MD MILAZZO |
1063423861 |
55250 |
8500 |
38.739404567 |
-121.272051357 |
-118.97078849959 |
35.3824379999138 |
1496 |
Neveldine, Thomas |
1063428480 |
Physician |
UNKNOWN |
1700 Mount Vernon ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.743877948009 |
38.4400615036355 |
1498 |
Korin, Alexandra |
1063423242 |
Physician |
FAMILY PRACTICE |
144 Stony Point Road |
Santa Rosa |
Sonoma |
95401 |
California |
2013 |
2014 |
3 |
MU |
CO INDIAN HEALTH SONOMA |
1265457980 |
38250 |
8500 |
38.4400615041 |
-122.743877948 |
-120.839395499603 |
37.5104714898674 |
1499 |
Cohen, Mitchell |
1063429843 |
Doctor of Optometry |
UNKNOWN |
800 Delbon Ave, Suite A |
Turlock |
Stanislaus |
95380 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH STANISLAUS |
1831394998 |
29750 |
8500 |
37.5104714898 |
-120.8393955 |
-117.228721500197 |
33.2096760004471 |
1504 |
Rahimi, Nassrin |
1063438166 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-119.447028000042 |
36.5993640001485 |
1516 |
HERNANDEZ, PAMELA |
1063463727 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1311 11th St |
Reedley |
Fresno |
93654 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1598941825 |
38250 |
8500 |
36.599364 |
-119.447028 |
-117.289481562824 |
33.1877811715639 |
1525 |
Madden, Kevin |
1063473643 |
Physician |
FAMILY PRACTICE |
3230 Waring Ct, Suite J |
Oceanside |
San Diego |
92056 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HEALTH SVS NORTH |
1245246917 |
21250 |
21250 |
33.1877811723 |
-117.289481563 |
-121.931844043068 |
37.3128740632874 |
1526 |
Kido, Rex |
1063476307 |
Dentist |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
1527 |
Charles, Antonia |
1063481695 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.479938720296 |
37.7541462768293 |
1535 |
LEE, CAROL |
1063504298 |
Physician |
UNKNOWN |
1518 Noriega St, SUITE 200 |
San Francisco |
San Francisco |
94122 |
California |
2014 |
2015 |
1 |
AIU |
CAROL KA LOK MD LEE |
1063504298 |
21250 |
21250 |
37.7541462772 |
-122.47993872 |
-122.730009116028 |
38.4800536013926 |
1538 |
WADE, THERESA |
1063497758 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Cricle |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.224776035785 |
37.7798441425932 |
1543 |
Benzwi, Barbara |
1063512317 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
1546 |
Polesky, Andrea |
1063517365 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.532927443447 |
38.0685794121102 |
1548 |
Brockley, Patricia |
1063523413 |
Nurse Practitioner |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2017 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-122.231195302121 |
37.7991749638535 |
1551 |
Allen, Daniel |
1063523819 |
Physician |
PLASTIC AND RECONSTRUCTIVE SURGERY |
1411 E. 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.124154000007 |
33.8611230002263 |
1560 |
Pappas, Kosmas |
1063542264 |
Dentist |
UNKNOWN |
5819 Adenmoor ave |
Lakewood |
Los Angeles |
90713 |
California |
2017 |
2018 |
2 |
MU |
CERRITOS DENTAL LAKEWOOD |
1407124290 |
29750 |
8500 |
33.861123 |
-118.124154 |
-117.228721500197 |
33.2096760004471 |
1564 |
Weaver, April |
1063552800 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2019 |
2020 |
4 |
MU |
COMM CLINIC VISTA |
1295822658 |
46750 |
8500 |
33.209676 |
-117.2287215 |
-118.277265242997 |
34.0038303938576 |
1565 |
OKONKWO, CHARLES |
1063550234 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
231 W Vernon Ave, SUITE 105 |
Los Angeles |
Los Angeles |
90037 |
California |
2017 |
2018 |
6 |
MU |
CHARLES MD INC OKONKWO |
1215115704 |
63750 |
8500 |
34.0038303938 |
-118.277265243 |
-122.338322546948 |
37.9532997526815 |
1571 |
Mahony, John |
1063554863 |
Physician |
FAMILY PRACTICE |
Brookside Community Health Center, 2023 Vale Road, Suite 107 |
San Pablo |
Contra Costa |
94806 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
37.953299753 |
-122.338322547 |
-118.376214766298 |
34.063965303556 |
1574 |
Aminzadeh, Arastou |
1063566842 |
Physician |
UNKNOWN |
239 S La Cienega Blvd, suite 210 |
Beverly Hills |
Los Angeles |
90211 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0639653039 |
-118.376214766 |
-118.97078849959 |
35.3824379999138 |
1579 |
Granese, Marsha |
1063572915 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.132916000373 |
38.0065680004129 |
1587 |
Siegel, Alan |
1063579860 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-123.211126833337 |
39.1278118681233 |
1588 |
Davila, Erick |
1063581502 |
Nurse Practitioner |
PHYSICIAN ASSISTANT |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-122.231195302121 |
37.7991749638535 |
1595 |
Moskowitz, David |
1063585503 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.43537399971 |
34.2880199996233 |
1600 |
PARTOVY, ROBERT |
1063591477 |
Physician |
GENERAL PRACTICE |
501 N Maclay Ave |
San Fernando |
Los Angeles |
91340 |
California |
2012 |
2013 |
2 |
MU |
CARE MEDICAL GROUP INC NOBEL |
1093933939 |
29750 |
8500 |
34.28802 |
-118.435374 |
-122.730705722791 |
38.4794050139303 |
1604 |
Sloan, Mark |
1063596054 |
Physician |
UNKNOWN |
3562 Round Barn Circle, Suite 216 |
Santa Rosa |
Sonoma |
95403 |
California |
2019 |
2020 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4794050143 |
-122.730705723 |
-121.63151699981 |
36.7040969996768 |
1605 |
Morris, Jennifer |
1063596815 |
Dentist |
UNKNOWN |
633 E Alvin Dr Suite B |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Central Coast Pediatric Dental Group |
1205922705 |
21250 |
21250 |
36.704097 |
-121.631517 |
-118.256769000189 |
34.0030619996116 |
1611 |
Huang, Ryan |
1063605483 |
Dentist |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2018 |
2019 |
4 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
46750 |
8500 |
34.003062 |
-118.256769 |
-119.251855838176 |
34.2762568924417 |
1625 |
Skinner, Edwina |
1063633170 |
Physician |
INTERNAL MEDICINE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-122.748589048346 |
38.4279142321561 |
1635 |
Gelsdorf, Christoph |
1063656908 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-120.121778773172 |
36.0078165287099 |
1638 |
Gustafson, Kavin |
1063658466 |
Dentist |
UNKNOWN |
1000 SKYLINE BLVD, PO BOX 700 |
AVENAL |
Kings |
93204 |
California |
2015 |
2017 |
2 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
29750 |
8500 |
36.007816529 |
-120.121778773 |
-122.532927443447 |
38.0685794121102 |
1650 |
Nguyen, bich-ngoc |
1063682268 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
38250 |
8500 |
38.0685794125 |
-122.532927443 |
-121.931844043068 |
37.3128740632874 |
1652 |
Tsai, Bernette |
1063686277 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-116.32904549985 |
33.1939799996773 |
1657 |
McClanahan, Brian |
1063691038 |
Dentist |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-120.723421943068 |
37.3798552940866 |
1662 |
Gasha Tamashiro, Carlos |
1063700466 |
Physician |
UNKNOWN |
1140 Main St |
Livingston |
Merced |
95334 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH LIVINGSTON |
1427110329 |
21250 |
21250 |
37.3798552945 |
-120.723421943 |
-122.730009116028 |
38.4800536013926 |
1664 |
White, Sarah |
1063702819 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.224776035785 |
37.7798441425932 |
1668 |
D'Harlingue, Katherine |
1063711257 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.532927443447 |
38.0685794121102 |
1669 |
Traverso, Mercedes |
1063711307 |
Physician |
UNKNOWN |
9 COMMERCIAL BLVD, SUITE 103 |
NOVATO |
UNKNOWN |
94945 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0685794125 |
-122.532927443 |
-122.132916000373 |
38.0065680004129 |
1679 |
WALLACE, IAN |
1063732758 |
Physician |
UNKNOWN |
2500 Alhambra AVenue |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
1686 |
Acosta, Danielle |
1063738110 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.022159053897 |
34.1084790963333 |
1705 |
Aghakhanyan, Gayane |
1063793255 |
Physician |
UNKNOWN |
330 EAST LIVE OAK AVE |
ARCADIA |
Los Angeles |
91006 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.1084790963 |
-118.022159054 |
-117.15612921659 |
33.1407478633233 |
1731 |
Mullen, Ashley |
1063851814 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.102322508777 |
32.7514272099978 |
1734 |
Ocampo, Elaine |
1063856805 |
Nurse Practitioner |
UNKNOWN |
4290 Polk Avenue |
San Diego |
San Diego |
92105 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC MID-CITY |
1306827332 |
21250 |
21250 |
32.7514272104 |
-117.102322509 |
-118.97078849959 |
35.3824379999138 |
1759 |
POLLOCK, KATHLEEN |
1073519559 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.228721500197 |
33.2096760004471 |
1760 |
Fredricks, Robert |
1073524492 |
Physician |
PEDIATRIC MEDICINE |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.132916000373 |
38.0065680004129 |
1769 |
Sandler, Andrea |
1073551719 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
1770 |
Faberowski, Nicholas |
1073536157 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE, MC 1925 |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
8500 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
1772 |
Silka, Michael |
1073554101 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.022872138039 |
34.1511094101712 |
1778 |
TRANIELLO HINES, SUSAN |
1073564845 |
Nurse Practitioner |
UNKNOWN |
301 E Foothill Blvd, 1st Floor |
Arcadia |
Los Angeles |
91006 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1511094097 |
-118.022872138 |
-121.931844043068 |
37.3128740632874 |
1783 |
Keisari, Rami |
1073577441 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
1784 |
Kagawa, Frank |
1073577623 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
1786 |
Darbonne, Dawn |
1073582979 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.879300499618 |
37.6931069998882 |
1791 |
McCabe, Robert |
1073586905 |
Physician |
INFECTIOUS DISEASE |
5575 W Las Positas Blvd, #210 |
Pleasanton |
Alameda |
94588 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.693107 |
-121.8793005 |
-122.748589048346 |
38.4279142321561 |
1800 |
Miller, Jeff |
1073607438 |
Physician |
UNKNOWN |
751 Lombardi Ct #B |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH SOUTHWEST |
1558512624 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-118.329789269359 |
34.0979749635737 |
1811 |
NAON, HILLEL |
1073614590 |
Physician |
GASTROENTEROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931761542861 |
37.3141238808125 |
1814 |
Luk, Selene |
1073617262 |
Physician |
UNKNOWN |
750 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.314123881 |
-121.931761543 |
-117.057303204379 |
32.7772071982536 |
1815 |
Stone, Lance |
1073618484 |
Physician |
PHYSICAL MEDICINE AND REHABILITATION |
6645 Alvarado Rd |
San Diego |
San Diego |
92120 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
32.7772071976 |
-117.057303204 |
-122.231195302121 |
37.7991749638535 |
1816 |
Schneider, Ken |
1073617205 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
1823 |
Gopalan, Nirmala |
1073627014 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.781022499589 |
36.7598699996009 |
1830 |
WALLS, EMERSON |
1073643920 |
Physician |
UNKNOWN |
1300 N Fresno St, suite 220 |
Fresno |
Fresno |
93703 |
California |
2013 |
2013 |
1 |
MU |
CARE PROVIDERS FAMILY |
1073546032 |
21250 |
21250 |
36.75987 |
-119.7810225 |
-118.463696418155 |
34.2281841459816 |
1831 |
abdalla, clair |
1073648911 |
Physician |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2015 |
2016 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.228184146 |
-118.463696418 |
-122.224776035785 |
37.7798441425932 |
1833 |
Innes, Sneha |
1073650552 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.428203895693 |
34.3107032389634 |
1841 |
Shafa, Farid |
1073659777 |
Dentist |
UNKNOWN |
13203-A Gladstone Ave |
Sylmar |
Los Angeles |
91342 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.3107032387 |
-118.428203896 |
-119.337547068442 |
36.2234687042174 |
1851 |
Fishback, Niel |
1073669123 |
Dentist |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH TULARE |
1023011632 |
21250 |
21250 |
36.2234687039 |
-119.337547068 |
-122.748589048346 |
38.4279142321561 |
1857 |
Zazueta-Lara, Eva |
1073675179 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2013 |
2014 |
3 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
38250 |
8500 |
38.4279142323 |
-122.748589048 |
-122.224776035785 |
37.7798441425932 |
1866 |
Gaind, Anita |
1073691820 |
Physician |
INTERNAL MEDICINE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.133636000301 |
37.4709959995658 |
1867 |
Lowe, Janice |
1073690087 |
Physician |
UNKNOWN |
1798 Bay Rd # A |
East Palo Alto |
San Mateo |
94303 |
California |
2013 |
2014 |
2 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
29750 |
8500 |
37.470996 |
-122.133636 |
-117.152023500284 |
32.7983220001602 |
1870 |
LIM, MEERANA |
1073684833 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.730705722791 |
38.4794050139303 |
1871 |
worn, vivian |
1073693354 |
Physician |
UNKNOWN |
3562 Round Barn Circle, Suite 216 |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4794050143 |
-122.730705723 |
-122.132916000373 |
38.0065680004129 |
1872 |
Hay, Sunthara |
1073696720 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
1888 |
Aziz, Tala |
1073727533 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.140803999805 |
33.7874399999561 |
1889 |
Silva-Leu, Rita |
1073715637 |
Physician |
UNKNOWN |
4510 E Pacific Coast Hwy, Suite 600 |
Long Beach |
Los Angeles |
90804 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.78744 |
-118.140804 |
-122.224776035785 |
37.7798441425932 |
1895 |
TERLET, ARIANE |
1073730289 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.329789269359 |
34.0979749635737 |
1898 |
Ross, Lawrence |
1073737631 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.349731509102 |
33.954067100916 |
1902 |
shinn, george |
1073750907 |
Dentist |
UNKNOWN |
300 Buckthorn Street |
Inglewood |
Los Angeles |
90301 |
California |
2015 |
2015 |
1 |
AIU |
Children's Dental Center of Greater LA |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-122.532927443447 |
38.0685794121102 |
1909 |
Acosta, Rosalba |
1073766424 |
Nurse Practitioner |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2016 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-118.507638529894 |
34.2989999996503 |
1912 |
Savangphol, Jeffrey |
1073772182 |
Dentist |
UNKNOWN |
12601 Lithuania Dr |
Granada Hills |
Los Angeles |
91344 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.299 |
-118.50763853 |
-121.931844043068 |
37.3128740632874 |
1918 |
NOUCHIAN, SHEILA |
1073790713 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.045836668228 |
34.0764334702285 |
1922 |
Vong, Sheung |
1073804779 |
Physician |
UNKNOWN |
10418 Valley Blvd, Ste B |
El Monte |
UNKNOWN |
91731 |
California |
2016 |
2017 |
2 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
29750 |
8500 |
34.0764334701 |
-118.045836668 |
-122.730009116028 |
38.4800536013926 |
1923 |
Ullal, Ashmi |
1073803722 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
UNKNOWN |
95403 |
California |
2020 |
2020 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.97078849959 |
35.3824379999138 |
1924 |
Ngo, Tri |
1073804837 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.132916000373 |
38.0065680004129 |
1931 |
Pak, Lauren |
1073821724 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-118.030855499881 |
34.1311139998113 |
1942 |
Cohen, Stacy |
1073843637 |
Physician |
UNKNOWN |
800 S. Santa Anita Ave. |
Arcadia |
Los Angeles |
91006 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.131114 |
-118.0308555 |
-122.224776035785 |
37.7798441425932 |
1949 |
Woods, Marisa |
1073880787 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-124.149759157059 |
40.8006381521291 |
1956 |
Trinidad, Ruth |
1073912234 |
Dentist |
UNKNOWN |
959 Myrtle Ave |
Eureka |
Humboldt |
95501 |
California |
2015 |
2016 |
1 |
AIU |
COMM HEALTH CTR EUREKA |
1851486989 |
21250 |
21250 |
40.8006381515 |
-124.149759157 |
-118.187343371599 |
33.8090145901513 |
1963 |
Navarro, Alejandra |
1073920583 |
Physician |
UNKNOWN |
455 E Columbia |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
3 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
38250 |
8500 |
33.8090145898 |
-118.187343372 |
-118.476397288904 |
34.2356750525617 |
1985 |
Akoubians Salmasi, Mariana |
1083023410 |
Doctor of Optometry |
UNKNOWN |
9119 Haskell Ave |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
21250 |
21250 |
34.2356750533 |
-118.476397289 |
-118.184624999844 |
33.8077440000856 |
1989 |
Garcia, Dinah |
1083023790 |
Physician |
UNKNOWN |
2790 Altantic Avenue |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
2 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
29750 |
8500 |
33.807744 |
-118.184625 |
-122.231195302121 |
37.7991749638535 |
1992 |
Rodriguez, Juan |
1083031033 |
Physician |
UNKNOWN |
1411 E 31st St, A2 Room 18 |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.730009116028 |
38.4800536013926 |
1993 |
Whitesides, Daniel |
1083032528 |
Physician |
UNKNOWN |
3569 Round Barn Cir Ste 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2020 |
2020 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-122.132916000373 |
38.0065680004129 |
1994 |
Porteous, Brent |
1083040463 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
1997 |
Maravillas, Mary Ann |
1083051981 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-123.211126833337 |
39.1278118681233 |
2004 |
Montano, Devery |
1083067979 |
Certified Nurse - Midwife |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
38250 |
8500 |
39.1278118679 |
-123.211126833 |
-117.721502999963 |
34.0619039998697 |
2005 |
Sudeta, Gloria |
1083070064 |
Nurse Practitioner |
UNKNOWN |
1450 E. Holt Ave. |
Pomona |
Los Angeles |
91767 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH POMONA |
1417211426 |
21250 |
21250 |
34.061904 |
-117.721503 |
-119.251855838176 |
34.2762568924417 |
2018 |
Peharda, Ksenija |
1083615280 |
Physician |
INTERNAL MEDICINE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
3 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
-118.97078849959 |
35.3824379999138 |
2019 |
Mallory, Marshall |
1083620447 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.873719412221 |
37.6614078555881 |
2026 |
Julier, Barbara |
1083629455 |
Physician |
FAMILY PRACTICE |
4361 Railroad Ave |
Pleasanton |
Alameda |
94566 |
California |
2012 |
2013 |
2 |
MU |
COMMUNITY HEALTH AXIS |
1669403390 |
29750 |
8500 |
37.6614078563 |
-121.873719412 |
-121.98018152206 |
36.9883873259144 |
2030 |
Wistrom, David |
1083632368 |
Dentist |
UNKNOWN |
1830 Commercial Way |
Santa Cruz |
Santa Cruz |
95065 |
California |
2014 |
2014 |
1 |
AIU |
COMMUNITY DENTAL DIENTES |
1437213279 |
21250 |
21250 |
36.9883873258 |
-121.980181522 |
-123.211126833337 |
39.1278118681233 |
2038 |
HARTLEY, LAURENCE |
1083647226 |
Physician |
OBSTETRICS/GYNECOLOGY |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
63750 |
8500 |
39.1278118679 |
-123.211126833 |
-117.567639245655 |
33.8559660546897 |
2039 |
Banzuela, Cresencia |
1083639710 |
Physician |
UNKNOWN |
260 E Ontario Ave, Suite 204 |
Corona |
Riverside |
92879 |
California |
2018 |
2019 |
6 |
MU |
CRESENCIA D MD BANZUELA |
1033134770 |
63750 |
8500 |
33.8559660552 |
-117.567639246 |
-118.972130000299 |
35.3825800001669 |
2050 |
Ching, James |
1083654255 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave, Kern Medical Center |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.38258 |
-118.97213 |
-119.668940915691 |
36.3281574526044 |
2058 |
Castillo, Romeo |
1083691778 |
Physician |
UNKNOWN |
1524 W Lacey Blvd, SUITE 203 |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
38250 |
8500 |
36.3281574533 |
-119.668940916 |
-121.931844043068 |
37.3128740632874 |
2063 |
Waddell, Barry |
1083677959 |
Physician |
UNKNOWN |
751 S Bascom Ave, Anesthesiology Department |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2018 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.256434514441 |
33.9855840003014 |
2077 |
Purohit, Swati |
1083715627 |
Physician |
UNKNOWN |
5970 South Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2020 |
2020 |
4 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
46750 |
8500 |
33.985584 |
-118.256434514 |
-118.18591967915 |
33.9700445238358 |
2079 |
Raqueno, Catherine |
1083722847 |
Physician |
UNKNOWN |
4566 Florence Ave Ste 1 |
Cudahy |
Los Angeles |
90201 |
California |
2013 |
2014 |
3 |
MU |
CATHERINE A MD RAQUENO |
1083722847 |
38250 |
8500 |
33.9700445242 |
-118.185919679 |
-117.354487945362 |
33.9755642666776 |
2094 |
Garibaldi, Carlo |
1083745178 |
Physician |
UNKNOWN |
1970 University Ave. |
Riverside |
Riverside |
92240 |
California |
2020 |
2020 |
3 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
38250 |
8500 |
33.975564267 |
-117.354487945 |
-118.248878682205 |
33.982097236998 |
2101 |
AUNG, MICHAEL |
1083752547 |
Dentist |
UNKNOWN |
1423 E Gage Ave Ste A |
Los Angeles |
Los Angeles |
90001 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.9820972368 |
-118.248878682 |
-119.786804188862 |
36.3014707291908 |
2103 |
Quijano, Arturo |
1083756191 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
405 W D St |
Lemoore |
Kings |
93245 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
55250 |
8500 |
36.3014707288 |
-119.786804189 |
-122.17107520066 |
37.4393604544215 |
2105 |
Carrion, Victor |
1083759799 |
Physician |
UNKNOWN |
401 Quarry Rd |
Palo Alto |
Santa Clara |
94304 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.4393604545 |
-122.171075201 |
-118.189907999754 |
33.7932810004179 |
2109 |
katakia, manjula |
1083761753 |
Physician |
PSYCHIATRY |
1975 Long Beach Blvd |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.793281 |
-118.189908 |
-118.240379999837 |
34.1367570001355 |
2115 |
yanaga, linda |
1083768840 |
Dentist |
UNKNOWN |
801 S Chevy Chase Dr |
Glendale |
Los Angeles |
91205 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY COMPREHENSIVE |
1245210749 |
21250 |
21250 |
34.136757 |
-118.24038 |
-122.132916000373 |
38.0065680004129 |
2125 |
Cominos, Eve |
1083784136 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
63750 |
8500 |
38.006568 |
-122.132916 |
-119.783164500341 |
36.7465230001364 |
2128 |
Hill, Betsy |
1083788541 |
Nurse Practitioner |
UNKNOWN |
290 N Wayte Ln |
Fresno |
Fresno |
93701 |
California |
2014 |
2015 |
1 |
AIU |
CALIFORNIA CENTRAL |
1992742852 |
21250 |
21250 |
36.746523 |
-119.7831645 |
-117.152023500284 |
32.7983220001602 |
2133 |
Jockin, Yvette |
1083782999 |
Physician |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2017 |
2018 |
3 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
2136 |
VIANI, ROLANDO |
1083786602 |
Physician |
UNKNOWN |
3020 Childrens Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2014 |
2015 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.798322 |
-117.1520235 |
-118.597537018019 |
34.2089190004116 |
2137 |
Hollenberg, John |
1083799225 |
Physician |
UNKNOWN |
7621 Canoga Ave |
Canoga Park |
Los Angeles |
91304 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.208919 |
-118.597537018 |
-122.13664674705 |
41.2521636667199 |
2140 |
Briseno, Antone |
1083800742 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
116 West Minnesota Ave |
McCloud |
Siskiyou |
96057 |
California |
2012 |
2013 |
1 |
AIU |
CLOUD HEALTHCARE CLIN MC |
1164428488 |
21250 |
21250 |
41.2521636666 |
-122.136646747 |
-121.931844043068 |
37.3128740632874 |
2146 |
Pan, Carolyn |
1083803621 |
Physician |
UNKNOWN |
751 S. Bascom |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
2157 |
Lin, Aaron |
1083822217 |
Physician |
OTOLARYNGOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.084788271162 |
38.2366173227313 |
2164 |
Doan, Chinh |
1083845069 |
Nurse Practitioner |
NURSE PRACTITIONER |
2720 Low Ct |
Fairfield |
Solano |
94534 |
California |
2017 |
2018 |
5 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
55250 |
8500 |
38.2366173234 |
-122.084788271 |
-122.224776035785 |
37.7798441425932 |
2165 |
Marin, Andres |
1083848014 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.256769000189 |
34.0030619996116 |
2180 |
Vargas, Daniel |
1083876544 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2014 |
2015 |
3 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
38250 |
8500 |
34.003062 |
-118.256769 |
-118.204834500112 |
34.121214000126 |
2187 |
Fan, Amelia |
1083886741 |
Physician |
UNKNOWN |
5059 York Blvd |
Los Angeles |
Los Angeles |
90042 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
29750 |
8500 |
34.121214 |
-118.2048345 |
-121.931844043068 |
37.3128740632874 |
2191 |
Williams, Jason |
1083894257 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
2194 |
Campbell, Rina |
1083894877 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94623 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.022159053897 |
34.1084790963333 |
2200 |
Wang, Linda |
1083899504 |
Physician |
PSYCHIATRY |
330 E Live Oak Ave |
Arcadia |
Los Angeles |
91006 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1084790963 |
-118.022159054 |
-122.028876790931 |
36.9749133592642 |
2201 |
Flores, Sarah |
1083911135 |
Nurse Practitioner |
UNKNOWN |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
3 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
38250 |
8500 |
36.9749133589 |
-122.028876791 |
-122.132916000373 |
38.0065680004129 |
2202 |
Elangovan, Initha |
1083925739 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
2222 |
Fong, Todd |
1083957997 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.368152532114 |
34.154146164414 |
2234 |
Lee, Samuel |
1083971162 |
Physician |
PSYCHIATRY |
4605 Lankershim Blvd Ste 617 |
North Hollywood |
Los Angeles |
91602 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
34.1541461637 |
-118.368152532 |
-118.184624999844 |
33.8077440000856 |
2241 |
Song, Fine |
1093000556 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2015 |
2016 |
1 |
AIU |
CLINIC, THE CHILDREN'S |
1639233935 |
21250 |
21250 |
33.807744 |
-118.184625 |
-122.132916000373 |
38.0065680004129 |
2243 |
Karpowicz, Scott |
1093005837 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.017646291043 |
36.9915277342176 |
2244 |
Xu, Yang |
1093006983 |
Physician |
UNKNOWN |
1080 Emeline |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-118.184624999844 |
33.8077440000856 |
2255 |
Suskin, Shea |
1093027534 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
5 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
55250 |
8500 |
33.807744 |
-118.184625 |
-121.931844043068 |
37.3128740632874 |
2264 |
Harris, Catherine |
1093041626 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
2266 |
Sagum, Renan James Paul |
1093056434 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-123.211126833337 |
39.1278118681233 |
2275 |
Aguirre, Larry |
1093076416 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
55250 |
8500 |
39.1278118679 |
-123.211126833 |
-121.931844043068 |
37.3128740632874 |
2279 |
Le, Grace |
1093094161 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
2283 |
Akbery, Zulaikha |
1093116329 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
2284 |
Miyazato, Ken |
1093116634 |
Dentist |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
2291 |
Downing, Michael |
1093137705 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-117.102322508777 |
32.7514272099978 |
2292 |
Hage, Katherine |
1093141137 |
Nurse Practitioner |
UNKNOWN |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC MID-CITY |
1306827332 |
21250 |
21250 |
32.7514272104 |
-117.102322509 |
-121.284144000245 |
37.8867149996975 |
2297 |
Wu, Jia |
1093145898 |
Physician |
UNKNOWN |
500 W Hospital Rd |
French Camp |
San Joaquin |
95231 |
California |
2016 |
2016 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
37.886715 |
-121.284144 |
-122.39119316843 |
40.5850415673145 |
2300 |
Heinzen, Enos |
1093147746 |
Dentist |
UNKNOWN |
1400 Market Street Room 8103 |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH SHASTA |
1538181557 |
21250 |
21250 |
40.5850415667 |
-122.391193168 |
-117.354487945362 |
33.9755642666776 |
2302 |
CENDEJAS, FELIPE |
1093149783 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1970 University Ave |
Riverside |
Riverside |
92507 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.975564267 |
-117.354487945 |
-120.060166500384 |
36.7205355023116 |
2306 |
Miller, Alyssa |
1093186884 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1000 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1902823461 |
21250 |
21250 |
36.7205355017 |
-120.0601665 |
-118.082321088947 |
34.0411573219529 |
2311 |
Spencer, Veronica |
1093196578 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1000 San Gabriel Blvd, Suite 200 |
Rosemead |
Los Angeles |
91770 |
California |
2020 |
2020 |
5 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
55250 |
8500 |
34.041157322 |
-118.082321089 |
-121.931844043068 |
37.3128740632874 |
2336 |
McBeth, Jessica |
1093742603 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.199728172317 |
37.7942720237349 |
2340 |
Vanata, Cynthia |
1093748006 |
Physician |
OBSTETRICS/GYNECOLOGY |
1144 Norman Dr, #104 |
Manteca |
San Joaquin |
95336 |
California |
2012 |
2013 |
1 |
AIU |
CYNTHIA M DO VANATA |
1093748006 |
21250 |
21250 |
37.7942720238 |
-121.199728172 |
-116.32904549985 |
33.1939799996773 |
2347 |
ANGELES-RIPARIP, MELODY |
1093752248 |
Physician |
UNKNOWN |
4343 Yaqui Pass Road, Suite 220 |
Borrego Springs |
San Diego |
92004 |
California |
2018 |
2020 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
33.19398 |
-116.3290455 |
-121.564627868581 |
39.5000182070747 |
2350 |
Phung, Thu-Trang |
1093764052 |
Physician |
UNKNOWN |
900 Oro Dam Blvd. |
Oroville |
Butte |
95965 |
California |
2014 |
2015 |
3 |
MU |
CORPORATION OROHEALTH |
1013933167 |
38250 |
8500 |
39.5000182074 |
-121.564627869 |
-117.260616720086 |
33.059121528236 |
2354 |
Foroutan, Audrey |
1093772139 |
Dentist |
UNKNOWN |
700 Garden View Ct, Suite 200 |
Encinitas |
San Diego |
92024 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.0591215276 |
-117.26061672 |
-121.931844043068 |
37.3128740632874 |
2356 |
Fujino, Kathleen |
1093778698 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.352773353707 |
34.071932436233 |
2357 |
Fischberg, Glenn |
1093784951 |
Physician |
UNKNOWN |
400 N. Pepper Ave, MOB Suite 308 |
Colton |
San Bernardino |
92324 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-121.931844043068 |
37.3128740632874 |
2359 |
Bakke, Kim |
1093787525 |
Dentist |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
2362 |
Hellman-Wylie, Cynthia |
1093793127 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
2363 |
Chiang, George |
1093773954 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.730009116028 |
38.4800536013926 |
2373 |
Montell, Alicia |
1093809931 |
Dentist |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2019 |
2020 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-117.963936000346 |
33.7453020001872 |
2376 |
Huynh, Chinh |
1093821100 |
Physician |
GENERAL PRACTICE |
9411 Bolsa Ave Ste B |
Westminster |
Orange |
92683 |
California |
2012 |
2012 |
1 |
AIU |
CHINH V MD HUYNH |
1093821100 |
21250 |
21250 |
33.745302 |
-117.963936 |
-123.531180493085 |
38.7693186219569 |
2383 |
Alm, Jere |
1093833659 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
46900 Ocean Dr |
Gualala |
Mendocino |
95445 |
California |
2011 |
2012 |
1 |
AIU |
COAST MED SVS REDWOOD |
1962530725 |
21250 |
21250 |
38.7693186224 |
-123.531180493 |
-118.463696418155 |
34.2281841459816 |
2388 |
muhammad, sheelah |
1093837692 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2015 |
2016 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.228184146 |
-118.463696418 |
-121.931844043068 |
37.3128740632874 |
2391 |
Sharp, Veronika |
1093841876 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
2398 |
Soderstrom, Andrew |
1093847121 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.11707650028 |
32.7551555392968 |
2404 |
Nguyen, Chan |
1093854101 |
Dentist |
UNKNOWN |
3531 El Cajon Blvd, Suite A |
San Diego |
San Diego |
92104 |
California |
2015 |
2016 |
1 |
AIU |
Chan Kim Nguyen |
1093854101 |
21250 |
21250 |
32.755155539 |
-117.1170765 |
-121.931844043068 |
37.3128740632874 |
2410 |
Albuquerque, Cheryl |
1093863938 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.968828162989 |
33.9940912001488 |
2413 |
Chiang, Chen Der |
1093867103 |
Dentist |
UNKNOWN |
2219 S Hacienda Blvd #100 |
Hacienda Heights |
Los Angeles |
91745 |
California |
2016 |
2016 |
1 |
AIU |
Chen Der J Chiang |
1093867103 |
21250 |
21250 |
33.9940911998 |
-117.968828163 |
-122.132916000373 |
38.0065680004129 |
2424 |
Howard, Phyllis |
1093885998 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.184624999844 |
33.8077440000856 |
2436 |
Belman, Judith |
1093894750 |
Nurse Practitioner |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2012 |
2013 |
2 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
29750 |
8500 |
33.807744 |
-118.184625 |
-117.15612921659 |
33.1407478633233 |
2437 |
Vaughn, Trisha |
1093894800 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2012 |
2012 |
1 |
AIU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-121.931844043068 |
37.3128740632874 |
2452 |
Dragoman, Ashley |
1093922635 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.413825981784 |
34.1944379999138 |
2454 |
Shteyman, Kira |
1093917387 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Cayon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
38250 |
8500 |
34.194438 |
-118.413825982 |
-118.97078849959 |
35.3824379999138 |
2455 |
Garcia-Pacheco, Ralph |
1093923088 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.224776035785 |
37.7798441425932 |
2467 |
Ochoa, Guadalupe |
1093942476 |
Physician |
PHYSICIAN ASSISTANT |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.251855838176 |
34.2762568924417 |
2471 |
Ooi, Jane Sue |
1093945446 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-119.251855838176 |
34.2762568924417 |
2472 |
Maani, Natalia |
1093945461 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
3 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
-121.931844043068 |
37.3128740632874 |
2475 |
Solorio Cortes, Gerardo |
1093953630 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
2482 |
Vargas, Joanne |
1093965477 |
Dentist |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92054 |
California |
2012 |
2013 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.562698424193 |
38.095736927917 |
2483 |
HARRINGTON, KEVIN |
1093967697 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC MARIN |
1912091018 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-121.931844043068 |
37.3128740632874 |
2486 |
Khong, Amy |
1093978058 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.885446682219 |
33.7111736116729 |
2489 |
MOBARAK, HAIDEH |
1093991002 |
Physician |
UNKNOWN |
2650 S Bristol St, 101&103 |
Santa Ana |
Orange |
92704 |
California |
2020 |
2020 |
5 |
MU |
COAST PEDIATRICS SOUTH |
1568495364 |
55250 |
8500 |
33.7111736123 |
-117.885446682 |
-119.658869999851 |
36.3252264604329 |
2490 |
Golez, Candice |
1093993685 |
Physician |
UNKNOWN |
900 W 7th St, Suite 102 |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1467678342 |
55250 |
8500 |
36.3252264605 |
-119.65887 |
-122.067686127313 |
38.2373643301997 |
2491 |
Tandinco, Imelda Maria |
1093996092 |
Physician |
UNKNOWN |
2101 Courage Dr |
Fairfield |
Solano |
94533 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HLTH and SOCIAL SOLANO |
1083845275 |
21250 |
21250 |
38.2373643305 |
-122.067686127 |
-118.278342503104 |
34.090762712829 |
2494 |
Aghamyan, Elina |
1093998544 |
Dentist |
UNKNOWN |
3727 W Sunset Blvd |
Los Angeles |
Los Angeles |
90026 |
California |
2016 |
2017 |
1 |
AIU |
CHTCHYAN DDS SUREN |
1598166548 |
21250 |
21250 |
34.0907627133 |
-118.278342503 |
-121.931844043068 |
37.3128740632874 |
2498 |
Davis, Drew |
1104006808 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.439591000025 |
37.7160389998 |
2500 |
Chen, Frank |
1104010586 |
Physician |
UNKNOWN |
888 Paris St, Ste 202 |
San Francisco |
San Francisco |
94112 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH CHINESE |
1487684452 |
21250 |
21250 |
37.716039 |
-122.439591 |
-121.931844043068 |
37.3128740632874 |
2504 |
CHANG-YU, JIN |
1104016781 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.256769000189 |
34.0030619996116 |
2507 |
Gutierrez, Erasto |
1104022581 |
Physician |
UNKNOWN |
4425 S. Central Ave. |
Los Angeles |
Los Angeles |
90011 |
California |
2011 |
2012 |
1 |
AIU |
CENTRAL FAMILY SOUTH |
1396891909 |
21250 |
21250 |
34.003062 |
-118.256769 |
-118.14268950042 |
34.5868560002043 |
2523 |
Infante Hernandez, Celia |
1104043447 |
Dentist |
UNKNOWN |
38780 Trade Center Dr, Suite 1B |
Palmdale |
Los Angeles |
93551 |
California |
2018 |
2019 |
4 |
MU |
CELIA DDS HERNANDEZ |
1104043447 |
46750 |
8500 |
34.586856 |
-118.1426895 |
-122.532927443447 |
38.0685794121102 |
2528 |
Popat, Mitesh |
1104057397 |
Physician |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2017 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-117.978543173928 |
34.0718384256029 |
2550 |
Robles, Josue |
1104123728 |
Dentist |
UNKNOWN |
13533 Francisquito Ave |
Baldwin Park |
Los Angeles |
91706 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.0718384263 |
-117.978543174 |
-119.251855838176 |
34.2762568924417 |
2559 |
TODD, JUELENA |
1104151794 |
Physician |
FAMILY PRACTICE |
3291 LOMA VISTA RD |
VENTURA |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-120.982856782315 |
37.6471734770744 |
2567 |
Buhler, Elizabeth |
1104176999 |
Nurse Practitioner |
UNKNOWN |
830 Scenic Dr, Scenic Faculty Medical Group |
Modesto |
Stanislaus |
95350 |
California |
2017 |
2018 |
2 |
MU |
CO HLTH SVS STANISLAUS |
1396941464 |
29750 |
8500 |
37.647173477 |
-120.982856782 |
-122.500401958883 |
37.9578750436984 |
2570 |
Southard, Melanie |
1104188390 |
Physician |
UNKNOWN |
3110 Kerner Blvd., Attn: Family Medicine |
San Rafael |
Marin |
94901 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
37.9578750436 |
-122.500401959 |
-121.541296500433 |
39.5069669996274 |
2585 |
Burt, Holly |
1104229103 |
Nurse Practitioner |
UNKNOWN |
2767 Olive Highway |
Oroville |
Butte |
95966 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.506967 |
-121.5412965 |
-122.132916000373 |
38.0065680004129 |
2590 |
Pandurangi, Maya |
1104243211 |
Physician |
UNKNOWN |
CCRMC, 2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.02631550016 |
36.9775800002169 |
2602 |
Norkoski, Jessica |
1104283860 |
Physician |
UNKNOWN |
125 Water St, Suite A2 |
Santa Cruz |
Santa Cruz |
95060 |
California |
2017 |
2018 |
2 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
29750 |
8500 |
36.97758 |
-122.0263155 |
-118.269069678923 |
34.1467494852006 |
2614 |
Latif, Mohamed |
1104809193 |
Physician |
INTERNAL MEDICINE |
660 W Broadway |
Glendale |
Los Angeles |
91204 |
California |
2011 |
2012 |
1 |
AIU |
CARDIOVASCULAR HEARTBEAT |
1205898525 |
21250 |
21250 |
34.1467494849 |
-118.269069679 |
-116.962770468382 |
32.7949220969772 |
2629 |
Zambrana, George |
1104836659 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
133 W Main St Ste 100 |
El Cajon |
San Diego |
92020 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
32.7949220971 |
-116.962770468 |
-122.385354438756 |
40.5834973198455 |
2632 |
Hill, Patricia |
1104837814 |
Nurse Practitioner |
NURSE PRACTITIONER |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2015 |
2016 |
5 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
55250 |
8500 |
40.5834973202 |
-122.385354439 |
-117.941601643101 |
33.849404004791 |
2637 |
Luong, Helen |
1104842319 |
Physician |
OBSTETRICS/GYNECOLOGY |
1174 N Euclid Street |
Anaheim |
Orange |
92801 |
California |
2013 |
2014 |
2 |
MU |
CARE OB/GYN WOMEN'S |
1295865400 |
29750 |
8500 |
33.8494040053 |
-117.941601643 |
-121.931844043068 |
37.3128740632874 |
2641 |
Rayburn, Keith |
1104845676 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.017646291043 |
36.9915277342176 |
2643 |
Nair, Sreekumar |
1104848191 |
Physician |
UNKNOWN |
1080 Emeline |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-116.115338321406 |
33.4988880797212 |
2656 |
Watson, Thomas |
1104865781 |
Physician |
EMERGENCY MEDICINE |
88775 Avenue 76, Suite 1 |
Thermal |
Riverside |
92274 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.4988880804 |
-116.115338321 |
-122.748589048346 |
38.4279142321561 |
2667 |
Schneider, David |
1104885672 |
Physician |
FAMILY PRACTICE |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2020 |
2020 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.231195302121 |
37.7991749638535 |
2669 |
Eapen, Jacob |
1104888072 |
Physician |
UNKNOWN |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
2675 |
Lin, Mark |
1104882554 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE, Anesthesiology Department |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
2677 |
Chan, Sara |
1104909951 |
Dentist |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2014 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
2678 |
Holmes, Ralph |
1104899723 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-118.268498147172 |
34.0658209601692 |
2679 |
Koroshec, David |
1104912336 |
Physician |
ADDICTION MEDICINE |
1926 Beverly Blvd |
Los Angeles |
Los Angeles |
90057 |
California |
2012 |
2013 |
1 |
AIU |
COMM HEALTHCARE BAART |
1982781159 |
21250 |
21250 |
34.0658209603 |
-118.268498147 |
-118.329789269359 |
34.0979749635737 |
2681 |
POLIDO, JOSE |
1104912377 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
6430 Sunset Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
2694 |
MONZAVI, ROSHANAK |
1104927607 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.97078849959 |
35.3824379999138 |
2699 |
Smale, Christopher |
1104936129 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.43748018856 |
34.0404355863333 |
2709 |
Juros, Jakub |
1104950807 |
Physician |
PSYCHIATRY |
11080 W Olympic Blvd |
Los Angeles |
Los Angeles |
90064 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0404355856 |
-118.437480189 |
-121.931844043068 |
37.3128740632874 |
2749 |
Kostishack, Amy |
1114001856 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.3527780066 |
33.8985630000824 |
2750 |
Berthold, Robert |
1114003787 |
Physician |
PSYCHIATRY |
14623 Hawthorne Blvd, Suite 400 |
Lawndale |
Los Angeles |
90260 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.898563 |
-118.352778007 |
-117.152023500284 |
32.7983220001602 |
2751 |
PRING, MAYA |
1104997964 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.142199500407 |
37.4270039997348 |
2753 |
Seneviratna, Swarnapali |
1114004041 |
Physician |
PEDIATRIC MEDICINE |
270 Grant Avenue |
Palo Alto |
Santa Clara |
94306 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY HLTH MAYVIEW |
1780796540 |
29750 |
8500 |
37.427004 |
-122.1421995 |
-124.149759157059 |
40.8006381521291 |
2760 |
Nelson, David |
1114011731 |
Dentist |
UNKNOWN |
959 Myrtle Avenue |
Eureka |
Humboldt |
95501 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CTR EUREKA |
1851486989 |
21250 |
21250 |
40.8006381515 |
-124.149759157 |
-117.152023500284 |
32.7983220001602 |
2764 |
BOWER, KIMBERLY |
1114005741 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.224776035785 |
37.7798441425932 |
2768 |
Rothman, Edward |
1114020302 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.329789269359 |
34.0979749635737 |
2770 |
ABDEL-AZIM, HISHAM |
1114018694 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
2772 |
ROBERTS, SUZANNE |
1114022076 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.730009116028 |
38.4800536013926 |
2793 |
Ferrarone, Carlo |
1114051588 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.416328337383 |
37.7824667032758 |
2799 |
Spencer, Laurene |
1114064342 |
Physician |
INTERNAL MEDICINE |
433 Turk St |
San Francisco |
San Francisco |
94102 |
California |
2012 |
2013 |
1 |
AIU |
COMM HEALTHCARE BAART |
1982781159 |
21250 |
21250 |
37.7824667027 |
-122.416328337 |
-123.801499006874 |
39.4322470387699 |
2800 |
Swallow, James |
1114067287 |
Physician |
INTERNAL MEDICINE |
721 River Drive, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2012 |
2013 |
1 |
AIU |
COAST HEALTH MENDOCINO |
1124220249 |
21250 |
21250 |
39.4322470385 |
-123.801499007 |
-118.413825981784 |
34.1944379999138 |
2801 |
Yanez, Janetta |
1114064268 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave, Suite 1B |
North Hollywood |
Los Angeles |
91605 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-118.255031467728 |
34.1618760001773 |
2803 |
OHANIAN, CARMEN |
1114073350 |
Dentist |
UNKNOWN |
1110 n brand blvd., suite 201 |
Glendale |
Los Angeles |
91202 |
California |
2020 |
2020 |
5 |
MU |
CARMEN DDS OHANIAN |
1114073350 |
55250 |
8500 |
34.161876 |
-118.255031468 |
-118.413825981784 |
34.1944379999138 |
2804 |
Meyer-Frank, Beth |
1114067790 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY CLINIC VALLEY |
1588740989 |
29750 |
8500 |
34.194438 |
-118.413825982 |
-119.251855838176 |
34.2762568924417 |
2807 |
Clark, Daniel |
1114080082 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-118.290635999851 |
34.0981185349425 |
2813 |
BADRAN, SARAH |
1114067469 |
Physician |
UNKNOWN |
4650 sunset blvd |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0981185351 |
-118.290636 |
-122.017646291043 |
36.9915277342176 |
2815 |
DE LA CRUZ, PAULA |
1114088697 |
Physician |
UNKNOWN |
1080 Emeline |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-122.231195302121 |
37.7991749638535 |
2819 |
Levingston, Sonia |
1114093150 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.903409987981 |
39.1060269777628 |
2824 |
Jenkins, John |
1114097144 |
Dentist |
UNKNOWN |
5335 Lakeshore Blvd |
Lakeport |
Lake |
95453 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
29750 |
8500 |
39.1060269778 |
-122.903409988 |
-117.896242500191 |
34.0268219999354 |
2827 |
Jimenez, Cesar |
1114099942 |
Physician |
INTERNAL MEDICINE |
2550 Amar Rd, Suite A2 |
West Covina |
Los Angeles |
91792 |
California |
2011 |
2013 |
1 |
AIU |
CESAR A MD INC JIMENEZ |
1114099942 |
21250 |
21250 |
34.026822 |
-117.8962425 |
-117.152023500284 |
32.7983220001602 |
2830 |
MUBARAK, SCOTT |
1114098977 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
2831 |
HUANG, SHERRY |
1114098969 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.224776035785 |
37.7798441425932 |
2849 |
Hashoush, Mariam |
1114130358 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.349731509102 |
33.954067100916 |
2851 |
weintraub, denis |
1114140274 |
Dentist |
UNKNOWN |
300 E. Buckthorn Street |
Inglewood |
Los Angeles |
90301 |
California |
2015 |
2016 |
1 |
AIU |
CHILDREN'S DENTAL CENTER THE |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-121.541296500433 |
39.5069669996274 |
2855 |
Johnston, Elizabeth |
1114145257 |
Physician |
UNKNOWN |
2767 Olive Hwy |
Oroville |
Butte |
95966 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.506967 |
-121.5412965 |
-119.251855838176 |
34.2762568924417 |
2865 |
VILLASENOR, MARIA |
1114147402 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd, PHYSICIAN MANAGEMENT |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-117.228721500197 |
33.2096760004471 |
2866 |
Fruzza, Mathew |
1114157203 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2013 |
2013 |
2 |
MU |
COMMUNITY CLINIC VISTA |
1689760100 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-117.122650002795 |
32.812365973311 |
2867 |
Pierce, Wendy |
1114170941 |
Physician |
PHYSICAL MEDICINE AND REHABILITATION |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2013 |
2014 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.8123659731 |
-117.122650003 |
-122.132490074257 |
38.0066599453003 |
2871 |
Stone, David |
1114152857 |
Physician |
UNKNOWN |
Contra Costa Regional Medical Center, 2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006659945 |
-122.132490074 |
-117.102322508777 |
32.7514272099978 |
2875 |
Ayyagari, Srikala |
1114180643 |
Physician |
UNKNOWN |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2014 |
2015 |
1 |
AIU |
COMM CLINIC MID-CITY |
1306827332 |
21250 |
21250 |
32.7514272104 |
-117.102322509 |
-122.81837400016 |
38.3967809997434 |
2880 |
Parker, Daniel |
1114193992 |
Physician |
SPORTS MEDICINE |
6800 Palm Avenue |
Sebastopol |
Sonoma |
95472 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY HEALTH CENTER WEST |
1538334065 |
21250 |
21250 |
38.396781 |
-122.818374 |
-119.251855838176 |
34.2762568924417 |
2884 |
Labbad, Jakleen |
1114194321 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.532927443447 |
38.0685794121102 |
2898 |
Lundy, Miriam |
1114231065 |
Nurse Practitioner |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0685794125 |
-122.532927443 |
-119.459079092626 |
35.1443767568819 |
2900 |
Hodges, Shimeaka |
1114236098 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
501 Sixth St. |
Taft |
Kern |
93268 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1528324167 |
63750 |
8500 |
35.1443767574 |
-119.459079093 |
-122.562698424193 |
38.095736927917 |
2903 |
Simon, Peter |
1114244175 |
Physician |
UNKNOWN |
6090 Redwood Blvd, suite G |
Novato |
Marin |
94945 |
California |
2014 |
2015 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-121.873719412221 |
37.6614078555881 |
2910 |
Liu, Edward |
1114253457 |
Nurse Practitioner |
NURSE PRACTITIONER |
4361 Railroad Ave |
Plesanton |
Alameda |
94566 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY HEALTH AXIS |
1669403390 |
8500 |
8500 |
37.6614078563 |
-121.873719412 |
-122.224776035785 |
37.7798441425932 |
2911 |
Reyes, Maribel |
1114255056 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-116.32904549985 |
33.1939799996773 |
2913 |
Devaraj, Alwyn |
1114253465 |
Dentist |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-118.97078849959 |
35.3824379999138 |
2920 |
Thor, Jana |
1114284718 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.240379999837 |
34.1367570001355 |
2923 |
Avetisyan, Emma |
1114300449 |
Nurse Practitioner |
UNKNOWN |
801 S Chevy Chase Dr, Suite 20 |
Glendale |
Los Angeles |
91205 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY COMPREHENSIVE |
1245210749 |
21250 |
21250 |
34.136757 |
-118.24038 |
-117.885446682219 |
33.7111736116729 |
2926 |
TRAN, MICHELLE |
1114310372 |
Nurse Practitioner |
UNKNOWN |
2650 S Bristol St, Suite 101 |
Santa Ana |
Orange |
92704 |
California |
2016 |
2017 |
1 |
AIU |
COAST PEDIATRICS SOUTH |
1568495364 |
21250 |
21250 |
33.7111736123 |
-117.885446682 |
-117.102322508777 |
32.7514272099978 |
2948 |
Marquardt, Diana |
1114909454 |
Physician |
INTERNAL MEDICINE |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2013 |
2014 |
3 |
MU |
COMM CLINIC MID-CITY |
1306827332 |
38250 |
8500 |
32.7514272104 |
-117.102322509 |
-122.224776035785 |
37.7798441425932 |
2957 |
Schapiro, Naomi |
1114934288 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
3 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
38250 |
8500 |
37.7798441429 |
-122.224776036 |
-117.691299000149 |
34.0242750002911 |
2961 |
LIM, CAROLYNE |
1114942265 |
Physician |
UNKNOWN |
12598 Central Ave, SUITE A |
Chino |
San Bernardino |
91710 |
California |
2018 |
2019 |
6 |
MU |
CAROLYNE T MD LIM |
1114942265 |
63750 |
8500 |
34.024275 |
-117.691299 |
-118.184624999844 |
33.8077440000856 |
2971 |
Mogilevsky, Nataly |
1114952777 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-117.102322508777 |
32.7514272099978 |
2975 |
IBARRA, MARTHA |
1114957289 |
Nurse Practitioner |
UNKNOWN |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2014 |
2015 |
3 |
MU |
COMM CLINIC MID-CITY |
1306827332 |
38250 |
8500 |
32.7514272104 |
-117.102322509 |
-122.224776035785 |
37.7798441425932 |
2979 |
Chan, Vanessa |
1114960747 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.385354438756 |
40.5834973198455 |
2982 |
Cooper, Elisabeth |
1114969003 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2018 |
2019 |
5 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
55250 |
8500 |
40.5834973202 |
-122.385354439 |
-121.931844043068 |
37.3128740632874 |
2988 |
Hunt Bellah, Ann Marie |
1114980596 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-124.137814189873 |
40.7789547799392 |
2997 |
Weiderman, William |
1114992971 |
Physician |
UNKNOWN |
3200 Walford Ave |
Eureka |
Humboldt |
95503 |
California |
2013 |
2014 |
1 |
AIU |
CARE MEDICAL HEALTH |
1679798425 |
21250 |
21250 |
40.7789547799 |
-124.13781419 |
-122.231195302121 |
37.7991749638535 |
2998 |
Remler, Ilan |
1114996089 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
3002 |
Kleinerman, David |
1114996212 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
3007 |
Holmes, Nicholas |
1124000211 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
4 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-119.251855838176 |
34.2762568924417 |
3008 |
TAKETA, JOHN |
1124013057 |
Physician |
ORTHOPEDIC SURGERY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-117.152023500284 |
32.7983220001602 |
3010 |
Brown, Edward |
1124003793 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
3 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-118.97078849959 |
35.3824379999138 |
3012 |
Liu, Fangluo |
1124015656 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-123.211126833337 |
39.1278118681233 |
3014 |
McClintock, Richard |
1124016712 |
Physician |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
38250 |
8500 |
39.1278118679 |
-123.211126833 |
-122.743877948009 |
38.4400615036355 |
3036 |
Santiago, Daniel |
1124043849 |
Physician |
FAMILY PRACTICE |
144 Stony Point Road |
Santa Rosa |
Sonoma |
95401 |
California |
2014 |
2015 |
3 |
MU |
CO INDIAN HEALTH SONOMA |
1265457980 |
38250 |
8500 |
38.4400615041 |
-122.743877948 |
-117.152023500284 |
32.7983220001602 |
3043 |
Trauner, Doris |
1124051420 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
4 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
3051 |
Harris, Stephen |
1124082516 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
3054 |
Lingamneni, Santhi |
1124084082 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
3055 |
Lim, Dwight |
1124084561 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
3057 |
Grass, Eileen |
1124090873 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
UNKNOWN |
92084 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY CLINIC VISTA |
1851300123 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-119.668940915691 |
36.3281574526044 |
3059 |
Andhavarapu, Giridhar |
1124097043 |
Physician |
UNKNOWN |
1524 W Lacey Blvd, SUITE 104 |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
46750 |
8500 |
36.3281574533 |
-119.668940916 |
-121.931844043068 |
37.3128740632874 |
3063 |
Levine, Marcie |
1124084579 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95134 |
California |
2014 |
2015 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
3065 |
Litman, vanessa |
1124100110 |
Physician |
INTERNAL MEDICINE |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.63151699981 |
36.7040969996768 |
3069 |
Villanueva, Erwin |
1124102975 |
Dentist |
UNKNOWN |
633 E Alvin Dr Suite B |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Central Coast Pediatric Dental Group |
1205922705 |
21250 |
21250 |
36.704097 |
-121.631517 |
-118.022159053897 |
34.1084790963333 |
3072 |
Chien, Lian Phay |
1124105721 |
Physician |
PSYCHIATRY |
330 E Live Oak Ave |
Arcadia |
Los Angeles |
91006 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1084790963 |
-118.022159054 |
-121.931844043068 |
37.3128740632874 |
3078 |
Zhao, Gary |
1124114285 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.788946999904 |
36.7825410000672 |
3079 |
BRYAN, MAIRIN |
1124114475 |
Dentist |
UNKNOWN |
1901 E Shields Ave, SUITE 226 |
Fresno |
Fresno |
93726 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
36.782541 |
-119.788947 |
-122.562698424193 |
38.095736927917 |
3091 |
Flannery, Judith |
1124126230 |
Nurse Practitioner |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-122.224776035785 |
37.7798441425932 |
3094 |
McClaughry, Corinne |
1124127964 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-123.801499006874 |
39.4322470387699 |
3095 |
Graham, Sasha |
1124127600 |
Nurse Practitioner |
NURSE PRACTITIONER |
721 River Drive, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2014 |
2015 |
3 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
38250 |
8500 |
39.4322470385 |
-123.801499007 |
-121.931844043068 |
37.3128740632874 |
3100 |
Ofreneo, Maria |
1124133566 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.758442318058 |
34.4424059156006 |
3104 |
Gaitan, John |
1124136734 |
Physician |
UNKNOWN |
215 Pesetas Ln |
Santa Barbara |
Santa Barbara |
93110 |
California |
2016 |
2017 |
4 |
MU |
CLINIC SANSUM |
1932121514 |
41083.34 |
5666.67 |
34.4424059162 |
-119.758442318 |
-122.418602999829 |
37.7572590004026 |
3112 |
Rocabo, Connie |
1124143953 |
Dentist |
UNKNOWN |
2489 Mission St, Suite 6 |
San Francisco |
San Francisco |
94110 |
California |
2016 |
2016 |
1 |
AIU |
Connie Horca Rocabo |
1124143953 |
21250 |
21250 |
37.757259 |
-122.418603 |
-117.352773353707 |
34.071932436233 |
3113 |
Hoshek, Silvio |
1124135066 |
Physician |
UNKNOWN |
400 N Pepper Ave, General Surgery MOB Ste#308 |
Colton |
San Bernardino |
92324 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-119.251855838176 |
34.2762568924417 |
3114 |
Ryall, Meghan |
1124146329 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.231195302121 |
37.7991749638535 |
3122 |
KUNKLE, JANEY |
1124165030 |
Physician |
ANESTHESIOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.226476000067 |
33.782397504841 |
3124 |
kim, chung |
1124170717 |
Dentist |
UNKNOWN |
180 E 4th St, Ste A |
Perris |
Riverside |
92570 |
California |
2020 |
2020 |
2 |
MU |
CHUNG DDS, INC KIM |
1376750307 |
29750 |
8500 |
33.7823975049 |
-117.226476 |
-119.327727681287 |
36.2301307740161 |
3132 |
Ruiz Rivera, Jorge |
1124173794 |
Physician |
PEDIATRIC MEDICINE |
1186 Leland Ave |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
4 |
MU |
CENTERS FOR HEALTH ALTURA |
1811174725 |
46750 |
8500 |
36.2301307738 |
-119.327727681 |
-122.224776035785 |
37.7798441425932 |
3140 |
Harrington, Michael |
1124186945 |
Physician |
INTERNAL MEDICINE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
3149 |
Le, Ngoc-Lan |
1124195409 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-119.337547068442 |
36.2234687042174 |
3158 |
Shammout, Fadel |
1124205539 |
Physician |
OBSTETRICS/GYNECOLOGY |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2015 |
2017 |
3 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
38250 |
8500 |
36.2234687039 |
-119.337547068 |
-122.132916000373 |
38.0065680004129 |
3162 |
Quinones, Lisa |
1124210323 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2018 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-118.184624999844 |
33.8077440000856 |
3165 |
GARDEZI, NAJMA |
1124213673 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-121.931844043068 |
37.3128740632874 |
3173 |
Nelson, Danielle |
1124221767 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
3188 |
LEUIN, SHELBY |
1124230909 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.184503499637 |
33.8084730004287 |
3189 |
Berkemer, Lori |
1124242490 |
Nurse Practitioner |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.808473 |
-118.1845035 |
-122.562698424193 |
38.095736927917 |
3192 |
Downey, Kendra |
1124245246 |
Nurse Practitioner |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1003900101 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-118.240379999837 |
34.1367570001355 |
3195 |
Cook, Angie |
1124255146 |
Physician |
UNKNOWN |
801 South Chevy Chase Drive |
Glendale |
Los Angeles |
91205 |
California |
2020 |
2020 |
5 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
55250 |
8500 |
34.136757 |
-118.24038 |
-119.251855838176 |
34.2762568924417 |
3214 |
Rosenberg, Joshua |
1124280896 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-121.931844043068 |
37.3128740632874 |
3217 |
Hu, Carol |
1124286869 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.256434514441 |
33.9855840003014 |
3223 |
Collins, Jesse |
1124290028 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
5970 South Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2013 |
2014 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-117.903097397227 |
33.7345888973598 |
3227 |
Koh, Shanna |
1124297635 |
Dentist |
UNKNOWN |
2509 W McFadden Ave Ste E |
Santa Ana |
Orange |
92704 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.7345888965 |
-117.903097397 |
-118.240379999837 |
34.1367570001355 |
3230 |
Haroian, Nairi |
1124302815 |
Dentist |
UNKNOWN |
801 S Chevy Chase Dr., STE 250 |
Glendale |
Los Angeles |
91205 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
46750 |
8500 |
34.136757 |
-118.24038 |
-122.224776035785 |
37.7798441425932 |
3233 |
Zodhiates, Ariel |
1124313911 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-118.256769000189 |
34.0030619996116 |
3237 |
DeBerry, Dawn |
1124314224 |
Nurse Practitioner |
UNKNOWN |
4425 S Central Ave. |
Los Angeles |
Los Angeles |
90011 |
California |
2018 |
2019 |
3 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
38250 |
8500 |
34.003062 |
-118.256769 |
-124.192888726833 |
41.7727692741827 |
3241 |
sukkarieh, modar |
1124328430 |
Physician |
UNKNOWN |
780 E. Washington Blvd., Suite 202 |
Crescent City |
Del Norte |
95531 |
California |
2013 |
2014 |
1 |
AIU |
COAST COMM CLINIC SUTTER |
1700960267 |
21250 |
21250 |
41.7727692742 |
-124.192888727 |
-122.488180935801 |
37.6828724074357 |
3243 |
Shao, Stephanie |
1124330808 |
Physician |
UNKNOWN |
93 Skyline Plz |
Daly City |
San Mateo |
94015 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HEALTH CHINESE |
1487684452 |
38250 |
8500 |
37.6828724072 |
-122.488180936 |
-122.133636000301 |
37.4709959995658 |
3246 |
Kim, Edward |
1124342977 |
Physician |
UNKNOWN |
1798 Bay Rd Ste A |
East Palo Alto |
UNKNOWN |
94303 |
California |
2015 |
2016 |
2 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
29750 |
8500 |
37.470996 |
-122.133636 |
-122.224776035785 |
37.7798441425932 |
3251 |
Mrgudich, Anthony |
1124358635 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.691617241343 |
38.4434348957039 |
3260 |
EGAN SOLOMON, BRANDY |
1124371844 |
Dentist |
UNKNOWN |
1880 Sonoma Ave |
Santa Rosa |
Sonoma |
95405 |
California |
2012 |
2013 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4434348964 |
-122.691617241 |
-122.132916000373 |
38.0065680004129 |
3262 |
Echiverri, Angela |
1124376363 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.748589048346 |
38.4279142321561 |
3271 |
Castillo, Nancy |
1124404165 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Ct |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2014 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-122.730009116028 |
38.4800536013926 |
3273 |
Vega, Laura |
1124412044 |
Physician |
UNKNOWN |
3569 Round Barn Cir Ste 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2018 |
2019 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-122.132916000373 |
38.0065680004129 |
3290 |
Chew, Victoria |
1124465133 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-120.121778773172 |
36.0078165287099 |
3298 |
Vo, Dieuhien |
1124489877 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1000 Skyiine Blvd |
Avenal |
UNKNOWN |
93204 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
38250 |
8500 |
36.007816529 |
-120.121778773 |
-122.532927443447 |
38.0685794121102 |
3302 |
Cohen, Michelle |
1124578901 |
Nurse Practitioner |
UNKNOWN |
9 Commercial Blvd, Ste 103 |
Novato |
Marin |
94945 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0685794125 |
-122.532927443 |
-122.231195302121 |
37.7991749638535 |
3319 |
Meyer, Suzanne |
1134137680 |
Physician |
INTERNAL MEDICINE |
1411 E. 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.329789269359 |
34.0979749635737 |
3365 |
Johnson, Jeffery |
1134181647 |
Physician |
NEPHROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.240379999837 |
34.1367570001355 |
3368 |
Lee, Judy |
1134198922 |
Physician |
UNKNOWN |
801 South Chevy Chase Drive |
Glendale |
Los Angeles |
91205 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.136757 |
-118.24038 |
-122.224776035785 |
37.7798441425932 |
3373 |
Adler, Ronald |
1134206162 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-116.32904549985 |
33.1939799996773 |
3374 |
Figueroa, Brenda |
1134205214 |
Physician |
PEDIATRIC MEDICINE |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
38250 |
8500 |
33.19398 |
-116.3290455 |
-122.532927443447 |
38.0685794121102 |
3375 |
Horch, Jennifer |
1134209927 |
Nurse Practitioner |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
UNKNOWN |
94925 |
California |
2015 |
2017 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-118.329789269359 |
34.0979749635737 |
3377 |
JACOBS, ROBERT |
1134213150 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.231195302121 |
37.7991749638535 |
3400 |
Bernstein, Ralph |
1134229297 |
Physician |
GASTROENTEROLOGY |
1411 E 31st Street, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.122650002795 |
32.812365973311 |
3405 |
BERGER-FINLEY, ANN MARIE |
1134256639 |
Nurse Practitioner |
UNKNOWN |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-118.539274500418 |
34.2012114570431 |
3419 |
Nguyen, Chang |
1134272115 |
Dentist |
UNKNOWN |
18625 Sherman Way, Ste 105 |
Reseda |
Los Angeles |
91335 |
California |
2016 |
2016 |
1 |
AIU |
Chang Huu Nguyen |
1134272115 |
21250 |
21250 |
34.2012114569 |
-118.5392745 |
-122.132916000373 |
38.0065680004129 |
3433 |
Tzvieli, Ori |
1134285331 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.045836668228 |
34.0764334702285 |
3439 |
Bleuel, Olga |
1134289655 |
Dentist |
UNKNOWN |
10418 Valley Boulevard, Suite B |
El Monte |
Los Angeles |
91731 |
California |
2020 |
2020 |
4 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
46750 |
8500 |
34.0764334701 |
-118.045836668 |
-117.122650002795 |
32.812365973311 |
3442 |
Leshner, Robert |
1134293319 |
Physician |
NEUROLOGY |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2012 |
2013 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-123.211126833337 |
39.1278118681233 |
3449 |
Finnegan, Maria |
1134299134 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
63750 |
8500 |
39.1278118679 |
-123.211126833 |
-122.132916000373 |
38.0065680004129 |
3457 |
Alingog, Karen |
1134312523 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1568540763 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.256769000189 |
34.0030619996116 |
3462 |
Partovi, Susan |
1134312812 |
Physician |
UNKNOWN |
4425 S Central Ave. |
Los Angeles |
Los Angeles |
90011 |
California |
2014 |
2015 |
2 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
29750 |
8500 |
34.003062 |
-118.256769 |
-118.291512266878 |
34.0315089570728 |
3463 |
Lee, Jina |
1134322720 |
Dentist |
UNKNOWN |
2604 S Vermont Ave, Suite F |
Los Angeles |
Los Angeles |
90007 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.031508957 |
-118.291512267 |
-122.224776035785 |
37.7798441425932 |
3465 |
Chertok, Hallie |
1134332133 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2016 |
2018 |
3 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
38250 |
8500 |
37.7798441429 |
-122.224776036 |
-122.017646291043 |
36.9915277342176 |
3466 |
Molloy, Mary-Ann |
1134332604 |
Nurse Practitioner |
CERTIFIED NURSE MIDWIFE |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2012 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-118.280834826666 |
33.7378414178472 |
3479 |
demandante, milagros |
1134342041 |
Physician |
PSYCHIATRY |
150 W 7th St |
San Pedro |
Los Angeles |
90731 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.737841418 |
-118.280834827 |
-115.56148168693 |
32.7942179997609 |
3481 |
Ang, Aimee |
1134350572 |
Physician |
UNKNOWN |
202 N 8th St |
El Centro |
Imperial |
92243 |
California |
2017 |
2018 |
2 |
MU |
COUNTY BEHAVIORAL IMPERIAL |
1225258841 |
29750 |
8500 |
32.794218 |
-115.561481687 |
-118.536111710687 |
34.2225762425996 |
3491 |
Sodha, Vinod |
1134375223 |
Physician |
UNKNOWN |
8363 Reseda Blvd, #11 |
Northridge |
Los Angeles |
91324 |
California |
2017 |
2018 |
5 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
55250 |
8500 |
34.2225762434 |
-118.536111711 |
-122.432541453725 |
37.7905062808402 |
3498 |
Kirk, Jeffrey |
1134386436 |
Dentist |
UNKNOWN |
2155 Webster St |
San Francisco |
San Francisco |
94115 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
37.790506281 |
-122.432541454 |
-119.251855838176 |
34.2762568924417 |
3499 |
YATES, MICHELLE |
1134382757 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-121.931844043068 |
37.3128740632874 |
3501 |
Mulkerin, Christine |
1134392608 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
3507 |
Gujjula, Prashanthi |
1134407547 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
3512 |
Murugaiah, Subathra |
1134418916 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.532927443447 |
38.0685794121102 |
3513 |
Meshkin, Neda |
1134417850 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2017 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-117.561250145278 |
33.9091508849054 |
3529 |
aguila, iliana |
1134463532 |
Physician |
UNKNOWN |
1860 Hamner Ave |
Norco |
Riverside |
92860 |
California |
2014 |
2015 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.9091508851 |
-117.561250145 |
-122.028876790931 |
36.9749133592642 |
3534 |
Fuchs, Maria |
1134465933 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2013 |
2014 |
1 |
AIU |
CRUZ WOMEN'S SANTA |
1902923329 |
21250 |
21250 |
36.9749133589 |
-122.028876791 |
-122.132222999892 |
37.4734260001099 |
3540 |
Allouche, Anna |
1134491178 |
Nurse Practitioner |
UNKNOWN |
1885 Bay Rd |
East Palo Alto |
San Mateo |
94303 |
California |
2018 |
2019 |
2 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
29750 |
8500 |
37.473426 |
-122.132223 |
-118.184503499637 |
33.8084730004287 |
3544 |
Marroquin, Jacqueline |
1134503576 |
Nurse Practitioner |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
5 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
55250 |
8500 |
33.808473 |
-118.1845035 |
-119.800377524303 |
36.8843745979094 |
3552 |
Kuipers, Jenna |
1134521941 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2017 |
2018 |
2 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
29750 |
8500 |
36.8843745978 |
-119.800377524 |
-122.132916000373 |
38.0065680004129 |
3555 |
Tay, Wesley |
1134534738 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-122.730009116028 |
38.4800536013926 |
3559 |
Ostrow, Carly |
1134546534 |
Dentist |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-119.337547068442 |
36.2234687042174 |
3566 |
Sy-Siong, Jerome |
1134557499 |
Dentist |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
3 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
38250 |
8500 |
36.2234687039 |
-119.337547068 |
-120.982856782315 |
37.6471734770744 |
3571 |
Quesada-Beckner, Martha |
1134576481 |
Nurse Practitioner |
UNKNOWN |
830 Scenic Dr |
Modesto |
Stanislaus |
95353 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HEALTH STANISLAUS |
1891991741 |
21250 |
21250 |
37.647173477 |
-120.982856782 |
-118.253136594378 |
34.025821040109 |
3574 |
Sethness, Javier |
1134586076 |
Nurse Practitioner |
UNKNOWN |
1005 E. Washington Blvd, Suite A |
Los Angeles |
Los Angeles |
90021 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HEALTH UNIVERSAL |
1093023277 |
29750 |
8500 |
34.0258210403 |
-118.253136594 |
-121.764257652369 |
36.9267353723396 |
3585 |
Kollmann, Alice |
1144220831 |
Nurse Practitioner |
UNKNOWN |
9 Crestview Dr |
Watsonville |
Santa Cruz |
95076 |
California |
2017 |
2018 |
4 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
46750 |
8500 |
36.9267353719 |
-121.764257652 |
-122.231195302121 |
37.7991749638535 |
3593 |
Holden, Bradley |
1144230707 |
Physician |
UNKNOWN |
1411 E 31st Street, Oak Care Med Grp |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.152023500284 |
32.7983220001602 |
3595 |
Wallace, Charles |
1144229600 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
3613 |
Sanchez, Diane |
1144263021 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95134 |
California |
2015 |
2016 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-121.931761542861 |
37.3141238808125 |
3616 |
Suarez, Mary Christine |
1144268202 |
Physician |
UNKNOWN |
750 S Bascom |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.314123881 |
-121.931761543 |
-121.931844043068 |
37.3128740632874 |
3619 |
Kirsch, Carl |
1144285735 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.764257652369 |
36.9267353723396 |
3623 |
Rush, Shelby |
1144290586 |
Physician |
FAMILY PRACTICE |
9 Crestview Dr |
Watsonville |
Santa Cruz |
95076 |
California |
2012 |
2013 |
2 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
29750 |
8500 |
36.9267353719 |
-121.764257652 |
-121.931844043068 |
37.3128740632874 |
3627 |
Davila, Alvaro |
1144299926 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.017646291043 |
36.9915277342176 |
3629 |
Natu, Himani |
1144301623 |
Physician |
PSYCHIATRY |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2012 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-122.748589048346 |
38.4279142321561 |
3633 |
Lewis, Joel |
1144304114 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-118.099141577722 |
33.8701286160428 |
3639 |
Bernardez, Rhoda |
1144309790 |
Physician |
PSYCHIATRY |
17707 Studebaker Rd |
Cerritos |
Los Angeles |
90703 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.8701286164 |
-118.099141578 |
-121.931844043068 |
37.3128740632874 |
3640 |
Nguyen, Phuong |
1144314626 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.277265242997 |
34.0038303938576 |
3649 |
Powell, Cheryl |
1144320987 |
Physician |
UNKNOWN |
231 W Vernon Ave Ste 104 |
Los Angeles |
Los Angeles |
90037 |
California |
2020 |
2020 |
5 |
MU |
CHERYL MD INC POWELL |
1073922910 |
55250 |
8500 |
34.0038303938 |
-118.277265243 |
-118.329789269359 |
34.0979749635737 |
3655 |
PEREZ, IRIS |
1144328378 |
Physician |
PULMONARY DISEASE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
3686 |
Gersten-Rothenberg, Karen |
1144378902 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
3 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
38250 |
8500 |
37.7798441429 |
-122.224776036 |
-117.152023500284 |
32.7983220001602 |
3698 |
FRAZER, JEFFREY |
1144378852 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-117.228721500197 |
33.2096760004471 |
3699 |
Stenzel, Loretta |
1144388729 |
Physician |
FAMILY PRACTICE |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-118.318967999673 |
33.9164744528338 |
3704 |
jung, james |
1144394149 |
Physician |
PSYCHIATRY |
2311 W El Segundo Blvd |
Hawthorne |
Los Angeles |
90250 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.916474453 |
-118.318968 |
-122.729542848124 |
38.480334159294 |
3728 |
Ronchelli, JANIE |
1144418815 |
Nurse Practitioner |
UNKNOWN |
3659 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HLTH SOUTHWEST |
1578766085 |
29750 |
8500 |
38.4803341589 |
-122.729542848 |
-122.748589048346 |
38.4279142321561 |
3749 |
Johnson, Lori |
1144473463 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-119.337547068442 |
36.2234687042174 |
3752 |
Coelho, Alethea |
1144473612 |
Dentist |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH TULARE |
1023011632 |
21250 |
21250 |
36.2234687039 |
-119.337547068 |
-118.090917554601 |
34.090742927744 |
3760 |
Lam, Julie |
1144494659 |
Physician |
UNKNOWN |
923 South San Gabriel Boulevard |
San Gabriel |
Los Angeles |
91776 |
California |
2020 |
2020 |
4 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
46750 |
8500 |
34.0907429285 |
-118.090917555 |
-117.228721500197 |
33.2096760004471 |
3761 |
Ashouri, Omid |
1144501255 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC-WEST VISTA |
1649363375 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
3775 |
Newton, Jacqueline |
1144545302 |
Physician |
UNKNOWN |
751 S. Bascom Ave. |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
25500 |
8500 |
37.3128740633 |
-121.931844043 |
-122.489281175386 |
37.753414020041 |
3779 |
Lew, Rebecca |
1144576489 |
Nurse Practitioner |
NURSE PRACTITIONER |
1800 31st Ave |
San Francisco |
San Francisco |
94122 |
California |
2014 |
2015 |
2 |
MU |
COMMUNITY HEALTH CHINESE |
1487684452 |
29750 |
8500 |
37.7534140197 |
-122.489281175 |
-121.931844043068 |
37.3128740632874 |
3783 |
NAKAMURA, KAYOKO |
1144586736 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
3784 |
Cohn, Shara |
1144588542 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-123.211126833337 |
39.1278118681233 |
3789 |
Hupp, Paul |
1144597444 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
38250 |
8500 |
39.1278118679 |
-123.211126833 |
-118.256434514441 |
33.9855840003014 |
3798 |
Kaskowitz, Sommer |
1144620402 |
Nurse Practitioner |
UNKNOWN |
5970 S Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2015 |
2017 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-122.132916000373 |
38.0065680004129 |
3802 |
Mogler, Caroline |
1144635749 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
3804 |
Cheema, Vaneet |
1144639592 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.741646382874 |
38.4291716651403 |
3808 |
Chang, Tina |
1144646027 |
Nurse Practitioner |
UNKNOWN |
711 Stony Point Rd Ste 17 |
Santa Rosa |
Sonoma |
95407 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4291716653 |
-122.741646383 |
-122.532927443447 |
38.0685794121102 |
3819 |
Applin, Alicia |
1144663766 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
4 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
46750 |
8500 |
38.0685794125 |
-122.532927443 |
-118.413825981784 |
34.1944379999138 |
3820 |
Ynoquio, Tiffany Rose |
1144660697 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2020 |
2020 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-122.028876790931 |
36.9749133592642 |
3833 |
stafford, lisa |
1144779497 |
Nurse Practitioner |
UNKNOWN |
250 Locust |
Santa Cruz |
Santa Cruz |
95060 |
California |
2018 |
2019 |
3 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
38250 |
8500 |
36.9749133589 |
-122.028876791 |
-119.646007366247 |
36.3359516654371 |
3851 |
Kampfe, Christopher |
1154333045 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1025 N Douty St |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
46750 |
8500 |
36.3359516647 |
-119.646007366 |
-118.329789269359 |
34.0979749635737 |
3853 |
Bracho, Francisco |
1154329209 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.764257652369 |
36.9267353723396 |
3861 |
Moschella, Joann |
1154344653 |
Physician |
FAMILY PRACTICE |
9 Crestview Dr |
Watsonville |
Santa Cruz |
95076 |
California |
2013 |
2014 |
3 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
38250 |
8500 |
36.9267353719 |
-121.764257652 |
-120.369186888764 |
37.976187699303 |
3869 |
BRUNEL, LAWRENCE |
1154351484 |
Physician |
UNKNOWN |
900 Greenley Rd Ste 920 |
Sonora |
Tuolumne |
95370 |
California |
2014 |
2015 |
1 |
AIU |
COMM HOSP SONORA |
1003014952 |
21250 |
21250 |
37.9761876989 |
-120.369186889 |
-118.393975957624 |
34.2395150830547 |
3874 |
VOLPE, LIANA |
1154366730 |
Physician |
GENERAL PRACTICE |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2013 |
2014 |
3 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
38250 |
8500 |
34.2395150827 |
-118.393975958 |
-122.133636000301 |
37.4709959995658 |
3881 |
Velado, Ivonne |
1154370963 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1798 A Bay Rd. |
East Palo Alto |
Santa Clara |
94303 |
California |
2018 |
2019 |
4 |
MU |
COUNTY COMMUNITY SOUTH |
1073640918 |
46750 |
8500 |
37.470996 |
-122.133636 |
-121.931844043068 |
37.3128740632874 |
3886 |
Fay, Peter |
1154384337 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
3896 |
Westerman, Jennifer |
1154404101 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
3918 |
Sinclair, Barbara |
1154430890 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-117.017509499764 |
32.6375639998788 |
3919 |
UY, CARMELITA |
1154431484 |
Physician |
UNKNOWN |
1040 Tierra Del Rey, SUITE 107 |
Chula Vista |
San Diego |
91910 |
California |
2017 |
2018 |
2 |
MU |
CARMELITA L MD INC UY |
1689828105 |
29750 |
8500 |
32.637564 |
-117.0175095 |
-117.352773353707 |
34.071932436233 |
3924 |
Storkersen, Kris |
1154438935 |
Physician |
OPHTHALMOLOGY |
400 N Pepper Ave, General Surgery MOB Ste#308 |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-117.651550499956 |
34.0680510000537 |
3937 |
Despas, Quyen |
1154454908 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
437 N. Euclid Ave. |
Ontario |
San Bernardino |
91762 |
California |
2015 |
2017 |
1 |
AIU |
COMMUNITY HEALTH UNICARE |
1710309513 |
21250 |
21250 |
34.068051 |
-117.6515505 |
-115.56148168693 |
32.7942179997609 |
3947 |
Dilsaver, Steven |
1154463941 |
Physician |
UNKNOWN |
202 North 8th Street |
El Centro |
Imperial |
92243 |
California |
2018 |
2019 |
3 |
MU |
COUNTY BEHAVIORAL IMPERIAL |
1225258841 |
38250 |
8500 |
32.794218 |
-115.561481687 |
-118.240379999837 |
34.1367570001355 |
3949 |
GARRIDO, ALICIA |
1154466399 |
Nurse Practitioner |
NURSE PRACTITIONER |
801 S Chevy Chase Dr Ste 20 |
Glendale |
Los Angeles |
91205 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
38250 |
8500 |
34.136757 |
-118.24038 |
-122.748589048346 |
38.4279142321561 |
3953 |
Jimenez, Douglas |
1154474781 |
Physician |
UNKNOWN |
751 Lombardi Ct Ste B |
Santa Rosa |
Sonoma |
95407 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-117.15612921659 |
33.1407478633233 |
3958 |
Mostofian, Eimaneh |
1154477628 |
Physician |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.852587999736 |
33.6841739997304 |
3968 |
LY, HOA |
1154496768 |
Dentist |
UNKNOWN |
1920 Main St #970 |
Irvine |
UNKNOWN |
92614 |
California |
2015 |
2016 |
1 |
AIU |
CARE DENTAL UNIVERSAL |
1407972219 |
21250 |
21250 |
33.684174 |
-117.852588 |
-122.132916000373 |
38.0065680004129 |
3969 |
Elliff, Jo |
1154498517 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
3973 |
CARVALHO, DANIELA |
1154492916 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
3974 |
LEVINE, FRED |
1154493476 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.184624999844 |
33.8077440000856 |
3986 |
Capetanakis, Maria |
1154516599 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-118.184624999844 |
33.8077440000856 |
3988 |
YEH, PETER |
1154516615 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-122.743877948009 |
38.4400615036355 |
3991 |
Stark, Matthew |
1154519296 |
Dentist |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-118.193363999949 |
33.8000489995617 |
4005 |
Wang, Regina |
1154554871 |
Physician |
UNKNOWN |
2360 Pacific Avenue |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
2 |
MU |
CHILDREN'S CLINIC THE |
1134425804 |
29750 |
8500 |
33.800049 |
-118.193364 |
-121.931844043068 |
37.3128740632874 |
4007 |
Bogatch, Michael |
1154556678 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
4010 |
Sheldon, Will |
1154568012 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
4015 |
Hatcher, Jenika |
1154578813 |
Dentist |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.730009116028 |
38.4800536013926 |
4020 |
kreps-falk, rachel |
1154586675 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2013 |
2 |
MU |
COMMUNITY HEALTH SOUTHWEST |
1558512624 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.97078849959 |
35.3824379999138 |
4022 |
Shelton, Eric |
1154595460 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-119.783164500341 |
36.7465230001364 |
4030 |
Labbe, Susannah |
1154609949 |
Nurse Practitioner |
UNKNOWN |
290 N Wayte Ln |
Fresno |
Fresno |
93701 |
California |
2014 |
2015 |
1 |
AIU |
CALIFORNIA CENTRAL |
1992742852 |
21250 |
21250 |
36.746523 |
-119.7831645 |
-118.329789269359 |
34.0979749635737 |
4031 |
Baskin, Jacquelyn |
1154609162 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.228721500197 |
33.2096760004471 |
4032 |
Milo, Razel |
1154612059 |
Nurse Practitioner |
FAMILY PRACTICE |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-119.251855838176 |
34.2762568924417 |
4036 |
REDICAN, ELIZABETH |
1154615797 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-118.293532020986 |
33.8315565468972 |
4037 |
Rangel Barrera, Carlos |
1154618551 |
Physician |
UNKNOWN |
1000 W Carson St, L4 |
Torrance |
Los Angeles |
90502 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1467678342 |
21250 |
21250 |
33.8315565466 |
-118.293532021 |
-117.228721500197 |
33.2096760004471 |
4043 |
Kelso, Andrew |
1154638187 |
Dentist |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2012 |
2012 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.81837400016 |
38.3967809997434 |
4048 |
Kirkconnell, Molly |
1154659373 |
Physician |
UNKNOWN |
6800 Palm Ave |
Sebastopol |
Sonoma |
95472 |
California |
2018 |
2019 |
4 |
MU |
COUNTY HEALTH CENTER WEST |
1538334065 |
46750 |
8500 |
38.396781 |
-122.818374 |
-122.132490074257 |
38.0066599453003 |
4051 |
Hajyan, Karine |
1154644425 |
Physician |
UNKNOWN |
Contra Costa Regional Medical Center, 2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006659945 |
-122.132490074 |
-115.56148168693 |
32.7942179997609 |
4053 |
KURADA, MANJUSHA |
1154671980 |
Physician |
UNKNOWN |
202 North 8th Street |
El Centro |
Imperial |
92243 |
California |
2018 |
2019 |
3 |
MU |
COUNTY BEHAVIORAL IMPERIAL |
1225258841 |
38250 |
8500 |
32.794218 |
-115.561481687 |
-117.152023500284 |
32.7983220001602 |
4054 |
Aristizabal, Maria |
1154662583 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-122.489281175386 |
37.753414020041 |
4067 |
Liu, Siwei |
1154727998 |
Nurse Practitioner |
UNKNOWN |
1800 31st Ave |
San Francisco |
San Francisco |
94122 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HEALTH CHINESE |
1487684452 |
38250 |
8500 |
37.7534140197 |
-122.489281175 |
-122.500401958883 |
37.9578750436984 |
4070 |
nguyen, tu |
1154733020 |
Dentist |
UNKNOWN |
3110 Kerner Blvd |
San Rafael |
Marin |
94901 |
California |
2018 |
2019 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
37.9578750436 |
-122.500401959 |
-122.132916000373 |
38.0065680004129 |
4075 |
Richmond, Marcie |
1154752814 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-116.405861534882 |
33.7905179998059 |
4078 |
Hoang, Ai-Chau |
1154762151 |
Physician |
UNKNOWN |
35800 bob hope dr, suite 225 |
ranch mirage |
Riverside |
92270 |
California |
2016 |
2017 |
2 |
MU |
CHOICE PHYSICIAN FIRST |
1558797118 |
29750 |
8500 |
33.790518 |
-116.405861535 |
-122.730009116028 |
38.4800536013926 |
4079 |
Wilkinson, Emily |
1154768075 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HLTH SOUTHWEST |
1578766085 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-117.152023500284 |
32.7983220001602 |
4083 |
Tolentino, Christina |
1154762003 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.798322 |
-117.1520235 |
-122.224776035785 |
37.7798441425932 |
4087 |
Ashley, Brynn |
1154790970 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.610709510136 |
36.5833079998644 |
4095 |
Shipman, Arlene |
1164406757 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3275 McCall Ave |
Selma |
UNKNOWN |
93662 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1508881376 |
29750 |
8500 |
36.583308 |
-119.61070951 |
-117.228721500197 |
33.2096760004471 |
4107 |
WHALLEY, PATRICK |
1164431623 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2012 |
2013 |
2 |
MU |
COMM CLINIC VISTA |
1295822658 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-117.29368569284 |
33.0374764437829 |
4109 |
SCHROEDER, MARY |
1164431664 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1130 2nd St |
Encinitas |
San Diego |
92024 |
California |
2017 |
2018 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.0374764438 |
-117.293685693 |
-117.102322508777 |
32.7514272099978 |
4111 |
Poast, Jennifer |
1164435681 |
Physician |
INTERNAL MEDICINE |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2013 |
2014 |
3 |
MU |
COMM CLINIC MID-CITY |
1306827332 |
38250 |
8500 |
32.7514272104 |
-117.102322509 |
-117.357922269197 |
33.2078401756836 |
4112 |
Curley, Edward |
1164434312 |
Physician |
UNKNOWN |
2210 Mesa Dr, Suite 12 |
Oceanside |
San Diego |
92054 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.2078401763 |
-117.357922269 |
-120.371412317824 |
37.9848949173666 |
4116 |
Dubose, Daniel |
1164437471 |
Physician |
UNKNOWN |
795 Morning Star Drive |
Sonora |
Tuolumne |
95370 |
California |
2014 |
2015 |
1 |
AIU |
COMM HOSP SONORA |
1003014952 |
21250 |
21250 |
37.9848949169 |
-120.371412318 |
-121.565801673608 |
39.1195374389017 |
4119 |
Kryski, Charles |
1164447447 |
Physician |
UNKNOWN |
5730 Packard Ave, Ste 600 |
Marysville |
Yuba |
95901 |
California |
2013 |
2014 |
2 |
MU |
CHARLES G KRYSKI |
1164447447 |
29750 |
8500 |
39.1195374394 |
-121.565801674 |
-118.203022217801 |
34.0626159023021 |
4128 |
Donovan, John |
1164451688 |
Physician |
INTERNAL MEDICINE |
1520 San Pablo St, SUITE 1000 |
Los Angeles |
Los Angeles |
90033 |
California |
2012 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.062615902 |
-118.203022218 |
-117.15612921659 |
33.1407478633233 |
4136 |
Russo, Paul |
1164465753 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
1 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-117.228721500197 |
33.2096760004471 |
4142 |
Raya-Morones, Ruby |
1164467791 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.231195302121 |
37.7991749638535 |
4150 |
Steegers, Sabine |
1164491080 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
4156 |
Frohlich, Thomas |
1164499638 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.15612921659 |
33.1407478633233 |
4160 |
Cooper-McQueen, Paula |
1164505780 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
150 VALPREDA ROAD |
SAN MARCOS |
San Diego |
92069 |
California |
2017 |
2018 |
5 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
55250 |
8500 |
33.1407478629 |
-117.156129217 |
-119.759074820247 |
36.8388534448306 |
4161 |
Moors, Richard |
1164513081 |
Physician |
OPHTHALMOLOGY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2013 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-118.256434514441 |
33.9855840003014 |
4170 |
THAI, TRUNG MINH |
1164517249 |
Physician |
UNKNOWN |
5970 S Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2014 |
2015 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-122.017646291043 |
36.9915277342176 |
4180 |
Nair, Latha |
1164527560 |
Physician |
UNKNOWN |
1080 Emeline |
Santa Cruz |
Santa Cruz |
95060 |
California |
2018 |
2019 |
2 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
8500 |
8500 |
36.9915277341 |
-122.017646291 |
-121.931844043068 |
37.3128740632874 |
4181 |
Saxena, Anjali |
1164527826 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.15612921659 |
33.1407478633233 |
4184 |
FARD, SHAROUZ |
1164531976 |
Dentist |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.00700650015 |
32.7807720002277 |
4185 |
Gellens, Andrew |
1164528741 |
Physician |
UNKNOWN |
8851 Center Dr 210 |
La Mesa |
San Diego |
91942 |
California |
2014 |
2014 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
32.780772 |
-117.0070065 |
-118.226857500373 |
33.9791219999804 |
4187 |
Villanueva, Juventino |
1164532446 |
Physician |
UNKNOWN |
6601 Rugby Ave, Ste 300 |
Huntington Park |
Los Angeles |
90255 |
California |
2012 |
2015 |
1 |
AIU |
CITY MEDICAL GRP CROWN |
1508989500 |
21250 |
21250 |
33.979122 |
-118.2268575 |
-122.508053784754 |
37.9232463227597 |
4191 |
Gee, John |
1164543922 |
Dentist |
UNKNOWN |
117 Yolo St |
Corte Madera |
Marin |
94925 |
California |
2018 |
2019 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
37.9232463234 |
-122.508053785 |
-122.231195302121 |
37.7991749638535 |
4194 |
lake, robert |
1164550018 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-122.370506570622 |
40.6811490872606 |
4203 |
Knickerbocker, .Pamela |
1164561353 |
Physician |
UNKNOWN |
4215 Front St |
Shasta Lake |
Shasta |
96019 |
California |
2018 |
2019 |
5 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
55250 |
8500 |
40.6811490871 |
-122.370506571 |
-117.637216267017 |
34.0460598285983 |
4204 |
Quam, Yolanda |
1164557740 |
Physician |
UNKNOWN |
1501A S Bon View Ave |
Ontario |
San Bernardino |
91761 |
California |
2012 |
2013 |
2 |
MU |
COME FIRST KIDS |
1154547065 |
29750 |
8500 |
34.0460598295 |
-117.637216267 |
-118.413825981784 |
34.1944379999138 |
4209 |
Kirchen, Maryellen |
1164569331 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave, Suite 1B |
North Hollywood |
Los Angeles |
91605 |
California |
2017 |
2018 |
5 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
55250 |
8500 |
34.194438 |
-118.413825982 |
-121.931844043068 |
37.3128740632874 |
4214 |
Ugaddan Celestial, Geraldine May |
1164578233 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.800377524303 |
36.8843745979094 |
4221 |
Grazulis, Michele |
1164583852 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
63750 |
8500 |
36.8843745978 |
-119.800377524 |
-117.228721500197 |
33.2096760004471 |
4224 |
BOJORQUEZ, SANDRA |
1164589594 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2012 |
2012 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-118.242830597554 |
33.9245590162856 |
4232 |
Usmani, Tehmina |
1164597563 |
Physician |
GENERAL PRACTICE |
1720 E 120th St |
Los Angeles |
Los Angeles |
90059 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.9245590158 |
-118.242830598 |
-122.132916000373 |
38.0065680004129 |
4233 |
Tai, Denice |
1164603064 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
4235 |
LEVY, MICHAEL |
1164593927 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-119.449514498695 |
36.5967601093916 |
4264 |
Gaytan, Mauricio |
1164654422 |
Physician |
UNKNOWN |
1121 F STREET |
REEDLEY |
Fresno |
93654 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1083647036 |
38250 |
8500 |
36.5967601085 |
-119.449514499 |
-121.931844043068 |
37.3128740632874 |
4267 |
NANJIREDDY, REENA |
1164657094 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.15612921659 |
33.1407478633233 |
4269 |
Fodda, Rami |
1164660452 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
5 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
55250 |
8500 |
33.1407478629 |
-117.156129217 |
-122.231195302121 |
37.7991749638535 |
4270 |
Miraflor, Emily |
1164658704 |
Certified Nurse - Midwife |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
4280 |
rangwala, anisa |
1164678181 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.885863516288 |
37.6882558157533 |
4288 |
Lombre, Christi |
1164687661 |
Physician |
UNKNOWN |
5725 W Las Positas Blvd, Suite 110 |
Pleasanton |
Alameda |
94588 |
California |
2013 |
2014 |
3 |
MU |
CARE MEDICAL VALLEY |
1356598825 |
32583.34 |
5666.67 |
37.6882558161 |
-121.885863516 |
-118.329789269359 |
34.0979749635737 |
4290 |
Andras, Lindsay |
1164690988 |
Physician |
ORTHOPEDIC SURGERY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.231195302121 |
37.7991749638535 |
4300 |
Nelson, Nicholas |
1164701843 |
Physician |
UNKNOWN |
1411 E 31st St, Department of Medicine |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-123.211126833337 |
39.1278118681233 |
4301 |
Alba, Cayo |
1164718334 |
Certified Nurse - Midwife |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
29750 |
8500 |
39.1278118679 |
-123.211126833 |
-117.122650002795 |
32.812365973311 |
4308 |
SANTANA, NASREEN |
1164738209 |
Nurse Practitioner |
UNKNOWN |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-117.0685633747 |
33.1327181189461 |
4312 |
Arellano-Cruz, Irene |
1164747515 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1151 E Washington Ave, Suite C |
Escondido |
San Diego |
92025 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.1327181185 |
-117.068563375 |
-117.228721500197 |
33.2096760004471 |
4320 |
Haynie, Jonathan |
1164765566 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.408982000419 |
37.795472999979 |
4326 |
Tang, Sai Ying |
1164772448 |
Nurse Practitioner |
UNKNOWN |
845 Jackson St, Specialty Clinic |
San Francisco |
San Francisco |
94133 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HEALTH CHINESE |
1487684452 |
38250 |
8500 |
37.795473 |
-122.408982 |
-119.614063079348 |
36.5705924162071 |
4329 |
Ayala, Raul |
1164774675 |
Physician |
UNKNOWN |
2141 High St Ste E |
Selma |
Fresno |
93662 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1427025691 |
38250 |
8500 |
36.5705924163 |
-119.614063079 |
-122.730009116028 |
38.4800536013926 |
4330 |
Losada, Catherine |
1164786992 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
4 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
46750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.132916000373 |
38.0065680004129 |
4345 |
Butler, Kimberly |
1164851937 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1467522284 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.267849994182 |
37.8371699632233 |
4352 |
Lande, Claire |
1164857538 |
Physician |
UNKNOWN |
Children's Hospital Oakland, 747 52nd Street |
Oakland |
Alameda |
94609 |
California |
2015 |
2016 |
1 |
AIU |
Claire Lande |
1164857538 |
21250 |
21250 |
37.8371699628 |
-122.267849994 |
-118.187343371599 |
33.8090145901513 |
4356 |
Le, Yen |
1174071799 |
Nurse Practitioner |
UNKNOWN |
455 E Columbia |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
5 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
55250 |
8500 |
33.8090145898 |
-118.187343372 |
-120.365414622187 |
37.9886409741017 |
4360 |
GUSTAFSON, JULIA |
1174509103 |
Nurse Practitioner |
UNKNOWN |
12811 Covey Cir |
Sonora |
Tuolumne |
95370 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
55250 |
8500 |
37.9886409745 |
-120.365414622 |
-121.939887305155 |
40.8041224683773 |
4370 |
Balcazar, Mirtha |
1174515969 |
Physician |
INTERNAL MEDICINE |
29632 Highway 299 East |
Round Mountain |
Shasta |
96084 |
California |
2016 |
2017 |
3 |
MU |
COUNTRY COMM CLINIC HILL |
1407914260 |
38250 |
8500 |
40.8041224681 |
-121.939887305 |
-118.090917554601 |
34.090742927744 |
4373 |
Lee, Kuan-Yi |
1174542203 |
Dentist |
UNKNOWN |
923 S. San Gabriel Blvd. |
San Gabriel |
Los Angeles |
91776 |
California |
2020 |
2020 |
5 |
MU |
CHRISTIAN HEALTH HERALD |
1386000248 |
55250 |
8500 |
34.0907429285 |
-118.090917555 |
-119.614063079348 |
36.5705924162071 |
4378 |
Charles, Rene |
1174541239 |
Physician |
UNKNOWN |
2141 High St., Ste. E |
Selma |
Fresno |
93662 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1427025691 |
29750 |
8500 |
36.5705924163 |
-119.614063079 |
-118.256434514441 |
33.9855840003014 |
4391 |
Chuateco, Caroucel |
1174554059 |
Physician |
UNKNOWN |
5970 South Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2014 |
2015 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-118.256769000189 |
34.0030619996116 |
4401 |
MARTIN, JAMES |
1174574982 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
2 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
29750 |
8500 |
34.003062 |
-118.256769 |
-121.931844043068 |
37.3128740632874 |
4402 |
Hui, Wendy |
1174586655 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
4403 |
Brewster, Hollister |
1174596621 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
4405 |
Cahill, Peter |
1174598247 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
4410 |
Feldstein, Ariel |
1174587281 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.467314221674 |
34.2557162033402 |
4417 |
Arella, Salvador |
1174616882 |
Physician |
UNKNOWN |
10200 Sepulveda Blvd. #300B |
Mission Hills |
Los Angeles |
91345 |
California |
2015 |
2016 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.2557162026 |
-118.467314222 |
-122.81837400016 |
38.3967809997434 |
4418 |
Berney, Rhonda |
1174617708 |
Physician |
FAMILY PRACTICE |
6800 Palm Ave, Suite C |
Sebastopol |
Sonoma |
95472 |
California |
2016 |
2017 |
5 |
MU |
COUNTY HEALTH CENTER WEST |
1538334065 |
55250 |
8500 |
38.396781 |
-122.818374 |
-118.329789269359 |
34.0979749635737 |
4419 |
HARDY, BRIAN |
1174616726 |
Physician |
UROLOGY |
6430 Sunset Blvd Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931844043068 |
37.3128740632874 |
4421 |
Wong, Ben |
1174619811 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
4427 |
PITUKCHEEWANONT, PISIT |
1174624654 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.132916000373 |
38.0065680004129 |
4445 |
Kirkpatrick, Haley |
1174638548 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
4446 |
Twoy, Richard |
1174641526 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.546365499868 |
36.6043410003369 |
4457 |
Panoff, Cristian |
1174661656 |
Dentist |
UNKNOWN |
13669 E Manning Ave, Suite 104 |
Parlier |
Fresno |
93648 |
California |
2012 |
2013 |
1 |
AIU |
Cristian I Panoff |
1174661656 |
21250 |
21250 |
36.604341 |
-119.5463655 |
-121.931844043068 |
37.3128740632874 |
4463 |
Burkham, Jennifer |
1174670350 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
4481 |
SIEGLER, DENNIS |
1174687743 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
4487 |
Shabel, Sophie |
1174693527 |
Physician |
OBSTETRICS/GYNECOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.152023500284 |
32.7983220001602 |
4493 |
CATANZARITE, VALERIAN |
1174694939 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-117.15612921659 |
33.1407478633233 |
4494 |
Pountney Levesque, Marlene |
1174703680 |
Physician |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.316325295276 |
34.4237488601219 |
4497 |
Boshra, Victor |
1174704456 |
Nurse Practitioner |
UNKNOWN |
15888 Main St Suite 112-B |
Hesperia |
San Bernardino |
92345 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA MEDICA HESPERIA |
1164728788 |
21250 |
21250 |
34.4237488604 |
-117.316325295 |
-118.329789269359 |
34.0979749635737 |
4501 |
Brown, Robert |
1174712962 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.184624999844 |
33.8077440000856 |
4508 |
Chandler, Maria |
1174717862 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-121.873719412221 |
37.6614078555881 |
4512 |
Beeckman, Jennifer |
1174729271 |
Nurse Practitioner |
NURSE PRACTITIONER |
4361 Railroad Ave |
Pleasanton |
Alameda |
94566 |
California |
2012 |
2013 |
2 |
MU |
COMMUNITY HEALTH AXIS |
1669403390 |
29750 |
8500 |
37.6614078563 |
-121.873719412 |
-119.025040500419 |
35.3762364882234 |
4516 |
Fahmy, Wafika |
1174729958 |
Physician |
UNKNOWN |
2011 19th St |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.3762364879 |
-119.0250405 |
-122.132916000373 |
38.0065680004129 |
4535 |
Duque Silva, Alexandra |
1174758585 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
UNKNOWN |
94553 |
California |
2015 |
2015 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-121.873719412221 |
37.6614078555881 |
4537 |
Tafreshian, Sepideh |
1174771331 |
Physician |
FAMILY PRACTICE |
4361 Railroad Ave |
Pleasnaton |
UNKNOWN |
94566 |
California |
2013 |
2014 |
3 |
MU |
COMMUNITY HEALTH AXIS |
1669403390 |
38250 |
8500 |
37.6614078563 |
-121.873719412 |
-122.132916000373 |
38.0065680004129 |
4538 |
Splivalo, Lesley |
1174772941 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-117.866327520898 |
33.8526446614221 |
4546 |
EBRAHIM, GUL |
1174786024 |
Physician |
UNKNOWN |
2911 E Coronado St |
Anaheim |
Orange |
92806 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.8526446614 |
-117.866327521 |
-122.748589048346 |
38.4279142321561 |
4554 |
Cunningham, Andrew |
1174799944 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-118.240379999837 |
34.1367570001355 |
4569 |
Wang, Jenny |
1174844104 |
Physician |
UNKNOWN |
801 S. Chevy Chase Dr. Suite 250 |
Glendale |
Los Angeles |
91205 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
17000 |
8500 |
34.136757 |
-118.24038 |
-122.748589048346 |
38.4279142321561 |
4572 |
Stromberg, David |
1174848808 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2012 |
2013 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.748589048346 |
38.4279142321561 |
4575 |
Hancock, Christine |
1174848865 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2012 |
2013 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4279142323 |
-122.748589048 |
-118.398478499783 |
34.1866995081758 |
4576 |
DeClue, Karen |
1174858534 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
12157 Victory Blvd |
North Hollywood |
Los Angeles |
91606 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.1866995076 |
-118.3984785 |
-120.723421943068 |
37.3798552940866 |
4586 |
Kaur, Rajvinder |
1174906606 |
Nurse Practitioner |
UNKNOWN |
1140 Main Street |
Livingston |
Merced |
95334 |
California |
2015 |
2016 |
1 |
AIU |
COMM HLTH SVS LIVINGSTON |
1427110329 |
21250 |
21250 |
37.3798552945 |
-120.723421943 |
-118.240379999837 |
34.1367570001355 |
4587 |
Arredondo, Adriana |
1174894208 |
Nurse Practitioner |
UNKNOWN |
801 S Chevy Chase Dr, Suite 20 |
Glendale |
Los Angeles |
91205 |
California |
2020 |
2020 |
4 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
46750 |
8500 |
34.136757 |
-118.24038 |
-118.007464500386 |
33.8581620003761 |
4588 |
Seong, Namju |
1174907158 |
Nurse Practitioner |
UNKNOWN |
7212 Orangethorpe Ave Ste 9A |
Buena Park |
Orange |
90621 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY SERVICES KOREAN |
1861525602 |
29750 |
8500 |
33.858162 |
-118.0074645 |
-123.211126833337 |
39.1278118681233 |
4589 |
Ayeko, Christopher |
1174911994 |
Nurse Practitioner |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
46750 |
8500 |
39.1278118679 |
-123.211126833 |
-118.349731509102 |
33.954067100916 |
4611 |
Hungate, Ryan |
1184001695 |
Dentist |
UNKNOWN |
300 E Buckthorn St |
Inglewood |
Los Angeles |
90301 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN'S DENTAL CENTER THE |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-116.456049000261 |
33.8135669997173 |
4613 |
Fontanilla, Robert |
1184005258 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
69175 Ramon Rd, Building A |
Cathedral City |
Riverside |
92234 |
California |
2020 |
2020 |
3 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
38250 |
8500 |
33.813567 |
-116.456049 |
-117.354280499645 |
33.1962209995995 |
4623 |
samson, jose |
1184045825 |
Nurse Practitioner |
UNKNOWN |
605 Crouch Street |
Oceanside |
San Diego |
92054 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.196221 |
-117.3542805 |
-118.97078849959 |
35.3824379999138 |
4636 |
Cano, Dalia |
1184072621 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave. |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.030855499881 |
34.1311139998113 |
4640 |
Galletly, Suzanne |
1184087652 |
Nurse Practitioner |
UNKNOWN |
800 S. Santa Anita Ave. |
Arcadia |
Los Angeles |
91006 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.131114 |
-118.0308555 |
-117.885446682219 |
33.7111736116729 |
4642 |
Zaw, Ashley |
1184089922 |
Nurse Practitioner |
UNKNOWN |
2650 S Bristol St, Suites 101-103 |
Santa Ana |
Orange |
92704 |
California |
2016 |
2017 |
1 |
AIU |
COAST PEDIATRICS SOUTH |
1568495364 |
21250 |
21250 |
33.7111736123 |
-117.885446682 |
-122.02631550016 |
36.9775800002169 |
4643 |
Vandenberg, Emily |
1184163396 |
Nurse Practitioner |
UNKNOWN |
125 Water St Ste A |
Santa Cruz |
Santa Cruz |
95060 |
California |
2018 |
2019 |
2 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
29750 |
8500 |
36.97758 |
-122.0263155 |
-118.329789269359 |
34.0979749635737 |
4656 |
Wong, Kenneth |
1184628695 |
Physician |
RADIATION ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931844043068 |
37.3128740632874 |
4660 |
kohli, meeta |
1184634875 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-123.798730000589 |
39.4326005056089 |
4661 |
MAHON, WILLIAM |
1184646259 |
Physician |
UNKNOWN |
510 Cypress St Ste D |
Fort Bragg |
Mendocino |
95437 |
California |
2013 |
2014 |
1 |
AIU |
COAST CLINICS MENDOCINO |
1083783757 |
21250 |
21250 |
39.4326005062 |
-123.798730001 |
-122.132916000373 |
38.0065680004129 |
4665 |
Blaisch, Brian |
1184648909 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.748589048346 |
38.4279142321561 |
4671 |
Haney, Jeffrey |
1184652943 |
Physician |
FAMILY PRACTICE |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2017 |
2018 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4279142323 |
-122.748589048 |
-119.678223039761 |
36.6299082800431 |
4674 |
Rubinstein, Joan |
1184653974 |
Physician |
UNKNOWN |
119 S 6th St |
Fowler |
Fresno |
93625 |
California |
2015 |
2016 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1093732554 |
29750 |
8500 |
36.6299082803 |
-119.67822304 |
-121.85272349979 |
37.3626449995671 |
4680 |
Contreras, Claudio |
1184663387 |
Physician |
UNKNOWN |
2120 McKee Rd |
San Jose |
Santa Clara |
95116 |
California |
2016 |
2017 |
3 |
MU |
CLAUDIO S MD INC CONTRERAS |
1083796510 |
38250 |
8500 |
37.362645 |
-121.8527235 |
-120.326277856138 |
37.9778173041253 |
4689 |
StClair, Jack |
1184681298 |
Doctor of Optometry |
UNKNOWN |
14540 Mono Way |
Sonora |
Tuolumne |
95370 |
California |
2015 |
2016 |
2 |
MU |
COMM HOSP SONORA |
1003014952 |
29750 |
8500 |
37.9778173039 |
-120.326277856 |
-122.947541034691 |
38.4087507018834 |
4694 |
Contreras, Fred |
1184684904 |
Nurse Practitioner |
UNKNOWN |
3802 Main Street |
Occidental |
Sonoma |
95465 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY HEALTH CTRS WEST |
1598768962 |
21250 |
21250 |
38.4087507017 |
-122.947541035 |
-117.228721500197 |
33.2096760004471 |
4701 |
Terrazas, Yves |
1184702961 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2014 |
2015 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-118.329789269359 |
34.0979749635737 |
4710 |
MCCOMB, GORDON |
1184710949 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
4712 |
SHAHAM, BRACHA |
1184710097 |
Physician |
RHEUMATOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.97078849959 |
35.3824379999138 |
4714 |
Sabetian, Katayoun |
1184714453 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.329789269359 |
34.0979749635737 |
4718 |
MARZAN, KATHERINE |
1184719908 |
Physician |
UNKNOWN |
6430 W Sunset Blvd, 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-119.55485700025 |
36.5137289999934 |
4720 |
Austin, Katherine |
1184722837 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1251 Draper St |
Kingsburg |
Fresno |
93631 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1225364060 |
46750 |
8500 |
36.513729 |
-119.554857 |
-121.436558999798 |
38.4935489997866 |
4724 |
su, charles |
1184723801 |
Dentist |
UNKNOWN |
7275 E Southgate Dr, Suite 205 |
Sacramento |
Sacramento |
95823 |
California |
2013 |
2013 |
1 |
AIU |
charles su |
1184723801 |
21250 |
21250 |
38.493549 |
-121.436559 |
-122.224776035785 |
37.7798441425932 |
4725 |
Elizondo, Guadalupe |
1184727497 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132490074257 |
38.0066599453003 |
4733 |
Levin, Sara |
1184707853 |
Physician |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006659945 |
-122.132490074 |
-117.15612921659 |
33.1407478633233 |
4734 |
WITCZAK, IZABELA |
1184735201 |
Physician |
INTERNAL MEDICINE |
150 VALPREDA ROAD |
SAN MARCOS |
San Diego |
92069 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.748589048346 |
38.4279142321561 |
4739 |
Donlon, Deborah |
1184753121 |
Physician |
FAMILY PRACTICE |
751 Lombardi Ct Ste B |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.132916000373 |
38.0065680004129 |
4743 |
Mansouri, Jelriza Claire |
1184762015 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2017 |
1 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
4744 |
PROCTOR, ROGER |
1184761090 |
Physician |
ANESTHESIOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
4748 |
Meyer, Karen |
1184765158 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
4749 |
MOURE, FEDERICO |
1184766503 |
Physician |
NEUROLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
4750 |
Lin, Alice |
1184769341 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
4758 |
Bliss, Judith |
1184781064 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.122650002795 |
32.812365973311 |
4759 |
PARK, SUNG |
1184787665 |
Physician |
UNKNOWN |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-121.931844043068 |
37.3128740632874 |
4763 |
Romalis, Dana |
1184794380 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
4773 |
Temmins, Caroline |
1184811424 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.184624999844 |
33.8077440000856 |
4775 |
Randhawa, Kiranjot |
1184814758 |
Physician |
FAMILY PRACTICE |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2011 |
2012 |
1 |
AIU |
CLINIC, THE CHILDREN'S |
1639233935 |
21250 |
21250 |
33.807744 |
-118.184625 |
-121.931844043068 |
37.3128740632874 |
4777 |
Holden, Angelica |
1184813958 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.184624999844 |
33.8077440000856 |
4780 |
LOPEZ, MARLENE |
1184819534 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
3 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
38250 |
8500 |
33.807744 |
-118.184625 |
-122.224776035785 |
37.7798441425932 |
4781 |
Choi, Jaewoong |
1184819484 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.231195302121 |
37.7991749638535 |
4799 |
Bui, Eric |
1184858797 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
4815 |
Miller, Rebecca |
1184884595 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-118.184624999844 |
33.8077440000856 |
4817 |
King, Alicia |
1184888471 |
Physician |
PEDIATRIC MEDICINE |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2014 |
2015 |
4 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
46750 |
8500 |
33.807744 |
-118.184625 |
-118.184503499637 |
33.8084730004287 |
4818 |
Tsai, Jack |
1184887838 |
Physician |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.808473 |
-118.1845035 |
-122.231195302121 |
37.7991749638535 |
4821 |
Van Dyne, Sonia |
1184891707 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-119.251855838176 |
34.2762568924417 |
4822 |
Lopez, Raymond |
1184894925 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.173367945774 |
37.769210747578 |
4834 |
Lee, Ja-Tee |
1184926693 |
Nurse Practitioner |
UNKNOWN |
6955 Foothill Blvd, #200 |
Oakland |
Alameda |
94605 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.7692107483 |
-122.173367946 |
-122.132916000373 |
38.0065680004129 |
4845 |
Cheun, AeSil |
1184946741 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.413825981784 |
34.1944379999138 |
4847 |
Bell, LaCheisa |
1184948838 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
21250 |
21250 |
34.194438 |
-118.413825982 |
-118.200144220879 |
34.0632203591323 |
4848 |
Polsky, Gayle |
1184949042 |
Physician |
UNKNOWN |
2250 Alcazar Street, Suite 2200 |
Los Angeles |
Los Angeles |
90033 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0632203589 |
-118.200144221 |
-119.800377524303 |
36.8843745979094 |
4849 |
haro, sabrina |
1184954547 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2018 |
2019 |
4 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
46750 |
8500 |
36.8843745978 |
-119.800377524 |
-122.730009116028 |
38.4800536013926 |
4851 |
Baruch, Kalanete |
1184958696 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2020 |
2020 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.278184029969 |
33.9559020002771 |
4852 |
Jones, Birva |
1184953002 |
Dentist |
UNKNOWN |
8880 S Broadway |
Los Angeles |
Los Angeles |
90003 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.955902 |
-118.27818403 |
-122.132916000373 |
38.0065680004129 |
4853 |
Firestein, Talia |
1184966707 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-124.149759157059 |
40.8006381521291 |
4856 |
Palmer, Grayson |
1184971590 |
Dentist |
UNKNOWN |
959 Myrtle Ave |
Eureka |
Humboldt |
95501 |
California |
2013 |
2014 |
1 |
AIU |
COMM HEALTH CTR EUREKA |
1851486989 |
21250 |
21250 |
40.8006381515 |
-124.149759157 |
-122.224776035785 |
37.7798441425932 |
4865 |
Gonzales, Erin |
1184981979 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
4880 |
Patel, Rupalee |
1194020743 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.549952035058 |
34.2664684671461 |
4882 |
ONYEKWE, CORDELIA ROSE |
1194026542 |
Physician |
NURSE PRACTITIONER |
10811 Beckford Ave |
Northridge |
Los Angeles |
91326 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
34.2664684674 |
-118.549952035 |
-122.748589048346 |
38.4279142321561 |
4884 |
Bernard, Natasha |
1194041350 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-122.134456012035 |
37.4720028130794 |
4897 |
Adachi, Alison |
1194075614 |
Dentist |
UNKNOWN |
1807 Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY COMM HEALTH CTR SOUTH |
1184957771 |
21250 |
21250 |
37.4720028128 |
-122.134456012 |
-119.251855838176 |
34.2762568924417 |
4902 |
LEEPER, CONNIE |
1194091165 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.132916000373 |
38.0065680004129 |
4906 |
shah, naman |
1194107540 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.730009116028 |
38.4800536013926 |
4922 |
Charles, Joel |
1194143487 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2016 |
2017 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-123.211126833337 |
39.1278118681233 |
4927 |
Gary, Erika |
1194149625 |
Nurse Practitioner |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
46750 |
8500 |
39.1278118679 |
-123.211126833 |
-118.007464500386 |
33.8581620003761 |
4933 |
Ok, Sungwon |
1194167841 |
Nurse Practitioner |
UNKNOWN |
7212 Orangethorpe Ave Ste 9A |
Buena Park |
Orange |
90621 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY SERVICES KOREAN |
1861525602 |
21250 |
21250 |
33.858162 |
-118.0074645 |
-118.97078849959 |
35.3824379999138 |
4946 |
Cobos, Everardo |
1194713354 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.102322508777 |
32.7514272099978 |
4951 |
Maynard, Michelle |
1194733063 |
Physician |
INTERNAL MEDICINE |
4290 Polk Avenue |
San Diego |
San Diego |
92105 |
California |
2013 |
2014 |
3 |
MU |
COMM CLINIC MID-CITY |
1306827332 |
38250 |
8500 |
32.7514272104 |
-117.102322509 |
-121.931844043068 |
37.3128740632874 |
4965 |
Sum, John |
1194745828 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.200469500267 |
33.9291630001724 |
4973 |
Lidy, Cynthia |
1194755470 |
Nurse Practitioner |
UNKNOWN |
3737 Martin Luther King Jr Blvd, 605 |
Lynwood |
Los Angeles |
90262 |
California |
2013 |
2013 |
1 |
AIU |
CYNTHIA Y NP LIDY |
1194755470 |
21250 |
21250 |
33.929163 |
-118.2004695 |
-118.97078849959 |
35.3824379999138 |
4978 |
Homer, Suzanne |
1194767582 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-119.251855838176 |
34.2762568924417 |
4979 |
Jones, Christina |
1194762104 |
Physician |
FAMILY PRACTICE |
3291 Loma vista Road |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-119.337479526659 |
36.2233894757438 |
4980 |
Gonzalez, Araselia |
1194777003 |
Nurse Practitioner |
UNKNOWN |
1050 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1427025691 |
29750 |
8500 |
36.2233894759 |
-119.337479527 |
-119.327727681287 |
36.2301307740161 |
4984 |
Wendt, Allen |
1194793976 |
Physician |
PEDIATRIC MEDICINE |
1186 Leland Ave |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
5 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
55250 |
8500 |
36.2301307738 |
-119.327727681 |
-118.254396296352 |
33.9245416189007 |
4988 |
bingham, cheryl |
1194792218 |
Dentist |
UNKNOWN |
11905 S Central Ave, #203 |
Los Angeles |
Los Angeles |
90059 |
California |
2012 |
2013 |
1 |
AIU |
cheryl diane bingham |
1194792218 |
21250 |
21250 |
33.924541619 |
-118.254396296 |
-122.231195302121 |
37.7991749638535 |
4990 |
Godfrey, Richard |
1194800862 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.562698424193 |
38.095736927917 |
4992 |
Brock-Utne, Alice |
1194802512 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-122.028876790931 |
36.9749133592642 |
4996 |
Lehrman, Leigh-Anne |
1194806588 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2014 |
2015 |
1 |
AIU |
CRUZ WOMEN'S SANTA |
1902923329 |
21250 |
21250 |
36.9749133589 |
-122.028876791 |
-118.329789269359 |
34.0979749635737 |
4999 |
ZASLOW, TRACY |
1194810697 |
Physician |
ORTHOPEDIC SURGERY |
6430 W. Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
5010 |
Baldwin, Gregory |
1194828210 |
Physician |
PEDIATRIC MEDICINE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
5028 |
Dosanjh, Amarjit |
1194857615 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
38250 |
8500 |
38.006568 |
-122.132916 |
-118.353629385787 |
33.8367377048812 |
5042 |
kim, david |
1194869743 |
Dentist |
UNKNOWN |
21229 Hawthorne Blvd, suite a |
Torrance |
Los Angeles |
90503 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.8367377047 |
-118.353629386 |
-123.211126833337 |
39.1278118681233 |
5051 |
morales de martinez, xochilt |
1194880468 |
Nurse Practitioner |
NURSE PRACTITIONER |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
63750 |
8500 |
39.1278118679 |
-123.211126833 |
-116.456049000261 |
33.8135669997173 |
5064 |
Sarrouf, John |
1194896415 |
Physician |
UNKNOWN |
69175 Ramon Rd Bldg A |
Cathedral City |
Riverside |
92234 |
California |
2014 |
2015 |
2 |
MU |
CARE MED GRP PEDIATRIC |
1851337356 |
29750 |
8500 |
33.813567 |
-116.456049 |
-119.646007366247 |
36.3359516654371 |
5066 |
Loeb, Lola |
1194904755 |
Physician |
UNKNOWN |
1025 N Douty St. |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
25500 |
8500 |
36.3359516647 |
-119.646007366 |
-118.329789269359 |
34.0979749635737 |
5068 |
Salinas, Danieli |
1194912592 |
Physician |
PULMONARY DISEASE |
6430 W Sunset Blvd, 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
5069 |
Louie, Janice |
1194914622 |
Physician |
UNKNOWN |
1601 Fruitvale AVe |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.228721500197 |
33.2096760004471 |
5073 |
Michelotti, Valerie |
1194921494 |
Physician |
PEDIATRIC MEDICINE |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY CLINIC VISTA |
1689760100 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-119.251855838176 |
34.2762568924417 |
5086 |
THURMAN, ANDRAUS |
1194937326 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
3 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
-122.748589048346 |
38.4279142321561 |
5099 |
Noyes, Kathryn |
1194969048 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-117.102322508777 |
32.7514272099978 |
5124 |
Kranz, April |
1205014560 |
Physician |
INTERNAL MEDICINE |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC MID-CITY |
1306827332 |
21250 |
21250 |
32.7514272104 |
-117.102322509 |
-121.931844043068 |
37.3128740632874 |
5126 |
Kim, Janet |
1205015708 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
5127 |
Schwartz, Martha |
1205015716 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.329789269359 |
34.0979749635737 |
5142 |
TOCZEK, MARIA |
1205035250 |
Physician |
NEUROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.562698424193 |
38.095736927917 |
5143 |
Hassan, Fatima |
1205038502 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC MARIN |
1912091018 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-122.562698424193 |
38.095736927917 |
5146 |
Sinaiko, Robert |
1205044831 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2014 |
2015 |
1 |
AIU |
COMM CLINIC MARIN |
1912091018 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-119.59623900023 |
36.5687914986288 |
5148 |
Vanam, Rajani |
1205045390 |
Physician |
UNKNOWN |
1041 Rose Avenue |
Selma |
Fresno |
93662 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1265530018 |
29750 |
8500 |
36.5687914987 |
-119.596239 |
-120.121778773172 |
36.0078165287099 |
5152 |
Lee, Stephanie |
1205055662 |
Doctor of Optometry |
UNKNOWN |
1000 Skyline Blvd |
Avenal |
Kings |
93204 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
29750 |
8500 |
36.007816529 |
-120.121778773 |
-122.748589048346 |
38.4279142321561 |
5163 |
Harrison, Colleen |
1205070158 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-122.224776035785 |
37.7798441425932 |
5165 |
REYES, DIANA |
1205075504 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.463696418155 |
34.2281841459816 |
5178 |
Singh, Ranbir |
1205099637 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2011 |
2013 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-122.500401958883 |
37.9578750436984 |
5183 |
Magliocco, Mai |
1205102662 |
Physician |
UNKNOWN |
3110 Kerner Blvd |
San Rafael |
Marin |
94901 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
37.9578750436 |
-122.500401959 |
-119.337547068442 |
36.2234687042174 |
5190 |
Lee, Michelle |
1205121829 |
Nurse Practitioner |
NURSE PRACTITIONER |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2012 |
2013 |
1 |
MU |
COMMUNITY HEALTH TULARE |
1023011632 |
21250 |
21250 |
36.2234687039 |
-119.337547068 |
-122.132916000373 |
38.0065680004129 |
5200 |
Durant, Andrea |
1205154549 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2015 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
5205 |
Lahsaei, Saba |
1205141322 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St, Internal Medicine Department |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.224776035785 |
37.7798441425932 |
5225 |
Zhao, Yige |
1205212859 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.385354438756 |
40.5834973198455 |
5233 |
Ballard, Anna |
1205243615 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
2 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
29750 |
8500 |
40.5834973202 |
-122.385354439 |
-122.477575499809 |
37.7432189995573 |
5236 |
LEE, FIONA |
1205248036 |
Nurse Practitioner |
UNKNOWN |
1044 Taraval St |
San Francisco |
San Francisco |
94116 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HEALTH CHINESE |
1487684452 |
38250 |
8500 |
37.743219 |
-122.4775755 |
-122.385354438756 |
40.5834973198455 |
5252 |
Sharp, Katelyn |
1205293370 |
Nurse Practitioner |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
1 |
AIU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-121.295641499855 |
38.1167845180911 |
5274 |
ANUNCIACION, ROY |
1205839735 |
Physician |
UNKNOWN |
1920 Tienda Dr, Ste 102 |
Lodi |
San Joaquin |
95242 |
California |
2016 |
2017 |
2 |
MU |
CHILDRENS CLINIC LODI |
1235203688 |
29750 |
8500 |
38.1167845179 |
-121.2956415 |
-117.228721500197 |
33.2096760004471 |
5288 |
Pateman, Carolyn |
1205859444 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
5290 |
Thai, Vinh |
1205859758 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.203022217801 |
34.0626159023021 |
5296 |
Smogorzewski, Miroslaw |
1205862711 |
Physician |
NEUROLOGY |
1520 San Pablo St, SUITE 1000 |
Los Angeles |
Los Angeles |
90033 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.062615902 |
-118.203022218 |
-117.275113154748 |
33.1914165928015 |
5297 |
Luschwitz, Brian |
1205868510 |
Physician |
UNKNOWN |
134 Grapevine Rd |
Vista |
San Diego |
92083 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
63750 |
8500 |
33.1914165926 |
-117.275113155 |
-121.540590000228 |
39.5044739997753 |
5303 |
Alino, Maria Alicia |
1205880408 |
Physician |
PEDIATRIC MEDICINE |
2809 Olive Highway, Suite 270 |
Oroville |
Butte |
95966 |
California |
2014 |
2015 |
2 |
MU |
CORPORATION OROHEALTH |
1013933167 |
29750 |
8500 |
39.504474 |
-121.54059 |
-117.729446592886 |
33.5595174492709 |
5311 |
Ton-That, Chau |
1205902301 |
Physician |
PSYCHIATRY |
6B Liberty, Suite 115 |
Aliso Viejo |
Orange |
92656 |
California |
2013 |
2013 |
2 |
MU |
Chau Ton-That |
1205902301 |
29750 |
8500 |
33.5595174492 |
-117.729446593 |
-121.47911549998 |
38.576330999676 |
5315 |
Moizeau, Catherine |
1205866613 |
Physician |
UNKNOWN |
2020 J Street, Sacramento Native American Health Center, Inc |
Sacramento |
UNKNOWN |
95814 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HOSP REDBUD |
1316937121 |
21250 |
21250 |
38.576331 |
-121.4791155 |
-118.158151122576 |
34.0205738116322 |
5316 |
Iniguez, Julio |
1205903903 |
Dentist |
UNKNOWN |
5162 Whittier Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.0205738115 |
-118.158151123 |
-117.122650002795 |
32.812365973311 |
5317 |
NEWBURY, ROBERT |
1205907961 |
Physician |
PATHOLOGY |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-122.132916000373 |
38.0065680004129 |
5320 |
Wille, Mark |
1205904133 |
Physician |
UNKNOWN |
Merrithew Memorial Medical Group, 2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
5325 |
CHAMBERS, HENRY |
1205907060 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.329789269359 |
34.0979749635737 |
5328 |
DE FILIPPO, ROGER |
1205922614 |
Physician |
UROLOGY |
6430 W Sunset Blvd, 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931844043068 |
37.3128740632874 |
5329 |
Wu, Wendy |
1205922952 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
5330 |
TURKEL, SUSAN |
1205923844 |
Physician |
PSYCHIATRY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.042512049991 |
34.0663122930779 |
5344 |
Devera, Oscar |
1205946639 |
Physician |
UNKNOWN |
3208 Santa Anita Ave, 200 |
El Monte |
Los Angeles |
91733 |
California |
2012 |
2013 |
1 |
AIU |
CITY MEDICAL GRP CROWN |
1619090610 |
21250 |
21250 |
34.0663122928 |
-118.04251205 |
-122.231195302121 |
37.7991749638535 |
5363 |
LIU, TERRENCE |
1205977345 |
Physician |
GENERAL SURGERY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.122650002795 |
32.812365973311 |
5374 |
Hosalkar, Harish |
1205996097 |
Physician |
ORTHOPEDIC SURGERY |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-118.44598345837 |
34.3244883062903 |
5377 |
Anderson, Patricia |
1205996386 |
Nurse Practitioner |
NURSE PRACTITIONER |
14445 Olive View Drive, 6B119H |
Sylmar |
Los Angeles |
91342 |
California |
2011 |
2013 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.3244883058 |
-118.445983458 |
-117.228721500197 |
33.2096760004471 |
5386 |
Francis, Larry |
1215008552 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2019 |
2020 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-116.545571990855 |
33.8395229996867 |
5387 |
Clayton, Ken |
1215010194 |
Physician |
UNKNOWN |
1180 N Indian Canyon Dr |
Palm Springs |
Riverside |
92262 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.839523 |
-116.545571991 |
-121.931844043068 |
37.3128740632874 |
5388 |
Lifshutz, Jason |
1215011960 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.277073000319 |
34.0445609995905 |
5397 |
Zareno, Candido |
1215018866 |
Physician |
FAMILY PRACTICE |
1600 W Pico Blvd |
Los Angeles |
Los Angeles |
90015 |
California |
2014 |
2015 |
3 |
MU |
CLINICA MEDICA PICO |
1740329101 |
38250 |
8500 |
34.044561 |
-118.277073 |
-122.224776035785 |
37.7798441425932 |
5401 |
Jahangiri, Wasfa |
1215021175 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
5407 |
Karatepe, Meltem |
1215025549 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1568540763 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
5409 |
YAMAGA, ARDATH |
1215024658 |
Physician |
GASTROENTEROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.634682520782 |
39.1613121926036 |
5410 |
Fraser, Cosmo |
1215026760 |
Physician |
NEPHROLOGY |
2115 E Onstott Rd |
Yuba City |
Sutter |
95991 |
California |
2013 |
2013 |
1 |
AIU |
COSMO L MD FRASER |
1215026760 |
21250 |
21250 |
39.1613121932 |
-121.634682521 |
-123.211126833337 |
39.1278118681233 |
5416 |
Rosenfeld, JoAnn |
1215031588 |
Physician |
FAMILY PRACTICE |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
46750 |
8500 |
39.1278118679 |
-123.211126833 |
-121.931844043068 |
37.3128740632874 |
5417 |
Sherck, John |
1215032891 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.540306499745 |
39.5044559998446 |
5421 |
Ching, Marshall |
1215036835 |
Physician |
UNKNOWN |
2809 Olive Hwy, Suite 230 |
Oroville |
Butte |
95966 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.504456 |
-121.5403065 |
-122.385354438756 |
40.5834973198455 |
5426 |
Heard, Laurence |
1215040100 |
Physician |
GENERAL PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.5834973202 |
-122.385354439 |
-121.931844043068 |
37.3128740632874 |
5427 |
Klem, Marek |
1215041272 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-119.251855838176 |
34.2762568924417 |
5445 |
Reeves, Clarence |
1215072079 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.433384088805 |
37.7865488663372 |
5461 |
Davidson, Deborah |
1215099890 |
Nurse Practitioner |
UNKNOWN |
1833 Fillmore St 3rd Floor |
San Francisco |
San Francisco |
94115 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY CLINIC WOMENS |
1629498118 |
46750 |
8500 |
37.7865488665 |
-122.433384089 |
-119.56287150022 |
36.0997495234218 |
5465 |
Warner, Thomas |
1215118997 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1212 Hanna Ave |
Corcoran |
Kings |
93212 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1881677292 |
38250 |
8500 |
36.0997495226 |
-119.5628715 |
-117.15612921659 |
33.1407478633233 |
5480 |
Malhotra, Arati |
1215135306 |
Physician |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-123.211126833337 |
39.1278118681233 |
5488 |
deFirmian, Barbara |
1215150040 |
Physician |
FAMILY PRACTICE |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2012 |
2013 |
2 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
29750 |
8500 |
39.1278118679 |
-123.211126833 |
-123.211126833337 |
39.1278118681233 |
5489 |
Prisbrey, Lorraine |
1215151618 |
Dentist |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-122.385354438756 |
40.5834973198455 |
5494 |
Gunn, David |
1215163035 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2014 |
2015 |
1 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-122.730009116028 |
38.4800536013926 |
5497 |
Farash, Lauren |
1215170147 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2015 |
2017 |
3 |
MU |
COMMUNITY HEALTH SOUTHWEST |
1558512624 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-122.132916000373 |
38.0065680004129 |
5500 |
Borsody, Mark |
1215179767 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2017 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-124.149759157059 |
40.8006381521291 |
5509 |
Rahimi, Leyla |
1215200357 |
Dentist |
UNKNOWN |
959 Myrtle Avenue |
Eureka |
Humboldt |
95501 |
California |
2013 |
2014 |
1 |
AIU |
COMM HEALTH CTR EUREKA |
1851486989 |
21250 |
21250 |
40.8006381515 |
-124.149759157 |
-122.253854209404 |
37.8112204743455 |
5513 |
Badran, Nawal |
1215209846 |
Physician |
INTERNAL MEDICINE |
376 Staten Ave, Apt 2 |
Oakland |
Alameda |
94610 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
37.8112204741 |
-122.253854209 |
-121.931761542861 |
37.3141238808125 |
5518 |
Lau, Jessica |
1215219365 |
Nurse Practitioner |
UNKNOWN |
750 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.314123881 |
-121.931761543 |
-122.730009116028 |
38.4800536013926 |
5522 |
Adachi, Katya |
1215227244 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2014 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-119.769500862175 |
36.3007032837296 |
5526 |
Rogado, Gerald |
1215229281 |
Physician |
UNKNOWN |
810 E D St |
Lemoore |
Kings |
93245 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
46750 |
8500 |
36.3007032839 |
-119.769500862 |
-122.224776035785 |
37.7798441425932 |
5528 |
ERCIA, JESSICA |
1215233465 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-122.532927443447 |
38.0685794121102 |
5529 |
Amin, Hitha |
1215231378 |
Physician |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0685794125 |
-122.532927443 |
-122.748589048346 |
38.4279142321561 |
5537 |
Christensen, Cathryn |
1215252333 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2012 |
2013 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.139105921601 |
37.4013232732505 |
5542 |
Liang, Amy |
1215267828 |
Nurse Practitioner |
CERTIFIED REGISTERED NURSE ANESTHETIST |
3801 Miranda Ave |
Palo Alto |
Santa Clara |
94304 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.4013232725 |
-122.139105922 |
-118.349731509102 |
33.954067100916 |
5543 |
Hayavi, Farnaz |
1215265525 |
Dentist |
UNKNOWN |
300 E Buckthorn St |
Inglewood |
Los Angeles |
90301 |
California |
2014 |
2015 |
1 |
AIU |
Children's Dental Center of Greater LA |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-122.132916000373 |
38.0065680004129 |
5544 |
Mega, Joseph |
1215280805 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.730009116028 |
38.4800536013926 |
5559 |
Vilendrer, Stacie |
1215322698 |
Physician |
UNKNOWN |
3569 Round Barn Cir Ste 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2018 |
2019 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-116.230237454295 |
33.7074334293094 |
5571 |
Suwara, Megan |
1215362561 |
Nurse Practitioner |
UNKNOWN |
81-709 Dr Carreon Blvd, Suite C-3 |
Indio |
Riverside |
92201 |
California |
2015 |
2017 |
1 |
AIU |
COACHELLA VALLEY CARE MEDICAL ASSOCIATES INC |
1811319890 |
21250 |
21250 |
33.707433429 |
-116.230237454 |
-118.184503499637 |
33.8084730004287 |
5573 |
Sickinger, Eric |
1215367792 |
Physician |
UNKNOWN |
701 E 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2015 |
2016 |
1 |
AIU |
CLINIC, THE CHILDREN'S |
1639233935 |
21250 |
21250 |
33.808473 |
-118.1845035 |
-123.211126833337 |
39.1278118681233 |
5588 |
Vance, Stephen |
1215909379 |
Physician |
PSYCHIATRY |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-121.931844043068 |
37.3128740632874 |
5609 |
Vallejo-Brooks, Miel |
1215952056 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.245010602557 |
35.7720655289011 |
5619 |
Schaefer, Sandra |
1215971007 |
Physician |
UNKNOWN |
1201 Jefferson St. |
Delano |
Kern |
93215 |
California |
2016 |
2016 |
1 |
AIU |
CALIFORNIA CENTRAL |
1851429658 |
21250 |
21250 |
35.772065529 |
-119.245010603 |
-119.572149938869 |
36.7068147769804 |
5630 |
Guerrero, Ramiro |
1215995766 |
Physician |
UNKNOWN |
2502 E Jensen Ave |
Sanger |
Fresno |
93657 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1093980823 |
46750 |
8500 |
36.7068147766 |
-119.572149939 |
-121.931844043068 |
37.3128740632874 |
5635 |
Aggarwal, Sangeeta |
1225008394 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-123.211126833337 |
39.1278118681233 |
5643 |
Christy, Adwoa |
1225017379 |
Physician |
UNKNOWN |
333 Laws Avenue |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
34000 |
8500 |
39.1278118679 |
-123.211126833 |
-117.228721500197 |
33.2096760004471 |
5644 |
Ronan, Kevin |
1225017353 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
5 |
MU |
COMM CLINIC VISTA |
1295822658 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-117.721502999963 |
34.0619039998697 |
5647 |
KADAR, DAVID |
1225025133 |
Dentist |
UNKNOWN |
1450 E. Holt Ave. |
Pomona |
Los Angeles |
91767 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY HEALTH POMONA |
1417211426 |
63750 |
8500 |
34.061904 |
-117.721503 |
-122.562698424193 |
38.095736927917 |
5649 |
Calvillo, Aida |
1225031727 |
Physician |
INTERNAL MEDICINE |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2014 |
2015 |
4 |
MU |
COMMUNITY CLINIC MARIN |
1003900101 |
46750 |
8500 |
38.0957369279 |
-122.562698424 |
-117.122650002795 |
32.812365973311 |
5650 |
FRIPP, RAYMOND |
1225036627 |
Physician |
PEDIATRIC MEDICINE |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2013 |
2014 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.8123659731 |
-117.122650003 |
-123.801499006874 |
39.4322470387699 |
5659 |
Gallo, John |
1225049257 |
Physician |
EMERGENCY MEDICINE |
721 River Dr, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2014 |
2015 |
3 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
38250 |
8500 |
39.4322470385 |
-123.801499007 |
-115.56148168693 |
32.7942179997609 |
5673 |
Moucharafieh, Sana |
1225076110 |
Physician |
UNKNOWN |
202 North 8th Street |
El Centro |
Imperial |
92243 |
California |
2018 |
2019 |
3 |
MU |
COUNTY BEHAVIORAL IMPERIAL |
1225258841 |
38250 |
8500 |
32.794218 |
-115.561481687 |
-118.739444747077 |
34.1407009248079 |
5675 |
NANDA, NITIN |
1225076748 |
Physician |
GERIATRIC PSYCHIATRY |
5016 Chesebro Road, SUITE 200 |
Agoura Hills |
UNKNOWN |
91301 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
34.1407009248 |
-118.739444747 |
-122.132916000373 |
38.0065680004129 |
5693 |
Rosenfeld, Jack |
1225106727 |
Dentist |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
5694 |
SEEGER, ROBERT |
1225107410 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.152023500284 |
32.7983220001602 |
5700 |
GROSSFELD, PAUL |
1225109085 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.045836668228 |
34.0764334702285 |
5703 |
Rodriguez, Jorge |
1225111750 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
10418 E. Valley Blvd, Ste. B |
El Monte |
Los Angeles |
91731 |
California |
2016 |
2017 |
5 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
55250 |
8500 |
34.0764334701 |
-118.045836668 |
-119.765098008966 |
36.8836109997479 |
5704 |
Shetty, Nikita |
1225120892 |
Physician |
UNKNOWN |
10167 N Ponderosa Dr |
Fresno |
Fresno |
93720 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1225364060 |
38250 |
8500 |
36.883611 |
-119.765098009 |
-117.795351122057 |
34.1354826284206 |
5705 |
Damerla, Hanumantharao |
1225119464 |
Physician |
UNKNOWN |
1900 Sycamore Canyon Rd |
San Dimas |
Los Angeles |
91773 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.1354826281 |
-117.795351122 |
-122.069360181127 |
38.2372400007255 |
5706 |
Berg, Mija |
1225123243 |
Nurse Practitioner |
NURSE PRACTITIONER |
2201COURAGE DR |
FAIRFIELD |
Solano |
94533 |
California |
2012 |
2012 |
1 |
AIU |
COUNTY HLTH and SOCIAL SOLANO |
1083845275 |
21250 |
21250 |
38.237240001 |
-122.069360181 |
-122.270849622612 |
37.8069227365951 |
5707 |
Kim, Lucia |
1225118599 |
Physician |
UNKNOWN |
510 17th St, 4th Floor |
Oakland |
Alameda |
94612 |
California |
2014 |
2015 |
1 |
AIU |
Center for Elders Independence |
1245371061 |
21250 |
21250 |
37.8069227375 |
-122.270849623 |
-118.329789269359 |
34.0979749635737 |
5711 |
Huang, Shirley |
1225126592 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
5716 |
Koh, Chester |
1225133846 |
Physician |
UROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.231195302121 |
37.7991749638535 |
5725 |
Harken, Alden |
1225148398 |
Physician |
THORACIC SURGERY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.562698424193 |
38.095736927917 |
5727 |
Lecours, Anthony |
1225154016 |
Nurse Practitioner |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-117.352773353707 |
34.071932436233 |
5730 |
Roberts, Jeffrey |
1225145915 |
Physician |
OTOLARYNGOLOGY |
400 N Pepper Ave, General Surgery MOB Ste#308 |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-119.631214375643 |
36.3001401930155 |
5740 |
Madala, Pamela |
1225170541 |
Nurse Practitioner |
UNKNOWN |
11899 Shaw Pl |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1467678342 |
38250 |
8500 |
36.3001401932 |
-119.631214376 |
-118.468015071438 |
34.0436787053081 |
5742 |
PAKRAVAN, FAIRD |
1225170186 |
Dentist |
UNKNOWN |
12121 Wilshire Blvd, SUITE 1111 |
Los Angeles |
Los Angeles |
90025 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.0436787053 |
-118.468015071 |
-122.385354438756 |
40.5834973198455 |
5747 |
Palomero, Grewen |
1225177215 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-118.261505372375 |
33.7701547469441 |
5754 |
Merrill III, Wayman |
1225186190 |
Physician |
UNKNOWN |
109 N Avalon Blvd |
Wilmington |
Los Angeles |
90744 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY CLN WILMINGTON |
1932194586 |
21250 |
21250 |
33.7701547467 |
-118.261505372 |
-117.470784041051 |
33.8966342870428 |
5755 |
Yu, Quinn |
1225183544 |
Dentist |
UNKNOWN |
3380 La Sierra Ave, 108 |
Riverside |
UNKNOWN |
92503 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.8966342869 |
-117.470784041 |
-122.224776035785 |
37.7798441425932 |
5761 |
Ansari, Faiz |
1225196082 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.069360181127 |
38.2372400007255 |
5763 |
Jirasritumrong, Aikkachai |
1225198955 |
Physician |
INTERNAL MEDICINE |
2201 Courage Dr |
Fairfield |
Solano |
94533 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HLTH and SOCIAL SOLANO |
1083845275 |
21250 |
21250 |
38.237240001 |
-122.069360181 |
-118.280834826666 |
33.7378414178472 |
5767 |
Kondor, Amber |
1225200710 |
Physician |
UNKNOWN |
150 W 7th St, Suite 214 |
San Pedro |
Los Angeles |
90731 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.737841418 |
-118.280834827 |
-121.931844043068 |
37.3128740632874 |
5783 |
Choi, Clara |
1225236649 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.81837400016 |
38.3967809997434 |
5790 |
Netherda, Mark |
1225245657 |
Physician |
FAMILY PRACTICE |
6800 Palm Avenue, Suite C-1 |
Sebastopol |
Sonoma |
95472 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY HEALTH CENTER WEST |
1538334065 |
21250 |
21250 |
38.396781 |
-122.818374 |
-122.224776035785 |
37.7798441425932 |
5792 |
McEvoy, Collen |
1225251416 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-118.007464500386 |
33.8581620003761 |
5801 |
kim, young |
1225265804 |
Physician |
UNKNOWN |
7212 Orangethorpe Ave Ste 9A |
Buena Park |
Orange |
90621 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY SERVICES KOREAN |
1861525602 |
21250 |
21250 |
33.858162 |
-118.0074645 |
-122.132916000373 |
38.0065680004129 |
5807 |
Ha, Nikki |
1225278138 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
5808 |
chopra, preeti |
1225279862 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.142199500407 |
37.4270039997348 |
5810 |
Shah, Rina |
1225262553 |
Physician |
FAMILY PRACTICE |
270 Grant Ave., Mayview Community Health Center, |
Palo Alto |
Santa Clara |
94306 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HLTH MAYVIEW |
1780796540 |
21250 |
21250 |
37.427004 |
-122.1421995 |
-119.251855838176 |
34.2762568924417 |
5815 |
Dickey, Micah |
1225290554 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.51450250029 |
37.8729540000271 |
5816 |
Le Biavant, Kim |
1225292410 |
Nurse Practitioner |
UNKNOWN |
630 Drake Avenue |
Marin City |
Marin |
94965 |
California |
2015 |
2017 |
3 |
MU |
CITY HEALTH AND MARIN |
1285804948 |
38250 |
8500 |
37.872954 |
-122.5145025 |
-116.498359173437 |
33.9613938884173 |
5820 |
Poursartip, Maryam |
1225298110 |
Physician |
UNKNOWN |
66675 Pierson Blvd |
Desert Hot Springs |
Riverside |
92240 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.9613938878 |
-116.498359173 |
-120.391143022632 |
37.9787365848256 |
5828 |
Briggs, Janet |
1225323165 |
Physician |
UNKNOWN |
193 Fairview Ln, suite B |
Sonora |
Tuolumne |
95370 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
38250 |
8500 |
37.9787365855 |
-120.391143023 |
-122.748589048346 |
38.4279142321561 |
5840 |
Martin, Laura |
1225353923 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2018 |
2019 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-117.228721500197 |
33.2096760004471 |
5841 |
Munganga, Camille |
1225342785 |
Nurse Practitioner |
NURSE PRACTITIONER |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-116.32904549985 |
33.1939799996773 |
5843 |
Hamisi, Khadija |
1225360498 |
Nurse Practitioner |
UNKNOWN |
4343 Yaqui Pass Rd, PO BOX 2369 |
Palm Springs |
UNKNOWN |
92004 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-117.073853999962 |
33.1242390004296 |
5844 |
Thompson, Cassandra |
1225362908 |
Doctor of Optometry |
UNKNOWN |
613 EAST GRAND AVE |
ESCONDIDO |
San Diego |
92025 |
California |
2016 |
2016 |
1 |
AIU |
CASSANDRA OD THOMPSON |
1225362908 |
21250 |
21250 |
33.124239 |
-117.073854 |
-117.721502999963 |
34.0619039998697 |
5851 |
Newkirk, Erica |
1225388598 |
Nurse Practitioner |
UNKNOWN |
1450 E. Holt Ave. |
Pomona |
Los Angeles |
91767 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH POMONA |
1417211426 |
21250 |
21250 |
34.061904 |
-117.721503 |
-122.730705722791 |
38.4794050139303 |
5859 |
Watson, Hannah |
1225397375 |
Physician |
UNKNOWN |
3562 Round Barn Circle, Suite 216, 1 University of New Mexico |
Santa Rosa |
UNKNOWN |
95403 |
California |
2020 |
2020 |
4 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
17000 |
8500 |
38.4794050143 |
-122.730705723 |
-118.184503499637 |
33.8084730004287 |
5862 |
Vasquez, Carol |
1225406333 |
Nurse Practitioner |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
1 |
AIU |
CHILDRENS CLINIC THE |
1639233935 |
21250 |
21250 |
33.808473 |
-118.1845035 |
-117.960722999667 |
33.7877909999547 |
5864 |
Le, Traci |
1225417124 |
Nurse Practitioner |
UNKNOWN |
9862 Chapman Ave Ste B |
Garden Grove |
Orange |
92841 |
California |
2015 |
2017 |
1 |
AIU |
COMMUNITY OF VIETNAMESE |
1285708818 |
21250 |
21250 |
33.787791 |
-117.960723 |
-118.090917554601 |
34.090742927744 |
5866 |
Bantigue, Jessica |
1225431869 |
Nurse Practitioner |
UNKNOWN |
923 S San Gabriel Blvd |
San Gabriel |
Los Angeles |
91776 |
California |
2020 |
2020 |
4 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
46750 |
8500 |
34.0907429285 |
-118.090917555 |
-122.132916000373 |
38.0065680004129 |
5869 |
Crawford, Nadra |
1225443823 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-118.413825981784 |
34.1944379999138 |
5872 |
shah, Mansiben |
1225455264 |
Doctor of Optometry |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
21250 |
21250 |
34.194438 |
-118.413825982 |
-117.228721500197 |
33.2096760004471 |
5877 |
Daugirdas, Andrea |
1225472764 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-118.069296357041 |
34.0809018642297 |
5901 |
LE, CHAU |
1235135633 |
Physician |
ENDOCRINOLOGY |
9206 Valley Blvd |
Rosemead |
Los Angeles |
91770 |
California |
2012 |
2013 |
1 |
AIU |
CHAU M MD LE |
1235135633 |
21250 |
21250 |
34.0809018639 |
-118.069296357 |
-117.152023500284 |
32.7983220001602 |
5904 |
Hagood, James |
1235126004 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.562698424193 |
38.095736927917 |
5907 |
Tong, Monica |
1235149105 |
Dentist |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-122.231195302121 |
37.7991749638535 |
5908 |
Pardini, Aaron |
1235147562 |
Nurse Practitioner |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.385354438756 |
40.5834973198455 |
5911 |
Ascherman, Harold |
1235150988 |
Nurse Practitioner |
NURSE PRACTITIONER |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2014 |
2015 |
4 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
46750 |
8500 |
40.5834973202 |
-122.385354439 |
-117.228721500197 |
33.2096760004471 |
5912 |
Donnell, Marti |
1235151366 |
Physician |
FAMILY PRACTICE |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.231195302121 |
37.7991749638535 |
5913 |
Singh, Namita |
1235149808 |
Physician |
OBSTETRICS/GYNECOLOGY |
Oakcare Medical Group, 1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-122.39119316843 |
40.5850415673145 |
5920 |
Kaze, Jeffery |
1235157736 |
Dentist |
UNKNOWN |
1400 Market St Rm 8103 |
Redding |
Shasta |
96001 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH SHASTA |
1538181557 |
21250 |
21250 |
40.5850415667 |
-122.391193168 |
-121.931844043068 |
37.3128740632874 |
5939 |
Djafari, Jennifer |
1235191396 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
5940 |
Katzenberg, Daniel |
1235193319 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
5942 |
KARANIKKIS, CHRISTOS |
1235192691 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-116.32904549985 |
33.1939799996773 |
5944 |
Ortiz, Ronald |
1235205774 |
Physician |
FAMILY PRACTICE |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-117.152023500284 |
32.7983220001602 |
5947 |
KIM, JANE |
1235200098 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-116.115338321406 |
33.4988880797212 |
5952 |
Barajas, Sergio |
1235211731 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
88775 Avenue 76, Ste. 1 |
Thermal |
Riverside |
92274 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.4988880804 |
-116.115338321 |
-117.852587999736 |
33.6841739997304 |
5953 |
White, Thomas |
1235215559 |
Dentist |
UNKNOWN |
1920 Main St #970 |
Irvine |
UNKNOWN |
92614 |
California |
2015 |
2016 |
1 |
AIU |
CARE DENTAL UNIVERSAL |
1407972219 |
21250 |
21250 |
33.684174 |
-117.852588 |
-118.256434514441 |
33.9855840003014 |
5960 |
cabansag, delia |
1235224015 |
Physician |
UNKNOWN |
5970 South Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2014 |
2015 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-123.801499006874 |
39.4322470387699 |
5961 |
Bellah, Jack |
1235225376 |
Physician |
ORTHOPEDIC SURGERY |
721 River Dr, Suite B |
Fort Bragg |
Mendocino |
95437 |
California |
2017 |
2018 |
6 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
63750 |
8500 |
39.4322470385 |
-123.801499007 |
-118.329789269359 |
34.0979749635737 |
5962 |
MENTEER, JONDAVID |
1235225921 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.256434514441 |
33.9855840003014 |
5965 |
Cadano, Rufino |
1235187824 |
Physician |
UNKNOWN |
5970 South Central Ave |
Los Angeles |
Los Angeles |
90022 |
California |
2013 |
2014 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-117.15612921659 |
33.1407478633233 |
5970 |
Idemundia, Ann |
1235233545 |
Physician |
UNKNOWN |
150 Valpreda |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
8500 |
8500 |
33.1407478629 |
-117.156129217 |
-121.931844043068 |
37.3128740632874 |
5974 |
Sit, Sukyin Anita |
1235235870 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
5975 |
Mock, Anthony |
1235237330 |
Dentist |
UNKNOWN |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.329789269359 |
34.0979749635737 |
5976 |
Urata, Mark |
1235234857 |
Dentist |
PLASTIC AND RECONSTRUCTIVE SURGERY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2016 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
5977 |
SMITHSON, GARY |
1235235508 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.086500010267 |
32.6235160067583 |
5981 |
Truong, Chau |
1235251844 |
Dentist |
UNKNOWN |
713 Broadway, Ste F |
Chula Vista |
San Diego |
91910 |
California |
2017 |
2018 |
2 |
MU |
CHAU T DDS TROUNG |
1235251844 |
29750 |
8500 |
32.6235160074 |
-117.08650001 |
-118.150795976753 |
34.1778106936086 |
5987 |
Ngunjiri, Mumbi |
1235267006 |
Nurse Practitioner |
UNKNOWN |
1845 N Fair Oaks Ave, Suite 2600 |
Pasadena |
Los Angeles |
91103 |
California |
2016 |
2018 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
34.1778106939 |
-118.150795977 |
-121.931844043068 |
37.3128740632874 |
5989 |
Garcia, Manuel |
1235271354 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
6010 |
Kissinger, Catherine |
1235296070 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2013 |
2014 |
1 |
AIU |
Catherine Kissinger |
1235296070 |
21250 |
21250 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
6013 |
O'HALLORAN, HENRY |
1235287947 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-119.78604414662 |
36.7440099049332 |
6015 |
Savanapridi, Chin |
1235297821 |
Physician |
UNKNOWN |
143 N Clark St Ste A |
Fresno |
Fresno |
93701 |
California |
2011 |
2012 |
1 |
AIU |
CHIN DR SAVANAPRIDI |
1235297821 |
21250 |
21250 |
36.7440099045 |
-119.786044147 |
-117.152023500284 |
32.7983220001602 |
6017 |
Nguyen, Lieuko |
1235289364 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-117.294133030915 |
34.1331930003568 |
6022 |
Park, Christine |
1235313925 |
Dentist |
UNKNOWN |
1963 N E st |
San Bernardino |
San Bernardino |
92405 |
California |
2012 |
2013 |
1 |
AIU |
Christine Park |
1235313925 |
21250 |
21250 |
34.133193 |
-117.294133031 |
-117.357922269197 |
33.2078401756836 |
6028 |
Esfandiari, Raheleh |
1235320185 |
Physician |
OBSTETRICS/GYNECOLOGY |
2210 Mesa Dr Ste 5 |
Oceanside |
San Diego |
92054 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.2078401763 |
-117.357922269 |
-118.184624999844 |
33.8077440000856 |
6034 |
Damanan, Sonia |
1235324773 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
3 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
38250 |
8500 |
33.807744 |
-118.184625 |
-121.873719412221 |
37.6614078555881 |
6035 |
Tsang, Christine |
1235332370 |
Nurse Practitioner |
NURSE PRACTITIONER |
4361 Railroad Ave |
Pleasanton |
Alameda |
94566 |
California |
2011 |
2012 |
1 |
AIU |
Christine S Tsang |
1235332370 |
21250 |
21250 |
37.6614078563 |
-121.873719412 |
-122.231195302121 |
37.7991749638535 |
6037 |
Sani, Farhad |
1235337072 |
Physician |
DIAGNOSTIC RADIOLOGY |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.045836668228 |
34.0764334702285 |
6038 |
melo, monica |
1235333451 |
Dentist |
UNKNOWN |
10418 Valley Blvd, Suite B |
El Monte |
Los Angeles |
90023 |
California |
2020 |
2020 |
3 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
38250 |
8500 |
34.0764334701 |
-118.045836668 |
-122.133636000301 |
37.4709959995658 |
6043 |
Baca, Elizabeth |
1235337148 |
Physician |
PEDIATRIC MEDICINE |
1798 A Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.470996 |
-122.133636 |
-121.931844043068 |
37.3128740632874 |
6046 |
Singh, Harminder |
1235347865 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.294551908144 |
33.04413104741 |
6053 |
Conahan, Rebecca |
1235352139 |
Physician |
FAMILY PRACTICE |
629 2nd St |
Encinitas |
San Diego |
92024 |
California |
2012 |
2013 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.0441310475 |
-117.294551908 |
-121.620135641347 |
39.1559550570803 |
6069 |
Cotsirilos, Peter |
1235378621 |
Physician |
UNKNOWN |
1965 Live Oak Blvd. |
Yuba City |
Sutter |
95991 |
California |
2016 |
2017 |
1 |
AIU |
County of Sutter |
1487872263 |
21250 |
21250 |
39.1559550572 |
-121.620135641 |
-122.231195302121 |
37.7991749638535 |
6070 |
Mekjavich, Molly |
1235381385 |
Certified Nurse - Midwife |
UNKNOWN |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-119.251855838176 |
34.2762568924417 |
6072 |
Cegelski, Richard |
1235390071 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-121.931844043068 |
37.3128740632874 |
6083 |
Kendall, JENNIFER |
1235405036 |
Physician |
UNKNOWN |
751 S Bascom Avesa |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.413825981784 |
34.1944379999138 |
6100 |
SOE, YULIANA |
1235450594 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-121.931844043068 |
37.3128740632874 |
6111 |
Venkatesan, Aruna |
1235457649 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95134 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
6114 |
Romito, Leah |
1235486135 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
6118 |
Hui, Anna |
1235488925 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.651550499956 |
34.0680510000537 |
6119 |
Barrios, Sabrina |
1235509068 |
Nurse Practitioner |
UNKNOWN |
437 N. Euclid Ave. |
Ontario |
San Bernardino |
91762 |
California |
2015 |
2017 |
1 |
AIU |
COMMUNITY HEALTH UNICARE |
1710309513 |
21250 |
21250 |
34.068051 |
-117.6515505 |
-122.81837400016 |
38.3967809997434 |
6120 |
von Sydow, Nora |
1235538570 |
Nurse Practitioner |
UNKNOWN |
6800 Palm Avenue Suite C |
Sebastopol |
Sonoma |
95472 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY HEALTH CENTER WEST |
1538334065 |
21250 |
21250 |
38.396781 |
-122.818374 |
-122.132916000373 |
38.0065680004129 |
6122 |
Belknap, Kaya |
1235544834 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-122.385354438756 |
40.5834973198455 |
6140 |
Adams, Tyson |
1235579483 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
1 |
AIU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-122.132490074257 |
38.0066599453003 |
6143 |
Rhoades, Chelsea |
1235571019 |
Physician |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa Health Services |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006659945 |
-122.132490074 |
-122.017646291043 |
36.9915277342176 |
6144 |
Kloberdanz, Kelsey |
1235672502 |
Nurse Practitioner |
UNKNOWN |
1080 Emeline |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-118.18459350019 |
33.8084730004287 |
6145 |
Keihany-Yazdy, Sarah |
1235589110 |
Nurse Practitioner |
UNKNOWN |
701 E. 28th Street, Suite 200 |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
5 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
55250 |
8500 |
33.808473 |
-118.1845935 |
-117.15612921659 |
33.1407478633233 |
6150 |
Stewart-Garbrecht, Eleanor |
1245210855 |
Certified Nurse - Midwife |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-116.32904549985 |
33.1939799996773 |
6160 |
Leon, Ginger |
1245234780 |
Physician |
FAMILY PRACTICE |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-122.224776035785 |
37.7798441425932 |
6164 |
Eng, Tsui wai |
1245240845 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.338322546948 |
37.9532997526815 |
6171 |
Trombla, Laurie |
1245253871 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
2023 Vale Rd |
San Pablo |
Contra Costa |
94806 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
37.953299753 |
-122.338322547 |
-119.351701058357 |
35.594314497716 |
6175 |
Orozco-Robles, Maritza |
1245252899 |
Nurse Practitioner |
UNKNOWN |
2300 7th St, Wasco Medical Plaza |
Wasco |
Kern |
93280 |
California |
2016 |
2016 |
1 |
AIU |
CALIFORNIA CENTRAL |
1639207343 |
21250 |
21250 |
35.5943144977 |
-119.351701058 |
-119.251855838176 |
34.2762568924417 |
6183 |
SIMPSON, GAIL |
1245260702 |
Physician |
INFECTIOUS DISEASE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.132916000373 |
38.0065680004129 |
6202 |
Huie, Fredric |
1245300862 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
6211 |
McClellan, Laura |
1245300227 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE, OB GYN Dept |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
6215 |
ROBERTS, WILLIAM |
1245302561 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
6219 |
Tseng, Jeffrey |
1245322189 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
6220 |
SHAH, AMI |
1245321595 |
Dentist |
PEDIATRIC MEDICINE |
6430 W Sunset Blvd, 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
6223 |
YIN, LARRY |
1245326800 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
LOS ANGELES |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-120.84840000026 |
37.4038470002389 |
6226 |
Singh, Tarlochan |
1245328970 |
Dentist |
UNKNOWN |
7970 Lander Ave, Suite A |
Hilmar |
Merced |
95324 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH LIVINGSTON |
1124300207 |
21250 |
21250 |
37.403847 |
-120.8484 |
-121.931844043068 |
37.3128740632874 |
6227 |
Doan, Tuyet-Linh |
1245328483 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.81837400016 |
38.3967809997434 |
6234 |
Shipp, Jennifer |
1245331271 |
Nurse Practitioner |
UNKNOWN |
6800 Palm Drive, Suite C |
Sebastopol |
Sonoma |
95472 |
California |
2012 |
2013 |
2 |
MU |
COUNTY HEALTH CENTER WEST |
1538334065 |
29750 |
8500 |
38.396781 |
-122.818374 |
-118.135354620819 |
33.9365212648445 |
6235 |
Singh, Anantjit |
1245335405 |
Physician |
UNKNOWN |
11544 Downey Ave |
Downey |
Los Angeles |
90241 |
California |
2015 |
2017 |
4 |
MU |
CARDIO MEDICAL GROUP DOWNEY |
1003087313 |
17000 |
8500 |
33.9365212648 |
-118.135354621 |
-118.329789269359 |
34.0979749635737 |
6238 |
Skaggs, David |
1245333061 |
Physician |
ORTHOPEDIC SURGERY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.173367945774 |
37.769210747578 |
6255 |
Austin, Allison |
1245368570 |
Nurse Practitioner |
NURSE PRACTITIONER |
6955 Foothill Blvd, Suite 200 |
Oakland |
Alameda |
94605 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.7692107483 |
-122.173367946 |
-121.931844043068 |
37.3128740632874 |
6261 |
Fink, Christopher |
1245379270 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.43748018856 |
34.0404355863333 |
6264 |
Sabshin, Renee |
1245382001 |
Physician |
PSYCHIATRY |
11080 W Olympic Blvd |
Los Angeles |
Los Angeles |
90064 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0404355856 |
-118.437480189 |
-121.931844043068 |
37.3128740632874 |
6267 |
Hong, David |
1245387166 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.989752500178 |
33.7015709998018 |
6272 |
nguyen-tran, cindy |
1245396407 |
Dentist |
UNKNOWN |
17941 Beach Blvd |
Huntington Beach |
Orange |
92647 |
California |
2017 |
2018 |
2 |
MU |
CINDY H DDS NGUYEN-TRAN |
1245396407 |
29750 |
8500 |
33.701571 |
-117.9897525 |
-122.224776035785 |
37.7798441425932 |
6279 |
Do, Catherine |
1245403054 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.329789269359 |
34.0979749635737 |
6288 |
Partikian, Arthur |
1245430354 |
Physician |
NEUROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.152023500284 |
32.7983220001602 |
6293 |
Stephenson, Cara-Lee |
1245416296 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-117.352773353707 |
34.071932436233 |
6320 |
JOHL, JASKARN |
1245492677 |
Physician |
UNKNOWN |
400 N Pepper Ave, MOB Suite 308 |
Colton |
San Bernardino |
92324 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-122.135176589328 |
37.47163190299 |
6336 |
Tharayil, Mithu |
1245531607 |
Physician |
UNKNOWN |
1798A Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.4716319031 |
-122.135176589 |
-117.228721500197 |
33.2096760004471 |
6339 |
Nadav, Pamela |
1245552801 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2014 |
2015 |
4 |
MU |
COMM CLINIC VISTA |
1295822658 |
46750 |
8500 |
33.209676 |
-117.2287215 |
-122.224776035785 |
37.7798441425932 |
6345 |
Oviedo de Lozano, Alexia |
1245570498 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.075851000124 |
34.0629929997272 |
6348 |
Ho, Coleman |
1245580273 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
8841 Garvey Ave. |
Rosemead |
Los Angeles |
91770 |
California |
2020 |
2020 |
3 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
38250 |
8500 |
34.062993 |
-118.075851 |
-120.045810184592 |
36.94541455204 |
6350 |
Chakarian, Vagan |
1245583574 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
46750 |
8500 |
36.9454145522 |
-120.045810185 |
-118.413825981784 |
34.1944379999138 |
6355 |
Simson, Amber |
1245584309 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
38250 |
8500 |
34.194438 |
-118.413825982 |
-120.982856782315 |
37.6471734770744 |
6356 |
gunn, april |
1245595404 |
Doctor of Optometry |
UNKNOWN |
830 Scenic Drive, Suite A |
Modesto |
Stanislaus |
95350 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH STANISLAUS |
1891991741 |
29750 |
8500 |
37.647173477 |
-120.982856782 |
-122.028876790931 |
36.9749133592642 |
6360 |
Adam, Cynthia |
1245606102 |
Nurse Practitioner |
UNKNOWN |
250 Locust |
SANTA CRUZ |
Santa Cruz |
95060 |
California |
2016 |
2017 |
1 |
AIU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
21250 |
21250 |
36.9749133589 |
-122.028876791 |
-121.931844043068 |
37.3128740632874 |
6387 |
Lotan, Anat |
1255302089 |
Physician |
UNKNOWN |
751 S. Bascom Ave. |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.947541034691 |
38.4087507018834 |
6390 |
Houng, Vivian |
1255307518 |
Physician |
FAMILY PRACTICE |
3802 Main Street |
Occidental |
Sonoma |
95465 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HEALTH CTRS WEST |
1598768962 |
21250 |
21250 |
38.4087507017 |
-122.947541035 |
-118.269069678923 |
34.1467494852006 |
6393 |
Marwah, Onkarjit |
1255314514 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
660 W Broadway |
Glendale |
Los Angeles |
91204 |
California |
2020 |
2020 |
2 |
MU |
CARDIOVASCULAR HEARTBEAT |
1205898525 |
29750 |
8500 |
34.1467494849 |
-118.269069679 |
-122.385354438756 |
40.5834973198455 |
6404 |
Davainis, Paul |
1255340568 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2017 |
2018 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.5834973202 |
-122.385354439 |
-121.931844043068 |
37.3128740632874 |
6406 |
Kiang, Michelle |
1255349023 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.265094000088 |
34.0367310000357 |
6407 |
Mullin, Patrick |
1255345203 |
Physician |
OBSTETRICS/GYNECOLOGY |
1400 S Grand Ave, Suite 805 |
Los Angeles |
Los Angeles |
90015 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.036731 |
-118.265094 |
-118.367701115614 |
34.1535703752726 |
6409 |
CRAIG, DEBRA |
1255351151 |
Physician |
UNKNOWN |
4600 Lankershim blvd, suite 305 |
North Hollywood |
Los Angeles |
91602 |
California |
2015 |
2017 |
1 |
AIU |
CRITICAL CARE PRIMARY |
1467410134 |
21250 |
21250 |
34.1535703751 |
-118.367701116 |
-122.500401958883 |
37.9578750436984 |
6413 |
Preble, James |
1255356473 |
Dentist |
UNKNOWN |
3110 Kerner Blvd |
San Rafael |
Marin |
94901 |
California |
2018 |
2019 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
37.9578750436 |
-122.500401959 |
-117.152023500284 |
32.7983220001602 |
6414 |
CASELE, HOLLY |
1255348744 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-120.060166500384 |
36.7205355023116 |
6418 |
Greenhouse, Michele |
1255363628 |
Physician |
UNKNOWN |
1000 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2017 |
2018 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1902823461 |
46750 |
8500 |
36.7205355017 |
-120.0601665 |
-122.998568144005 |
38.5025852932767 |
6422 |
Saville, Suzanne |
1255365532 |
Dentist |
UNKNOWN |
16312 3rd Street |
Guerneville |
Sonoma |
95446 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY HEALTH CENTERS WEST |
1598786352 |
21250 |
21250 |
38.5025852925 |
-122.998568144 |
-122.132916000373 |
38.0065680004129 |
6443 |
Kelly, Olga |
1255403069 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
46750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
6444 |
Sung, Jeffrey |
1255403374 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931761542861 |
37.3141238808125 |
6446 |
Xu, Chunying |
1255404745 |
Physician |
UNKNOWN |
750 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.314123881 |
-121.931761543 |
-117.152023500284 |
32.7983220001602 |
6447 |
KIM, JENNY |
1255402012 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
6449 |
AHN, HYUNAH |
1255403879 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.748589048346 |
38.4279142321561 |
6457 |
Eschenbach, Suellen |
1255414009 |
Nurse Practitioner |
NURSE PRACTITIONER |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2017 |
2018 |
5 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
55250 |
8500 |
38.4279142323 |
-122.748589048 |
-118.326598987353 |
33.9334649998099 |
6459 |
ANAKWENEZE, NWACHUKWU |
1255417309 |
Physician |
GENERAL PRACTICE |
11149 Crenshaw Blvd |
Inglewood |
Los Angeles |
90303 |
California |
2011 |
2012 |
1 |
AIU |
CARE MED GROUP VICTORIAN |
1821172008 |
21250 |
21250 |
33.933465 |
-118.326598987 |
-122.338322546948 |
37.9532997526815 |
6462 |
Barocio, Azucena |
1255421186 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
2023 Vale Rd Ste 107 |
San Pablo |
Contra Costa |
94806 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
37.953299753 |
-122.338322547 |
-119.759074820247 |
36.8388534448306 |
6464 |
Nerenberg, Alan |
1255422051 |
Physician |
OPHTHALMOLOGY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2013 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-118.329789269359 |
34.0979749635737 |
6466 |
KISHIBAY, JOHN |
1255425609 |
Dentist |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
6467 |
RANDOLPH, LINDA |
1255427324 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
6471 |
REIFF, ANDREAS |
1255427365 |
Physician |
RHEUMATOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
6476 |
Praver, Susana |
1255434452 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.226857500373 |
33.9791219999804 |
6485 |
Iniguez, Walfredo |
1255441697 |
Physician |
UNKNOWN |
6601 Rugby Ave, Ste 300 |
Huntington Park |
Los Angeles |
90255 |
California |
2012 |
2015 |
1 |
AIU |
CITY MEDICAL GRP CROWN |
1508989500 |
21250 |
21250 |
33.979122 |
-118.2268575 |
-118.393975957624 |
34.2395150830547 |
6487 |
Zamudio, Santiago |
1255437901 |
Physician |
GENERAL SURGERY |
9375 San Fernando Road |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
4 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
46750 |
8500 |
34.2395150827 |
-118.393975958 |
-118.045836668228 |
34.0764334702285 |
6496 |
Vargas, Traci |
1255456620 |
Nurse Practitioner |
UNKNOWN |
10418 Valley Blvd |
El Monte |
UNKNOWN |
91731 |
California |
2017 |
2018 |
6 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
63750 |
8500 |
34.0764334701 |
-118.045836668 |
-122.132916000373 |
38.0065680004129 |
6498 |
Bhandari, Vijay |
1255460622 |
Physician |
UNKNOWN |
2500 Alhambra Ave. |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.43748018856 |
34.0404355863333 |
6500 |
Grigor, Elizabeth |
1255428785 |
Physician |
PSYCHIATRY |
11080 W.Olympic BLVD. 4TH FLOOR, EDELMAN MHC |
Los Angeles |
Los Angeles |
90064 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0404355856 |
-118.437480189 |
-118.097980794878 |
34.1497971437233 |
6503 |
MATEVOSYAN, ANAHIT |
1255463899 |
Physician |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.149797144 |
-118.097980795 |
-122.730009116028 |
38.4800536013926 |
6516 |
Stafford, James |
1255483731 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-118.124154000007 |
33.8611230002263 |
6518 |
Miller, Scott |
1255485074 |
Dentist |
UNKNOWN |
5819 Adenmoor ave |
lakewood |
Los Angeles |
90713 |
California |
2018 |
2019 |
3 |
MU |
CERRITOS DENTAL LAKEWOOD |
1407124290 |
38250 |
8500 |
33.861123 |
-118.124154 |
-122.748589048346 |
38.4279142321561 |
6527 |
Kieschnick, Meredith |
1255490876 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2017 |
2018 |
5 |
MU |
COMMUNITY HEALTH SOUTHWEST |
1558512624 |
55250 |
8500 |
38.4279142323 |
-122.748589048 |
-118.309062044678 |
34.0586190003666 |
6533 |
untalan, charise |
1255496782 |
Dentist |
UNKNOWN |
730 S. Western Avenue, Suite 202 |
Los Angeles |
Los Angeles |
90005 |
California |
2020 |
2020 |
3 |
MU |
CHARISE RUBY DDS UNTALAN |
1255496782 |
38250 |
8500 |
34.058619 |
-118.309062045 |
-122.299366499664 |
37.5313320003715 |
6538 |
Bassler, Sara |
1255522785 |
Physician |
UNKNOWN |
222 W 39th Ave |
San Mateo |
San Mateo |
94403 |
California |
2016 |
2017 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
37.531332 |
-122.2993665 |
-118.329789269359 |
34.0979749635737 |
6540 |
CHANG, ANDY |
1255522538 |
Physician |
UROLOGY |
6430 W Sunset Blvd Ste 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.132490074257 |
38.0066599453003 |
6541 |
Wadle, Dawn |
1255497459 |
Physician |
UNKNOWN |
Contra Costa Regional Medical Center, 2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006659945 |
-122.132490074 |
-118.184624999844 |
33.8077440000856 |
6545 |
WU, KATHERINE |
1255526729 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-122.51450250029 |
37.8729540000271 |
6547 |
Blomquist, Carianne |
1255528972 |
Physician |
UNKNOWN |
630 Drake Ave |
Sausalito |
Marin |
94965 |
California |
2016 |
2017 |
4 |
MU |
CITY HEALTH AND MARIN |
1285804948 |
46750 |
8500 |
37.872954 |
-122.5145025 |
-122.132916000373 |
38.0065680004129 |
6554 |
Farrag, Ahmed |
1255547220 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1467522284 |
8500 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
6557 |
Sanchez, Pedro |
1255544508 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.97078849959 |
35.3824379999138 |
6560 |
Thangarasu, Sudhagar |
1255560371 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.231195302121 |
37.7991749638535 |
6561 |
Villa, Catalina |
1255563268 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
6562 |
Brody, David |
1255567939 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.730009116028 |
38.4800536013926 |
6564 |
HANSEN, KIM |
1255571238 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.028876790931 |
36.9749133592642 |
6566 |
Noya, Carolina |
1255583506 |
Nurse Practitioner |
UNKNOWN |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2012 |
2013 |
2 |
MU |
CRUZ WOMEN'S SANTA |
1902923329 |
29750 |
8500 |
36.9749133589 |
-122.028876791 |
-122.132916000373 |
38.0065680004129 |
6574 |
James, Jaison |
1255594818 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2015 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
21250 |
21250 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
6577 |
Morford, Cynthia |
1255603007 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
6584 |
Pung-Yamato, Chong Pei |
1255625554 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
6591 |
McNeil, Sarah |
1255641130 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.413825981784 |
34.1944379999138 |
6596 |
Dass, Niranjan |
1255650776 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
21250 |
21250 |
34.194438 |
-118.413825982 |
-122.532927443447 |
38.0685794121102 |
6615 |
Coll, Emilia |
1255701272 |
Nurse Practitioner |
UNKNOWN |
9 Commercial Blvd, Ste 103 |
Novato |
UNKNOWN |
94945 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0685794125 |
-122.532927443 |
-117.721502999963 |
34.0619039998697 |
6624 |
Silver, Ellen |
1255739058 |
Nurse Practitioner |
UNKNOWN |
1450 E Holt Ave |
Pomona |
Los Angeles |
91767 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HEALTH POMONA |
1417211426 |
46750 |
8500 |
34.061904 |
-117.721503 |
-121.931844043068 |
37.3128740632874 |
6629 |
Umbreen, Aisha |
1255764361 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
UNKNOWN |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.256434514441 |
33.9855840003014 |
6642 |
Tran, Kelly |
1255799276 |
Nurse Practitioner |
UNKNOWN |
5970 S. Central Avenue |
Los Angeles |
Los Angeles |
90001 |
California |
2020 |
2020 |
5 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
55250 |
8500 |
33.985584 |
-118.256434514 |
-117.74855984656 |
34.0951797348569 |
6648 |
Endo, Craig |
1265411730 |
Physician |
FAMILY PRACTICE |
2740 N Garey Ave, Suite 100 |
Pomona |
Los Angeles |
91767 |
California |
2013 |
2014 |
3 |
MU |
CRAIG Y MD ENDO |
1265411730 |
38250 |
8500 |
34.0951797347 |
-117.748559847 |
-122.748589048346 |
38.4279142321561 |
6661 |
Sheerin, Stephen |
1265427207 |
Physician |
INTERNAL MEDICINE |
751 Lombardi Court #B |
Santa Rosa |
Sonoma |
95407 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-118.97078849959 |
35.3824379999138 |
6664 |
Harvey, Carrie |
1265429013 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.344388500129 |
33.9657120003086 |
6665 |
Scott, Cranford |
1265437925 |
Physician |
UNKNOWN |
233 N Prairie Ave |
Inglewood |
Los Angeles |
90301 |
California |
2015 |
2016 |
1 |
AIU |
Cranford Lavern Scott |
1265437925 |
21250 |
21250 |
33.965712 |
-118.3443885 |
-117.15612921659 |
33.1407478633233 |
6666 |
Palen, Barbara |
1265447601 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.385354438756 |
40.5834973198455 |
6667 |
Kristoffersen, Sahaile |
1265443972 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2014 |
2015 |
3 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
38250 |
8500 |
40.5834973202 |
-122.385354439 |
-117.346189490752 |
33.1602546522305 |
6668 |
IYENGAR, RADHA |
1265448112 |
Physician |
PEDIATRIC MEDICINE |
3050 Madison St |
Carlsbad |
San Diego |
92008 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.160254652 |
-117.346189491 |
-122.818340137088 |
38.3960343403126 |
6671 |
Wyman, Mary |
1265449797 |
Nurse Practitioner |
UNKNOWN |
6800 Palm Avenue, Suite C1 |
Sebastopol |
Sonoma |
95472 |
California |
2014 |
2015 |
3 |
MU |
COUNTY HEALTH CENTER WEST |
1538334065 |
38250 |
8500 |
38.3960343401 |
-122.818340137 |
-117.890316000283 |
33.7454024688489 |
6676 |
Nguyen, Mai Phuong |
1265450266 |
Physician |
UNKNOWN |
1618 W 1st Street |
Santa Ana |
Orange |
92703 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY OF VIETNAMESE |
1285708818 |
21250 |
21250 |
33.7454024693 |
-117.890316 |
-118.125938222571 |
34.0918717765613 |
6681 |
Yeh, Michael |
1265458954 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
220 S 1st St |
Alhambra |
Los Angeles |
91801 |
California |
2016 |
2017 |
4 |
MU |
CARDIOVASCULAR COMPREHENSIVE |
1407889637 |
46750 |
8500 |
34.0918717774 |
-118.125938223 |
-118.97078849959 |
35.3824379999138 |
6684 |
KAPLAN, RICHARD |
1265462980 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.393975957624 |
34.2395150830547 |
6688 |
ONG, ALBINO |
1265469027 |
Physician |
DIAGNOSTIC RADIOLOGY |
9375 San Fernando Road |
Sun Valley |
Los Angeles |
91352 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY MEDICAL SERRA |
1275545725 |
21250 |
21250 |
34.2395150827 |
-118.393975958 |
-118.151198999834 |
34.1343719998679 |
6710 |
Ouzounian, Joseph |
1265503148 |
Physician |
OBSTETRICS/GYNECOLOGY |
39 Congress St, Suite 301 |
Pasadena |
Los Angeles |
91105 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.134372 |
-118.151199 |
-123.211126833337 |
39.1278118681233 |
6718 |
McIntyre, Paige |
1265509863 |
Certified Nurse - Midwife |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
55250 |
8500 |
39.1278118679 |
-123.211126833 |
-121.85299349965 |
37.3546529997362 |
6719 |
Huynh, Chau |
1265509723 |
Physician |
INTERNAL MEDICINE |
1865 Alum Rock Ave, B |
San Jose |
Santa Clara |
95116 |
California |
2013 |
2013 |
1 |
AIU |
CHAU MINH MD HUYNH |
1265509723 |
21250 |
21250 |
37.354653 |
-121.8529935 |
-117.152023500284 |
32.7983220001602 |
6720 |
COUSINS, LARRY |
1265503023 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-118.329789269359 |
34.0979749635737 |
6734 |
WANG, KASPER |
1265524920 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.012460176196 |
37.6274263704307 |
6735 |
Kearns, Kathleen |
1265528673 |
Physician |
UNKNOWN |
401 Paradise Rd |
Modesto |
Stanislaus |
95351 |
California |
2017 |
2018 |
2 |
MU |
CO HLTH SVS STANISLAUS |
1396941464 |
29750 |
8500 |
37.6274263697 |
-121.012460176 |
-118.329789269359 |
34.0979749635737 |
6736 |
SHIN, CATHY |
1265528194 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.97078849959 |
35.3824379999138 |
6742 |
Goldman, Martin |
1265541064 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.224776035785 |
37.7798441425932 |
6751 |
MacVane-Pearson, Monica |
1265554166 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.463696418155 |
34.2281841459816 |
6753 |
chatterjee, neil |
1265554695 |
Physician |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
4 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
46750 |
8500 |
34.228184146 |
-118.463696418 |
-120.444241331772 |
34.6388884940088 |
6758 |
Blifeld, Cindy |
1265568364 |
Physician |
UNKNOWN |
1111 E Ocean Ave, Ste 6 |
Lompoc |
Santa Barbara |
93436 |
California |
2014 |
2016 |
3 |
MU |
CINDY MD BLIFELD |
1487719894 |
38250 |
8500 |
34.6388884944 |
-120.444241332 |
-122.231195302121 |
37.7991749638535 |
6760 |
Enderle, Shirley |
1265568778 |
Nurse Practitioner |
UNKNOWN |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
6768 |
Hirvela, Elsa |
1265575856 |
Physician |
CRITICAL CARE (INTENSIVISTS) |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.743877948009 |
38.4400615036355 |
6783 |
BERRYHILL, JOEL |
1265598965 |
Dentist |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-118.269069678923 |
34.1467494852006 |
6784 |
Sharma, Sanjay |
1265606552 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
660 W Broadway |
Glendale |
Los Angeles |
91204 |
California |
2020 |
2020 |
2 |
MU |
CARDIOVASCULAR HEARTBEAT |
1205898525 |
29750 |
8500 |
34.1467494849 |
-118.269069679 |
-122.224776035785 |
37.7798441425932 |
6798 |
Wait, Cecily |
1265628622 |
Physician |
INTERNAL MEDICINE |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.873719412221 |
37.6614078555881 |
6799 |
Gupta, Madhu |
1265628473 |
Physician |
FAMILY PRACTICE |
4361 Railroad Ave |
pleasanton |
UNKNOWN |
94566 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HEALTH AXIS |
1669403390 |
21250 |
21250 |
37.6614078563 |
-121.873719412 |
-118.438348500183 |
33.9791490003262 |
6805 |
Tartakow, Gregg |
1265640635 |
Dentist |
UNKNOWN |
4712 Admiralty Way, Unit 675 |
Marina Del Rey |
Los Angeles |
90292 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.979149 |
-118.4383485 |
-122.730009116028 |
38.4800536013926 |
6807 |
Hom, Cynthia |
1265641823 |
Dentist |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-121.931844043068 |
37.3128740632874 |
6809 |
Chi, Suhui |
1265645816 |
Doctor of Optometry |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
6820 |
Cunanan, Cristina |
1265674006 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE, Building S |
San Jose |
UNKNOWN |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
6822 |
Lai, Jasmine |
1265661177 |
Physician |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2017 |
2018 |
2 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
8500 |
8500 |
32.798322 |
-117.1520235 |
-122.135176589328 |
37.47163190299 |
6823 |
Shaw, Jonathan |
1265631709 |
Physician |
UNKNOWN |
1798A Bay Road, Ravenswood Family Health Center |
East Palo Alto |
Santa Clara |
94303 |
California |
2018 |
2019 |
2 |
MU |
COUNTY COMMUNITY SOUTH |
1073640918 |
29750 |
8500 |
37.4716319031 |
-122.135176589 |
-119.800377524303 |
36.8843745979094 |
6825 |
Nagle, Wendy |
1265682033 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
63750 |
8500 |
36.8843745978 |
-119.800377524 |
-122.132916000373 |
38.0065680004129 |
6830 |
Lee, Jessica |
1265693485 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2014 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-118.256769000189 |
34.0030619996116 |
6837 |
Flores Rios, Johana |
1265708531 |
Physician |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2013 |
2014 |
1 |
AIU |
CENTRAL FAMILY SOUTH |
1396891909 |
21250 |
21250 |
34.003062 |
-118.256769 |
-117.15612921659 |
33.1407478633233 |
6841 |
Capella, Marina |
1265711709 |
Physician |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2016 |
2018 |
4 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
46750 |
8500 |
33.1407478629 |
-117.156129217 |
-121.931761542861 |
37.3141238808125 |
6843 |
Castillejo, Preciosa |
1265717680 |
Nurse Practitioner |
UNKNOWN |
750 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.314123881 |
-121.931761543 |
-122.231195302121 |
37.7991749638535 |
6849 |
Burroughs, Sweena |
1265737175 |
Nurse Practitioner |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-116.545573490924 |
33.8394600003788 |
6857 |
Nakhla, Cindy |
1265750202 |
Physician |
UNKNOWN |
1180 N Indian Canyon Dr, Suite W300 |
Palm Springs |
Riverside |
92262 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.83946 |
-116.545573491 |
-122.132916000373 |
38.0065680004129 |
6865 |
Walls, James |
1265787972 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
6872 |
Berryman, Elizabeth |
1265812697 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-121.98018152206 |
36.9883873259144 |
6885 |
Kuo, Samuel |
1265858138 |
Dentist |
UNKNOWN |
1830 Commercial Way |
Santa Cruz |
Santa Cruz |
95065 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY DENTAL DIENTES |
1437213279 |
21250 |
21250 |
36.9883873258 |
-121.980181522 |
-117.721502999963 |
34.0619039998697 |
6894 |
Markova, Marina |
1265892814 |
Dentist |
UNKNOWN |
1450 E. Holt Ave. |
Pomona |
Los Angeles |
91767 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY HEALTH POMONA |
1417211426 |
29750 |
8500 |
34.061904 |
-117.721503 |
-121.931844043068 |
37.3128740632874 |
6896 |
Jimenez, Alejandro |
1265879076 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-116.962770468382 |
32.7949220969772 |
6914 |
Nuno, Jose |
1275543068 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
133 West Main Street, Ste. 100 |
El Cajon |
San Diego |
92020 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
32.7949220971 |
-116.962770468 |
-122.743877948009 |
38.4400615036355 |
6930 |
Coomber, Gary |
1275558967 |
Physician |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2016 |
2017 |
4 |
MU |
CO INDIAN HEALTH SONOMA |
1265457980 |
46750 |
8500 |
38.4400615041 |
-122.743877948 |
-118.97078849959 |
35.3824379999138 |
6942 |
Capobianco, Scott |
1275582066 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.295701540394 |
38.1167815530263 |
6945 |
Singh, Randhir |
1275591000 |
Physician |
UNKNOWN |
1920 Tienda Dr |
Lodi |
San Joaquin |
95242 |
California |
2014 |
2014 |
1 |
AIU |
CHILDRENS CLINIC LODI |
1235203688 |
21250 |
21250 |
38.1167815528 |
-121.29570154 |
-118.29576736687 |
34.1017603503599 |
6946 |
davtian, arakel |
1275584260 |
Physician |
UNKNOWN |
4842 Hollywood Blvd. |
Los Angeles |
Los Angeles |
90027 |
California |
2015 |
2016 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.10176035 |
-118.295767367 |
-121.931844043068 |
37.3128740632874 |
6951 |
Kirchner, Christl |
1275597528 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
6955 |
Johnson, Dina |
1275603268 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-122.132916000373 |
38.0065680004129 |
6960 |
Sullivan, Gabriela |
1275620023 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
6962 |
SAHAGIAN, MICHELLE |
1275604035 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.329789269359 |
34.0979749635737 |
6963 |
Lee, Thomas |
1275620353 |
Physician |
OPHTHALMOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-119.759074820247 |
36.8388534448306 |
6964 |
Waldrop, Frank |
1275624090 |
Physician |
OPHTHALMOLOGY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2013 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-119.759074820247 |
36.8388534448306 |
6965 |
Handly, Ralph |
1275625170 |
Physician |
OPTOMETRY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2014 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-121.931844043068 |
37.3128740632874 |
6967 |
Yarlagadda, Radhika |
1275629818 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
6970 |
FERDMAN, RONALD |
1275626202 |
Physician |
ALLERGY/IMMUNOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-119.452297394109 |
36.6078683752254 |
6972 |
Vradenburg-Haworth, Jennifer |
1275630162 |
Physician |
UNKNOWN |
550 W Cypress Ave |
Reedley |
Fresno |
93654 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1962805283 |
21250 |
21250 |
36.6078683755 |
-119.452297394 |
-118.502305069024 |
34.2628948805943 |
6975 |
Shulman, Karina |
1275631681 |
Physician |
PSYCHIATRY |
10605 Balboa Blvd, 100 |
Granada Hills |
Los Angeles |
91344 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.2628948812 |
-118.502305069 |
-122.224776035785 |
37.7798441425932 |
6978 |
Pescetti, John |
1275636391 |
Physician |
PEDIATRIC MEDICINE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-115.492931999812 |
32.6791344716786 |
6992 |
Guefen, Uri |
1275646333 |
Physician |
EMERGENCY MEDICINE |
495 E Birch St Ste A |
Calexico |
Imperial |
92231 |
California |
2012 |
2013 |
1 |
AIU |
CENTRO COMMUNITY HOSP EL |
1861409823 |
21250 |
21250 |
32.6791344722 |
-115.492932 |
-118.256434514441 |
33.9855840003014 |
6996 |
SHAMSID-DEEN, SHAFEEQ |
1275646952 |
Physician |
UNKNOWN |
5970 South Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2013 |
2014 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-123.211126833337 |
39.1278118681233 |
6998 |
Henrie, Patrick |
1275653743 |
Dentist |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-118.97078849959 |
35.3824379999138 |
7002 |
Digges, John |
1275658882 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.097980794878 |
34.1497971437233 |
7003 |
PUSHIN, MARK |
1275659278 |
Physician |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.149797144 |
-118.097980795 |
-123.803844077242 |
39.43025401611 |
7004 |
Wright, Brent |
1275657231 |
Physician |
OBSTETRICS/GYNECOLOGY |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2019 |
2020 |
6 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
63750 |
8500 |
39.4302540158 |
-123.803844077 |
-122.231195302121 |
37.7991749638535 |
7015 |
PETTY, ERNESTINE |
1275675613 |
Physician |
ANESTHESIOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
7019 |
Dushkin, Elliott |
1275662736 |
Dentist |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa County Regional Health Center |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA COUNTY CONTRA |
1962587071 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.262725564433 |
33.7831557169628 |
7028 |
Brooks, Vanilla |
1275691172 |
Nurse Practitioner |
UNKNOWN |
1009 N Avalon Blvd |
Wilmington |
Los Angeles |
90744 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY CLN WILMINGTON |
1932194586 |
29750 |
8500 |
33.7831557172 |
-118.262725564 |
-122.132916000373 |
38.0065680004129 |
7030 |
Romero-Duran, Adolfo |
1275690836 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.743877948009 |
38.4400615036355 |
7033 |
SULLIVAN, DANIEL |
1275699803 |
Dentist |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-117.275113154748 |
33.1914165928015 |
7053 |
Bohn, Marjorie |
1275747214 |
Physician |
UNKNOWN |
134 Grapevine Rd |
Vista |
San Diego |
92083 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
29750 |
8500 |
33.1914165926 |
-117.275113155 |
-115.56148168693 |
32.7942179997609 |
7054 |
rahmani, morteza |
1275739302 |
Physician |
UNKNOWN |
202 North 8th St |
El Centro |
Imperial |
92243 |
California |
2018 |
2019 |
3 |
MU |
COUNTY BEHAVIORAL IMPERIAL |
1225258841 |
38250 |
8500 |
32.794218 |
-115.561481687 |
-117.102322508777 |
32.7514272099978 |
7057 |
Okahara, Noriko |
1275753600 |
Physician |
FAMILY PRACTICE |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC MID-CITY |
1306827332 |
21250 |
21250 |
32.7514272104 |
-117.102322509 |
-122.51450250029 |
37.8729540000271 |
7080 |
Park, Jung |
1275783813 |
Dentist |
UNKNOWN |
630 Drake Avenue |
Sausalito |
Marin |
94965 |
California |
2017 |
2018 |
4 |
MU |
CITY HEALTH AND MARIN |
1285804948 |
46750 |
8500 |
37.872954 |
-122.5145025 |
-119.262712499782 |
36.3453390002947 |
7083 |
Garcia, Fernando |
1275784811 |
Physician |
UNKNOWN |
1746 N Maple St, FERNANDO D GARCIA MD INC |
Visalia |
Tulare |
93292 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1326063199 |
38250 |
8500 |
36.345339 |
-119.2627125 |
-118.155398834688 |
34.0268212301157 |
7087 |
Garcia, Martha |
1275799066 |
Nurse Practitioner |
UNKNOWN |
507 S Atlantic Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN CENTER BIENVENIDOS |
1497001226 |
21250 |
21250 |
34.02682123 |
-118.155398835 |
-122.532927443447 |
38.0685794121102 |
7089 |
Lagrimas, Mikoyan |
1275811432 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
4 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
46750 |
8500 |
38.0685794125 |
-122.532927443 |
-118.247823118242 |
34.0439514687853 |
7098 |
Lee, Hye Kyung |
1275772188 |
Physician |
UNKNOWN |
646 S MAPLE AVENUE |
LOS ANGELES |
Los Angeles |
90013 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0439514693 |
-118.247823118 |
-120.937563000332 |
37.5947865316732 |
7101 |
Godhwani, Anika |
1275829756 |
Doctor of Optometry |
UNKNOWN |
3109 Whitmore Ave |
Ceres |
Stanislaus |
95307 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH STANISLAUS |
1952506123 |
29750 |
8500 |
37.5947865321 |
-120.937563 |
-118.463696418155 |
34.2281841459816 |
7115 |
Oden, Thomas |
1275858193 |
Physician |
UNKNOWN |
15206 Parthenia Street, |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-117.3539552958 |
33.9867503913176 |
7122 |
Ombao, Joel |
1275870628 |
Nurse Practitioner |
UNKNOWN |
2881 Hulen Place, 203 |
Riverside |
UNKNOWN |
92507 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY ACTION URBAN |
1538407325 |
21250 |
21250 |
33.9867503912 |
-117.353955296 |
-117.721502999963 |
34.0619039998697 |
7124 |
Shakhshir, Suzan |
1275875759 |
Nurse Practitioner |
UNKNOWN |
1450 E. Holt Avenue |
Pomona |
Los Angeles |
91767 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HEALTH POMONA |
1417211426 |
46750 |
8500 |
34.061904 |
-117.721503 |
-124.137814189873 |
40.7789547799392 |
7128 |
Parker, Kathleen |
1275892911 |
Certified Nurse - Midwife |
UNKNOWN |
3200 Walford Ave |
Eureka |
Humboldt |
95503 |
California |
2013 |
2014 |
1 |
AIU |
CARE MEDICAL HEALTH |
1679798425 |
21250 |
21250 |
40.7789547799 |
-124.13781419 |
-121.98018152206 |
36.9883873259144 |
7131 |
vaynshteyn, ilana |
1275901050 |
Dentist |
UNKNOWN |
1830 Commercial Way |
Santa Cruz |
Santa Cruz |
95065 |
California |
2016 |
2016 |
1 |
AIU |
COMMUNITY DENTAL DIENTES |
1437213279 |
21250 |
21250 |
36.9883873258 |
-121.980181522 |
-118.155398834688 |
34.0268212301157 |
7135 |
Partida, Viviana |
1275902967 |
Nurse Practitioner |
UNKNOWN |
507 S Atlantic Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN CENTER BIENVENIDOS |
1497001226 |
21250 |
21250 |
34.02682123 |
-118.155398835 |
-118.413825981784 |
34.1944379999138 |
7149 |
Alfon, Sandra |
1275940595 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2020 |
2020 |
5 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
55250 |
8500 |
34.194438 |
-118.413825982 |
-118.075851000124 |
34.0629929997272 |
7151 |
Ha, Tracy |
1275943672 |
Dentist |
UNKNOWN |
8841 Garvey Ave |
Rosemead |
Los Angeles |
91770 |
California |
2018 |
2019 |
3 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
38250 |
8500 |
34.062993 |
-118.075851 |
-117.357922269197 |
33.2078401756836 |
7158 |
Chang, Audrey |
1275960494 |
Nurse Practitioner |
UNKNOWN |
2210 Mesa Dr, Ste. 12 |
Oceanside |
San Diego |
92054 |
California |
2016 |
2017 |
3 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
38250 |
8500 |
33.2078401763 |
-117.357922269 |
-118.349731509102 |
33.954067100916 |
7168 |
Beshai, Rami |
1285002345 |
Dentist |
UNKNOWN |
300 E Buckthorn St |
Inglewood |
Los Angeles |
90301 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN'S DENTAL CENTER THE |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-122.132916000373 |
38.0065680004129 |
7169 |
Wagner, Ariel |
1285016634 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
7181 |
Moghaddam, Amennah |
1285046557 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.730009116028 |
38.4800536013926 |
7184 |
Wiener, Ellie |
1285051193 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-121.931844043068 |
37.3128740632874 |
7187 |
Byrne, Sandra |
1285054759 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.15612921659 |
33.1407478633233 |
7200 |
Borowiec, Maria |
1285183442 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda |
San Marcos |
UNKNOWN |
92079 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-116.32904549985 |
33.1939799996773 |
7202 |
Wu, Jim |
1285605014 |
Physician |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2016 |
2018 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-120.121778773172 |
36.0078165287099 |
7217 |
Eisman, Paul |
1285639773 |
Physician |
FAMILY PRACTICE |
1000 Skyline Blvd., PO Box 700 |
Avenal |
Kings |
93204 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY HEALTH AVENAL |
1932169240 |
21250 |
21250 |
36.007816529 |
-120.121778773 |
-122.132916000373 |
38.0065680004129 |
7225 |
King, Benjamin |
1285654202 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
7227 |
Wofsy, Judith |
1285644872 |
Physician |
INTERNAL MEDICINE |
1411 East 31st St, OakCare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.228721500197 |
33.2096760004471 |
7229 |
Ghale-Mudan, Manmohan |
1285659201 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
4 |
MU |
COMM CLINIC VISTA |
1295822658 |
46750 |
8500 |
33.209676 |
-117.2287215 |
-116.198875146571 |
33.645612610034 |
7233 |
Gascon, Diana |
1285665562 |
Physician |
UNKNOWN |
55497 Van Buren St. |
Coachella |
Riverside |
92236 |
California |
2014 |
2014 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.6456126105 |
-116.198875147 |
-121.931844043068 |
37.3128740632874 |
7247 |
Narra, Hemalatha |
1285690701 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
7251 |
Wallerstein, Robert |
1285696203 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
7255 |
Foreman, Jennifer |
1285697870 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
7260 |
Young, Cecilia |
1285701656 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-122.167619760743 |
37.478421000229 |
7267 |
Dehlinger, Maia |
1285706390 |
Nurse Practitioner |
NURSE PRACTITIONER |
100 Terminal Avenue |
Menlo Park |
San Mateo |
94025 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1073640918 |
21250 |
21250 |
37.478421 |
-122.167619761 |
-122.132916000373 |
38.0065680004129 |
7268 |
Berguer, Ramon |
1285711036 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-121.050150702893 |
37.7062613960467 |
7271 |
Conte, Felix |
1285712760 |
Physician |
UNKNOWN |
4601 Dale Rd |
Modesto |
Stanislaus |
95356 |
California |
2015 |
2016 |
2 |
MU |
COMM HOSP SONORA |
1003014952 |
29750 |
8500 |
37.7062613957 |
-121.050150703 |
-118.43748018856 |
34.0404355863333 |
7275 |
Nowlin-Finch, Nancy |
1285713503 |
Physician |
PSYCHIATRY |
11080 W Olympic Blvd |
Los Angeles |
Los Angeles |
90064 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0404355856 |
-118.437480189 |
-121.931844043068 |
37.3128740632874 |
7281 |
Nguyen, Lily |
1285720342 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
7282 |
Hammoudeh, Jeffrey |
1285715086 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.33540000021 |
34.0996949997245 |
7294 |
ROSSER, TENA |
1285720292 |
Physician |
NEUROLOGY |
6430 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.099695 |
-118.3354 |
-118.329789269359 |
34.0979749635737 |
7303 |
Lin, Chuan Hao |
1285734921 |
Physician |
GASTROENTEROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.751099499642 |
34.0750530000959 |
7320 |
huang, ching chih |
1285776187 |
Physician |
UNKNOWN |
160 E Artesia St # 235 |
Pomona |
Los Angeles |
91767 |
California |
2012 |
2013 |
2 |
MU |
CHING-CHIH D MD INC HUANG |
1033139647 |
29750 |
8500 |
34.075053 |
-117.7510995 |
-121.780656000274 |
37.6782750002911 |
7334 |
Eaton, Scott |
1285793836 |
Physician |
OBSTETRICS/GYNECOLOGY |
1133 E Stanley Blvd, Suite 205 |
Livermore |
Alameda |
94550 |
California |
2014 |
2015 |
4 |
MU |
CARE MEDICAL VALLEY |
1356598825 |
46750 |
8500 |
37.678275 |
-121.780656 |
-118.256769000189 |
34.0030619996116 |
7337 |
Boutte, Temica |
1285795021 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S. Central Avenue |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
4 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
46750 |
8500 |
34.003062 |
-118.256769 |
-118.124154000007 |
33.8611230002263 |
7341 |
Le, Colin |
1285803809 |
Dentist |
UNKNOWN |
5819 Adenmoor ave |
Lakewood |
Los Angeles |
90713 |
California |
2017 |
2018 |
2 |
MU |
CERRITOS DENTAL LAKEWOOD |
1407124290 |
29750 |
8500 |
33.861123 |
-118.124154 |
-122.132916000373 |
38.0065680004129 |
7342 |
Joseph, Mary |
1285803460 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.155398834688 |
34.0268212301157 |
7350 |
habu, chris |
1285809335 |
Dentist |
UNKNOWN |
507 S Atlantic Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN CENTER BIENVENIDOS |
1497001226 |
21250 |
21250 |
34.02682123 |
-118.155398835 |
-121.931844043068 |
37.3128740632874 |
7351 |
Copeland, Sarah |
1285818823 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.870673500082 |
33.6125160002133 |
7353 |
delValle, Antoinette |
1285826248 |
Physician |
UNKNOWN |
1401 Avocado Ave. Ste 802 |
Newport Beach |
Orange |
92660 |
California |
2018 |
2019 |
3 |
MU |
CHILDRENS MEDICAL NEWPORT |
1356328330 |
38250 |
8500 |
33.612516 |
-117.8706735 |
-122.224776035785 |
37.7798441425932 |
7362 |
Powell, Suzanne |
1285836783 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-120.060166500384 |
36.7205355023116 |
7371 |
Grasser, Angela |
1285853697 |
Physician |
UNKNOWN |
1000 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2017 |
2018 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1902823461 |
46750 |
8500 |
36.7205355017 |
-120.0601665 |
-122.132916000373 |
38.0065680004129 |
7375 |
Pinto, Natasha |
1285871137 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.739444747077 |
34.1407009248079 |
7376 |
McEvoy, Ani |
1285868828 |
Nurse Practitioner |
NURSE PRACTITIONER |
5016 Chesebro Rd, Suite 200 |
Agoura Hills |
Los Angeles |
91301 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
34.1407009248 |
-118.739444747 |
-121.931844043068 |
37.3128740632874 |
7378 |
Nguyen, An |
1285882258 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
7386 |
Tell, Stasia |
1285890616 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
UNKNOWN |
94553 |
California |
2017 |
2018 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
7392 |
Hernandez, Alberto |
1285910976 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.084666108054 |
34.0017855810398 |
7395 |
MAGDALENO, ERNESTO |
1285921700 |
Physician |
UNKNOWN |
8825 Whittier Blvd. |
Pico Rivera |
Los Angeles |
90660 |
California |
2016 |
2018 |
1 |
AIU |
CALIFORNIA MED CTR SOUTHERN |
1225357114 |
21250 |
21250 |
34.0017855806 |
-118.084666108 |
-122.748589048346 |
38.4279142321561 |
7417 |
Levy, Judith |
1285969485 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi |
Santa Rosa |
Sonoma |
95407 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-122.231195302121 |
37.7991749638535 |
7420 |
Jafari, Hamta |
1285947804 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St, Internal Medicine Department |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.730009116028 |
38.4800536013926 |
7428 |
Lai, Tiffany |
1295000578 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.730009116028 |
38.4800536013926 |
7434 |
Maloney, Carrie |
1295012375 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.730009116028 |
38.4800536013926 |
7442 |
Keighley, Ember |
1295025039 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2014 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.240379999837 |
34.1367570001355 |
7450 |
Garabedian, Taline |
1295050920 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
801 S. Chevy Chase Dr., Ste 250 |
Glendale |
Los Angeles |
91205 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
46750 |
8500 |
34.136757 |
-118.24038 |
-117.152023500284 |
32.7983220001602 |
7455 |
Sah, Serena |
1295042653 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
7461 |
Finney, Jane |
1295079531 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.730009116028 |
38.4800536013926 |
7464 |
HENDRICKSON, JANET |
1295082584 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2014 |
2015 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-118.240379999837 |
34.1367570001355 |
7468 |
Budagyan, Elena |
1295086163 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
801 S. Chevy Chase Dr., Ste 250 |
Glendale |
Los Angeles |
91205 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
46750 |
8500 |
34.136757 |
-118.24038 |
-121.324336975971 |
36.4329200614118 |
7475 |
call, melanie |
1295136638 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
600 Main Street |
Soledad |
Monterey |
93960 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HEALTH SOLEDAD |
1003822453 |
29750 |
8500 |
36.4329200611 |
-121.324336976 |
-117.885446682219 |
33.7111736116729 |
7489 |
Ramos, Kimberly |
1295160182 |
Nurse Practitioner |
UNKNOWN |
2650 S Bristol St, Ste 101 |
Santa Ana |
Orange |
92704 |
California |
2015 |
2017 |
1 |
AIU |
COAST PEDIATRICS SOUTH |
1568495364 |
21250 |
21250 |
33.7111736123 |
-117.885446682 |
-122.132916000373 |
38.0065680004129 |
7494 |
Henneberg, Christine |
1295164903 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2015 |
2016 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-118.97078849959 |
35.3824379999138 |
7502 |
Kalha, Ishaan |
1295711539 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.931844043068 |
37.3128740632874 |
7508 |
Banuelos, Alfonso |
1295720613 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
7512 |
bunker-alberts, michele |
1295730935 |
Nurse Practitioner |
CERTIFIED NURSE MIDWIFE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.532927443447 |
38.0685794121102 |
7517 |
Bishop, Joleen |
1295737435 |
Nurse Practitioner |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
4 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
46750 |
8500 |
38.0685794125 |
-122.532927443 |
-121.010372999914 |
37.6862310002605 |
7528 |
Lopez Solorza, Juan |
1295747152 |
Physician |
UNKNOWN |
1209 Woodrow Ave., Suite B-10 |
Modesto |
Stanislaus |
95350 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HLTH STANISLAUS |
1093910275 |
29750 |
8500 |
37.686231 |
-121.010373 |
-122.385354438756 |
40.5834973198455 |
7529 |
Murphy, Ann |
1295754935 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-117.228721500197 |
33.2096760004471 |
7530 |
Gubaton, Yolanda |
1295756492 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
7541 |
Desmond, Elizabeth |
1295774255 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
7549 |
Nicholas, Constantine |
1295790228 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-116.32904549985 |
33.1939799996773 |
7557 |
Snow, Walter |
1295803245 |
Dentist |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-122.132916000373 |
38.0065680004129 |
7560 |
green, trinh |
1295808384 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2015 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1467522284 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.532927443447 |
38.0685794121102 |
7563 |
Perez, Francis |
1295812204 |
Physician |
UNKNOWN |
9 Commercial Blvd, Ste 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-117.152023500284 |
32.7983220001602 |
7567 |
JONES, MARILYN |
1295806040 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.132916000373 |
38.0065680004129 |
7570 |
McCormick, Jane |
1295817807 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
7577 |
THOMAS, DAN |
1295829992 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
6430 Sunset Blvd., Suite 600 |
LOS ANGELES |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-116.32904549985 |
33.1939799996773 |
7586 |
Webb, Jana |
1295834273 |
Physician |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-117.960722999667 |
33.7877909999547 |
7599 |
Hoang, Huong |
1295860013 |
Dentist |
UNKNOWN |
9862 Chapman Ave, B |
Garden Grove |
Orange |
92841 |
California |
2011 |
2012 |
1 |
AIU |
COMM OF ORNG VIETNAMESE |
1285708818 |
21250 |
21250 |
33.787791 |
-117.960723 |
-122.748589048346 |
38.4279142321561 |
7603 |
Norwick, Rebecca |
1295864619 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-123.803844077242 |
39.43025401611 |
7610 |
Jamgochian, Ann |
1295873941 |
Nurse Practitioner |
UNKNOWN |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2013 |
2014 |
2 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
29750 |
8500 |
39.4302540158 |
-123.803844077 |
-117.721502999963 |
34.0619039998697 |
7615 |
Jewell, David |
1295877041 |
Physician |
UNKNOWN |
1450 E Holt Ave |
Pomona |
Los Angeles |
91767 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HEALTH POMONA |
1417211426 |
21250 |
21250 |
34.061904 |
-117.721503 |
-118.097980794878 |
34.1497971437233 |
7616 |
FLORESCIO, PEDRO |
1295878098 |
Physician |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.149797144 |
-118.097980795 |
-122.231195302121 |
37.7991749638535 |
7618 |
Keswani, Anita |
1295878825 |
Physician |
UNKNOWN |
1411 E. 31st St |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.15612921659 |
33.1407478633233 |
7619 |
Leviel, Linda |
1295886018 |
Certified Nurse - Midwife |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.132916000373 |
38.0065680004129 |
7624 |
Puell, Michael |
1295892099 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.743877948009 |
38.4400615036355 |
7626 |
WONG, AMY |
1295891802 |
Dentist |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-121.931844043068 |
37.3128740632874 |
7627 |
Gaddipati, Anitha |
1295893501 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.151138825396 |
37.7421031099706 |
7630 |
Srinivasan, Padma |
1295896561 |
Physician |
INTERNAL MEDICINE |
10700 MacArthur Blvd, Suite 14B |
Oakland |
Alameda |
94605 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.7421031103 |
-122.151138825 |
-117.228721500197 |
33.2096760004471 |
7631 |
Tran, Quoc |
1295895498 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2019 |
2020 |
4 |
MU |
COMM CLINIC VISTA |
1295822658 |
46750 |
8500 |
33.209676 |
-117.2287215 |
-122.748589048346 |
38.4279142321561 |
7634 |
Reetz, Heidi |
1295901072 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-122.133636000301 |
37.4709959995658 |
7635 |
Burlinson, Katrien |
1295893592 |
Physician |
UNKNOWN |
1798 A Bay Road, Pediatrics Dept |
East Palo Alto |
Santa Clara |
94303 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.470996 |
-122.133636 |
-122.743877948009 |
38.4400615036355 |
7647 |
Rutkowski, Joseph |
1295927358 |
Dentist |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-117.122650002795 |
32.812365973311 |
7648 |
Harbert, Mary Jo |
1295934032 |
Physician |
NEUROLOGY |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2012 |
2013 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-123.728019837046 |
39.2263705055944 |
7668 |
Tellier, Michele |
1295961837 |
Nurse Practitioner |
UNKNOWN |
28401 Albion Ridge road |
Albion |
Mendocino |
95410 |
California |
2018 |
2019 |
4 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
46750 |
8500 |
39.2263705056 |
-123.728019837 |
-117.467397476612 |
33.9464784380295 |
7671 |
Martinez, Conrado |
1295983310 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
8856 Arlington Ave |
Riverside |
Riverside |
92503 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.9464784376 |
-117.467397477 |
-121.931844043068 |
37.3128740632874 |
7677 |
McClure, Laurel |
1306000369 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.467397476612 |
33.9464784380295 |
7682 |
Arcone, Rafael |
1306007463 |
Physician |
UNKNOWN |
8856 Arlington Ave |
Riverside |
Riverside |
92503 |
California |
2018 |
2020 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
33.9464784376 |
-117.467397477 |
-117.152023500284 |
32.7983220001602 |
7697 |
HEGDE, SANJEET |
1306036884 |
Physician |
UNKNOWN |
3020 Childrens Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-117.701723303687 |
33.572158499815 |
7711 |
Mazar-Atabaki, Cima |
1306075825 |
Dentist |
UNKNOWN |
24541 Pacific Park Dr, Suite 104 |
Aliso Viejo |
Orange |
92656 |
California |
2016 |
2017 |
1 |
AIU |
Cima Mazar-Atabaki |
1306075825 |
21250 |
21250 |
33.5721584999 |
-117.701723304 |
-122.748589048346 |
38.4279142321561 |
7713 |
HAUPTMAN, LISA |
1306086392 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HEALTH SOUTHWEST |
1558512624 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-117.885488708437 |
33.6847806931745 |
7717 |
Turiy, Yuliya |
1306088018 |
Physician |
UNKNOWN |
3080 Bristol Street, Suite 600 |
Costa Mesa |
Orange |
92626 |
California |
2018 |
2019 |
4 |
MU |
CARDIOVASCULAR PACIFIC |
1700821691 |
25500 |
8500 |
33.6847806931 |
-117.885488708 |
-121.931844043068 |
37.3128740632874 |
7719 |
Sivia, Sandeep |
1306095385 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
7721 |
POUR MOLKARA, DELARAM |
1306074893 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-118.240379999837 |
34.1367570001355 |
7724 |
Furman, Adrian |
1306106380 |
Physician |
UNKNOWN |
801 S Chevy Chase Dr Ste 20 |
Glendale |
Los Angeles |
91205 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY COMPREHENSIVE |
1245210749 |
21250 |
21250 |
34.136757 |
-118.24038 |
-122.224776035785 |
37.7798441425932 |
7728 |
Missaggia, Angela |
1306110523 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
7738 |
Aldaz-Perry, Victoria |
1306132386 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
3 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
38250 |
8500 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
7741 |
SUBASH, SHYNI |
1306137401 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2018 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.256769000189 |
34.0030619996116 |
7745 |
Montenegro, Freddy |
1306141213 |
Nurse Practitioner |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2013 |
2014 |
3 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
38250 |
8500 |
34.003062 |
-118.256769 |
-121.939887305155 |
40.8041224683773 |
7758 |
Nelson, Christopher |
1306179239 |
Dentist |
UNKNOWN |
29632 Highway 299 East, PO Box 228 |
Round Mountain |
Shasta |
96084 |
California |
2017 |
2018 |
4 |
MU |
COUNTRY COMM CLINIC HILL |
1407914260 |
46750 |
8500 |
40.8041224681 |
-121.939887305 |
-118.030855499881 |
34.1311139998113 |
7773 |
jimenez, leila |
1306237045 |
Nurse Practitioner |
UNKNOWN |
800 S. Santa Anita Ave. |
Arcadia |
Los Angeles |
91006 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.131114 |
-118.0308555 |
-119.159698864611 |
34.2931563264034 |
7775 |
Heravi, Mona |
1306248893 |
Dentist |
UNKNOWN |
200 S Wells Rd, Suite #200 |
Ventura |
Ventura |
93004 |
California |
2015 |
2016 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.413825981784 |
34.1944379999138 |
7776 |
Gallagher, Mary |
1306254230 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave, Suite 2A |
North Hollywood |
Los Angeles |
91605 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
21250 |
21250 |
34.194438 |
-118.413825982 |
-118.184503499637 |
33.8084730004287 |
7779 |
Chim, Vandara |
1306264635 |
Nurse Practitioner |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.808473 |
-118.1845035 |
-119.800377524303 |
36.8843745979094 |
7782 |
Anderson, Cassandra |
1306274568 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2018 |
2019 |
5 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
55250 |
8500 |
36.8843745978 |
-119.800377524 |
-123.211126833337 |
39.1278118681233 |
7792 |
Johnson, Rebecca |
1306397674 |
Certified Nurse - Midwife |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-121.931844043068 |
37.3128740632874 |
7795 |
Lalakea, Mary |
1306801469 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
7796 |
Mares, Beatriz |
1306802079 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.293532020986 |
33.8315565468972 |
7805 |
Flores, Deborah |
1306819586 |
Physician |
PSYCHIATRY |
1000 W Carson St # 498 |
Torrance |
Los Angeles |
90502 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.8315565466 |
-118.293532021 |
-120.135618807062 |
36.0034925469436 |
7813 |
Thurston, Gordon |
1306840749 |
Physician |
UNKNOWN |
216 E Fresno St |
Avenal |
Kings |
93204 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1215110879 |
38250 |
8500 |
36.0034925467 |
-120.135618807 |
-122.254271688188 |
40.1690621127264 |
7815 |
Malan, Jon |
1306842232 |
Physician |
FAMILY PRACTICE |
1850 Walnut St |
Red Bluff |
Tehama |
96080 |
California |
2012 |
2014 |
1 |
AIU |
COUNTY TEHAMA |
1043427388 |
21250 |
21250 |
40.1690621127 |
-122.254271688 |
-121.657662037273 |
36.6585739607198 |
7817 |
MORE, DANIEL |
1306844279 |
Physician |
UNKNOWN |
45 E San Joaquin St |
Salinas |
Monterey |
93901 |
California |
2016 |
2018 |
2 |
MU |
COAST ALLERGY AND CENTRAL |
1619037975 |
29750 |
8500 |
36.6585739612 |
-121.657662037 |
-122.224776035785 |
37.7798441425932 |
7822 |
Willingham, jon |
1306856356 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.958981500296 |
33.7810860001189 |
7826 |
Waknine, Raphael |
1306855903 |
Physician |
UNKNOWN |
12511 Brookhurst St, 2nd Fl |
Garden Grove |
Orange |
92840 |
California |
2013 |
2014 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.781086 |
-117.9589815 |
-117.15612921659 |
33.1407478633233 |
7832 |
Ellis, Kevin |
1306861703 |
Physician |
FAMILY PRACTICE |
150 VALPREDA ROAD |
SAN MARCOS |
San Diego |
92069 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HEALTH SVS NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-118.318947085939 |
33.7550963906859 |
7833 |
Ridgill, Lucille |
1306862701 |
Physician |
UNKNOWN |
28729 Atford Dr |
Rancho Palos Verdes |
Los Angeles |
90275 |
California |
2016 |
2018 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.7550963908 |
-118.318947086 |
-117.228721500197 |
33.2096760004471 |
7840 |
LaRocque, Michael |
1306879549 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2019 |
2020 |
5 |
MU |
COMM CLINIC VISTA |
1295822658 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-118.203022217801 |
34.0626159023021 |
7843 |
Madkour, Hosameldin |
1306881099 |
Physician |
INTERNAL MEDICINE |
1520 San Pablo St, SUITE 1000 |
Los Angeles |
Los Angeles |
90033 |
California |
2012 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.062615902 |
-118.203022218 |
-118.208177999615 |
34.0596540004318 |
7849 |
Kaptein, Elaine |
1306872783 |
Physician |
NEPHROLOGY |
1200 N State St, Room 4250 GNH |
Los Angeles |
Los Angeles |
90033 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.059654 |
-118.208178 |
-119.800377524303 |
36.8843745979094 |
7861 |
Morgan, Susan |
1306909783 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
63750 |
8500 |
36.8843745978 |
-119.800377524 |
-122.385354438756 |
40.5834973198455 |
7865 |
Miller, Robert |
1306916861 |
Nurse Practitioner |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
5 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
55250 |
8500 |
40.5834973202 |
-122.385354439 |
-117.152023500284 |
32.7983220001602 |
7875 |
LEWIS, WILLIAM |
1306917166 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
4 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-118.184624999844 |
33.8077440000856 |
7880 |
DRESSNER, MARK |
1306942073 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2015 |
2017 |
5 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
55250 |
8500 |
33.807744 |
-118.184625 |
-121.540306499745 |
39.5044559998446 |
7888 |
Ching, Brian |
1306945936 |
Physician |
UNKNOWN |
2809 Olive Hwy, Suite 230 |
Oroville |
Butte |
95966 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.504456 |
-121.5403065 |
-122.224776035785 |
37.7798441425932 |
7889 |
Lee, Eileen |
1306949623 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.327563562408 |
34.0979338087983 |
7890 |
GOMPERTS, EDWARD |
1306946215 |
Physician |
HEMATOLOGY/ONCOLOGY |
6340 W Sunset Blvd, 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.097933809 |
-118.327563562 |
-122.532927443447 |
38.0685794121102 |
7894 |
Lance, Erinn |
1306955414 |
Certified Nurse - Midwife |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2017 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-122.028876790931 |
36.9749133592642 |
7901 |
Russo, Lorena |
1306959390 |
Physician |
UNKNOWN |
250 Locust |
Santa Cruz |
Santa Cruz |
95060 |
California |
2018 |
2019 |
2 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
29750 |
8500 |
36.9749133589 |
-122.028876791 |
-122.748589048346 |
38.4279142321561 |
7908 |
Foulks, Margaret |
1306975891 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Ct Ste B |
Santa Rosa |
Sonoma |
95407 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-121.939887305155 |
40.8041224683773 |
7911 |
HOLSCHER, DONNA |
1306971148 |
Physician |
UNKNOWN |
29632 Highway 299 East, PO BOX 228 |
Round Mountain |
Shasta |
96084 |
California |
2018 |
2019 |
5 |
MU |
COUNTRY COMM CLINIC HILL |
1407914260 |
55250 |
8500 |
40.8041224681 |
-121.939887305 |
-122.132916000373 |
38.0065680004129 |
7922 |
Perez, Greta |
1306988423 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
UNKNOWN |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
7928 |
McNitt, Louise |
1306993530 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
7933 |
Leong, Rudy |
1316004211 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2015 |
1 |
AIU |
COSTA COUNTY CONTRA |
1962587071 |
21250 |
21250 |
38.006568 |
-122.132916 |
-121.873719412221 |
37.6614078555881 |
7936 |
WHITE, CHARLES |
1316004641 |
Physician |
FAMILY PRACTICE |
4361 Railroad Ave |
Pleasanton |
Alameda |
94566 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY HEALTH AXIS |
1669403390 |
38250 |
8500 |
37.6614078563 |
-121.873719412 |
-122.132916000373 |
38.0065680004129 |
7939 |
Brito, Nicole |
1316008568 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-116.32904549985 |
33.1939799996773 |
7941 |
Tucker-Ham, Tamara |
1316006794 |
Nurse Practitioner |
NURSE PRACTITIONER |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2014 |
2015 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
33.19398 |
-116.3290455 |
-122.224776035785 |
37.7798441425932 |
7942 |
Tai, Chien |
1316013394 |
Physician |
OPTOMETRY |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
7950 |
Lee, John |
1316017478 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.122650002795 |
32.812365973311 |
7951 |
BASTIAN, JOHN |
1316018179 |
Physician |
UNKNOWN |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2013 |
2014 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.8123659731 |
-117.122650003 |
-118.97078849959 |
35.3824379999138 |
7957 |
Berjis, Amir |
1316026800 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.931844043068 |
37.3128740632874 |
7960 |
Van Bockel, Shawn |
1316031107 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
7967 |
WILLIAMS, ROBERTA |
1316034713 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
7968 |
Solarz, Norma |
1316040421 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.329789269359 |
34.0979749635737 |
7971 |
KEENS, THOMAS |
1316039647 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.576628999928 |
34.4408670002119 |
7974 |
SHAHMORADIAN, VREJ |
1316044134 |
Dentist |
UNKNOWN |
28237 Newhall Ranch Rd |
Valencia |
Los Angeles |
91355 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.440867 |
-118.576629 |
-118.329789269359 |
34.0979749635737 |
7976 |
Harb, Rula |
1316045156 |
Physician |
GASTROENTEROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
7977 |
Gaynon, Paul |
1316047384 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.132916000373 |
38.0065680004129 |
7988 |
Elyassnia, Dino |
1316070048 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
7998 |
kusnierczyk, peter |
1316093362 |
Nurse Practitioner |
NURSE PRACTITIONER |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-119.056639499813 |
35.3651040000496 |
8005 |
Zada, Jaafar |
1316099211 |
Physician |
PSYCHIATRY |
4900 California Ave Ste 200 |
Bakersfield |
Kern |
93309 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
35.365104 |
-119.0566395 |
-118.265307950601 |
34.0072110002875 |
8014 |
Guevara, Maria |
1316124662 |
Physician |
UNKNOWN |
4211 Avalon Blvd, Ste A |
Los Angeles |
Los Angeles |
90011 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HEALTH KEDREN |
1417378597 |
29750 |
8500 |
34.007211 |
-118.265307951 |
-121.931844043068 |
37.3128740632874 |
8016 |
Marvi, Umaima |
1316129083 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.122650002795 |
32.812365973311 |
8018 |
Walker, Justine |
1316135635 |
Physician |
PEDIATRIC MEDICINE |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2013 |
2014 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.8123659731 |
-117.122650003 |
-121.931844043068 |
37.3128740632874 |
8024 |
Namath, Sarah |
1316142490 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
8031 |
Lightdale, Nina |
1316149636 |
Physician |
ORTHOPEDIC SURGERY |
6430 Sunset Blvd., Suite 600 |
los angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.073496307209 |
32.6818771116394 |
8034 |
Moore, caroline |
1316156839 |
Dentist |
UNKNOWN |
3110 E Plaza Blvd |
National City |
San Diego |
91950 |
California |
2016 |
2017 |
1 |
AIU |
caroline Pimentel Moore |
1316156839 |
21250 |
21250 |
32.6818771124 |
-117.073496307 |
-122.132916000373 |
38.0065680004129 |
8045 |
Berg, Catherine |
1316171341 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-120.121778773172 |
36.0078165287099 |
8046 |
Chen, Joey |
1316172034 |
Dentist |
UNKNOWN |
1000 Skyline Blvd, PO Box 700 |
Avenal |
Kings |
93204 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY HEALTH AVENAL |
1932169240 |
21250 |
21250 |
36.007816529 |
-120.121778773 |
-118.329789269359 |
34.0979749635737 |
8048 |
KIM, STEVE |
1316147671 |
Physician |
UROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90027 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
8057 |
Ng, Christine |
1316201569 |
Doctor of Optometry |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-120.391143022632 |
37.9787365848256 |
8065 |
Spillner, Suzanne |
1316211576 |
Nurse Practitioner |
UNKNOWN |
193 S. Fairview Ln |
Sonora |
Tuolumne |
95370 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
38250 |
8500 |
37.9787365855 |
-120.391143023 |
-119.251855838176 |
34.2762568924417 |
8073 |
KUCHARSKI, JACLYN |
1316231954 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-119.396731027815 |
36.5458725074104 |
8078 |
Hernandez, Liz |
1316237068 |
Physician |
UNKNOWN |
250 W El Monte Way |
Dinuba |
Tulare |
93618 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1508881376 |
21250 |
21250 |
36.5458725068 |
-119.396731028 |
-118.102454763776 |
34.0164256707082 |
8091 |
Tsai, Collin |
1316274111 |
Dentist |
UNKNOWN |
415 W Beverly Blvd Ste B |
Montebello |
Los Angeles |
90640 |
California |
2016 |
2017 |
1 |
AIU |
Collin G Tsai |
1316274111 |
21250 |
21250 |
34.0164256708 |
-118.102454764 |
-122.532927443447 |
38.0685794121102 |
8093 |
Jivan, Neesha |
1316290547 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
4 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
46750 |
8500 |
38.0685794125 |
-122.532927443 |
-122.132916000373 |
38.0065680004129 |
8100 |
Sealey-Nott, Chere |
1316298011 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.413825981784 |
34.1944379999138 |
8112 |
Avendano, Nancy |
1316341324 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon, Suite 1B |
North Hollywood |
Los Angeles |
91605 |
California |
2020 |
2020 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-122.231195302121 |
37.7991749638535 |
8114 |
Nasr, Susan |
1316364250 |
Physician |
UNKNOWN |
1411 East 31st Street, ACMC Dept. Internal Medicine |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.463696418155 |
34.2281841459816 |
8116 |
Reyes, Joanna Reina |
1316373293 |
Nurse Practitioner |
UNKNOWN |
15206 Parthenia Street |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.228184146 |
-118.463696418 |
-118.256769000189 |
34.0030619996116 |
8120 |
Dabirizanjani, Sara |
1316384571 |
Dentist |
UNKNOWN |
4425 S Central Avenue |
Los Angeles |
Los Angeles |
90011 |
California |
2018 |
2019 |
2 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
29750 |
8500 |
34.003062 |
-118.256769 |
-118.030855499881 |
34.1311139998113 |
8126 |
Merica, Jennifer |
1316391220 |
Nurse Practitioner |
UNKNOWN |
800 S. Santa Anita Ave. |
Arcadia |
Los Angeles |
91006 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.131114 |
-118.0308555 |
-120.135618807062 |
36.0034925469436 |
8127 |
Bencito, Cony Rose |
1316394042 |
Nurse Practitioner |
UNKNOWN |
216 E Fresno St |
Avenal |
Kings |
93204 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1326384579 |
21250 |
21250 |
36.0034925467 |
-120.135618807 |
-122.385354438756 |
40.5834973198455 |
8128 |
McKoin, Kelly |
1316392277 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
1 |
AIU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-121.931844043068 |
37.3128740632874 |
8132 |
Hugin, Michele |
1316900038 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.873719412221 |
37.6614078555881 |
8136 |
Chadalawada, Sudha |
1316906845 |
Physician |
UNKNOWN |
4361 Railroad Ave |
Pleasanton |
Alameda |
94566 |
California |
2014 |
2015 |
2 |
MU |
COMMUNITY HEALTH AXIS |
1669403390 |
8500 |
8500 |
37.6614078563 |
-121.873719412 |
-117.15612921659 |
33.1407478633233 |
8150 |
Kosel, Matthew |
1316947302 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-121.764257652369 |
36.9267353723396 |
8151 |
McIntyre, Michael |
1316947005 |
Physician |
UNKNOWN |
9 Crestview Dr |
Watsonville |
Santa Cruz |
95076 |
California |
2013 |
2014 |
3 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
38250 |
8500 |
36.9267353719 |
-121.764257652 |
-121.873719412221 |
37.6614078555881 |
8155 |
Rijhwani, Meena |
1316952799 |
Physician |
FAMILY PRACTICE |
4361 Railroad Ave |
Pleasanton |
Alameda |
94566 |
California |
2012 |
2013 |
2 |
MU |
COMMUNITY HEALTH AXIS |
1669403390 |
29750 |
8500 |
37.6614078563 |
-121.873719412 |
-121.931844043068 |
37.3128740632874 |
8175 |
Liebelt, GRETA |
1316989494 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
8185 |
Gevelber, Mitchell |
1326001298 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
8186 |
Egbujor, Mercy |
1326001439 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
8199 |
Komrosky, Melissa |
1326030867 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
8201 |
Sanger, Terence |
1326036013 |
Physician |
NEUROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.39119316843 |
40.5850415673145 |
8208 |
Kaze, John |
1326051236 |
Dentist |
UNKNOWN |
1400 Market Street Rm 8103 |
Redding |
Shasta |
96001 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH SHASTA |
1538181557 |
21250 |
21250 |
40.5850415667 |
-122.391193168 |
-121.804208909214 |
37.9845055738732 |
8211 |
Quismorio, William |
1326052572 |
Physician |
PEDIATRIC MEDICINE |
3707 Sunset Ln |
Antioch |
Contra Costa |
94509 |
California |
2012 |
2013 |
1 |
AIU |
COMM HEALTHCARE BAART |
1982781159 |
21250 |
21250 |
37.9845055737 |
-121.804208909 |
-118.97078849959 |
35.3824379999138 |
8213 |
Murrish, Geoffrey |
1326052705 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.152023500284 |
32.7983220001602 |
8233 |
Hoffman, Harold |
1326074261 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.463696418155 |
34.2281841459816 |
8236 |
Dayoan, Hilarion |
1326083981 |
Physician |
UNKNOWN |
15206 PARTHENIA ST |
North Hills |
Los Angeles |
91343 |
California |
2014 |
2015 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-117.168045241794 |
34.2665055120198 |
8241 |
Robertson, Virgil |
1326088527 |
Nurse Practitioner |
UNKNOWN |
29101 Hospital Rd, PO Box 70 |
Lake Arrowhead |
San Bernardino |
92352 |
California |
2016 |
2017 |
1 |
MU |
COMMUNITY HOSP MOUNTAINS |
1245380799 |
21250 |
21250 |
34.2665055117 |
-117.168045242 |
-122.818340137088 |
38.3960343403126 |
8242 |
Pace, Gary |
1326105313 |
Physician |
FAMILY PRACTICE |
6800 Palm Avenue, Suite C1 |
Sebastopol |
Sonoma |
95472 |
California |
2012 |
2013 |
2 |
MU |
COUNTY HEALTH CENTER WEST |
1538334065 |
29750 |
8500 |
38.3960343401 |
-122.818340137 |
-122.743877948009 |
38.4400615036355 |
8245 |
HUI, CHEE-HO |
1326104944 |
Dentist |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-118.189907999754 |
33.7932810004179 |
8247 |
Smith, Michael |
1326106022 |
Physician |
PSYCHIATRY |
1975 Long Beach Blvd |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.793281 |
-118.189908 |
-121.931844043068 |
37.3128740632874 |
8255 |
SHARMA, SHOBHA |
1326118290 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-123.211126833337 |
39.1278118681233 |
8256 |
Kennedy, Karen |
1326118365 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
63750 |
8500 |
39.1278118679 |
-123.211126833 |
-118.329789269359 |
34.0979749635737 |
8259 |
PARKMAN, ROBERTSON |
1326118761 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-116.32904549985 |
33.1939799996773 |
8275 |
Barbour, Clayton |
1326137589 |
Physician |
INTERNAL MEDICINE |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2020 |
2020 |
4 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
46750 |
8500 |
33.19398 |
-116.3290455 |
-118.451722499993 |
34.1712304549216 |
8279 |
reid, emy |
1326141623 |
Nurse Practitioner |
NURSE PRACTITIONER |
14623 Killion St |
Sherman Oaks |
Los Angeles |
91411 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
34.1712304555 |
-118.4517225 |
-118.329789269359 |
34.0979749635737 |
8282 |
TAKAO, CHERYL |
1326141441 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931844043068 |
37.3128740632874 |
8284 |
Pham, Krystle |
1326143835 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
8287 |
Canavan, Mary Beth |
1326148677 |
Certified Nurse - Midwife |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.437870500423 |
36.5914974764274 |
8292 |
NUNEZ, EVANGELINA |
1326159708 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1150 E Washington Ave |
Reedley |
UNKNOWN |
93654 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1902823461 |
38250 |
8500 |
36.591497476 |
-119.4378705 |
-122.224776035785 |
37.7798441425932 |
8306 |
Eitel, James |
1326173691 |
Physician |
PEDIATRIC MEDICINE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
8316 |
Sykes, Susan |
1326182957 |
Physician |
OBSTETRICS/GYNECOLOGY |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.231195302121 |
37.7991749638535 |
8319 |
ISOLANI, FRANCISCO |
1326185265 |
Physician |
ANESTHESIOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
8320 |
Jelks, Andrea |
1326185448 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
8326 |
Ahlas, Andreas |
1326200833 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.231195302121 |
37.7991749638535 |
8328 |
Ouye, Kai |
1326203738 |
Physician |
PEDIATRIC MEDICINE |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2012 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.352773353707 |
34.071932436233 |
8337 |
Choi, Christopher |
1326214941 |
Physician |
UNKNOWN |
400 N Pepper Ave, MOB Suite 308 |
Colton |
San Bernardino |
92324 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-122.224776035785 |
37.7798441425932 |
8342 |
Allen, Serena |
1326231721 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.228721500197 |
33.2096760004471 |
8349 |
Bender, Melinda |
1326240706 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-119.452297394109 |
36.6078683752254 |
8358 |
White, Paul |
1326254624 |
Physician |
UNKNOWN |
550 W Cypress Ave |
Reedley |
Fresno |
93654 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1962805283 |
38250 |
8500 |
36.6078683755 |
-119.452297394 |
-118.463696418155 |
34.2281841459816 |
8362 |
Varesko, Susan |
1326268780 |
Nurse Practitioner |
UNKNOWN |
15206 Parthenia Street, |
North Hills |
Los Angeles |
91340 |
California |
2017 |
2018 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.228184146 |
-118.463696418 |
-121.931844043068 |
37.3128740632874 |
8364 |
AGRAWAL, BRAJESH |
1326269515 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
17000 |
8500 |
37.3128740633 |
-121.931844043 |
-117.345627909101 |
33.161494526851 |
8372 |
Jubb, Alexander |
1326282690 |
Dentist |
UNKNOWN |
804 Carlsbad Village Dr |
Carlsbad |
San Diego |
92008 |
California |
2020 |
2020 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.1614945272 |
-117.345627909 |
-122.562698424193 |
38.095736927917 |
8375 |
Sengupta, Geetika |
1326293036 |
Physician |
PEDIATRIC MEDICINE |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC MARIN |
1912091018 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-118.304586000144 |
34.0984079997294 |
8376 |
Azaran, Benjamin |
1326289711 |
Physician |
PEDIATRIC MEDICINE |
5255 WEST SUNSET BLVD |
LOS ANGELES |
Los Angeles |
90027 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP GREAT |
1194949180 |
21250 |
21250 |
34.098408 |
-118.304586 |
-118.098584999898 |
34.0148970003963 |
8379 |
Harding, Phillip |
1326296880 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
101 E Beverly Blvd Ste 103 |
Montebello |
Los Angeles |
90640 |
California |
2012 |
2013 |
1 |
AIU |
CARDIOVASCULAR COMPREHENSIVE |
1407889637 |
21250 |
21250 |
34.014897 |
-118.098585 |
-122.730009116028 |
38.4800536013926 |
8390 |
Dakkak, Maryann |
1326313776 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.132916000373 |
38.0065680004129 |
8391 |
Jett, Margaret |
1326314675 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-117.770691680976 |
33.6959128297134 |
8392 |
Chahbouni, Amine |
1326319021 |
Physician |
FAMILY PRACTICE |
608 Hayes |
Irvine |
Orange |
92620 |
California |
2015 |
2016 |
3 |
MU |
COMMUNITY CLINIC HARBOR |
1467490425 |
38250 |
8500 |
33.6959128299 |
-117.770691681 |
-123.211126833337 |
39.1278118681233 |
8398 |
Paige, Kevin |
1326328535 |
Dentist |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-122.224776035785 |
37.7798441425932 |
8401 |
Finkelstein, Ann |
1326344607 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.97078849959 |
35.3824379999138 |
8404 |
Ballard, Kelly |
1326346669 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1376623538 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.184503499637 |
33.8084730004287 |
8405 |
Wertz, Jennifer |
1326347725 |
Physician |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.808473 |
-118.1845035 |
-118.230057441098 |
34.1193863421061 |
8411 |
Abovian, David |
1326349960 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
3920 Eagle Rock Blvd, Suite A |
Los Angeles |
Los Angeles |
90065 |
California |
2012 |
2013 |
2 |
MU |
COMPREHENSIVE ANGELES |
1457470684 |
29750 |
8500 |
34.1193863425 |
-118.230057441 |
-118.280834826666 |
33.7378414178472 |
8413 |
epstein, marcy |
1326371105 |
Nurse Practitioner |
UNKNOWN |
150 W 7th ST |
San Pedro |
Los Angeles |
90731 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.737841418 |
-118.280834827 |
-121.931844043068 |
37.3128740632874 |
8418 |
Javandel, Mitra |
1326369521 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE, M.S. 420 |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-116.498359173437 |
33.9613938884173 |
8423 |
Tellis, Christine |
1326442492 |
Nurse Practitioner |
UNKNOWN |
66675 Pierson Blvd |
Desert Hot Springs |
Riverside |
92240 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.9613938878 |
-116.498359173 |
-122.132916000373 |
38.0065680004129 |
8425 |
Hollander, Kaitlin |
1326453929 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
8434 |
Merjavy, Stephen |
1326477993 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-117.890316000283 |
33.7454024688489 |
8435 |
vo, vietnam |
1326470626 |
Nurse Practitioner |
UNKNOWN |
1618 W 1st Street |
Santa Ana |
Orange |
92703 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY OF VIETNAMESE |
1285708818 |
29750 |
8500 |
33.7454024693 |
-117.890316 |
-121.931844043068 |
37.3128740632874 |
8442 |
Yuriar, Jennifer |
1326494469 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
UNKNOWN |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.408336258412 |
37.793988954027 |
8444 |
Kwan, Chuk |
1336101500 |
Physician |
UNKNOWN |
929 Clay St, Suite 600 |
San Francisco |
San Francisco |
94108 |
California |
2016 |
2017 |
6 |
MU |
CHUK W MD INC KWAN |
1669611729 |
63750 |
8500 |
37.7939889545 |
-122.408336258 |
-122.132916000373 |
38.0065680004129 |
8452 |
Tomasulo, Michele |
1336109248 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2017 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-119.59623900023 |
36.5687914986288 |
8453 |
Diaz, Socorro |
1336111947 |
Nurse Practitioner |
UNKNOWN |
1041 Rose Ave |
Selma |
Fresno |
93662 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1265530018 |
46750 |
8500 |
36.5687914987 |
-119.596239 |
-122.066355755714 |
38.2353043197386 |
8457 |
Stacey, Michael |
1336120344 |
Physician |
FAMILY PRACTICE |
275 Beck Ave, MS 5-240 |
Fairfield |
Solano |
94533 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HLTH and SOCIAL SOLANO |
1083845275 |
21250 |
21250 |
38.23530432 |
-122.066355756 |
-118.222879500389 |
33.9895079995945 |
8458 |
Rotenberg, Samuel |
1336113364 |
Physician |
FAMILY PRACTICE |
2675 E Slauson Ave, All Care Medical Group Inc |
Huntington Park |
Los Angeles |
90255 |
California |
2016 |
2017 |
6 |
MU |
CARE MEDICAL GROUP ALL |
1720055429 |
63750 |
8500 |
33.989508 |
-118.2228795 |
-118.53409413024 |
34.2207226238501 |
8472 |
GOODMAN, CHARLES |
1336163807 |
Physician |
UNKNOWN |
18350 Roscoe Blvd Ste 706 |
Northridge |
Los Angeles |
91325 |
California |
2013 |
2014 |
3 |
MU |
CHARLES MD INC GOODMAN |
1336163807 |
38250 |
8500 |
34.2207226242 |
-118.53409413 |
-116.950527000021 |
32.8004369996679 |
8474 |
ANCONA YOUNG, CORINNE |
1336168418 |
Physician |
UNKNOWN |
505 N Mollison Ave ste 201 |
El Cajon |
San Diego |
92021 |
California |
2018 |
2019 |
6 |
MU |
CORINNE DO ANCONA-YOUNG |
1336168418 |
63750 |
8500 |
32.800437 |
-116.950527 |
-122.132916000373 |
38.0065680004129 |
8484 |
Treyger, Leonid |
1336178102 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.352749481903 |
33.9284790001058 |
8501 |
ILUORE, AUGUSTINE |
1336205442 |
Physician |
INTERNAL MEDICINE |
11633 Hawthorne Blvd Ste 103 |
Hawthorne |
Los Angeles |
90250 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY CARE MED LA |
1801099486 |
21250 |
21250 |
33.928479 |
-118.352749482 |
-117.122650002795 |
32.812365973311 |
8504 |
SHAYAN, KATAYOON |
1336210194 |
Physician |
UNKNOWN |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-122.132916000373 |
38.0065680004129 |
8508 |
Pierson-Brown, Leigh |
1336216696 |
Nurse Practitioner |
UNKNOWN |
2500 alhambra ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
8510 |
Stapleton, Annie |
1336215391 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.870673500082 |
33.6125160002133 |
8517 |
Katz, Glenn |
1336230267 |
Physician |
UNKNOWN |
1401 Avocado Ave. Ste 802 |
Newport Beach |
Orange |
92660 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS MEDICAL NEWPORT |
1356328330 |
46750 |
8500 |
33.612516 |
-117.8706735 |
-121.931844043068 |
37.3128740632874 |
8518 |
LAIPRASERT-TANTISIRA, JOANN |
1336230952 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
8522 |
SCHWEITZER, DANIELA |
1336235233 |
Physician |
UNKNOWN |
6430 W Sunset Blvd 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.463696418155 |
34.2281841459816 |
8530 |
lund, shewak |
1336244458 |
Physician |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
4 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
46750 |
8500 |
34.228184146 |
-118.463696418 |
-122.132490074257 |
38.0066599453003 |
8538 |
Manaut, Paul |
1336222181 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa Regional Medical Center and Heal Centers |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2017 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006659945 |
-122.132490074 |
-118.413825981784 |
34.1944379999138 |
8548 |
Peeks, Roger |
1336258961 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave, Suite 1B |
North Hollywood |
Los Angeles |
91605 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-121.931844043068 |
37.3128740632874 |
8551 |
Wong, Emily |
1336273291 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.730009116028 |
38.4800536013926 |
8559 |
Howe, Robert |
1336277243 |
Dentist |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2016 |
2017 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-118.197726159734 |
33.927616836248 |
8563 |
Chopra, Usha |
1336284355 |
Physician |
UNKNOWN |
3820 Martin Luther King Jr Blvd |
Lynwood |
Los Angeles |
90262 |
California |
2015 |
2016 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
33.9276168359 |
-118.19772616 |
-118.256769000189 |
34.0030619996116 |
8569 |
Perez, Jose |
1336290691 |
Physician |
UNKNOWN |
4425 S Central Avenue |
Los Angeles |
Los Angeles |
90011 |
California |
2018 |
2019 |
4 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
46750 |
8500 |
34.003062 |
-118.256769 |
-121.324336975971 |
36.4329200614118 |
8576 |
GANZHORN, SUSAN |
1336299973 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
600 Main St |
Soledad |
Monterey |
93960 |
California |
2017 |
2018 |
5 |
MU |
COMMUNITY HEALTH SOLEDAD |
1003822453 |
55250 |
8500 |
36.4329200611 |
-121.324336976 |
-121.849861500008 |
39.7421549995536 |
8577 |
Benson, Douglas |
1336302991 |
Physician |
UNKNOWN |
1531 Esplanade |
Chico |
Butte |
95926 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.742155 |
-121.8498615 |
-116.32904549985 |
33.1939799996773 |
8583 |
Zadshir, Ashraf |
1336314228 |
Physician |
FAMILY PRACTICE |
4343 Yaqui Pass Road, PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2014 |
2015 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
33.19398 |
-116.3290455 |
-121.010372999914 |
37.6862310002605 |
8585 |
Goeken, Carol |
1336323153 |
Nurse Practitioner |
UNKNOWN |
1209 Woodrow Ave Ste B10 |
Modesto |
Stanislaus |
95350 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH STANISLAUS |
1831394998 |
29750 |
8500 |
37.686231 |
-121.010373 |
-118.265307950601 |
34.0072110002875 |
8587 |
Hazboun, Viveca |
1336330273 |
Physician |
PSYCHIATRY |
4211 Avalon Blvd |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.007211 |
-118.265307951 |
-118.205719031008 |
34.0598088879698 |
8588 |
Stoneking, Leanne |
1336320449 |
Physician |
UNKNOWN |
2020 Zonal Ave, IRD Psychiatry #131 |
Los Angeles |
Los Angeles |
90089 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0598088881 |
-118.205719031 |
-122.730009116028 |
38.4800536013926 |
8596 |
Jacobs, Philip |
1336341403 |
Nurse Practitioner |
NURSE PRACTITIONER |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2012 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-121.931844043068 |
37.3128740632874 |
8600 |
Lin, Jennifer |
1336342708 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95134 |
California |
2017 |
2018 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.099141577722 |
33.8701286160428 |
8607 |
Dickerson, Daniel |
1336349091 |
Physician |
UNKNOWN |
17707 S STUDEBAKER ROAD |
CERRITOS |
Los Angeles |
90703 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.8701286164 |
-118.099141578 |
-117.352773353707 |
34.071932436233 |
8609 |
Cramer, Dennis |
1336353341 |
Physician |
NEUROLOGY |
400 N. Pepper Ave, General Surgery MOB Ste#308 |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-117.70247281307 |
33.5722219847568 |
8610 |
Alluri, Santisree |
1336368091 |
Dentist |
UNKNOWN |
2 Mareblu, 200 |
Aliso Viejo |
Orange |
92656 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.572221985 |
-117.702472813 |
-121.931844043068 |
37.3128740632874 |
8613 |
Doorley, Sara |
1336378314 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.299474500148 |
40.4472959996107 |
8618 |
Acton, Thomas |
1336379668 |
Physician |
UNKNOWN |
2801 Silver St |
Anderson |
Shasta |
96007 |
California |
2013 |
2014 |
1 |
AIU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.447296 |
-122.2994745 |
-118.60714799988 |
34.2009885241011 |
8619 |
Kalu, Chioma |
1336387018 |
Physician |
UNKNOWN |
22030 Sherman Way, Suite 210 |
Canoga Park |
Los Angeles |
91303 |
California |
2017 |
2018 |
3 |
MU |
CHIOMA A MD KALU |
1336387018 |
38250 |
8500 |
34.2009885243 |
-118.607148 |
-118.517380097813 |
34.1759903560701 |
8625 |
YASSA, MARIAN |
1336399310 |
Dentist |
UNKNOWN |
17623 Bromley St |
Encino |
Los Angeles |
91316 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.1759903561 |
-118.517380098 |
-119.631214375643 |
36.3001401930155 |
8628 |
Gomez, Evelyn |
1336408194 |
Physician |
UNKNOWN |
11899 Shaw Pl |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1467678342 |
46750 |
8500 |
36.3001401932 |
-119.631214376 |
-118.400857406244 |
34.0231373228293 |
8631 |
Utagawa, Emily |
1336412741 |
Dentist |
UNKNOWN |
3767 Clarington Ave Apt 320 |
Los Angeles |
Los Angeles |
90034 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.0231373233 |
-118.400857406 |
-118.329789269359 |
34.0979749635737 |
8641 |
Liu, Quin |
1336446244 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.152023500284 |
32.7983220001602 |
8642 |
FOURNIER, CHRYSTAL |
1336439603 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-121.541296500433 |
39.5069669996274 |
8646 |
Johnson, Heather |
1336457910 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2767 Olive Hwy |
Oroville |
Butte |
95966 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.506967 |
-121.5412965 |
-118.488581964086 |
34.1570634401257 |
8657 |
Siso, Ronit |
1336483486 |
Physician |
CLINICAL PSYCHOLOGIST |
16311 Ventura Blvd Ste 1120 |
Encino |
Los Angeles |
91436 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
34.1570634399 |
-118.488581964 |
-121.289431147829 |
37.9711935904119 |
8659 |
Montero, Kristen |
1336489848 |
Physician |
UNKNOWN |
1805 N California St |
Stockton |
San Joaquin |
95204 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH CARES |
1447297379 |
21250 |
21250 |
37.9711935895 |
-121.289431148 |
-124.149759157059 |
40.8006381521291 |
8661 |
Chung, Johanna |
1336499326 |
Dentist |
UNKNOWN |
959 Myrtle Ave |
Eureka |
Humboldt |
95501 |
California |
2013 |
2014 |
1 |
AIU |
COMM HEALTH CTR EUREKA |
1851486989 |
21250 |
21250 |
40.8006381515 |
-124.149759157 |
-122.132916000373 |
38.0065680004129 |
8673 |
Durant, Benjamin |
1336554930 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2017 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
8677 |
Lewis, Flynne |
1336562339 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.39119316843 |
40.5850415673145 |
8678 |
katragadda, vijayalakshmi |
1336560242 |
Dentist |
UNKNOWN |
1400 Market St, Suite 8103 |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH SHASTA |
1538181557 |
21250 |
21250 |
40.5850415667 |
-122.391193168 |
-122.730009116028 |
38.4800536013926 |
8682 |
Devitt, Phoebe |
1336567932 |
Physician |
UNKNOWN |
3569 Round Barn Cir Ste 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2016 |
2014 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.132916000373 |
38.0065680004129 |
8686 |
Piccinati, David |
1336574508 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.748589048346 |
38.4279142321561 |
8700 |
Goltzman, Robert |
1336699149 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Ct Ste B |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-121.931844043068 |
37.3128740632874 |
8709 |
Wang Chiang, Jing |
1346215100 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
34000 |
8500 |
37.3128740633 |
-121.931844043 |
-122.730009116028 |
38.4800536013926 |
8713 |
Soria, Anthony |
1346219755 |
Doctor of Optometry |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
4 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
46750 |
8500 |
38.4800536014 |
-122.730009116 |
-121.954176035995 |
38.3354034599018 |
8723 |
Calayag, Librada |
1346243896 |
Dentist |
UNKNOWN |
3057 Alamo Dr |
Vacaville |
Solano |
95687 |
California |
2016 |
2016 |
1 |
AIU |
CALAYAG DMD INC LIBRADA |
1407238058 |
21250 |
21250 |
38.3354034601 |
-121.954176036 |
-122.562698424193 |
38.095736927917 |
8726 |
Farren, Georgianna |
1346249067 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2014 |
2015 |
4 |
MU |
COMM CLINIC MARIN |
1912091018 |
46750 |
8500 |
38.0957369279 |
-122.562698424 |
-121.931844043068 |
37.3128740632874 |
8727 |
Allen, Lesley |
1346246469 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
8731 |
Daftary, Mostafa |
1346254737 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2013 |
2014 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-121.010372999914 |
37.6862310002605 |
8734 |
Seng, Seang |
1346258555 |
Physician |
UNKNOWN |
1209 Woodrow Ave., Suite B-10 |
Modesto |
Stanislaus |
95350 |
California |
2016 |
2016 |
1 |
AIU |
COUNTY HLTH STANISLAUS |
1093910275 |
21250 |
21250 |
37.686231 |
-121.010373 |
-117.228721500197 |
33.2096760004471 |
8742 |
Tseng, Justina |
1346276540 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY CLINIC VISTA |
1851300123 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-117.989037928558 |
33.7030860255996 |
8751 |
Qaqundah, Paul |
1346286283 |
Physician |
ALLERGY/IMMUNOLOGY |
17822 Beach Blvd, Suite 278 |
Huntington Beach |
Orange |
92647 |
California |
2012 |
2013 |
1 |
AIU |
CARE MED GRP PEDIATRIC |
1851337356 |
21250 |
21250 |
33.7030860261 |
-117.989037929 |
-123.211126833337 |
39.1278118681233 |
8768 |
Quilala, Marlene |
1346308855 |
Physician |
PEDIATRIC MEDICINE |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
29750 |
8500 |
39.1278118679 |
-123.211126833 |
-121.324336975971 |
36.4329200614118 |
8779 |
GIRON, JAIME |
1346321197 |
Physician |
FAMILY PRACTICE |
600 Main St |
Soledad |
Monterey |
93960 |
California |
2017 |
2018 |
5 |
MU |
COMMUNITY HEALTH SOLEDAD |
1003822453 |
55250 |
8500 |
36.4329200611 |
-121.324336976 |
-119.7299782456 |
36.7358196864295 |
8781 |
CHANIZI, SUSSAN |
1346320975 |
Dentist |
UNKNOWN |
4952 E. Kings Canyon Rd, Suite 101 |
Fresno |
Fresno |
93727 |
California |
2016 |
2017 |
1 |
AIU |
CHANGIZI and ISMAIL DENTAL CORPORATION |
1518254887 |
21250 |
21250 |
36.7358196855 |
-119.729978246 |
-117.152023500284 |
32.7983220001602 |
8783 |
ANDERSON, ERIC |
1346312964 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-123.531180493085 |
38.7693186219569 |
8786 |
Falk, Lois |
1346332335 |
Nurse Practitioner |
UNKNOWN |
46900 Ocean Dr |
Gualala |
Mendocino |
95445 |
California |
2011 |
2012 |
1 |
AIU |
COAST MED SVS REDWOOD |
1962530725 |
21250 |
21250 |
38.7693186224 |
-123.531180493 |
-118.164635999852 |
34.0406294756698 |
8788 |
Rendon, Angel |
1346328721 |
Physician |
UNKNOWN |
4701 E Cesar E Chavez Ave |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0406294763 |
-118.164636 |
-118.329789269359 |
34.0979749635737 |
8792 |
KRIEGER, MARK |
1346333846 |
Physician |
NEUROSURGERY |
6430 Sunset Blvd., Suite 600 |
LOS ANGELES |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
8798 |
Payne, Margaret |
1346343464 |
Physician |
PEDIATRIC MEDICINE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.228721500197 |
33.2096760004471 |
8803 |
NORTON, JON |
1346347010 |
Dentist |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
5 |
MU |
COMM CLINIC VISTA |
1295822658 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-117.15612921659 |
33.1407478633233 |
8804 |
JEFFERIS, LAUREN |
1346354776 |
Physician |
INTERNAL MEDICINE |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.416108180648 |
37.6562931341209 |
8817 |
Co, Chi |
1346375763 |
Physician |
PEDIATRIC MEDICINE |
225 Spruce Ave, Suite #204 |
South San Francisco |
San Mateo |
94080 |
California |
2011 |
2012 |
1 |
AIU |
CHI K MD INC CO |
1346375763 |
21250 |
21250 |
37.6562931335 |
-122.416108181 |
-122.231195302121 |
37.7991749638535 |
8830 |
Udofa, Daniel |
1346387586 |
Physician |
OBSTETRICS/GYNECOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.413825981784 |
34.1944379999138 |
8833 |
Hughes, Jill |
1346398229 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2017 |
2018 |
5 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
55250 |
8500 |
34.194438 |
-118.413825982 |
-116.456049000261 |
33.8135669997173 |
8844 |
Campos, Ernest |
1346420999 |
Physician |
FAMILY PRACTICE |
69175 Ramon Rd. Building A |
Cathedral City |
Riverside |
92234 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.813567 |
-116.456049 |
-122.224776035785 |
37.7798441425932 |
8848 |
Sherman, Hali |
1346431558 |
Physician |
PEDIATRIC MEDICINE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
8862 |
YU, ELIZABETH |
1346459179 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-119.251855838176 |
34.2762568924417 |
8866 |
NICHOLS, HEATHER |
1346465796 |
Physician |
PEDIATRIC MEDICINE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-117.228721500197 |
33.2096760004471 |
8870 |
Hackman, Paula |
1346472602 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-120.982856782315 |
37.6471734770744 |
8877 |
Payanes, RaeLeigh |
1346503224 |
Doctor of Optometry |
UNKNOWN |
830 Scenic Drive, Suite A |
Modesto |
Stanislaus |
95350 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH STANISLAUS |
1891991741 |
29750 |
8500 |
37.647173477 |
-120.982856782 |
-117.228721500197 |
33.2096760004471 |
8896 |
Hartford, Nicole |
1346530466 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
UNKNOWN |
92084 |
California |
2020 |
2020 |
4 |
MU |
COMM CLINIC VISTA |
1295822658 |
46750 |
8500 |
33.209676 |
-117.2287215 |
-119.251855838176 |
34.2762568924417 |
8900 |
KRISPINSKY, MEGAN |
1346534989 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-121.010372999914 |
37.6862310002605 |
8902 |
Dosanjh, Baltej |
1346536711 |
Physician |
UNKNOWN |
1209 Woodrow Ave., Suite B-10 |
Modesto |
Stanislaus |
95350 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HLTH STANISLAUS |
1093910275 |
29750 |
8500 |
37.686231 |
-121.010373 |
-119.783164500341 |
36.7465230001364 |
8904 |
Demetral, Lindsey |
1346542479 |
Physician |
UNKNOWN |
290 N Wayte Ln |
Fresno |
Fresno |
93701 |
California |
2014 |
2015 |
1 |
AIU |
CALIFORNIA CENTRAL |
1992742852 |
21250 |
21250 |
36.746523 |
-119.7831645 |
-121.931844043068 |
37.3128740632874 |
8909 |
Cohen, Daniela |
1346551686 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
8911 |
Deftos, Michael |
1346557139 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-120.723421943068 |
37.3798552940866 |
8913 |
Aguilar, Rosalva |
1346560794 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1140 Main St |
Livingston |
Merced |
95334 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH SVS LIVINGSTON |
1427110329 |
21250 |
21250 |
37.3798552945 |
-120.723421943 |
-118.090917554601 |
34.090742927744 |
8915 |
Yen, Yvonne |
1346566098 |
Physician |
UNKNOWN |
923 S San Gabriel Blvd |
San Gabriel |
Los Angeles |
91776 |
California |
2014 |
2015 |
1 |
AIU |
CHRISTIAN HEALTH HERALD |
1033390273 |
21250 |
21250 |
34.0907429285 |
-118.090917555 |
-119.337547068442 |
36.2234687042174 |
8925 |
Visenio, Maria Katrina |
1346599966 |
Physician |
UNKNOWN |
1101 Cherry Street |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
3 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
38250 |
8500 |
36.2234687039 |
-119.337547068 |
-120.121778773172 |
36.0078165287099 |
8945 |
Tamayo, Alejandro |
1346692027 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1000 Skyline Blvd |
Avenal |
Kings |
93204 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
38250 |
8500 |
36.007816529 |
-120.121778773 |
-117.352773353707 |
34.071932436233 |
8949 |
Malhotra, Chander |
1356311211 |
Physician |
NEUROLOGY |
400 N Pepper Ave |
Colton |
San Bernardino |
92324 |
California |
2011 |
2012 |
1 |
AIU |
CARDIOLOGY MED ARROWHEAD |
1437230067 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-118.230057441098 |
34.1193863421061 |
8952 |
Haroutunian, Gagik |
1356308167 |
Physician |
UNKNOWN |
3920 Eagle Rock Blvd., Suite A |
Los Angeles |
Los Angeles |
90065 |
California |
2014 |
2015 |
2 |
MU |
COMPREHENSIVE ANGELES |
1457470684 |
29750 |
8500 |
34.1193863425 |
-118.230057441 |
-118.450542745951 |
34.189683727622 |
8956 |
Khanlou, Homayoon |
1356335277 |
Physician |
UNKNOWN |
14550 Haynes Street |
Van Nuys |
Los Angeles |
91411 |
California |
2016 |
2018 |
1 |
AIU |
CALIFORNIA MED CTR SOUTHERN |
1225357114 |
21250 |
21250 |
34.1896837277 |
-118.450542746 |
-122.562698424193 |
38.095736927917 |
8963 |
Chang-Lipsenthal, Kathy |
1356340079 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
3 |
MU |
COMM CLINIC MARIN |
1912091018 |
38250 |
8500 |
38.0957369279 |
-122.562698424 |
-117.15612921659 |
33.1407478633233 |
8969 |
WEARY, YONG |
1356351753 |
Certified Nurse - Midwife |
UNKNOWN |
150 Valpreda |
San Marcos |
San Diego |
92079 |
California |
2017 |
2018 |
3 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
38250 |
8500 |
33.1407478629 |
-117.156129217 |
-122.231195302121 |
37.7991749638535 |
8974 |
Subramanian, Indhu |
1356355911 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.393975957624 |
34.2395150830547 |
8988 |
ORO, TERESITA |
1356384192 |
Physician |
OBSTETRICS/GYNECOLOGY |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
5 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
55250 |
8500 |
34.2395150827 |
-118.393975958 |
-117.152023500284 |
32.7983220001602 |
8990 |
Kooros, Koorosh |
1356372924 |
Physician |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
17000 |
8500 |
32.798322 |
-117.1520235 |
-118.393975957624 |
34.2395150830547 |
8996 |
Ahmady, Abdul |
1356385660 |
Physician |
INTERNAL MEDICINE |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
5 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
55250 |
8500 |
34.2395150827 |
-118.393975958 |
-121.931844043068 |
37.3128740632874 |
9002 |
Loo, May |
1356400188 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-116.456049000261 |
33.8135669997173 |
9010 |
Parkins, Barry |
1356410617 |
Dentist |
UNKNOWN |
69175 Ramon Road, Suite A |
Cathedral City |
Riverside |
92234 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.813567 |
-116.456049 |
-117.152023500284 |
32.7983220001602 |
9013 |
KAPLAN, GEORGE |
1356412118 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
4 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-123.211126833337 |
39.1278118681233 |
9015 |
Ziady, Mary |
1356421358 |
Nurse Practitioner |
NURSE PRACTITIONER |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
63750 |
8500 |
39.1278118679 |
-123.211126833 |
-121.931844043068 |
37.3128740632874 |
9022 |
Kolderup, Lindsay |
1356425193 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
9032 |
Pereira-Ambrose, Ivana |
1356444848 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132490074257 |
38.0066599453003 |
9035 |
Kalkstein, Stephen |
1356438113 |
Physician |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006659945 |
-122.132490074 |
-121.931844043068 |
37.3128740632874 |
9036 |
Pandit, Rajul |
1356446835 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
9042 |
Lai, Shiau-Yeng |
1356449045 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-123.803844077242 |
39.43025401611 |
9057 |
Klarquist, Susan |
1356465819 |
Nurse Practitioner |
NURSE PRACTITIONER |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2017 |
2018 |
5 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
55250 |
8500 |
39.4302540158 |
-123.803844077 |
-118.184624999844 |
33.8077440000856 |
9058 |
Bolton, Julie |
1356471254 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-121.012460176196 |
37.6274263704307 |
9062 |
Webb-Kummer, Gretchen |
1356475347 |
Physician |
UNKNOWN |
401 Paradise Rd |
Modesto |
Stanislaus |
95351 |
California |
2016 |
2016 |
1 |
AIU |
CO HLTH SVS STANISLAUS |
1396941464 |
21250 |
21250 |
37.6274263697 |
-121.012460176 |
-117.15612921659 |
33.1407478633233 |
9065 |
Lemelle Love, Sheila |
1356481527 |
Dentist |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
1 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-122.231195302121 |
37.7991749638535 |
9074 |
BOLDS, JACKIE |
1356497101 |
Physician |
UNKNOWN |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.467397476612 |
33.9464784380295 |
9076 |
Sikand, Shivani |
1356498083 |
Physician |
UNKNOWN |
8856 Arlington Ave, #1306 |
Riverside |
Riverside |
92503 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.9464784376 |
-117.467397477 |
-121.931844043068 |
37.3128740632874 |
9097 |
Hicks, Rebecca |
1356520639 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.445472999779 |
34.1374139998563 |
9110 |
Scott, Nyasha |
1356546410 |
Dentist |
UNKNOWN |
16465 Sierra Lakes Pkwy Ste 255 |
Fontana |
San Bernardino |
92336 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.137414 |
-117.445473 |
-122.132916000373 |
38.0065680004129 |
9118 |
Arcos, Rebecca |
1356571624 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
9122 |
Geng, Bob |
1356570758 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.133636000301 |
37.4709959995658 |
9126 |
Perez, Raymond |
1356575005 |
Physician |
UNKNOWN |
1798 Bay Rd |
E. Palo Alto |
Santa Clara |
94303 |
California |
2018 |
2019 |
2 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
29750 |
8500 |
37.470996 |
-122.133636 |
-121.931844043068 |
37.3128740632874 |
9128 |
Kambham, Kavitha |
1356581748 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.646007366247 |
36.3359516654371 |
9162 |
dafdony, isam |
1356683973 |
Physician |
UNKNOWN |
1025 N Douty St |
Hanford |
Kings |
93230 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1699758003 |
21250 |
21250 |
36.3359516647 |
-119.646007366 |
-122.132916000373 |
38.0065680004129 |
9175 |
Gomez-Mira, Christina |
1356734859 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-122.81837400016 |
38.3967809997434 |
9193 |
Grossman, James |
1356776355 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
6800 Palm Ave Ste C |
Sebastopol |
Sonoma |
95472 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY HEALTH CENTER WEST |
1538334065 |
21250 |
21250 |
38.396781 |
-122.818374 |
-122.231195302121 |
37.7991749638535 |
9196 |
Morris, Kelly |
1356783260 |
Dentist |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.269069678923 |
34.1467494852006 |
9205 |
McKenzie, John |
1366422685 |
Physician |
UNKNOWN |
660 W Broadway |
Glendale |
Los Angeles |
91204 |
California |
2020 |
2020 |
2 |
MU |
CARDIOVASCULAR HEARTBEAT |
1205898525 |
29750 |
8500 |
34.1467494849 |
-118.269069679 |
-117.15612921659 |
33.1407478633233 |
9211 |
PEREIRA, JOAN |
1366451833 |
Dentist |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.132916000373 |
38.0065680004129 |
9222 |
Gynn, Michael |
1366462491 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.134456012035 |
37.4720028130794 |
9229 |
Fuller, Ellis |
1366466286 |
Dentist |
UNKNOWN |
1807 Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY COMM HEALTH CTR SOUTH |
1184957771 |
21250 |
21250 |
37.4720028128 |
-122.134456012 |
-122.743877948009 |
38.4400615036355 |
9235 |
Smile, Susan |
1366469942 |
Physician |
FAMILY PRACTICE |
144 Stony Point Road |
Santa Rosa |
Sonoma |
95401 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-118.393975957624 |
34.2395150830547 |
9243 |
DURAIRAJ, KALPNA |
1366488603 |
Physician |
OTOLARYNGOLOGY |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
4 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
46750 |
8500 |
34.2395150827 |
-118.393975958 |
-121.540590000228 |
39.5044739997753 |
9247 |
Neal, Eric |
1366497059 |
Physician |
PEDIATRIC MEDICINE |
2809 Olive Highway, Suite #330 |
Oroville |
Butte |
95966 |
California |
2014 |
2015 |
2 |
MU |
CORPORATION OROHEALTH |
1013933167 |
29750 |
8500 |
39.504474 |
-121.54059 |
-116.390470190247 |
33.2899223924045 |
9252 |
Ngo, Linh |
1366496044 |
Doctor of Optometry |
UNKNOWN |
4343 Yaqui Rd, PO BOX 2369 |
Palm Springs |
UNKNOWN |
92004 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.2899223918 |
-116.39047019 |
-119.337547068442 |
36.2234687042174 |
9255 |
Garcia Filho, Alberto |
1366508335 |
Dentist |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2017 |
2018 |
4 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
46750 |
8500 |
36.2234687039 |
-119.337547068 |
-117.152023500284 |
32.7983220001602 |
9261 |
ACEVES, SEEMA |
1366511628 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
9262 |
BENADOR, NADINE |
1366513129 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.069360181127 |
38.2372400007255 |
9265 |
Udoffia, Camillus |
1366521494 |
Physician |
OBSTETRICS/GYNECOLOGY |
2201 courage drive |
Fairfield |
Solano |
94533 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HLTH and SOCIAL SOLANO |
1083845275 |
21250 |
21250 |
38.237240001 |
-122.069360181 |
-122.231195302121 |
37.7991749638535 |
9267 |
Howell, Tiffany |
1366518920 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
9270 |
Shah, Sonika |
1366528895 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2013 |
2014 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
9274 |
MASON, WILBERT |
1366533465 |
Physician |
INFECTIOUS DISEASE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
9277 |
Gottcent, Caryn |
1366545683 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.30880596972 |
36.3307140003509 |
9279 |
Sidhom, Niazi |
1366538944 |
Physician |
UNKNOWN |
107 North Hall Street, Suite A |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1225364060 |
21250 |
21250 |
36.330714 |
-119.30880597 |
-118.299151203665 |
33.829827436587 |
9284 |
Stone, David |
1366551400 |
Physician |
PSYCHIATRY |
21840 Normandie Ave, Ste. 200 |
Torrance |
Los Angeles |
90502 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.8298274367 |
-118.299151204 |
-122.132916000373 |
38.0065680004129 |
9292 |
Raphael, David |
1366564486 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.502305069024 |
34.2628948805943 |
9306 |
Halliwell, Mehera |
1366579138 |
Physician |
UNKNOWN |
10605 Balboa Blvd, Suite 100 |
Granada Hills |
Los Angeles |
91344 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.2628948812 |
-118.502305069 |
-118.097980794878 |
34.1497971437233 |
9313 |
Jernazian-Kanaian, Irene |
1366585499 |
Physician |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.149797144 |
-118.097980795 |
-122.81837400016 |
38.3967809997434 |
9327 |
Mertens, Lydia |
1366592172 |
Physician |
UNKNOWN |
6800 Palm Drive Avenue Suite C |
Sebastopol |
Sonoma |
95472 |
California |
2018 |
2019 |
2 |
MU |
COUNTY HEALTH CENTER WEST |
1538334065 |
29750 |
8500 |
38.396781 |
-122.818374 |
-117.354280499645 |
33.1962209995995 |
9328 |
Canales, Rosemary |
1366602146 |
Nurse Practitioner |
UNKNOWN |
605 Crouch Street |
Oceanside |
San Diego |
92057 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.196221 |
-117.3542805 |
-122.133636000301 |
37.4709959995658 |
9331 |
Magallanes, Belinda |
1366602351 |
Physician |
FAMILY PRACTICE |
1798 Bay Rd Ste A |
East Palo Alto |
UNKNOWN |
94303 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.470996 |
-122.133636 |
-122.132916000373 |
38.0065680004129 |
9333 |
Chavez Carey, Joseph |
1366612863 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2014 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
9341 |
Taylor, Opal |
1366623332 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2013 |
2014 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-120.121778773172 |
36.0078165287099 |
9344 |
PULIDO, VANESSA |
1366634297 |
Dentist |
UNKNOWN |
1000 Skyline Blvd, PO BOX 700 |
Avenal |
Kings |
93204 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
55250 |
8500 |
36.007816529 |
-120.121778773 |
-122.730009116028 |
38.4800536013926 |
9346 |
McDonald, Laura |
1366637183 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2019 |
2020 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.425704546628 |
34.0235589088167 |
9349 |
Guan, Zhixin |
1366642076 |
Dentist |
UNKNOWN |
3251 S Sepulveda Blvd, Apt. 106 |
Los Angeles |
Los Angeles |
90034 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.0235589087 |
-118.425704547 |
-118.349731509102 |
33.954067100916 |
9361 |
Redmond, William |
1366655714 |
Dentist |
UNKNOWN |
300 Buckthorn Street |
Inglewood |
Los Angeles |
90301 |
California |
2014 |
2015 |
1 |
AIU |
Children's Dental Center of Greater LA |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-117.152023500284 |
32.7983220001602 |
9366 |
Laubach, Susan |
1366656209 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-119.800377524303 |
36.8843745979094 |
9376 |
Baker, Katherine |
1366687204 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
63750 |
8500 |
36.8843745978 |
-119.800377524 |
-118.184972703827 |
33.8078153406055 |
9380 |
Kazan, Nancy |
1366690778 |
Nurse Practitioner |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
UNKNOWN |
90813 |
California |
2011 |
2012 |
1 |
AIU |
CLINIC, THE CHILDREN'S |
1639233935 |
21250 |
21250 |
33.8078153409 |
-118.184972704 |
-120.982856782315 |
37.6471734770744 |
9394 |
simmons, james |
1366744492 |
Nurse Practitioner |
UNKNOWN |
830 Scenic Dr |
Modesto |
Stanislaus |
95353 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HEALTH STANISLAUS |
1952506123 |
21250 |
21250 |
37.647173477 |
-120.982856782 |
-119.245010602557 |
35.7720655289011 |
9397 |
DATTA, BABITA |
1366756249 |
Physician |
UNKNOWN |
1201 Jefferson |
Delano |
Kern |
93215 |
California |
2016 |
2016 |
1 |
AIU |
CALIFORNIA CENTRAL |
1851429658 |
21250 |
21250 |
35.772065529 |
-119.245010603 |
-122.224776035785 |
37.7798441425932 |
9400 |
Rosen, Lynne |
1366760175 |
Physician |
PEDIATRIC MEDICINE |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.228721500197 |
33.2096760004471 |
9407 |
Reynolds, Stefanie |
1366775793 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2016 |
2017 |
2 |
MU |
COMM CLINIC VISTA |
1295822658 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-118.240379999837 |
34.1367570001355 |
9412 |
Tobay, Chynara |
1366779373 |
Physician |
UNKNOWN |
801 S. Chevy Chase Dr, Ste. 200 |
Glendale |
Los Angeles |
91205 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
46750 |
8500 |
34.136757 |
-118.24038 |
-117.919091186009 |
33.649897945234 |
9414 |
Ross, Christa |
1366793150 |
Nurse Practitioner |
UNKNOWN |
2077 Harbor Blvd, Suite C |
Costa Mesa |
Orange |
92627 |
California |
2013 |
2013 |
1 |
AIU |
Christa N Castiglione |
1366793150 |
21250 |
21250 |
33.6498979453 |
-117.919091186 |
-122.132916000373 |
38.0065680004129 |
9415 |
Wright, Courtney |
1366794372 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-117.228721500197 |
33.2096760004471 |
9421 |
Kessler, Jennifer |
1366810517 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2019 |
2020 |
3 |
MU |
COMM CLINIC-WEST VISTA |
1649363375 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-121.939887305155 |
40.8041224683773 |
9422 |
Barsoumian, Vahe |
1366819344 |
Dentist |
UNKNOWN |
29632 Highway 299 |
Round Mountain |
Shasta |
96084 |
California |
2017 |
2018 |
2 |
MU |
COUNTRY COMM CLINIC HILL |
1407914260 |
29750 |
8500 |
40.8041224681 |
-121.939887305 |
-117.721502999963 |
34.0619039998697 |
9427 |
efendy, yoggie |
1366831653 |
Nurse Practitioner |
UNKNOWN |
1450 E. Holt Avenue |
Pomona |
Los Angeles |
91767 |
California |
2015 |
2017 |
1 |
AIU |
COMMUNITY HEALTH POMONA |
1417211426 |
21250 |
21250 |
34.061904 |
-117.721503 |
-122.730009116028 |
38.4800536013926 |
9429 |
Clinite, Kimberly |
1366837163 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2018 |
2019 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-118.256769000189 |
34.0030619996116 |
9436 |
Borromeo, Josephine |
1366784365 |
Nurse Practitioner |
UNKNOWN |
4425 S Central |
Los Angeles |
Los Angeles |
90011 |
California |
2018 |
2019 |
2 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
29750 |
8500 |
34.003062 |
-118.256769 |
-120.391143022632 |
37.9787365848256 |
9449 |
Bradley, Chrystal |
1366886392 |
Physician |
UNKNOWN |
193 S Fairview Lane |
Sonora |
Tuolumne |
95370 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
55250 |
8500 |
37.9787365855 |
-120.391143023 |
-118.329789269359 |
34.0979749635737 |
9456 |
Upperman, Jeffrey |
1376519967 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.132916000373 |
38.0065680004129 |
9463 |
Price, Norman |
1376542340 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-117.15612921659 |
33.1407478633233 |
9469 |
CASTILLO, PATRICIA |
1376550657 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2013 |
2013 |
1 |
AIU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-116.542844999997 |
33.8372639998338 |
9474 |
Kim, Gemma |
1376554956 |
Physician |
UNKNOWN |
555 E Tachevah Dr, Suite 2 E 107 |
Palm Springs |
Riverside |
92262 |
California |
2016 |
2017 |
3 |
MU |
CHOICE PHYSICIAN FIRST |
1558797118 |
38250 |
8500 |
33.837264 |
-116.542845 |
-118.367701115614 |
34.1535703752726 |
9492 |
Katz, Cecilia |
1376585349 |
Physician |
UNKNOWN |
4600 Lankershim Blvd Suite 305 |
North Hollywood |
Los Angeles |
91602 |
California |
2015 |
2017 |
1 |
AIU |
CRITICAL CARE PRIMARY |
1467410134 |
21250 |
21250 |
34.1535703751 |
-118.367701116 |
-116.500868999605 |
33.9575580002016 |
9494 |
Dahman, Joseph |
1376592097 |
Nurse Practitioner |
UNKNOWN |
12520 Palm Dr |
Desert Hot Springs |
Riverside |
92240 |
California |
2020 |
2020 |
3 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
38250 |
8500 |
33.957558 |
-116.500869 |
-122.562698424193 |
38.095736927917 |
9513 |
Black, Teresa |
1376612507 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC MARIN |
1912091018 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-122.132916000373 |
38.0065680004129 |
9515 |
Hinman, Priscilla |
1376613992 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.189910263348 |
33.7934639773807 |
9524 |
Yaghoubi, Farhad |
1376619221 |
Physician |
PSYCHIATRY |
240 E. 20th St. |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.7934639769 |
-118.189910263 |
-122.257336500379 |
37.8247500002124 |
9525 |
Ewing, Thomas |
1376621177 |
Physician |
OBSTETRICS/GYNECOLOGY |
280 W MacArthur Blvd |
Oakland |
Alameda |
94611 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.82475 |
-122.2573365 |
-122.132916000373 |
38.0065680004129 |
9528 |
Farey, Krista |
1376626044 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA COUNTY CONTRA |
1962587071 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
9529 |
Kaufman, Francine |
1376624148 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.231195302121 |
37.7991749638535 |
9531 |
Zitter, Jessica |
1376627125 |
Physician |
PULMONARY DISEASE |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.877621047973 |
33.6762981599322 |
9536 |
Lillehoff, Piper |
1376631291 |
Physician |
UNKNOWN |
3115 Red Hill Ave |
Costa Mesa |
Orange |
92626 |
California |
2015 |
2016 |
1 |
AIU |
County of Orange |
1104963347 |
21250 |
21250 |
33.6762981602 |
-117.877621048 |
-117.354487945362 |
33.9755642666776 |
9537 |
Pearce, Daniel |
1376635383 |
Physician |
UNKNOWN |
1970 University Ave |
Riverside |
Riverside |
92507 |
California |
2020 |
2020 |
4 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
46750 |
8500 |
33.975564267 |
-117.354487945 |
-122.224776035785 |
37.7798441425932 |
9542 |
Chin, Catherine |
1376643528 |
Physician |
PEDIATRIC MEDICINE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
9567 |
keating, liam |
1376685644 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
55250 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
9573 |
PARK, SUN MIN |
1376678250 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.256434514441 |
33.9855840003014 |
9579 |
doan, hung |
1376699918 |
Physician |
UNKNOWN |
5970 South Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2020 |
2020 |
2 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
29750 |
8500 |
33.985584 |
-118.256434514 |
-118.353402217039 |
33.9634478563336 |
9587 |
Ortego, Joseph |
1376708602 |
Physician |
UNKNOWN |
101 N. La Brea Ave, STE 201, Inglewood Parole Clinics 4 & 6 |
Inglewood |
Los Angeles |
90301 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.9634478557 |
-118.353402217 |
-122.730009116028 |
38.4800536013926 |
9592 |
Kennedy, Katherine |
1376743856 |
Physician |
PEDIATRIC MEDICINE |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HEALTH SOUTHWEST |
1558512624 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-120.121778773172 |
36.0078165287099 |
9593 |
Phui, Khuong |
1376743328 |
Physician |
UNKNOWN |
1000 Skyline Blvd, PO Box 700 |
Avenal |
Kings |
93204 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
38250 |
8500 |
36.007816529 |
-120.121778773 |
-121.540378500367 |
39.5043120003986 |
9598 |
Majer, Martin |
1376749234 |
Physician |
UNKNOWN |
2809 Olive Hwy, Suite 150 |
Oroville |
Butte |
95966 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.504312 |
-121.5403785 |
-121.931844043068 |
37.3128740632874 |
9599 |
Sheridan, Christina |
1376757336 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-123.211126833337 |
39.1278118681233 |
9612 |
Gibson, Michael |
1376774034 |
Nurse Practitioner |
NURSE PRACTITIONER |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-121.931761542861 |
37.3141238808125 |
9615 |
Starr, Vanessa |
1376778670 |
Physician |
UNKNOWN |
750 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.314123881 |
-121.931761543 |
-122.730009116028 |
38.4800536013926 |
9632 |
Marietta, Amy |
1376809111 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.730009116028 |
38.4800536013926 |
9633 |
Singh, Noreen |
1376819789 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.224776035785 |
37.7798441425932 |
9634 |
Nordstrom, Morgan |
1376821546 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.266241342664 |
38.0877910021531 |
9635 |
Meiers, Andrea |
1376822379 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1310 Club Dr |
Vallejo |
UNKNOWN |
94592 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
29750 |
8500 |
38.0877910022 |
-122.266241343 |
-121.457047500342 |
38.556081000238 |
9638 |
Waldman, Sarah |
1376832550 |
Physician |
UNKNOWN |
4150 V St # 1110 |
Sacramento |
Sacramento |
95817 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH CARES |
1447297379 |
21250 |
21250 |
38.556081 |
-121.4570475 |
-117.15612921659 |
33.1407478633233 |
9644 |
TRUMAN, LAURA |
1376840231 |
Nurse Practitioner |
NURSE PRACTITIONER |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2012 |
2012 |
1 |
AIU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-118.306952999581 |
34.0623180000757 |
9646 |
Aman, Tiffany |
1376842864 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2018 |
1 |
AIU |
Childrens Hospital Los Angeles Medical Group |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
-122.169878999816 |
39.9278845299472 |
9653 |
Aguilar, Tamara |
1376853374 |
Nurse Practitioner |
UNKNOWN |
320 Solano St |
Corning |
Tehama |
96021 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.9278845299 |
-122.169879 |
-122.224776035785 |
37.7798441425932 |
9658 |
Brown, Tanya |
1376857581 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.231195302121 |
37.7991749638535 |
9673 |
Roisman, Debra |
1376899310 |
Certified Nurse - Midwife |
UNKNOWN |
1411 East 31st Street, Suite 250 |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
9678 |
Pallis, Lauren |
1376925727 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
9682 |
Van Arsdell, Kaitlyn |
1376934539 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2015 |
2016 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-122.730009116028 |
38.4800536013926 |
9685 |
Abdalla, Jacqueline |
1376937557 |
Physician |
UNKNOWN |
3569 Round Barn Cir, suite 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2018 |
2019 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-122.730009116028 |
38.4800536013926 |
9691 |
Gurule, Francheska |
1376962241 |
Physician |
UNKNOWN |
3569 Round Barn Cir, Ste 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2016 |
2014 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.385354438756 |
40.5834973198455 |
9695 |
Schneider, mark |
1376981845 |
Nurse Practitioner |
UNKNOWN |
1035 Placer St. |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
3 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
38250 |
8500 |
40.5834973202 |
-122.385354439 |
-118.536111710687 |
34.2225762425996 |
9701 |
Fabian, Arlene |
1376988899 |
Nurse Practitioner |
UNKNOWN |
8363 Reseda Blvd, #11 |
Northridge |
Los Angeles |
91324 |
California |
2015 |
2016 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.2225762434 |
-118.536111711 |
-117.720485999829 |
34.0635419998634 |
9703 |
Saltzberg, Alana |
1386014777 |
Dentist |
UNKNOWN |
1501 E. Holt Ave., Suite A |
Pomona |
Los Angeles |
91767 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH UNICARE |
1356763155 |
21250 |
21250 |
34.063542 |
-117.720486 |
-122.385354438756 |
40.5834973198455 |
9707 |
Morgan, Elizabeth |
1386026466 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2017 |
2018 |
2 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
29750 |
8500 |
40.5834973202 |
-122.385354439 |
-122.132916000373 |
38.0065680004129 |
9726 |
Sheran, Neal |
1386074524 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2015 |
2016 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-117.721502999963 |
34.0619039998697 |
9730 |
Quintana, Dianne |
1386083780 |
Physician |
UNKNOWN |
1450 E. Holt Ave. |
Pomona |
Los Angeles |
91767 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY HEALTH POMONA |
1417211426 |
29750 |
8500 |
34.061904 |
-117.721503 |
-121.931844043068 |
37.3128740632874 |
9741 |
Finelli, Maria |
1386607976 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
9742 |
Kang, Young |
1386608388 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
9752 |
tanus, deborah |
1386630945 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-117.721502999963 |
34.0619039998697 |
9753 |
Wang, Ying |
1386645117 |
Physician |
UNKNOWN |
1450 E Holt Ave |
Pomona |
Los Angeles |
91767 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HEALTH POMONA |
1417211426 |
46750 |
8500 |
34.061904 |
-117.721503 |
-116.32904549985 |
33.1939799996773 |
9759 |
Barlow, Sean |
1386653178 |
Physician |
UNKNOWN |
4343 Yaqui Pass Rd, PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-122.231195302121 |
37.7991749638535 |
9761 |
Clanon, Kathleen |
1386654945 |
Physician |
INTERNAL MEDICINE |
1411 E 31st Street |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.97078849959 |
35.3824379999138 |
9764 |
Cassidenti, Andrew |
1386657039 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.228721500197 |
33.2096760004471 |
9765 |
MacMurray, Michael |
1386660280 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC-WEST VISTA |
1649363375 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
9768 |
De Montrichard, Leslie |
1386663409 |
Physician |
UNKNOWN |
751 S. Bascom Ave. |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.385354438756 |
40.5834973198455 |
9770 |
LiVolsi, Frank |
1386664027 |
Physician |
OBSTETRICS/GYNECOLOGY |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2017 |
2018 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.5834973202 |
-122.385354439 |
-121.931844043068 |
37.3128740632874 |
9795 |
Lee, Margaret |
1386692283 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.270849622612 |
37.8069227365951 |
9803 |
Karon, Jeffrey |
1386703726 |
Physician |
UNKNOWN |
510 17th Street |
Oakland |
Alameda |
94612 |
California |
2014 |
2015 |
1 |
AIU |
Center for Elders Independence |
1245371061 |
21250 |
21250 |
37.8069227375 |
-122.270849623 |
-122.472864279863 |
37.6808530319419 |
9814 |
Rittenhouse, Douglas |
1386717023 |
Physician |
OBSTETRICS/GYNECOLOGY |
1850 Sullivan Ave, #550 |
Daly City |
San Mateo |
94015 |
California |
2015 |
2017 |
3 |
MU |
CONSIGLIERI WHEELER |
1699986950 |
38250 |
8500 |
37.6808530325 |
-122.47286428 |
-122.224776035785 |
37.7798441425932 |
9818 |
Kim, Teri |
1386721736 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.152023500284 |
32.7983220001602 |
9824 |
FRIEDLANDER, SHEILA |
1386715043 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.97078849959 |
35.3824379999138 |
9829 |
Klang, Adam |
1386732246 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.562698424193 |
38.095736927917 |
9833 |
Vandeville, Bertrand |
1386734150 |
Physician |
FAMILY PRACTICE |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
3 |
MU |
COMM CLINIC MARIN |
1912091018 |
38250 |
8500 |
38.0957369279 |
-122.562698424 |
-117.15612921659 |
33.1407478633233 |
9837 |
Reifenberger, Jody |
1386741072 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
5 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
55250 |
8500 |
33.1407478629 |
-117.156129217 |
-122.562698424193 |
38.095736927917 |
9838 |
Suski, Alicia |
1386744910 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1003900101 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-122.224776035785 |
37.7798441425932 |
9840 |
Kelly, Irene |
1386747509 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.073736509832 |
34.0325363425782 |
9845 |
Bearie, Brian |
1386754216 |
Physician |
UNKNOWN |
33494 Oak Glen Rd |
Yucaipa |
San Bernardino |
92399 |
California |
2014 |
2014 |
1 |
AIU |
CALIFORNIA SOUTHERN |
1043597743 |
21250 |
21250 |
34.0325363425 |
-117.07373651 |
-122.132490074257 |
38.0066599453003 |
9853 |
Faivre, Scott |
1386727139 |
Dentist |
UNKNOWN |
Contra Costa Regional Medical Center and Health Centers, 2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006659945 |
-122.132490074 |
-122.132916000373 |
38.0065680004129 |
9860 |
Ashbrook, Cynthia |
1386786408 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.413825981784 |
34.1944379999138 |
9869 |
Zeelander, Lisa |
1386790277 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave, Suite 1B |
North Hollywood |
Los Angeles |
91605 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-117.152023500284 |
32.7983220001602 |
9884 |
GARCIA, MARY ABIGAIL |
1386805877 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.352773353707 |
34.071932436233 |
9892 |
Tokuhara, Keith |
1386822641 |
Physician |
OPHTHALMOLOGY |
400 N. Pepper Ave, General Surgery MOB Ste#308 |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-122.142083930329 |
37.7146948317012 |
9893 |
nair, archana |
1386834893 |
Physician |
UNKNOWN |
13847 E 14th St, suite 101 |
San Leandro |
Alameda |
94578 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.7146948323 |
-122.14208393 |
-122.132916000373 |
38.0065680004129 |
9912 |
CREMIN, DANIEL |
1386867422 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA COUNTY CONTRA |
1346328507 |
63750 |
8500 |
38.006568 |
-122.132916 |
-119.759074820247 |
36.8388534448306 |
9921 |
Holt, Derick |
1386886729 |
Physician |
UNKNOWN |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2018 |
2019 |
4 |
MU |
CARE CENTER A MEDICAL VISION |
1194802868 |
46750 |
8500 |
36.8388534446 |
-119.75907482 |
-122.224776035785 |
37.7798441425932 |
9939 |
Beazley, Douglas |
1386941029 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.449514498695 |
36.5967601093916 |
9943 |
Johnson, Mary |
1386951465 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1121 F St |
Reedley |
Fresno |
93654 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1083647036 |
38250 |
8500 |
36.5967601085 |
-119.449514499 |
-122.224776035785 |
37.7798441425932 |
9944 |
Salcido, Laura |
1386952745 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.535805499724 |
37.9445490002362 |
9949 |
Litt, Robin |
1386956498 |
Nurse Practitioner |
UNKNOWN |
1260 S Eliseo Dr |
Greenbrae |
Marin |
94904 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.944549 |
-122.5358055 |
-119.646007366247 |
36.3359516654371 |
9953 |
Schleif, Dustin |
1386961175 |
Physician |
UNKNOWN |
1025 N Douty St, Suite 105 |
Hanford |
Kings |
93230 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1235578444 |
29750 |
8500 |
36.3359516647 |
-119.646007366 |
-121.931844043068 |
37.3128740632874 |
9966 |
Chandrasekar, Jayaram |
1386986479 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.15612921659 |
33.1407478633233 |
9968 |
Shah, Dawn |
1386988368 |
Nurse Practitioner |
NURSE PRACTITIONER |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.730009116028 |
38.4800536013926 |
9973 |
Cedillo, Kari |
1386989630 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2017 |
2018 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-118.184503499637 |
33.8084730004287 |
9977 |
Wada, Kimberly |
1396002390 |
Physician |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
46750 |
8500 |
33.808473 |
-118.1845035 |
-122.730009116028 |
38.4800536013926 |
9980 |
Greer, Karl |
1396010740 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2016 |
2017 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-122.385354438756 |
40.5834973198455 |
9981 |
Gamboe, Robert |
1396012654 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2018 |
2019 |
3 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
38250 |
8500 |
40.5834973202 |
-122.385354439 |
-119.337547068442 |
36.2234687042174 |
9984 |
Ramos Garcia, Raquel |
1396024337 |
Physician |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
3 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
38250 |
8500 |
36.2234687039 |
-119.337547068 |
-118.97078849959 |
35.3824379999138 |
9992 |
Hoss, Daniel |
1396037081 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.998568144005 |
38.5025852932767 |
10006 |
Murdock, Emmy |
1396056925 |
Dentist |
UNKNOWN |
Russian River Bldg #2, 16312 Third Street |
Guerneville |
San Francisco |
94121 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY HEALTH CENTERS WEST |
1598786352 |
21250 |
21250 |
38.5025852925 |
-122.998568144 |
-119.786804188862 |
36.3014707291908 |
10025 |
Yoon, Daniel |
1396106514 |
Dentist |
UNKNOWN |
405 D. Street |
Lemoore |
Kings |
93245 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH AVENAL |
1932169240 |
21250 |
21250 |
36.3014707288 |
-119.786804189 |
-117.960722999667 |
33.7877909999547 |
10026 |
Nguyen, Olivia |
1396104758 |
Dentist |
UNKNOWN |
9862 Chapman Ave. #B |
Garden Grove |
Orange |
92841 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY OF VIETNAMESE |
1285708818 |
29750 |
8500 |
33.787791 |
-117.960723 |
-122.231195302121 |
37.7991749638535 |
10040 |
Tantiyavarong, Tanny |
1396164109 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.224776035785 |
37.7798441425932 |
10042 |
Kim, Yeun Joo |
1396171526 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.2899025002 |
33.7385069997982 |
10043 |
Rodriguez, Natalie |
1396170064 |
Nurse Practitioner |
UNKNOWN |
593 W 6th St |
San Pedro |
Los Angeles |
90731 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY CLINIC HARBOR |
1467490425 |
38250 |
8500 |
33.738507 |
-118.2899025 |
-118.97078849959 |
35.3824379999138 |
10051 |
BOARD, DAVID |
1396707717 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave. |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.931844043068 |
37.3128740632874 |
10055 |
Anantharaman, Beena |
1396713376 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
10057 |
Ligman, Cathleen |
1396717385 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.97078849959 |
35.3824379999138 |
10061 |
Cohen, Jeffrey |
1396726717 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.231195302121 |
37.7991749638535 |
10067 |
LI, NANCY |
1396709325 |
Physician |
PATHOLOGY |
1411 E 31st St, Alameda County Medical Center, Highland Campus |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.15612921659 |
33.1407478633233 |
10073 |
TRINTCHOUK, KATHERINE |
1396748646 |
Physician |
INTERNAL MEDICINE |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HEALTH SVS NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-122.562698424193 |
38.095736927917 |
10094 |
Winston, Kathy |
1396778957 |
Physician |
FAMILY PRACTICE |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
2 |
MU |
COMM CLINIC MARIN |
1912091018 |
29750 |
8500 |
38.0957369279 |
-122.562698424 |
-121.931844043068 |
37.3128740632874 |
10108 |
Sturm, Marlene |
1396811360 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
10114 |
Yearwood, Dayna |
1396812772 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.152419475179 |
34.0315360401562 |
10116 |
Varela, Gilbert |
1396795985 |
Physician |
UNKNOWN |
5233 E Beverly Blvd |
Los Angeles |
Los Angeles |
90001 |
California |
2013 |
2014 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
34.0315360397 |
-118.152419475 |
-117.122650002795 |
32.812365973311 |
10119 |
MALICKI, DENISE |
1396816054 |
Physician |
PATHOLOGY |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-122.338322546948 |
37.9532997526815 |
10124 |
Smith, Thomas |
1396820379 |
Physician |
FAMILY PRACTICE |
2023 Vale Road, Suite 107 |
San Pablo |
Contra Costa |
94806 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
37.953299753 |
-122.338322547 |
-117.152023500284 |
32.7983220001602 |
10125 |
DOHIL, RANJAN |
1396816146 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
10126 |
SCHER, COLIN |
1396816153 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
10135 |
Fong, Victoria |
1396833497 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
10138 |
OLSON, JOHANNA |
1396831665 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-119.759074820247 |
36.8388534448306 |
10142 |
Cavallaro, Brian |
1396836250 |
Physician |
OPHTHALMOLOGY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2013 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-119.759074820247 |
36.8388534448306 |
10143 |
Baudonnet, Anthony |
1396837290 |
Physician |
OPTOMETRY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2014 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-121.931844043068 |
37.3128740632874 |
10163 |
Mohindra, Vibha |
1396859351 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.256769000189 |
34.0030619996116 |
10189 |
Bahari-Nejad, Pejman |
1396885570 |
Physician |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2015 |
2016 |
5 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
55250 |
8500 |
34.003062 |
-118.256769 |
-118.184624999844 |
33.8077440000856 |
10192 |
Masatsugu, Miles |
1396892972 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-122.132916000373 |
38.0065680004129 |
10201 |
Scott, Malaika |
1396908125 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.256769000189 |
34.0030619996116 |
10206 |
Shadjari, Mohammad |
1396920864 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S. Central Avenue |
Los Angeles |
Los Angeles |
90011 |
California |
2018 |
2019 |
6 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
63750 |
8500 |
34.003062 |
-118.256769 |
-122.488180935801 |
37.6828724074357 |
10225 |
Hsii, Anne |
1396943817 |
Physician |
UNKNOWN |
93 Skyline Plz |
Daly City |
San Mateo |
94015 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HEALTH CHINESE |
1487684452 |
46750 |
8500 |
37.6828724072 |
-122.488180936 |
-122.224776035785 |
37.7798441425932 |
10237 |
Ospina, Esperanza |
1396968582 |
Physician |
PHYSICIAN ASSISTANT |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.960869306773 |
33.8178381049447 |
10240 |
Williams-Johnson, LaQuinta |
1396955803 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2237 W. Ball Road |
Anaheim |
Orange |
92804 |
California |
2013 |
2014 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.8178381046 |
-117.960869307 |
-119.251855838176 |
34.2762568924417 |
10242 |
Costerisan, Aaron |
1396975736 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-116.32904549985 |
33.1939799996773 |
10245 |
Jamison, Georgina |
1396979597 |
Dentist |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-118.045836668228 |
34.0764334702285 |
10254 |
Nwe, May |
1407019649 |
Physician |
UNKNOWN |
10418 Valley Blvd Suite B |
El Monte |
Los Angeles |
91731 |
California |
2016 |
2017 |
3 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
38250 |
8500 |
34.0764334701 |
-118.045836668 |
-117.152023500284 |
32.7983220001602 |
10260 |
Fairbanks, Timothy |
1407010556 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
10262 |
Chou, Benjamin |
1407036239 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
10265 |
Radhakrishna, Suhas |
1407027097 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
10267 |
Swaminathan, Aravind |
1407046402 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.721502999963 |
34.0619039998697 |
10285 |
Helming, Heather |
1407084502 |
Physician |
UNKNOWN |
1450 E Holt Avenue |
Pomona |
Los Angeles |
91767 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HEALTH POMONA |
1417211426 |
46750 |
8500 |
34.061904 |
-117.721503 |
-119.800377524303 |
36.8843745979094 |
10293 |
ray, karen |
1407107832 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2018 |
2019 |
5 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
55250 |
8500 |
36.8843745978 |
-119.800377524 |
-118.200469500267 |
33.9291630001724 |
10298 |
McAlpin, Paula |
1407108194 |
Nurse Practitioner |
UNKNOWN |
3737 Martain Luther King Jr Blvd, Suite 605 |
Lynwood |
Los Angeles |
90262 |
California |
2013 |
2013 |
1 |
AIU |
CARE MORE FAMILY WE |
1588843155 |
21250 |
21250 |
33.929163 |
-118.2004695 |
-122.385354438756 |
40.5834973198455 |
10313 |
Spencer, Jenny |
1407159429 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-118.97078849959 |
35.3824379999138 |
10314 |
Abdijadid, Sara |
1407163934 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.541296500433 |
39.5069669996274 |
10316 |
Brar, Nikhraj |
1407171036 |
Physician |
UNKNOWN |
2767 Olive Hwy |
Oroville |
Butte |
95966 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.506967 |
-121.5412965 |
-121.931844043068 |
37.3128740632874 |
10318 |
Wa, Chrystal |
1407174410 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.481325000249 |
38.5705530003208 |
10321 |
Huang, Kathie |
1407175342 |
Physician |
UNKNOWN |
1500 21st St |
Sacramento |
Sacramento |
95811 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH CARES |
1447297379 |
21250 |
21250 |
38.570553 |
-121.481325 |
-118.97078849959 |
35.3824379999138 |
10322 |
Goud, Asha |
1407177488 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.500401958883 |
37.9578750436984 |
10331 |
Tool, Frank |
1407225147 |
Nurse Practitioner |
UNKNOWN |
3110 Kerner Blvd |
San Rafael |
Marin |
94901 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
37.9578750436 |
-122.500401959 |
-117.721502999963 |
34.0619039998697 |
10343 |
Cruz-Kuang, Cynthia |
1407270663 |
Nurse Practitioner |
UNKNOWN |
1450 E. Holt Ave. |
Pomona |
Los Angeles |
91767 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY HEALTH POMONA |
1417211426 |
38250 |
8500 |
34.061904 |
-117.721503 |
-118.265307950601 |
34.0072110002875 |
10344 |
Saucier, Kesha |
1407254881 |
Nurse Practitioner |
UNKNOWN |
4211 Avalon Blvd Ste A, Suite A |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH KEDREN |
1417378597 |
21250 |
21250 |
34.007211 |
-118.265307951 |
-122.231195302121 |
37.7991749638535 |
10347 |
Packard, Jin |
1407273691 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.253136594378 |
34.025821040109 |
10356 |
SANCHEZ, TERESA |
1407297518 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1005 E Washington Blvd Ste A |
Los Angeles |
Los Angeles |
90021 |
California |
2020 |
2020 |
3 |
MU |
COMMUNITY HEALTH UNIVERSAL |
1093023277 |
38250 |
8500 |
34.0258210403 |
-118.253136594 |
-118.398478499783 |
34.1866995081758 |
10357 |
Michael, Manar |
1407800188 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
12157 Victory Blvd |
North Hollywood |
Los Angeles |
91606 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.1866995076 |
-118.3984785 |
-122.224776035785 |
37.7798441425932 |
10363 |
Shavelson, Lonny |
1407804974 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.240379999837 |
34.1367570001355 |
10370 |
Shenoy, Ranjit |
1407828585 |
Physician |
UNKNOWN |
801 S.Chevy Chase Dr., Suite 250 |
Glendale |
Los Angeles |
91205 |
California |
2014 |
2015 |
1 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
21250 |
21250 |
34.136757 |
-118.24038 |
-122.299474500148 |
40.4472959996107 |
10377 |
Bosworth, Jeffrey |
1407840895 |
Physician |
EMERGENCY MEDICINE |
2801 Silver St |
Anderson |
Shasta |
96007 |
California |
2016 |
2017 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.447296 |
-122.2994745 |
-122.132916000373 |
38.0065680004129 |
10388 |
Loewen, Analisa |
1407858616 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
10390 |
Sandberg, Michelle |
1407864366 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.071664499717 |
33.1292598686481 |
10398 |
Gomez, Denise |
1407871817 |
Physician |
INTERNAL MEDICINE |
425 N Date St |
Escondido |
San Diego |
92025 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1292598693 |
-117.0716645 |
-118.200469500267 |
33.9291630001724 |
10402 |
Egekeze, Caroline |
1407873102 |
Physician |
UNKNOWN |
3737 MARTIN LUTHER KING JR BLVD |
LYNWOOD |
Los Angeles |
90262 |
California |
2012 |
2013 |
1 |
AIU |
CAROLINE O MD EGEKEZE |
1407873102 |
21250 |
21250 |
33.929163 |
-118.2004695 |
-122.328170999692 |
38.307627000086 |
10408 |
Groten, Dawn |
1407880693 |
Physician |
INTERNAL MEDICINE |
1118 Austin Way |
Napa |
Napa |
94558 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
38.307627 |
-122.328171 |
-122.224776035785 |
37.7798441425932 |
10420 |
hernandez, luz |
1407890320 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.277172384198 |
35.5032669494103 |
10426 |
PAPION, LUPE |
1407901093 |
Nurse Practitioner |
NURSE PRACTITIONER |
320 James Street |
SHAFTER |
Kern |
93263 |
California |
2011 |
2012 |
1 |
AIU |
CARINO KIMPO WOMEN'S JOY |
1801804398 |
21250 |
21250 |
35.5032669487 |
-119.277172384 |
-118.159954038448 |
33.8827229998666 |
10427 |
Raghuanthan, Chengalroyan |
1407904089 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
16660 Paramount Blvd Ste 202 |
Paramount |
Los Angeles |
90723 |
California |
2015 |
2017 |
3 |
MU |
C MD INC RAGHUNATHAN |
1407904089 |
38250 |
8500 |
33.882723 |
-118.159954038 |
-117.870673500082 |
33.6125160002133 |
10446 |
Kornu, Christine |
1407932320 |
Physician |
PEDIATRIC MEDICINE |
1401 Avocado Ave, Suite 802 |
Newport Beach |
Orange |
92660 |
California |
2013 |
2014 |
3 |
MU |
CHRISTINE W MD KORNU |
1407932320 |
38250 |
8500 |
33.612516 |
-117.8706735 |
-117.152023500284 |
32.7983220001602 |
10451 |
VIVANCO DE MARTINEZ, LORENA |
1407927262 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.798322 |
-117.1520235 |
-118.329789269359 |
34.0979749635737 |
10452 |
Ramos-Platt, Leigh Maria |
1407935844 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.910799729924 |
33.9950748570191 |
10453 |
MURASHIGE, PAUL |
1407937378 |
Dentist |
UNKNOWN |
18025 Gale Ave |
City Of Industry |
Los Angeles |
91748 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.9950748567 |
-117.91079973 |
-122.922413167334 |
39.0377221787356 |
10454 |
TEJEDA, FRANCISCO |
1407940075 |
Physician |
GENERAL PRACTICE |
925 Bevins Court |
Lakeport |
Lake |
95453 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY TRIBAL HLTH LAKE |
1881697381 |
21250 |
21250 |
39.0377221789 |
-122.922413167 |
-118.355230406558 |
34.090863185088 |
10463 |
Chetverukhin, Aleksey |
1407951825 |
Physician |
PSYCHIATRY |
7607 Santa Monica Blvd Ste 23 |
West Hollywood |
Los Angeles |
90046 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0908631851 |
-118.355230407 |
-120.457652896264 |
34.6580917752153 |
10464 |
McBride, Sherry |
1407952211 |
Nurse Practitioner |
UNKNOWN |
1225 N H St |
Lompoc |
Santa Barbara |
93436 |
California |
2016 |
2017 |
3 |
MU |
CLINIC SANSUM |
1932121514 |
38250 |
8500 |
34.6580917755 |
-120.457652896 |
-119.52993949691 |
36.6066763058669 |
10465 |
Fernandez, Rogelio |
1407953300 |
Physician |
UNKNOWN |
155 S Newmark Ave. |
Parlier |
Fresno |
93648 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417972282 |
55250 |
8500 |
36.6066763061 |
-119.529939497 |
-117.352773353707 |
34.071932436233 |
10476 |
Siddiqi, Javed |
1407963176 |
Physician |
NEUROSURGERY |
400 N Pepper Ave, General Surgery MOB Ste#308 |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-122.231195302121 |
37.7991749638535 |
10483 |
VICTORINO, GREGORY |
1407981186 |
Physician |
GENERAL SURGERY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.63151699981 |
36.7040969996768 |
10499 |
Hamilton, Matthew |
1417001991 |
Dentist |
UNKNOWN |
633 E Alvin Drive Suite B |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Central Coast Pediatric Dental Group |
1205922705 |
21250 |
21250 |
36.704097 |
-121.631517 |
-122.224776035785 |
37.7798441425932 |
10505 |
Hoffman, Joan |
1417007782 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-118.329789269359 |
34.0979749635737 |
10511 |
Hanson, Rebecca |
1417014242 |
Physician |
NEUROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-119.800377524303 |
36.8843745979094 |
10517 |
Ceppi-Rogulkin, Carrie |
1417019167 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
5 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
46750 |
0 |
36.8843745978 |
-119.800377524 |
-122.743877948009 |
38.4400615036355 |
10519 |
VanGiesen, Donald |
1417019902 |
Physician |
UNKNOWN |
144 Stony Point Rd. |
Santa Rosa |
Sonoma |
95401 |
California |
2012 |
2013 |
2 |
MU |
CO INDIAN HEALTH SONOMA |
1265457980 |
29750 |
8500 |
38.4400615041 |
-122.743877948 |
-118.097980794878 |
34.1497971437233 |
10520 |
dhaliwal, gurjit |
1417026444 |
Physician |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.149797144 |
-118.097980795 |
-122.132916000373 |
38.0065680004129 |
10526 |
Garcia, Darleen |
1417030438 |
Dentist |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
10529 |
Manuntag, Wilfredo |
1417034075 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.413825981784 |
34.1944379999138 |
10534 |
Zarabian, Elham |
1417034828 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave |
N Hollywood |
Los Angeles |
91605 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-118.203927427709 |
34.1392982378235 |
10541 |
Barraza, Henry |
1417043340 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1704 Colorado Blvd |
Los Angeles |
Los Angeles |
90041 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.1392982381 |
-118.203927428 |
-121.931844043068 |
37.3128740632874 |
10543 |
Mallick, Anjum |
1417047846 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.212075499585 |
38.0706749997515 |
10549 |
Lopresti, Anthony |
1417054321 |
Physician |
OSTEOPATHIC MANIPULATIVE MEDICINE |
160 Glen Cove Marina Rd E Ste 102 |
Vallejo |
Solano |
94591 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
38.070675 |
-122.2120755 |
-119.862098999969 |
36.4306140000361 |
10553 |
Brown, Stanton |
1417056862 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3567 W Mt Whitney Ave, PO Box 1028 |
Riverdale |
Fresno |
93656 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1679819742 |
46750 |
8500 |
36.430614 |
-119.862099 |
-118.329789269359 |
34.0979749635737 |
10554 |
MASCARENHAS, LEO |
1417057225 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.211823499655 |
37.4757300002394 |
10559 |
Aggarwal, Sona |
1417065228 |
Physician |
UNKNOWN |
2710 Middlefield Rd |
Redwood City |
San Mateo |
94063 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY CLINIC WOMENS |
1629498118 |
38250 |
8500 |
37.47573 |
-122.2118235 |
-122.407149450087 |
37.7614542154398 |
10573 |
Miskell, Whitney |
1417084401 |
Nurse Practitioner |
UNKNOWN |
625 Potrero Ave., |
San Francisco |
San Francisco |
94110 |
California |
2013 |
2013 |
2 |
MU |
CALIF OF SF UNIVERSITY |
1407821523 |
29750 |
8500 |
37.7614542151 |
-122.40714945 |
-118.597537018019 |
34.2089190004116 |
10575 |
Boyle, Aelred |
1417086489 |
Physician |
PSYCHIATRY |
7621 Canoga Ave |
Canoga Park |
Los Angeles |
91304 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.208919 |
-118.597537018 |
-122.224776035785 |
37.7798441425932 |
10577 |
Van der Wal, Saskia |
1417088618 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.505120000188 |
37.7817660001009 |
10580 |
Lelke-Wallway, Wendi |
1417089590 |
Nurse Practitioner |
UNKNOWN |
4150 Clement St., building 203, GB-2, 11C3 |
San Francisco |
San Francisco |
94121 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.781766 |
-122.50512 |
-122.132916000373 |
38.0065680004129 |
10585 |
Dooley, Diane |
1417092644 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA COUNTY CONTRA |
1346328507 |
55250 |
8500 |
38.006568 |
-122.132916 |
-117.960722999667 |
33.7877909999547 |
10588 |
Pham, Hong |
1417093147 |
Dentist |
UNKNOWN |
9862 Chapman Avenue, B |
Garden Grove |
Orange |
92841 |
California |
2011 |
2012 |
1 |
AIU |
COMM OF ORNG VIETNAMESE |
1285708818 |
21250 |
21250 |
33.787791 |
-117.960723 |
-117.352773353707 |
34.071932436233 |
10595 |
Sodhi, Ajeet |
1417105685 |
Physician |
UNKNOWN |
400 N Pepper Ave, MOB Suite 308 |
Colton |
San Bernardino |
92324 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-121.873719412221 |
37.6614078555881 |
10602 |
Kallem, Priyanka |
1417114067 |
Physician |
FAMILY PRACTICE |
4361 Railroad Ave |
Pleasanton |
Alameda |
94566 |
California |
2014 |
2015 |
2 |
MU |
COMMUNITY HEALTH AXIS |
1669403390 |
29750 |
8500 |
37.6614078563 |
-121.873719412 |
-121.931844043068 |
37.3128740632874 |
10604 |
Fernando, Christaline |
1417115635 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.601784203778 |
36.5661774509286 |
10606 |
Medeiros, Michael |
1417120866 |
Physician |
UNKNOWN |
2256 Dockery Ave Ste B |
Selma |
UNKNOWN |
93662 |
California |
2017 |
2018 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1265530018 |
46750 |
8500 |
36.5661774506 |
-119.601784204 |
-122.132916000373 |
38.0065680004129 |
10607 |
Carcamo-Molina, Dayana |
1417119827 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.500401958883 |
37.9578750436984 |
10609 |
Lin, Sharon |
1417124215 |
Physician |
FAMILY PRACTICE |
3110 Kerner Blvd |
San Rafael |
Marin |
94901 |
California |
2014 |
2015 |
3 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
38250 |
8500 |
37.9578750436 |
-122.500401959 |
-117.228721500197 |
33.2096760004471 |
10611 |
Brazier, James |
1417125238 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-119.447028000042 |
36.5993640001485 |
10615 |
Rubio, Agustin |
1417131236 |
Physician |
UNKNOWN |
1311 11th St |
Reedley |
Fresno |
93654 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1598941825 |
38250 |
8500 |
36.599364 |
-119.447028 |
-122.017646291043 |
36.9915277342176 |
10621 |
ROESCH, WILLIAM |
1417148073 |
Nurse Practitioner |
NURSE PRACTITIONER |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2013 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-117.152023500284 |
32.7983220001602 |
10628 |
Broderick, Lori |
1417152232 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-121.541296500433 |
39.5069669996274 |
10630 |
Johnston, Michael |
1417160771 |
Physician |
UNKNOWN |
2767 Olive Hwy |
Oroville |
Butte |
95966 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.506967 |
-121.5412965 |
-122.231195302121 |
37.7991749638535 |
10632 |
Toth, Nicholas |
1417170044 |
Physician |
GENERAL PRACTICE |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-123.803844077242 |
39.43025401611 |
10635 |
Matthews, Linnea |
1417174756 |
Nurse Practitioner |
NURSE PRACTITIONER |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2019 |
2020 |
6 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
63750 |
8500 |
39.4302540158 |
-123.803844077 |
-121.931844043068 |
37.3128740632874 |
10641 |
Arramreddy, Rohini |
1417190059 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.721502999963 |
34.0619039998697 |
10642 |
Melgoza, Enrique |
1417191743 |
Dentist |
UNKNOWN |
1450 E. Holt Ave. |
Pomona |
Los Angeles |
91767 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HEALTH POMONA |
1417211426 |
29750 |
8500 |
34.061904 |
-117.721503 |
-122.231195302121 |
37.7991749638535 |
10657 |
Singer, Samuel |
1417224890 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-119.251855838176 |
34.2762568924417 |
10662 |
STAHLSCHMIDT, MARK |
1417241050 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.132916000373 |
38.0065680004129 |
10669 |
Zamani, Christopher |
1417250358 |
Physician |
UNKNOWN |
2500 alhambra ave |
martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.256769000189 |
34.0030619996116 |
10678 |
DeGuzman, Rhian |
1417263658 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S Central Avenue |
Los Angeles |
Los Angeles |
90011 |
California |
2014 |
2015 |
1 |
AIU |
CENTRAL FAMILY SOUTH |
1396891909 |
21250 |
21250 |
34.003062 |
-118.256769 |
-118.256769000189 |
34.0030619996116 |
10680 |
Vallien, Roxanne |
1417272543 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2015 |
2016 |
1 |
AIU |
CENTRAL FAMILY SOUTH |
1396891909 |
21250 |
21250 |
34.003062 |
-118.256769 |
-122.267252075423 |
37.8373378810384 |
10694 |
Titcomb, Catherine |
1417334111 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2016 |
2017 |
1 |
AIU |
Catherine Titcomb |
1417334111 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
-118.97078849959 |
35.3824379999138 |
10699 |
Galindo, Guadalupe |
1417352691 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.463696418155 |
34.2281841459816 |
10712 |
De Grano, Gregorio |
1417392176 |
Nurse Practitioner |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2017 |
2018 |
3 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
38250 |
8500 |
34.228184146 |
-118.463696418 |
-120.369868359937 |
37.976814685949 |
10727 |
Nygaard, Airell |
1417920760 |
Physician |
UNKNOWN |
680 Guzzi Ln, Suite 102 |
Sonora |
Tuolumne |
95370 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
46750 |
8500 |
37.9768146862 |
-120.36986836 |
-117.516765486038 |
33.9867989996741 |
10732 |
Perez, Rossy |
1417930272 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
5565 Troth St |
Jurupa Valley |
Riverside |
91752 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.986799 |
-117.516765486 |
-117.228721500197 |
33.2096760004471 |
10733 |
Gil, Orna |
1417929191 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2015 |
2016 |
5 |
MU |
COMM CLINIC VISTA |
1295822658 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-118.240379999837 |
34.1367570001355 |
10739 |
Beron, Ilina |
1417942616 |
Nurse Practitioner |
UNKNOWN |
801 S. Chevy Chase Dr., Ste. 20 |
Glendale |
Los Angeles |
91205 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
38250 |
8500 |
34.136757 |
-118.24038 |
-118.97078849959 |
35.3824379999138 |
10745 |
Khurana, Gurvir |
1417955162 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.290582000059 |
34.0962209995995 |
10747 |
Miller, David |
1417952342 |
Physician |
OBSTETRICS/GYNECOLOGY |
1300 N Vermont Ave, Ste 302 |
Los Angeles |
Los Angeles |
90027 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.096221 |
-118.290582 |
-116.997606063069 |
32.6234799664273 |
10750 |
Garcia, Carlos |
1417959370 |
Physician |
UNKNOWN |
1392 E Palomar St, suite 501 |
Chula Vista |
San Diego |
91913 |
California |
2013 |
2015 |
3 |
MU |
CARLOS M MD GARCIA |
1417959370 |
38250 |
8500 |
32.6234799658 |
-116.997606063 |
-118.393975957624 |
34.2395150830547 |
10751 |
Anne, Rao |
1417963018 |
Physician |
ANESTHESIOLOGY |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
4 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
46750 |
8500 |
34.2395150827 |
-118.393975958 |
-122.231195302121 |
37.7991749638535 |
10754 |
Deacon, Linda |
1417967084 |
Physician |
OBSTETRICS/GYNECOLOGY |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
10755 |
Fuchs, Julie |
1417971151 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
34000 |
8500 |
37.3128740633 |
-121.931844043 |
-118.463696418155 |
34.2281841459816 |
10758 |
nobleza, luzviminda |
1417972167 |
Physician |
UNKNOWN |
15206 Parthenia Street, |
North Hills |
Los Angeles |
91340 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-122.231195302121 |
37.7991749638535 |
10762 |
Shekarloo, Afra |
1417967001 |
Physician |
OBSTETRICS/GYNECOLOGY |
Oakland Medical Group, 1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.393975957624 |
34.2395150830547 |
10769 |
Keregha, Patience |
1417993890 |
Physician |
ANESTHESIOLOGY |
9375 San Fernando Road |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
5 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
55250 |
8500 |
34.2395150827 |
-118.393975958 |
-117.752910927597 |
34.0827482928995 |
10772 |
Diaz-Gomez, Mario |
1427003300 |
Physician |
UNKNOWN |
2001 N GAREY AVE. SUITE 101 |
POMONA |
Los Angeles |
91767 |
California |
2011 |
2012 |
1 |
AIU |
COMPREHENSIVE ANGELES |
1457470684 |
21250 |
21250 |
34.0827482931 |
-117.752910928 |
-122.231195302121 |
37.7991749638535 |
10774 |
Bhuket, Taft |
1427004415 |
Physician |
GASTROENTEROLOGY |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.947541034691 |
38.4087507018834 |
10789 |
Davis, Victoria |
1427050731 |
Physician |
FAMILY PRACTICE |
3802 Main Street |
Occidental |
Sonoma |
95465 |
California |
2014 |
2015 |
4 |
MU |
COUNTY HEALTH CTRS WEST |
1598768962 |
46750 |
8500 |
38.4087507017 |
-122.947541035 |
-122.132916000373 |
38.0065680004129 |
10801 |
Apassa, Modupe |
1427069418 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-122.385354438756 |
40.5834973198455 |
10807 |
Kingsley, Michael |
1427078393 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2013 |
2014 |
2 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
29750 |
8500 |
40.5834973202 |
-122.385354439 |
-118.125938222571 |
34.0918717765613 |
10812 |
Liu, Rex |
1427082593 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
220 S. First Street |
Alhambra |
Los Angeles |
91801 |
California |
2014 |
2015 |
2 |
MU |
CARDIOVASCULAR COMPREHENSIVE |
1407889637 |
29750 |
8500 |
34.0918717774 |
-118.125938223 |
-118.393975957624 |
34.2395150830547 |
10819 |
LEKHT, ZINVOY |
1427093236 |
Physician |
NEUROLOGY |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
5 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
55250 |
8500 |
34.2395150827 |
-118.393975958 |
-121.931844043068 |
37.3128740632874 |
10830 |
Huynh, Danh |
1427110709 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.090917554601 |
34.090742927744 |
10831 |
vong, van |
1427112358 |
Physician |
UNKNOWN |
923 S San Gabriel Blvd |
San Gabriel |
Los Angeles |
91776 |
California |
2015 |
2016 |
2 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
29750 |
8500 |
34.0907429285 |
-118.090917555 |
-118.463696418155 |
34.2281841459816 |
10835 |
Prasad, Rajendra |
1427119536 |
Physician |
UNKNOWN |
15206 Parthenia Street |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-122.743877948009 |
38.4400615036355 |
10836 |
ERIKSSON, EVA |
1427114065 |
Dentist |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-122.224776035785 |
37.7798441425932 |
10837 |
Navolanic, Peter |
1427121896 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-122.562698424193 |
38.095736927917 |
10840 |
Schaaf, Virginia |
1427125533 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1003900101 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-117.081850383988 |
32.6407534329247 |
10842 |
Toledo-Nader, Caroll |
1427126648 |
Physician |
PLASTIC AND RECONSTRUCTIVE SURGERY |
345 F Street Ste 110 |
Chula Vista |
San Diego |
91910 |
California |
2013 |
2014 |
1 |
AIU |
CAROLL TOLEDO-NADER |
1427126648 |
21250 |
21250 |
32.6407534327 |
-117.081850384 |
-123.211126833337 |
39.1278118681233 |
10843 |
White, Vivian |
1427128362 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2013 |
2014 |
3 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
38250 |
8500 |
39.1278118679 |
-123.211126833 |
-118.29576736687 |
34.1017603503599 |
10844 |
Gevorkian, Tigran |
1427125509 |
Physician |
UNKNOWN |
4842 Hollywood Blvd. |
Los Angeles |
Los Angeles |
90027 |
California |
2015 |
2016 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.10176035 |
-118.295767367 |
-119.013691699213 |
36.0687494922953 |
10845 |
TORABI, CAMERON |
1427127935 |
Dentist |
UNKNOWN |
131 East Mill Ave |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
1 |
AIU |
CAMERON TORABI |
1427127935 |
21250 |
21250 |
36.0687494924 |
-119.013691699 |
-122.132916000373 |
38.0065680004129 |
10846 |
Berletti, Charles |
1427128453 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.748589048346 |
38.4279142321561 |
10857 |
Pike, Abigail |
1427142777 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
751 Lombardi Ct #B |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-118.329789269359 |
34.0979749635737 |
10858 |
POLK, DAVID |
1427140839 |
Physician |
GASTROENTEROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
10859 |
YEN, STEHEN |
1427142009 |
Dentist |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
LOS ANGELES |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.949621500332 |
33.7454550000483 |
10860 |
Bui, Chung |
1427143072 |
Physician |
UNKNOWN |
10301 Bolsa Avenue, Suite 102 |
Westminster |
Orange |
92683 |
California |
2011 |
2013 |
1 |
AIU |
CHUNG THE MD BUI |
1427143072 |
21250 |
21250 |
33.745455 |
-117.9496215 |
-121.931844043068 |
37.3128740632874 |
10861 |
Wentzien, Thomas |
1427143155 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-123.531180493085 |
38.7693186219569 |
10864 |
Boyd, Robert |
1427148634 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
46900 OCEAN DRIVE |
GUALALA |
Mendocino |
95445 |
California |
2011 |
2013 |
1 |
AIU |
COAST MED SVS REDWOOD |
1962530725 |
21250 |
21250 |
38.7693186224 |
-123.531180493 |
-122.224776035785 |
37.7798441425932 |
10867 |
Lee, Michael |
1427151547 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.269069678923 |
34.1467494852006 |
10868 |
Balian, Harry |
1427150952 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
660 W Broadway |
Glendale |
Los Angeles |
91204 |
California |
2020 |
2020 |
2 |
MU |
CARDIOVASCULAR HEARTBEAT |
1205898525 |
29750 |
8500 |
34.1467494849 |
-118.269069679 |
-122.499895500277 |
37.96045199976 |
10871 |
Branham, Jody |
1427155571 |
Certified Nurse - Midwife |
UNKNOWN |
3260 Kerner Blvd, Suite A |
San Rafael |
Marin |
94901 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1922303437 |
21250 |
21250 |
37.960452 |
-122.4998955 |
-121.98973500037 |
36.963917999716 |
10885 |
Magarian, Howard |
1427169796 |
Physician |
UNKNOWN |
21507 E Cliff Dr |
Santa Cruz |
Santa Cruz |
95062 |
California |
2014 |
2015 |
1 |
AIU |
CRUZ WOMEN'S SANTA |
1902923329 |
21250 |
21250 |
36.963918 |
-121.989735 |
-121.931761542861 |
37.3141238808125 |
10886 |
Shiran, Hadas |
1427170539 |
Physician |
UNKNOWN |
750 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.314123881 |
-121.931761543 |
-121.931844043068 |
37.3128740632874 |
10894 |
Zhao, Susan |
1427184811 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
10905 |
MACDONALD, MICHAEL |
1427196625 |
Physician |
OTOLARYNGOLOGY |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.329789269359 |
34.0979749635737 |
10908 |
FINLAY, JONATHAN |
1427196757 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.144908000204 |
33.9013980004174 |
10910 |
Honda, Mekarsari |
1427196815 |
Dentist |
UNKNOWN |
14525 Lakewood Blvd, Suite A |
Paramount |
Los Angeles |
90723 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.901398 |
-118.144908 |
-122.224776035785 |
37.7798441425932 |
10912 |
Lessenger, James |
1427206796 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.251855838176 |
34.2762568924417 |
10915 |
MATHEWS, AMANDA |
1427205814 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
3 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
-123.802383017063 |
39.4300974549337 |
10917 |
Breton, Jenna |
1427222538 |
Certified Nurse - Midwife |
UNKNOWN |
855 Sequoia Cir |
Fort Bragg |
Mendocino |
95437 |
California |
2018 |
2019 |
6 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
63750 |
8500 |
39.4300974549 |
-123.802383017 |
-118.191380000187 |
33.8007500004122 |
10919 |
Khijniak, Anna |
1427220417 |
Physician |
UNKNOWN |
3751 STOCKER STREET |
LONG BEACH |
Los Angeles |
90806 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.80075 |
-118.19138 |
-118.739444747077 |
34.1407009248079 |
10922 |
Raja, Rekha |
1427227917 |
Physician |
PSYCHIATRY |
5016 chesebro road |
agoura hills |
UNKNOWN |
91301 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
34.1407009248 |
-118.739444747 |
-119.452023000161 |
36.6078234837668 |
10933 |
Ferrer-Lacson, Maria Theresa |
1427253590 |
Physician |
UNKNOWN |
372 W Cypress Ave |
Reedley |
Fresno |
93654 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1508881376 |
38250 |
8500 |
36.6078234835 |
-119.452023 |
-117.152023500284 |
32.7983220001602 |
10942 |
Gonda, David |
1427254937 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.224776035785 |
37.7798441425932 |
10943 |
Diaz, Edessa |
1427264563 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
10947 |
Madlock, Michele |
1427281781 |
Certified Nurse - Midwife |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
10949 |
Shah, Swapnil |
1427283878 |
Physician |
ORTHOPEDIC SURGERY |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.152023500284 |
32.7983220001602 |
10952 |
LESSER, DANIEL |
1427274679 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.562698424193 |
38.095736927917 |
10957 |
Chan, Sherman |
1427297605 |
Dentist |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-123.211126833337 |
39.1278118681233 |
10965 |
Dixon, Danielle |
1427324318 |
Physician |
UNKNOWN |
333 Laws Ave |
UKIAH |
Mendocino |
95482 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-117.863549025867 |
33.7802805097378 |
10966 |
Hwang, Nina |
1427286343 |
Physician |
UNKNOWN |
1010 West La Veta Avenude, Suite 670 |
Orange |
Orange |
92868 |
California |
2020 |
2020 |
4 |
MU |
CENTER FOR COMPREHENSIVE THE |
1679875942 |
46750 |
8500 |
33.7802805095 |
-117.863549026 |
-122.132916000373 |
38.0065680004129 |
10968 |
Lee, David |
1427330497 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA REG MED CTR CONTRA |
1285712471 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.15612921659 |
33.1407478633233 |
10970 |
Binette, Donya |
1427325166 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
5 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
25500 |
8500 |
33.1407478629 |
-117.156129217 |
-118.184503499637 |
33.8084730004287 |
10972 |
Chhith, Seririthanar |
1427336593 |
Physician |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.808473 |
-118.1845035 |
-122.525146456044 |
37.9715220318164 |
10976 |
Sutherland, Erica |
1427343615 |
Nurse Practitioner |
UNKNOWN |
16 Ritter St |
San Rafael |
Marin |
94901 |
California |
2014 |
2015 |
1 |
AIU |
CENTER RITTER |
1417370032 |
21250 |
21250 |
37.9715220325 |
-122.525146456 |
-122.730009116028 |
38.4800536013926 |
10978 |
Rhodes, Jessica |
1427343912 |
Physician |
UNKNOWN |
3569 Round Barn Cir Ste 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2018 |
2019 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-118.230057441098 |
34.1193863421061 |
10984 |
Chinn, Cynthia |
1427355981 |
Physician |
UNKNOWN |
3920 Eagle Rock Blvd., Suite A |
Los Angeles |
Los Angeles |
90065 |
California |
2012 |
2013 |
2 |
MU |
COMPREHENSIVE ANGELES |
1457470684 |
29750 |
8500 |
34.1193863425 |
-118.230057441 |
-121.98018152206 |
36.9883873259144 |
10985 |
Dinh, Anh Mai |
1427363969 |
Dentist |
UNKNOWN |
1830 Commercial Way |
Santa Cruz |
Santa Cruz |
95065 |
California |
2013 |
2014 |
1 |
AIU |
COMMUNITY DENTAL DIENTES |
1437213279 |
21250 |
21250 |
36.9883873258 |
-121.980181522 |
-119.251855838176 |
34.2762568924417 |
11006 |
KESSEY, KOFI |
1427386895 |
Physician |
NEUROSURGERY |
3291 LOMA VISTA RD |
VENTURA |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.224776035785 |
37.7798441425932 |
11015 |
Federwisch, Michelle |
1427417237 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
11034 |
Brodsky, Jennifer |
1427480136 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.3539552958 |
33.9867503913176 |
11035 |
Van Horn, Betty |
1427483056 |
Nurse Practitioner |
UNKNOWN |
2881 Hulen Place |
Riverside |
Riverside |
92507 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY ACTION URBAN |
1538407325 |
21250 |
21250 |
33.9867503912 |
-117.353955296 |
-121.931844043068 |
37.3128740632874 |
11050 |
Bartholomew, Elizabeth |
1437112141 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
11055 |
Murphy, John |
1437119591 |
Physician |
INTERNAL MEDICINE |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
3 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
38250 |
8500 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
11057 |
Botkin, Lee Anna |
1437122975 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.562698424193 |
38.095736927917 |
11058 |
ballinger, katharine |
1437123312 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2014 |
2015 |
3 |
MU |
COMM CLINIC MARIN |
1912091018 |
38250 |
8500 |
38.0957369279 |
-122.562698424 |
-118.329789269359 |
34.0979749635737 |
11064 |
Kawaguchi, Akemi |
1437126307 |
Physician |
UNDEFINED PHYSICIAN TYPE (SPECIFY) |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.97078849959 |
35.3824379999138 |
11066 |
COREY, JUDITH |
1437150323 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.357922269197 |
33.2078401756836 |
11076 |
CALHOUN, CHANELLE |
1437166709 |
Physician |
UNKNOWN |
2210 Mesa Dr, Suite 12 |
Oceanside |
San Diego |
92054 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.2078401763 |
-117.357922269 |
-120.937563000332 |
37.5947865316732 |
11079 |
English, John |
1437169224 |
Physician |
UNKNOWN |
3109 Whitmore Ave |
Ceres |
Stanislaus |
95307 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH STANISLAUS |
1952506123 |
29750 |
8500 |
37.5947865321 |
-120.937563 |
-122.231195302121 |
37.7991749638535 |
11080 |
Lennox, John |
1437169026 |
Physician |
OBSTETRICS/GYNECOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-117.935801999762 |
33.7162904987076 |
11082 |
Ko, Andrew |
1437170990 |
Physician |
GASTROENTEROLOGY |
11100 Warner Ave, Suite 216 |
Fountain Valley |
Orange |
92708 |
California |
2012 |
2013 |
1 |
AIU |
CHONG Y MD KO |
1437170990 |
21250 |
21250 |
33.7162904993 |
-117.935802 |
-121.764257652369 |
36.9267353723396 |
11083 |
Sanford, Eric |
1437172574 |
Physician |
UNKNOWN |
9 Crestview Drive |
Watsonville |
Santa Cruz |
95076 |
California |
2015 |
2017 |
4 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
46750 |
8500 |
36.9267353719 |
-121.764257652 |
-122.028876790931 |
36.9749133592642 |
11086 |
Kidd, Valerie |
1437177755 |
Physician |
FAMILY PRACTICE |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2013 |
2014 |
1 |
AIU |
CRUZ WOMEN'S SANTA |
1902923329 |
21250 |
21250 |
36.9749133589 |
-122.028876791 |
-122.231195302121 |
37.7991749638535 |
11088 |
Acharya, Ananthan |
1437169091 |
Physician |
NEUROLOGY |
1411 E 31st Street, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.017646291043 |
36.9915277342176 |
11092 |
Luther, Paul |
1437184660 |
Physician |
PSYCHIATRY |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2012 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-117.152023500284 |
32.7983220001602 |
11093 |
OSTROM, NANCY |
1437177060 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
3 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-117.919091186009 |
33.649897945234 |
11104 |
Chen, Cynthia |
1437205770 |
Nurse Practitioner |
UNKNOWN |
2077 Harbor Blvd, Suite C |
Costa Mesa |
Orange |
92627 |
California |
2012 |
2013 |
1 |
AIU |
Cynthia E Chen |
1437205770 |
21250 |
21250 |
33.6498979453 |
-117.919091186 |
-119.336979694257 |
36.2246418923095 |
11105 |
Wagner, Mary |
1437205457 |
Nurse Practitioner |
UNKNOWN |
1201 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
5 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
55250 |
8500 |
36.2246418916 |
-119.336979694 |
-118.293615578796 |
34.1836306220556 |
11107 |
Aloyan, Tamara |
1437205853 |
Physician |
PSYCHIATRY |
833 E Elmwood Ave |
Burbank |
Los Angeles |
91501 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1836306217 |
-118.293615579 |
-119.251855838176 |
34.2762568924417 |
11115 |
Blickenstaff, Kurt |
1437212453 |
Physician |
GENERAL SURGERY |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-117.912298499576 |
33.7753079998644 |
11123 |
Winkle, Christopher |
1437221561 |
Physician |
UNKNOWN |
12665 Garden Grove Blvd #708 |
Garden Grove |
Orange |
92843 |
California |
2016 |
2017 |
1 |
AIU |
CHRISTOPHER MD WINKLE |
1437221561 |
21250 |
21250 |
33.775308 |
-117.9122985 |
-122.132916000373 |
38.0065680004129 |
11130 |
Beach, Courtney |
1437231172 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
11132 |
GEDDIS, AMY |
1437220290 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-119.7299782456 |
36.7358196864295 |
11139 |
ISMAIL, AYMAN |
1437248515 |
Dentist |
UNKNOWN |
4952 E. Kings Canyon Rd, Suite 101 |
Fresno |
Fresno |
93727 |
California |
2016 |
2017 |
1 |
AIU |
CHANGIZI and ISMAIL DENTAL CORPORATION |
1518254887 |
21250 |
21250 |
36.7358196855 |
-119.729978246 |
-122.499895500277 |
37.96045199976 |
11141 |
Rouda, Linda |
1437252004 |
Certified Nurse - Midwife |
UNKNOWN |
3260 Kerner Blvd, Suite A |
San Rafael |
Marin |
94901 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1922303437 |
21250 |
21250 |
37.960452 |
-122.4998955 |
-122.224776035785 |
37.7798441425932 |
11142 |
Bason, Francoise |
1437252541 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.463696418155 |
34.2281841459816 |
11171 |
li, job |
1437293750 |
Physician |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2011 |
2013 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-121.873719412221 |
37.6614078555881 |
11172 |
Forno, Celia |
1437293909 |
Nurse Practitioner |
NURSE PRACTITIONER |
4361 Railroad Ave |
Pleasanton |
Alameda |
94566 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HEALTH AXIS |
1669403390 |
21250 |
21250 |
37.6614078563 |
-121.873719412 |
-117.228721500197 |
33.2096760004471 |
11180 |
DeProsperis, Toni |
1437302353 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2016 |
2017 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-118.349731509102 |
33.954067100916 |
11184 |
TABARIAI, ELI |
1437310646 |
Dentist |
UNKNOWN |
300 E. Buckthorn Street |
Inglewood |
Los Angeles |
90301 |
California |
2015 |
2015 |
1 |
AIU |
CHILDREN'S DENTAL CENTER THE |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-121.931844043068 |
37.3128740632874 |
11185 |
Zeiger, Roni |
1437316981 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.335848000285 |
37.570598999944 |
11188 |
Hendre, Amruta |
1437323847 |
Dentist |
UNKNOWN |
430 North El Camino Real |
San Mateo |
San Mateo |
94401 |
California |
2016 |
2017 |
1 |
AIU |
COASTSIDE MEDICAL DENTAL THE |
1205215795 |
21250 |
21250 |
37.570599 |
-122.335848 |
-117.940293000022 |
33.8289134843699 |
11193 |
DESAI, ANGELA |
1437339637 |
Nurse Practitioner |
UNKNOWN |
1673 W Broadway Ste 6 |
Anaheim |
Orange |
92802 |
California |
2015 |
2016 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
33.8289134844 |
-117.940293 |
-120.121778773172 |
36.0078165287099 |
11242 |
Stafford, Vivi |
1437437761 |
Physician |
UNKNOWN |
1000 Skyiine Blvd |
Avenal |
UNKNOWN |
93204 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH AVENAL |
1932169240 |
21250 |
21250 |
36.007816529 |
-120.121778773 |
-117.228721500197 |
33.2096760004471 |
11244 |
Smith, Jennifer |
1437439718 |
Nurse Practitioner |
NURSE PRACTITIONER |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY CLINIC VISTA |
1851300123 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-119.835539857978 |
36.5405102880194 |
11245 |
Dhaliwal, Simerjit |
1437439908 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2440 W Tahoe St., PO Box 100 |
Caruthers |
UNKNOWN |
93609 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1285651745 |
55250 |
8500 |
36.5405102876 |
-119.835539858 |
-122.730009116028 |
38.4800536013926 |
11249 |
Moerkerke, Trevor |
1437449287 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2013 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.189907999754 |
33.7932810004179 |
11268 |
MEHTA, SARJAK |
1437484904 |
Physician |
UNKNOWN |
1975 Long Beach Blvd, Long beach adult MHS |
Long Beach |
Los Angeles |
90806 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.793281 |
-118.189908 |
-117.152023500284 |
32.7983220001602 |
11269 |
REUTER, GIANA |
1437483914 |
Nurse Practitioner |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-122.730009116028 |
38.4800536013926 |
11279 |
Takagi, Jennifer |
1437549235 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2017 |
2018 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-119.52993949691 |
36.6066763058669 |
11280 |
Majeno, Hema |
1437552478 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
155 S Newmark Ave |
Parlier |
Fresno |
93648 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417972282 |
38250 |
8500 |
36.6066763061 |
-119.529939497 |
-122.231195302121 |
37.7991749638535 |
11293 |
Diaz, Alejandro |
1437591104 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.224776035785 |
37.7798441425932 |
11294 |
Fisher, Pascale |
1437597309 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.231195302121 |
37.7991749638535 |
11304 |
Slabaugh, Peter |
1447227392 |
Physician |
ORTHOPEDIC SURGERY |
1411 E 31st St., 4 |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.170207499676 |
37.7432550003181 |
11314 |
Aboelata, Noha |
1447246293 |
Physician |
FAMILY PRACTICE |
9925 International Blvd., Suite #5 |
Oakland |
Alameda |
94603 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY HEALTH ROOTS |
1083858823 |
38250 |
8500 |
37.743255 |
-122.1702075 |
-121.010372999914 |
37.6862310002605 |
11323 |
Wenstrup, Thomas |
1447268966 |
Doctor of Optometry |
UNKNOWN |
1209 Woodrow Ave, Suite B10 |
Modesto |
Stanislaus |
95350 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HLTH STANISLAUS |
1093910275 |
29750 |
8500 |
37.686231 |
-121.010373 |
-122.231195302121 |
37.7991749638535 |
11325 |
Chapman, Johara |
1447260021 |
Physician |
OBSTETRICS/GYNECOLOGY |
1411 E 31st Street, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.385354438756 |
40.5834973198455 |
11329 |
Tasista, Melissa |
1447273974 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2018 |
2019 |
5 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
55250 |
8500 |
40.5834973202 |
-122.385354439 |
-118.393975957624 |
34.2395150830547 |
11346 |
JAVAHERIAN, JASMIN |
1447294715 |
Physician |
INTERNAL MEDICINE |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2012 |
2013 |
2 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
29750 |
8500 |
34.2395150827 |
-118.393975958 |
-118.184624999844 |
33.8077440000856 |
11349 |
Coulson, Laura |
1447308424 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2012 |
2013 |
2 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
29750 |
8500 |
33.807744 |
-118.184625 |
-118.43748018856 |
34.0404355863333 |
11358 |
Fine, Lisa |
1447318985 |
Physician |
PSYCHIATRY |
11080 W Olympic Blvd |
Los Angeles |
Los Angeles |
90064 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0404355856 |
-118.437480189 |
-121.931844043068 |
37.3128740632874 |
11360 |
Wang, Karen |
1447324918 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.337547068442 |
36.2234687042174 |
11361 |
Mbagwu, Nneamaka |
1447327366 |
Physician |
UNKNOWN |
1101 Cherry Street |
Tulare |
Tulare |
93274 |
California |
2016 |
2016 |
1 |
AIU |
COMMUNITY HEALTH TULARE |
1023011632 |
21250 |
21250 |
36.2234687039 |
-119.337547068 |
-122.132916000373 |
38.0065680004129 |
11367 |
Dao, Huy |
1447333497 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
11368 |
SAENZ, NICHOLAS |
1447321203 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.597537018019 |
34.2089190004116 |
11372 |
Barg, Inna |
1447335377 |
Physician |
PSYCHIATRY |
7621 Canoga Ave. |
Canoga Park |
Los Angeles |
91304 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.208919 |
-118.597537018 |
-123.801499006874 |
39.4322470387699 |
11377 |
Cottle, John |
1447343116 |
Physician |
FAMILY PRACTICE |
721 River Dr, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2017 |
2018 |
6 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
63750 |
8500 |
39.4322470385 |
-123.801499007 |
-118.329789269359 |
34.0979749635737 |
11378 |
GROPER, JOHN |
1447344957 |
Dentist |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
LOS ANGELES |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.132916000373 |
38.0065680004129 |
11383 |
Beck, Fred |
1447348891 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1467522284 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.142548939082 |
33.8713771331482 |
11386 |
Khan, Asma |
1447349006 |
Physician |
UNKNOWN |
17660 Lakewood Boulevard |
Bellflower |
Los Angeles |
90706 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.8713771327 |
-118.142548939 |
-122.231195302121 |
37.7991749638535 |
11387 |
Ringrose, Elizabeth |
1447347877 |
Physician |
DERMATOLOGY |
1411 E 31st St, Alameda County Medical Center |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
11388 |
Sooriyakumaran, Punitha |
1447351663 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
11398 |
Chang, Teresa |
1447368295 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.873719412221 |
37.6614078555881 |
11408 |
Kurwa, Nurjehan |
1447381090 |
Physician |
UNKNOWN |
4361 Railroad Ave |
Pleasanton |
Alameda |
94566 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY HEALTH AXIS |
1669403390 |
38250 |
8500 |
37.6614078563 |
-121.873719412 |
-122.135176589328 |
37.47163190299 |
11415 |
LESTISHOCK, LISA |
1447385166 |
Nurse Practitioner |
NURSE PRACTITIONER |
1798A Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2018 |
2019 |
4 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
46750 |
8500 |
37.4716319031 |
-122.135176589 |
-122.067686127313 |
38.2373643301997 |
11431 |
Rovirosa, Himilce |
1447418470 |
Dentist |
UNKNOWN |
2101 Courage Dr, MS 10-300 |
Fairfield |
Solano |
94533 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HEALTH SOLANO |
1508078817 |
21250 |
21250 |
38.2373643305 |
-122.067686127 |
-122.132916000373 |
38.0065680004129 |
11432 |
Cohen, Rose |
1447422613 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2014 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
11441 |
ADAMCZAK, JOANNA |
1447428420 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-117.667129499827 |
33.5623950001292 |
11452 |
Rodriguez-Toledo, Johanna |
1447454137 |
Physician |
UNKNOWN |
26800 Crown Valley Park way, ste 460 |
Mission Viejo |
Orange |
92691 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS MEDICAL GR NEWPORT |
1154765709 |
63750 |
8500 |
33.562395 |
-117.6671295 |
-117.152023500284 |
32.7983220001602 |
11457 |
Le, Joan |
1447460050 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-122.562698424193 |
38.095736927917 |
11459 |
Hollander, Susan |
1447469440 |
Nurse Practitioner |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
3 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
38250 |
8500 |
38.0957369279 |
-122.562698424 |
-121.931844043068 |
37.3128740632874 |
11464 |
Khan, Amna |
1447486048 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-123.211126833337 |
39.1278118681233 |
11472 |
Ott, Jeffrey |
1447506472 |
Nurse Practitioner |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-122.224776035785 |
37.7798441425932 |
11477 |
Leavitt, Sharon |
1447529573 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2017 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-117.721502999963 |
34.0619039998697 |
11493 |
Reyes, Lydia |
1447552229 |
Nurse Practitioner |
UNKNOWN |
1450 E. Holt Avenue |
Pomona |
Los Angeles |
91767 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HEALTH POMONA |
1417211426 |
46750 |
8500 |
34.061904 |
-117.721503 |
-122.132916000373 |
38.0065680004129 |
11498 |
Radu-Radulescu, Ruxandra |
1447576723 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.230907611597 |
34.0592654861134 |
11506 |
Smith, Alisha |
1447580998 |
Physician |
UNKNOWN |
450 Bauchet St |
Los Angeles |
Los Angeles |
90012 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0592654859 |
-118.230907612 |
-122.132916000373 |
38.0065680004129 |
11513 |
Gonzalez, Erik |
1447632898 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-117.15612921659 |
33.1407478633233 |
11514 |
Paddock, Diana |
1447657804 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
3 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
38250 |
8500 |
33.1407478629 |
-117.156129217 |
-122.730009116028 |
38.4800536013926 |
11522 |
Kromann, Laura |
1447678792 |
Physician |
UNKNOWN |
3569 Round Barn Cir Ste 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2017 |
2018 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-122.730009116028 |
38.4800536013926 |
11534 |
Camacho-Worms, Natalia |
1447699517 |
Dentist |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-119.663726091586 |
36.3267492509772 |
11536 |
Conway, Michelle |
1457305377 |
Nurse Practitioner |
UNKNOWN |
330 Campus Dr |
Hanford |
Kings |
93230 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1235475484 |
21250 |
21250 |
36.3267492515 |
-119.663726092 |
-122.231195302121 |
37.7991749638535 |
11537 |
Haq, Yasmeen |
1457303935 |
Physician |
INTERNAL MEDICINE |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.541296500433 |
39.5069669996274 |
11539 |
Johansson, Karl |
1457305641 |
Physician |
OBSTETRICS/GYNECOLOGY |
2767 Olive Hwy |
Oroville |
Butte |
95966 |
California |
2014 |
2015 |
2 |
MU |
CORPORATION OROHEALTH |
1013933167 |
29750 |
8500 |
39.506967 |
-121.5412965 |
-120.937563000332 |
37.5947865316732 |
11540 |
Fraga, Betty |
1457312498 |
Nurse Practitioner |
UNKNOWN |
3109 E Whitmore Ave |
Ceres |
Stanislaus |
95307 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH STANISLAUS |
1952506123 |
29750 |
8500 |
37.5947865321 |
-120.937563 |
-122.132916000373 |
38.0065680004129 |
11541 |
Roe, Taiyun |
1457312753 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
11558 |
Vanderbilt, Douglas |
1457340291 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.017646291043 |
36.9915277342176 |
11561 |
Kelley, Judith |
1457352189 |
Physician |
UNKNOWN |
1080 Emeline Ave, ATTN: Clinic Admin |
Santa Cruz |
Santa Cruz |
95060 |
California |
2017 |
2018 |
6 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
63750 |
8500 |
36.9915277341 |
-122.017646291 |
-118.329789269359 |
34.0979749635737 |
11566 |
Lewis, Alan |
1457360935 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.97078849959 |
35.3824379999138 |
11574 |
SCHLAERTH, JOHN |
1457368029 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.028876790931 |
36.9749133592642 |
11580 |
Haubach, Carol |
1457378671 |
Physician |
FAMILY PRACTICE |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2012 |
2013 |
2 |
MU |
CRUZ WOMEN'S SANTA |
1902923329 |
29750 |
8500 |
36.9749133589 |
-122.028876791 |
-122.743877948009 |
38.4400615036355 |
11582 |
Steele, Don |
1457376170 |
Physician |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2016 |
2017 |
5 |
MU |
CO INDIAN HEALTH SONOMA |
1265457980 |
55250 |
8500 |
38.4400615041 |
-122.743877948 |
-117.971028000042 |
33.9397944949201 |
11585 |
Dewan, Chanchal |
1457385726 |
Physician |
UNKNOWN |
2250 W Whittier Blvd, Suite 100 |
LA Habra |
Orange |
90631 |
California |
2014 |
2015 |
4 |
MU |
CHANCHAL MD DEWAN |
1457385726 |
46750 |
8500 |
33.9397944951 |
-117.971028 |
-119.678223039761 |
36.6299082800431 |
11587 |
CHEN, HARRY |
1457383358 |
Physician |
UNKNOWN |
119 S 6th St |
Fowler |
Fresno |
93625 |
California |
2015 |
2017 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1093732554 |
29750 |
8500 |
36.6299082803 |
-119.67822304 |
-122.748589048346 |
38.4279142321561 |
11598 |
Hewitt, Margaret |
1457404212 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-117.152023500284 |
32.7983220001602 |
11601 |
Lieberman, David |
1457397770 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-118.463696418155 |
34.2281841459816 |
11605 |
LUCERO, PETER |
1457414856 |
Physician |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2014 |
2015 |
3 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
8500 |
8500 |
34.228184146 |
-118.463696418 |
-122.562698424193 |
38.095736927917 |
11615 |
Ashe, Myrto |
1457429839 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
1 |
AIU |
COMM CLINIC MARIN |
1912091018 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-121.931844043068 |
37.3128740632874 |
11617 |
Madanahalli, Malini |
1457420929 |
Physician |
UNKNOWN |
751 S. Bascom |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.022159053897 |
34.1084790963333 |
11620 |
Wu Hsieh, Julie |
1457434300 |
Physician |
PSYCHIATRY |
330 E Live Oak Ave |
Arcadia |
Los Angeles |
91006 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1084790963 |
-118.022159054 |
-122.947541034691 |
38.4087507018834 |
11623 |
gullion, guy |
1457440844 |
Physician |
PSYCHIATRY |
3802 Main Street |
Occidental |
Sonoma |
95465 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY HEALTH CTRS WEST |
1598768962 |
21250 |
21250 |
38.4087507017 |
-122.947541035 |
-118.326603468675 |
34.0932599997493 |
11626 |
Kaz, William |
1457437840 |
Physician |
PSYCHIATRY |
1224 Vine St |
Los Angeles |
Los Angeles |
90038 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.09326 |
-118.326603469 |
-118.468015071438 |
34.0436787053081 |
11627 |
Choi, Sunwoong |
1457435588 |
Dentist |
UNKNOWN |
12121 Wilshire Blvd Ste 1111, Frontier Dental Management |
Los Angeles |
Los Angeles |
90025 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.0436787053 |
-118.468015071 |
-118.329789269359 |
34.0979749635737 |
11628 |
ASGHARZADEH, SHAHAB |
1457442949 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
11632 |
PIETZAK, MICHELLE |
1457445348 |
Physician |
GASTROENTEROLOGY |
6430 Sunset Blvd., Suite 600 |
LOS ANGELES |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
11633 |
IMAGAWA, KAREN |
1457445447 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
11638 |
Halligan, Thomas |
1457454761 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.337547068442 |
36.2234687042174 |
11640 |
liu, allen |
1457454738 |
Physician |
FAMILY PRACTICE |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2012 |
2013 |
2 |
MU |
COMMUNITY HEALTH TULARE |
1023011632 |
29750 |
8500 |
36.2234687039 |
-119.337547068 |
-121.63151699981 |
36.7040969996768 |
11653 |
Reder, Seth |
1457481525 |
Dentist |
UNKNOWN |
631 E Alvin Dr, Suite E |
Salinas |
Monterey |
93906 |
California |
2013 |
2014 |
1 |
AIU |
COAST PED DENTAL GRP CENTRAL |
1205922705 |
21250 |
21250 |
36.704097 |
-121.631517 |
-121.931844043068 |
37.3128740632874 |
11659 |
Lee, Wilma |
1457482424 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
11661 |
Boutros, Shadi |
1457489239 |
Dentist |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-117.228721500197 |
33.2096760004471 |
11683 |
Faley, Monsita |
1457530180 |
Nurse Practitioner |
NURSE PRACTITIONER |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2016 |
2017 |
6 |
MU |
COMM CLINIC-WEST VISTA |
1649363375 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.132490074257 |
38.0066599453003 |
11686 |
SHRESTHA, SMRITI |
1457526485 |
Physician |
UNKNOWN |
Contra Costa Regional Medical Center, 2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2015 |
2017 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006659945 |
-122.132490074 |
-122.231195302121 |
37.7991749638535 |
11687 |
Dhir, Sunil |
1457537649 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2013 |
2015 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.224776035785 |
37.7798441425932 |
11696 |
Hoffman, Ian |
1457550956 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.022159053897 |
34.1084790963333 |
11697 |
Gavel, David |
1457549693 |
Physician |
PSYCHIATRY |
330 E Live Oak Ave |
Arcadia |
Los Angeles |
91006 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1084790963 |
-118.022159054 |
-122.221706408624 |
40.1492038237975 |
11707 |
Villapena, Geraldine |
1457576399 |
Physician |
UNKNOWN |
2450 Sister Mary Columba Dr |
Red Bluff |
Tehama |
96080 |
California |
2017 |
2018 |
6 |
MU |
CENTRAL COAST HEALTH PACIFIC |
1063496651 |
63750 |
8500 |
40.1492038235 |
-122.221706409 |
-122.302085033298 |
37.8743801080556 |
11714 |
Chopra, Harneet |
1457581597 |
Physician |
INTERNAL MEDICINE |
1510 4th St, Suite 1 |
Berkeley |
Alameda |
94710 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
37.8743801077 |
-122.302085033 |
-119.800377524303 |
36.8843745979094 |
11720 |
Gonzales, Malynda |
1457596397 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
63750 |
8500 |
36.8843745978 |
-119.800377524 |
-117.228721500197 |
33.2096760004471 |
11723 |
Mack, Sonja |
1457604134 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2013 |
2014 |
1 |
MU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.730009116028 |
38.4800536013926 |
11728 |
Chollet, Anna |
1457626905 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
UNKNOWN |
95403 |
California |
2014 |
2015 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-119.251855838176 |
34.2762568924417 |
11730 |
CANTRELL, ALICIA |
1457627259 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.730009116028 |
38.4800536013926 |
11731 |
Eskinazi, Yael |
1457641284 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-117.228721500197 |
33.2096760004471 |
11740 |
Kaye, Alyson |
1457668840 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.748589048346 |
38.4279142321561 |
11744 |
Grobel, Hana |
1457676140 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2013 |
2014 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4279142323 |
-122.748589048 |
-119.336956049282 |
36.2248289998585 |
11750 |
Atalla, Marta |
1457687204 |
Physician |
UNKNOWN |
1203 Cherry Street |
Tulare |
Tulare |
93274 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1083647036 |
17000 |
8500 |
36.224829 |
-119.336956049 |
-118.464951018275 |
34.0476507041167 |
11756 |
Monroy, Denisse |
1457707861 |
Dentist |
UNKNOWN |
11900 Goshen Ave Apt 103 |
Los Angeles |
Los Angeles |
90049 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY DENTAL DIENTES |
1437213279 |
21250 |
21250 |
34.0476507038 |
-118.464951018 |
-122.132916000373 |
38.0065680004129 |
11770 |
Hamlin, Kathryn |
1457780165 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-119.521534499617 |
36.6049529997812 |
11790 |
Galindo, Cecilia |
1467410522 |
Physician |
UNKNOWN |
650 Zediker Ave |
Parlier |
Fresno |
93648 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1326063199 |
55250 |
8500 |
36.604953 |
-119.5215345 |
-121.931844043068 |
37.3128740632874 |
11799 |
Kramer, Richard |
1467416362 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.97078849959 |
35.3824379999138 |
11810 |
Yassa, Nabil |
1467438911 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.97078849959 |
35.3824379999138 |
11812 |
Roos, Eugene |
1467444380 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.15612921659 |
33.1407478633233 |
11841 |
Poniachik, Samuel |
1467485078 |
Physician |
INTERNAL MEDICINE |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-118.329789269359 |
34.0979749635737 |
11847 |
Skaist, Leonard |
1467484535 |
Physician |
UROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-119.251855838176 |
34.2762568924417 |
11851 |
LIPELES, LOIS |
1467497776 |
Physician |
PEDIATRIC MEDICINE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.017646291043 |
36.9915277342176 |
11863 |
Shannahan, Jill |
1467516005 |
Physician |
PSYCHIATRY |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2013 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-117.152023500284 |
32.7983220001602 |
11868 |
Chiraseveenuprapund, Peter |
1467518209 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.254271688188 |
40.1690621127264 |
11875 |
Blosser, Anita |
1467530022 |
Physician |
FAMILY PRACTICE |
1850 Walnut St |
Red Bluff |
Tehama |
96080 |
California |
2012 |
2014 |
1 |
AIU |
COUNTY TEHAMA |
1043427388 |
21250 |
21250 |
40.1690621127 |
-122.254271688 |
-121.931844043068 |
37.3128740632874 |
11884 |
Nair, Ajit |
1467537340 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
42500 |
8500 |
37.3128740633 |
-121.931844043 |
-118.193363999949 |
33.8000489995617 |
11886 |
Keichline, Joseph |
1467540765 |
Physician |
UNKNOWN |
2360 Pacific Ave |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.800049 |
-118.193364 |
-122.133636000301 |
37.4709959995658 |
11889 |
Haiman, Amanda |
1467539460 |
Physician |
UNKNOWN |
1798 A Bay Rd |
East Palo Alto |
San Mateo |
94303 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.470996 |
-122.133636 |
-118.329789269359 |
34.0979749635737 |
11899 |
MORZOV, JOHN |
1467548057 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.316325295276 |
34.4237488601219 |
11901 |
Williams, Dave |
1467558858 |
Physician |
UNKNOWN |
15888 Main St Suite 112-B |
Hesperia |
San Bernardino |
92345 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA MEDICA HESPERIA |
1164728788 |
21250 |
21250 |
34.4237488604 |
-117.316325295 |
-116.32904549985 |
33.1939799996773 |
11908 |
BARBOZA, HUMBERTO |
1467564724 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4343 Yaqui Pass Road |
Borrego Springs |
San Diego |
92004 |
California |
2018 |
2020 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
33.19398 |
-116.3290455 |
-118.601491988165 |
34.1941222461448 |
11920 |
Hernandez, Fabian |
1467586693 |
Physician |
UNKNOWN |
6800 Owensmouth Ave, 160 |
Canoga Park |
Los Angeles |
91303 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1941222456 |
-118.601491988 |
-118.463696418155 |
34.2281841459816 |
11926 |
malabanan, paul |
1467596940 |
Physician |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
4 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
46750 |
8500 |
34.228184146 |
-118.463696418 |
-118.244519806744 |
33.9242386813701 |
11927 |
Cabrera, Elsa |
1467596411 |
Physician |
UNKNOWN |
1670 E 120TH STREET, ROOM 2E02 2E06 |
LOS ANGELES |
Los Angeles |
90059 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.9242386811 |
-118.244519807 |
-121.456646999859 |
38.5524089999754 |
11937 |
Yeh, Jay |
1467614685 |
Physician |
UNKNOWN |
2516 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2018 |
2019 |
5 |
MU |
CARDI REGENTS/UCDPBG/PED |
1144213166 |
55250 |
8500 |
38.552409 |
-121.456647 |
-118.184624999844 |
33.8077440000856 |
11941 |
Mody, Priya |
1467622068 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2014 |
2015 |
4 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
46750 |
8500 |
33.807744 |
-118.184625 |
-119.251855838176 |
34.2762568924417 |
11943 |
Pedroza, Miguel |
1467622209 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-118.240379999837 |
34.1367570001355 |
11946 |
Do, Anh |
1467628107 |
Dentist |
UNKNOWN |
801 S. Chevy Chase Dr., Ste. 250 |
Glendale |
Los Angeles |
91205 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
29750 |
8500 |
34.136757 |
-118.24038 |
-119.555057907896 |
36.6892954043595 |
11968 |
Ligonde, Adeline |
1467679688 |
Nurse Practitioner |
UNKNOWN |
1939 Academy Ave |
Sanger |
Fresno |
93657 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1093980823 |
46750 |
8500 |
36.6892954036 |
-119.555057908 |
-122.748589048346 |
38.4279142321561 |
11977 |
Vanguilder, Kamin |
1467696310 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-122.132916000373 |
38.0065680004129 |
11984 |
Rosett, Debra |
1467720862 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
12001 |
Myers, Casey |
1467755348 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-117.228721500197 |
33.2096760004471 |
12008 |
penman, marta |
1467778530 |
Dentist |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2016 |
2017 |
2 |
MU |
COMM CLINIC VISTA |
1295822658 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-122.028876790931 |
36.9749133592642 |
12016 |
Browning, Melissa |
1467786053 |
Nurse Practitioner |
UNKNOWN |
250 Locust Street |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
4 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
8500 |
8500 |
36.9749133589 |
-122.028876791 |
-118.184503499637 |
33.8084730004287 |
12022 |
Rahimi, Shabnam |
1467818294 |
Nurse Practitioner |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
5 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
55250 |
8500 |
33.808473 |
-118.1845035 |
-116.32904549985 |
33.1939799996773 |
12028 |
AGATEP, ELOISA |
1467851147 |
Nurse Practitioner |
UNKNOWN |
4343 Yaqui Pass Rd, PO BOX 2369 |
Palm Springs |
UNKNOWN |
92004 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-122.224776035785 |
37.7798441425932 |
12034 |
Park, Jennifer |
1467879791 |
Doctor of Optometry |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.337547068442 |
36.2234687042174 |
12036 |
Martinho, Sara |
1467883231 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
4 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
46750 |
8500 |
36.2234687039 |
-119.337547068 |
-122.017646291043 |
36.9915277342176 |
12042 |
Leininger, Jeffrey |
1467994244 |
Nurse Practitioner |
UNKNOWN |
1080 Emeline |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-118.97078849959 |
35.3824379999138 |
12052 |
TREFELNER, ERIC |
1477514099 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.77044549976 |
36.9377279997474 |
12053 |
SIMON, MICHELLE |
1477508562 |
Physician |
UNKNOWN |
252 Green Valley Rd |
Freedom |
Santa Cruz |
95019 |
California |
2014 |
2015 |
4 |
MU |
COAST PEDIATRIC PACIFIC |
1619152402 |
46750 |
8500 |
36.937728 |
-121.7704455 |
-117.228721500197 |
33.2096760004471 |
12057 |
Garretson, John |
1477520302 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-119.451067796042 |
36.6088634615795 |
12064 |
Peterson, Marla |
1477532034 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1419 N Acacia Ave suite 101 |
Reedley |
Fresno |
93654 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1285651745 |
29750 |
8500 |
36.608863462 |
-119.451067796 |
-118.269069678923 |
34.1467494852006 |
12067 |
Mesrobian, Haroutioun |
1477536738 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
660 W Broadway |
Glendale |
Los Angeles |
91204 |
California |
2020 |
2020 |
4 |
MU |
CARDIOVASCULAR HEARTBEAT |
1205898525 |
46750 |
8500 |
34.1467494849 |
-118.269069679 |
-116.456049000261 |
33.8135669997173 |
12072 |
Luansing, Erik |
1477542686 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
69175 Ramon Rd Bldg A |
Cathedral City |
Riverside |
92234 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.813567 |
-116.456049 |
-117.15612921659 |
33.1407478633233 |
12081 |
Schweikert, Suzanne |
1477560142 |
Physician |
OBSTETRICS/GYNECOLOGY |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-120.982856782315 |
37.6471734770744 |
12084 |
Brown, Nancy |
1477560290 |
Physician |
UNKNOWN |
830 Scenic Dr, Suite A |
Modesto |
Stanislaus |
95350 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH STANISLAUS |
1891991741 |
29750 |
8500 |
37.647173477 |
-120.982856782 |
-122.13664674705 |
41.2521636667199 |
12087 |
SAUNDERS, JACK |
1477564078 |
Physician |
UNKNOWN |
116 W Minnesota Ave |
McCloud |
Siskiyou |
96057 |
California |
2016 |
2016 |
1 |
AIU |
CLOUD HEALTHCARE CLIN MC |
1164428488 |
21250 |
21250 |
41.2521636666 |
-122.136646747 |
-122.385354438756 |
40.5834973198455 |
12089 |
Speigle, Mary |
1477564680 |
Nurse Practitioner |
NURSE PRACTITIONER |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
5 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
55250 |
8500 |
40.5834973202 |
-122.385354439 |
-117.152023500284 |
32.7983220001602 |
12090 |
Schwendemann, Wade |
1477563302 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-117.971117638168 |
33.7449375454314 |
12097 |
Do, Cuong-Dung |
1477574200 |
Physician |
OPHTHALMOLOGY |
9061 Bolsa Ave Ste 105 |
Westminster |
Orange |
92683 |
California |
2013 |
2013 |
1 |
AIU |
CUONG-DUNG T MD INC DO |
1992816268 |
21250 |
21250 |
33.7449375446 |
-117.971117638 |
-117.228721500197 |
33.2096760004471 |
12126 |
Lee, Kang |
1477611630 |
Dentist |
UNKNOWN |
1000 Vale Terrace, #C |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
5 |
MU |
COMM CLINIC VISTA |
1295822658 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-119.800377524303 |
36.8843745979094 |
12129 |
VanderPlaats, Sharon |
1477616761 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93638 |
California |
2017 |
2018 |
4 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
46750 |
8500 |
36.8843745978 |
-119.800377524 |
-117.152023500284 |
32.7983220001602 |
12136 |
EICHENFIELD, LAWRENCE |
1477624138 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.256769000189 |
34.0030619996116 |
12137 |
Edwards, Jennifer |
1477614089 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 South Central Ave. |
Los Angeles |
Los Angeles |
90009 |
California |
2016 |
2017 |
5 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
55250 |
8500 |
34.003062 |
-118.256769 |
-118.101841523268 |
34.5796668494456 |
12138 |
Aquino, Sandra |
1477625713 |
Physician |
PSYCHIATRY |
1529 E Palmdale Blvd Ste 150 |
Palmdale |
Los Angeles |
93550 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.5796668488 |
-118.101841523 |
-117.152023500284 |
32.7983220001602 |
12140 |
SAWYER, MARK |
1477624229 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
12141 |
Hoang, Kenneth |
1477628642 |
Dentist |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.277073000319 |
34.0445609995905 |
12144 |
ZARENO, TERESITA |
1477634020 |
Physician |
FAMILY PRACTICE |
1600 W Pico Blvd |
Los Angeles |
Los Angeles |
90015 |
California |
2016 |
2017 |
4 |
MU |
CLINICA MEDICA PICO |
1740329101 |
46750 |
8500 |
34.044561 |
-118.277073 |
-117.152023500284 |
32.7983220001602 |
12148 |
BARSHOP, BRUCE |
1477624237 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-118.329789269359 |
34.0979749635737 |
12165 |
VILLABLANCA, JUDITH |
1477652584 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
12169 |
Amaya, Manuel |
1477657005 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-123.803844077242 |
39.43025401611 |
12179 |
Kline, Mark |
1477670495 |
Physician |
UNKNOWN |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2011 |
2012 |
1 |
AIU |
COAST CLINICS MENDOCINO |
1083783757 |
21250 |
21250 |
39.4302540158 |
-123.803844077 |
-122.132916000373 |
38.0065680004129 |
12185 |
vanHandel, Mark |
1477678621 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-122.748589048346 |
38.4279142321561 |
12187 |
Mulligan, Marie |
1477682896 |
Physician |
UNKNOWN |
751 Lombardi Ct |
Santa Rosa |
Sonoma |
95407 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-117.637216267017 |
34.0460598285983 |
12188 |
Sandoval, Carolina |
1477681260 |
Nurse Practitioner |
UNKNOWN |
1501A S Bon View Ave |
Ontario |
San Bernardino |
91761 |
California |
2012 |
2013 |
2 |
MU |
COME FIRST KIDS |
1154547065 |
29750 |
8500 |
34.0460598295 |
-117.637216267 |
-118.193679000086 |
33.9425640003284 |
12189 |
AMIN, HUMAIRAH |
1477691178 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.942564 |
-118.193679 |
-122.024118372765 |
37.5803716790098 |
12194 |
Witanto, Anna |
1477693133 |
Dentist |
UNKNOWN |
2701 Decoto Rd, Suite 1 |
Union City |
Alameda |
94587 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.5803716794 |
-122.024118373 |
-117.651550499956 |
34.0680510000537 |
12198 |
Kim, Yung Tae |
1477695393 |
Physician |
UNKNOWN |
437 N. Euclid Ave. |
Ontario |
San Bernardino |
91762 |
California |
2015 |
2017 |
1 |
AIU |
COMMUNITY HEALTH UNICARE |
1710309513 |
21250 |
21250 |
34.068051 |
-117.6515505 |
-122.224776035785 |
37.7798441425932 |
12204 |
Marques, Jessica |
1477700813 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.467437230943 |
34.2371752494383 |
12207 |
Ziaee, Hosseingholi |
1477703569 |
Physician |
UNKNOWN |
9146 Sepulveda Blvd, Suite B |
North Hills |
Los Angeles |
91343 |
California |
2020 |
2020 |
6 |
MU |
CARE ANGELS MEDICAL HEALTH |
1720269194 |
63750 |
8500 |
34.2371752492 |
-118.467437231 |
-121.931844043068 |
37.3128740632874 |
12213 |
Kalimuthu, Rajalakshmi |
1477707750 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
12217 |
Ruiz, Anabel |
1477729259 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland, |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
12218 |
Smith, Charles |
1477726412 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
12221 |
Arpajirakul, Neary |
1477736965 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA COUNTY CONTRA |
1962587071 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.993485000432 |
38.5037550000932 |
12233 |
Vezino, Brooke |
1477752988 |
Physician |
UNKNOWN |
West County Health Centers, Inc., PO Box 1449 |
Guerneville |
Sonoma |
95446 |
California |
2018 |
2019 |
6 |
MU |
COUNTY HEALTH CENTER WEST |
1538334065 |
42500 |
8500 |
38.503755 |
-122.993485 |
-119.251855838176 |
34.2762568924417 |
12245 |
Nass, Scott |
1477783827 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-118.97078849959 |
35.3824379999138 |
12247 |
Lakshminarayan, Gowri |
1477783926 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.231195302121 |
37.7991749638535 |
12249 |
Palmer, Barnard |
1477789220 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.97078849959 |
35.3824379999138 |
12257 |
Minasaghanian, Antony |
1477820447 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-119.251855838176 |
34.2762568924417 |
12263 |
Kim, Joanne |
1477829448 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-123.801499006874 |
39.4322470387699 |
12264 |
Pope, Daniel |
1477835288 |
Nurse Practitioner |
NURSE PRACTITIONER |
721 River Dr, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2012 |
2013 |
1 |
AIU |
COAST HEALTH MENDOCINO |
1124220249 |
21250 |
21250 |
39.4322470385 |
-123.801499007 |
-118.344352500268 |
33.9657120003086 |
12270 |
Yan, Lihong |
1477844363 |
Nurse Practitioner |
UNKNOWN |
301 N Prairie Blvd #300 |
Inglewood |
Los Angeles |
90301 |
California |
2016 |
2017 |
4 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
46750 |
8500 |
33.965712 |
-118.3443525 |
-119.251855838176 |
34.2762568924417 |
12272 |
VILLANUEVA, LAURA |
1477847010 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.562698424193 |
38.095736927917 |
12278 |
Miller, Aaron |
1477880151 |
Nurse Practitioner |
NURSE PRACTITIONER |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2012 |
2013 |
2 |
MU |
COMMUNITY CLINIC MARIN |
1003900101 |
29750 |
8500 |
38.0957369279 |
-122.562698424 |
-122.748589048346 |
38.4279142321561 |
12283 |
Barlocher, Ariane |
1477884591 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Ct # B |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMMUNITY HEALTH SOUTHWEST |
1558512624 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.730705722791 |
38.4794050139303 |
12284 |
Taylor, Sophie |
1477883080 |
Dentist |
UNKNOWN |
3562 Round Barn Circle, Suite 216 |
Santa Rosa |
Sonoma |
95403 |
California |
2019 |
2020 |
4 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
46750 |
8500 |
38.4794050143 |
-122.730705723 |
-122.532927443447 |
38.0685794121102 |
12287 |
Kim, Paul |
1477885960 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2017 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-122.224776035785 |
37.7798441425932 |
12290 |
Renik, Margaret |
1477896686 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.413825981784 |
34.1944379999138 |
12292 |
De Guzman, Katherine |
1477893600 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2020 |
2020 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-118.045836668228 |
34.0764334702285 |
12322 |
Benitez, Mylen |
1487021036 |
Nurse Practitioner |
UNKNOWN |
10418 Valley Blvd, Suite B |
El Monte |
UNKNOWN |
91731 |
California |
2020 |
2020 |
2 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
29750 |
8500 |
34.0764334701 |
-118.045836668 |
-121.436869499728 |
38.5713540003869 |
12340 |
Severson, Mary |
1487089090 |
Nurse Practitioner |
UNKNOWN |
5301 F St, Suite 207 |
Sacramento |
Sacramento |
95819 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
38250 |
8500 |
38.571354 |
-121.4368695 |
-117.228721500197 |
33.2096760004471 |
12342 |
Marinas, Maila |
1487093126 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2014 |
2015 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-118.349731509102 |
33.954067100916 |
12349 |
Paholiouk, Anna |
1487107850 |
Dentist |
UNKNOWN |
300 E Buckthorn St |
Inglewood |
Los Angeles |
90301 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN'S DENTAL CENTER THE |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-117.228721500197 |
33.2096760004471 |
12361 |
DeMarco, Cambria |
1487628046 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2012 |
2012 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.748589048346 |
38.4279142321561 |
12372 |
Kulawiak, Patricia |
1487649711 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-117.152023500284 |
32.7983220001602 |
12373 |
Skalsky, Andrew |
1487635272 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-123.801499006874 |
39.4322470387699 |
12381 |
Kirkman, Jason |
1487665410 |
Physician |
INTERNAL MEDICINE |
721 River Drive, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2017 |
2018 |
6 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
63750 |
8500 |
39.4322470385 |
-123.801499007 |
-118.075851000124 |
34.0629929997272 |
12384 |
Tang, Daniel |
1487667390 |
Dentist |
UNKNOWN |
8841 Garvey Ave |
Rosemead |
Los Angeles |
91770 |
California |
2015 |
2016 |
1 |
AIU |
CHRISTIAN HEALTH HERALD |
1033390273 |
21250 |
21250 |
34.062993 |
-118.075851 |
-122.231195302121 |
37.7991749638535 |
12385 |
Stullman, Walter |
1487664983 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
1411 East 31st St, OakCare Medical Grp |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
12411 |
Jain, Uday |
1487694931 |
Physician |
ANESTHESIOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.433384088805 |
37.7865488663372 |
12416 |
Silberman, Susan |
1487701041 |
Nurse Practitioner |
UNKNOWN |
1833 Fillmore Street, 3rd Floor |
San Francisco |
San Francisco |
94115 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY CLINIC WOMENS |
1629498118 |
38250 |
8500 |
37.7865488665 |
-122.433384089 |
-122.415599517803 |
37.6563048307034 |
12418 |
Manio, Clementina |
1487705638 |
Physician |
UNKNOWN |
483 Grand Ave |
South San Francisco |
San Mateo |
94080 |
California |
2013 |
2014 |
2 |
MU |
CLEMENTINA L MD MANIO |
1487705638 |
29750 |
8500 |
37.6563048313 |
-122.415599518 |
-117.228721500197 |
33.2096760004471 |
12430 |
Novikoff, Thays |
1487718953 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY CLINIC VISTA |
1851300123 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-118.138191891942 |
34.6016273917908 |
12433 |
Reyes, Jeffrey |
1487720603 |
Dentist |
UNKNOWN |
510 W Avenue P |
Palmdale |
Los Angeles |
93551 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.601627392 |
-118.138191892 |
-122.132916000373 |
38.0065680004129 |
12434 |
Katzman, Kenneth |
1487723144 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.122650002795 |
32.812365973311 |
12439 |
KROUS, HENRY |
1487725248 |
Physician |
UNKNOWN |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-123.211126833337 |
39.1278118681233 |
12440 |
Gurvis, Rafael |
1487732046 |
Dentist |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2016 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-117.152023500284 |
32.7983220001602 |
12443 |
BIRD, LYNNE |
1487725230 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.501392629566 |
37.9566273962374 |
12445 |
Willis, Matthew |
1487733036 |
Physician |
UNKNOWN |
Marin Community Clinics, 1177 E Francisco Suite B |
San Rafael |
Marin |
94901 |
California |
2012 |
2013 |
1 |
AIU |
COMM CLINIC MARIN |
1912091018 |
21250 |
21250 |
37.9566273958 |
-122.50139263 |
-122.562698424193 |
38.095736927917 |
12446 |
Beal, Jolaine |
1487736484 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1003900101 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-122.231195302121 |
37.7991749638535 |
12448 |
Chen, I-Fei |
1487736310 |
Physician |
FAMILY PRACTICE |
1411 E. 31st St., Highland Hospital, Maternal Child Health |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.63151699981 |
36.7040969996768 |
12450 |
Sackett, Charles |
1487740973 |
Dentist |
UNKNOWN |
633 E Alvin Drive STE B |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Central Coast Pediatric Dental Group |
1205922705 |
21250 |
21250 |
36.704097 |
-121.631517 |
-122.132490074257 |
38.0066599453003 |
12459 |
Saffier, Kenneth |
1487737144 |
Physician |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006659945 |
-122.132490074 |
-119.769500862175 |
36.3007032837296 |
12464 |
Pigford, Jean |
1487754909 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
810 E D St |
Lemoore |
Kings |
93245 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1699758003 |
38250 |
8500 |
36.3007032839 |
-119.769500862 |
-119.572149938869 |
36.7068147769804 |
12476 |
Gonzalez, Elida |
1487773222 |
Nurse Practitioner |
UNKNOWN |
2502 E. Jensen Ave |
Sanger |
Fresno |
93657 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1093732554 |
55250 |
8500 |
36.7068147766 |
-119.572149939 |
-119.646007366247 |
36.3359516654371 |
12477 |
WONG, ANNIE |
1487779047 |
Physician |
UNKNOWN |
1025 N Douty St |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
29750 |
8500 |
36.3359516647 |
-119.646007366 |
-118.463696418155 |
34.2281841459816 |
12478 |
Aguas, Gerard Raymond |
1487773594 |
Dentist |
UNKNOWN |
15206 Parthenia Street |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-119.021117806042 |
35.3825935151787 |
12479 |
Nguyen, Chinh |
1487783163 |
Dentist |
UNKNOWN |
2520 H St, Suite B |
Bakersfield |
Kern |
93301 |
California |
2016 |
2016 |
1 |
AIU |
Chinh Truong Nguyen |
1487783163 |
21250 |
21250 |
35.3825935146 |
-119.021117806 |
-122.224776035785 |
37.7798441425932 |
12487 |
Nathan, Sarah |
1487801148 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.367701115614 |
34.1535703752726 |
12488 |
Huynh, Tam |
1487802674 |
Physician |
UNKNOWN |
4600 Lankershim Blvd, Suite 305 |
North Hollywood |
Los Angeles |
91602 |
California |
2015 |
2017 |
1 |
AIU |
CRITICAL CARE PRIMARY |
1467410134 |
21250 |
21250 |
34.1535703751 |
-118.367701116 |
-118.338883710315 |
34.0060370468723 |
12490 |
Brown, Stephen |
1487811568 |
Physician |
UNKNOWN |
3751 STOCKER STREET |
LOS ANGELES |
Los Angeles |
90008 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0060370469 |
-118.33888371 |
-117.751099499642 |
34.0750530000959 |
12496 |
Hsiung, Deborah |
1487820197 |
Physician |
PEDIATRIC MEDICINE |
160 E Artesia St, rm 235 |
Pomona |
Los Angeles |
91767 |
California |
2012 |
2013 |
2 |
MU |
CHING-CHIH D MD INC HUANG |
1033139647 |
29750 |
8500 |
34.075053 |
-117.7510995 |
-122.231195302121 |
37.7991749638535 |
12499 |
Kim, Christina |
1487823928 |
Doctor of Optometry |
UNKNOWN |
1411 East 31st Street |
Oakland |
UNKNOWN |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.338322546948 |
37.9532997526815 |
12500 |
Villanueva, Lee |
1487824975 |
Physician |
FAMILY PRACTICE |
2023 Vale Rd Ste 107 |
San Pablo |
Contra Costa |
94806 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
37.953299753 |
-122.338322547 |
-117.152023500284 |
32.7983220001602 |
12501 |
Zimbric, Michael |
1487819546 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.398478499783 |
34.1866995081758 |
12502 |
Baroni, Ani |
1487826871 |
Physician |
UNKNOWN |
12157 Victory Blvd |
North Hollywood |
Los Angeles |
91606 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.1866995076 |
-118.3984785 |
-121.927868521615 |
37.5206924387051 |
12504 |
Wadhwani, Rita |
1487834131 |
Physician |
UNKNOWN |
43850 N Moray St |
Fremont |
Alameda |
94539 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.5206924388 |
-121.927868522 |
-117.152023500284 |
32.7983220001602 |
12505 |
McCandless, Rachel |
1487821815 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
3 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
17000 |
8500 |
32.798322 |
-117.1520235 |
-116.32904549985 |
33.1939799996773 |
12506 |
Vilches, Abner |
1487834669 |
Nurse Practitioner |
NURSE PRACTITIONER |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-118.184624999844 |
33.8077440000856 |
12513 |
CURRIE, HELEN |
1487849923 |
Physician |
PEDIATRIC MEDICINE |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
3 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
38250 |
8500 |
33.807744 |
-118.184625 |
-118.203022217801 |
34.0626159023021 |
12515 |
Ganesh, Sivagini |
1487846887 |
Physician |
PULMONARY DISEASE |
1520 San Pablo St, Suite 1000 |
Los Angeles |
Los Angeles |
90033 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.062615902 |
-118.203022218 |
-118.124154000007 |
33.8611230002263 |
12530 |
caballero, jane |
1487880589 |
Dentist |
UNKNOWN |
5819 Adenmoor ave |
lakewood |
Los Angeles |
90713 |
California |
2018 |
2019 |
3 |
MU |
CERRITOS DENTAL LAKEWOOD |
1407124290 |
38250 |
8500 |
33.861123 |
-118.124154 |
-118.329789269359 |
34.0979749635737 |
12537 |
Pena-Ricardo, Carolina |
1487887519 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.532927443447 |
38.0685794121102 |
12538 |
Verbis, Susana |
1487891875 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Alameda |
94545 |
California |
2015 |
2017 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-122.748589048346 |
38.4279142321561 |
12542 |
Les, Jessica |
1487898334 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2019 |
2020 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-117.261171974107 |
34.049203089551 |
12558 |
Keeter, Michelle |
1487919544 |
Physician |
UNKNOWN |
11234 Anderson St, GME Office CSP 21005 |
Loma Linda |
San Bernardino |
92354 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1093732554 |
29750 |
8500 |
34.0492030899 |
-117.261171974 |
-122.743877948009 |
38.4400615036355 |
12561 |
Junker, Sarah |
1487929832 |
Physician |
UNKNOWN |
144 Stony Point Road |
Santa Rosa |
Sonoma |
95401 |
California |
2016 |
2017 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4400615041 |
-122.743877948 |
-118.184503499637 |
33.8084730004287 |
12568 |
kizlinski, aileen |
1487946729 |
Nurse Practitioner |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
2 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
29750 |
8500 |
33.808473 |
-118.1845035 |
-122.028876790931 |
36.9749133592642 |
12576 |
Galvan, Veronica |
1487963674 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2017 |
2018 |
2 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
29750 |
8500 |
36.9749133589 |
-122.028876791 |
-119.395066811684 |
36.5528700000505 |
12578 |
Nance-Chastain, Christy |
1487968608 |
Nurse Practitioner |
UNKNOWN |
888 N Alta Ave |
Dinuba |
Tulare |
93618 |
California |
2016 |
2017 |
5 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1497006126 |
55250 |
8500 |
36.55287 |
-119.395066812 |
-122.730009116028 |
38.4800536013926 |
12580 |
Duncan, Corinne |
1487974374 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-117.15612921659 |
33.1407478633233 |
12588 |
Louie, Lung |
1487995684 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-120.670953178247 |
38.190568444778 |
12596 |
King, Thomas |
1497005268 |
Nurse Practitioner |
UNKNOWN |
768 Mountain Ranch Rd |
San Andreas |
Calaveras |
95249 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
38250 |
8500 |
38.1905684451 |
-120.670953178 |
-122.267252075423 |
37.8373378810384 |
12597 |
Tai, Christiana |
1497008403 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2015 |
2015 |
1 |
AIU |
Christiana Tai |
1497008403 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
-122.730009116028 |
38.4800536013926 |
12610 |
Parameswaran, Shantha |
1497018196 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-122.730009116028 |
38.4800536013926 |
12613 |
Gray, Tyler |
1497020846 |
Physician |
UNKNOWN |
3569 ROUND BARN CIRCLE |
SANTA ROSA |
Sonoma |
95403 |
California |
2014 |
2016 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-121.931761542861 |
37.3141238808125 |
12614 |
Cruz, Dana |
1497018972 |
Physician |
UNKNOWN |
750 S.Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.314123881 |
-121.931761543 |
-118.463696418155 |
34.2281841459816 |
12624 |
Mohlie, Hughes |
1497065486 |
Nurse Practitioner |
UNKNOWN |
15206 Parthenia Street, |
North Hills |
Los Angeles |
91340 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-119.251855838176 |
34.2762568924417 |
12632 |
Stefko, MAURA |
1497075600 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-119.337547068442 |
36.2234687042174 |
12634 |
Atalla, Hanna |
1497082200 |
Dentist |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2017 |
2018 |
4 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
46750 |
8500 |
36.2234687039 |
-119.337547068 |
-117.15612921659 |
33.1407478633233 |
12643 |
Urena-Parten, Yaheiry |
1497144869 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.730009116028 |
38.4800536013926 |
12645 |
Rawson, Debra |
1497147656 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-122.132916000373 |
38.0065680004129 |
12647 |
Kwok, Bonnie |
1497160097 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
12651 |
Bleecher, Vanessa |
1497165443 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
12657 |
Newman, Allison |
1497186019 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.413825981784 |
34.1944379999138 |
12665 |
Valenzuela, Ruth |
1497198352 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-117.637216267017 |
34.0460598285983 |
12672 |
Whitten, Mary |
1497704233 |
Nurse Practitioner |
UNKNOWN |
1501A S Bon View Ave |
Ontario |
San Bernardino |
91761 |
California |
2012 |
2013 |
2 |
MU |
COME FIRST KIDS |
1154547065 |
29750 |
8500 |
34.0460598295 |
-117.637216267 |
-122.133636000301 |
37.4709959995658 |
12676 |
Hamann, Bradley |
1497706717 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1798 A Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2018 |
2019 |
4 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
46750 |
8500 |
37.470996 |
-122.133636 |
-122.132916000373 |
38.0065680004129 |
12681 |
Shaw, Howard |
1497730907 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
12689 |
Svoboda, Jeff |
1497748750 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
12692 |
Jacobson, Michael |
1497736177 |
Physician |
UNKNOWN |
1411 E 31st St, Alameda County Medical Center-Department of Surgery |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.15612921659 |
33.1407478633233 |
12699 |
LEVIN, CAROLYN |
1497765820 |
Physician |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2012 |
2013 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.231195302121 |
37.7991749638535 |
12704 |
Edelstein, Howard |
1497765069 |
Physician |
INTERNAL MEDICINE |
1411 E 31st Street, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-119.59623900023 |
36.5687914986288 |
12706 |
garcia, bruno |
1497778260 |
Physician |
UNKNOWN |
1041 Rose Ave |
Selma |
Fresno |
93662 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1811914377 |
38250 |
8500 |
36.5687914987 |
-119.596239 |
-122.132916000373 |
38.0065680004129 |
12707 |
Pehling, James |
1497774160 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
12708 |
Keller, Lisa |
1497780795 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
12712 |
NGUYEN, MYHOANG |
1497794093 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-117.868086896993 |
33.6637660964283 |
12720 |
Donayre, Dorene |
1497803894 |
Nurse Practitioner |
UNKNOWN |
4019 Westerly Pl, Suite 100 |
Newport Beach |
Orange |
92660 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.6637660961 |
-117.868086897 |
-117.228721500197 |
33.2096760004471 |
12728 |
Vejtasa, Noelle |
1497819452 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-119.251855838176 |
34.2762568924417 |
12731 |
Kim, Catherine |
1497819809 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-123.211126833337 |
39.1278118681233 |
12733 |
Liana, Jennifer |
1497825442 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
55250 |
8500 |
39.1278118679 |
-123.211126833 |
-117.152023500284 |
32.7983220001602 |
12740 |
GROSMANN, CARLA |
1497826259 |
Physician |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2017 |
2018 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.222891147608 |
37.8070731212276 |
12741 |
Joseph, Elouise |
1497832323 |
Physician |
UNKNOWN |
4180 Park Blvd |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY BROOKSIDE |
1407973043 |
21250 |
21250 |
37.8070731213 |
-122.222891148 |
-117.06912952221 |
33.1323619730267 |
12744 |
Ramirez, Jose |
1497834402 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1121 East Washington Ave. |
Escondido |
San Diego |
92025 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.1323619732 |
-117.069129522 |
-118.329789269359 |
34.0979749635737 |
12752 |
TOLO, VERNON |
1497842017 |
Physician |
ORTHOPEDIC SURGERY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.156897886728 |
34.6871296807902 |
12758 |
berman, barry |
1497847594 |
Physician |
OBSTETRICS/GYNECOLOGY |
44241 15th St W Ste 305 |
Lancaster |
Los Angeles |
93534 |
California |
2012 |
2013 |
1 |
AIU |
CLINIC MEDICAL WOMEN'S |
1548226491 |
21250 |
21250 |
34.6871296814 |
-118.156897887 |
-118.329789269359 |
34.0979749635737 |
12759 |
KAPOOR, NEENA |
1497849343 |
Physician |
SURGICAL ONCOLOGY |
6430 W Sunset Blvd, 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-119.564159055096 |
36.0997594969033 |
12763 |
Medina, Juan |
1497853568 |
Physician |
UNKNOWN |
1310 Hanna Ave, Ste 1 |
Corcoran |
Kings |
93212 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1881930964 |
29750 |
8500 |
36.0997594971 |
-119.564159055 |
-120.723421943068 |
37.3798552940866 |
12766 |
Lessner, Mark |
1497857999 |
Physician |
INTERNAL MEDICINE |
1140 Main Street |
Livingston |
Merced |
95334 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH SVS LIVINGSTON |
1427110329 |
21250 |
21250 |
37.3798552945 |
-120.723421943 |
-117.15612921659 |
33.1407478633233 |
12776 |
Esposito, Nicole |
1497880579 |
Physician |
FAMILY PRACTICE |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
4 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
46750 |
8500 |
33.1407478629 |
-117.156129217 |
-118.090917554601 |
34.090742927744 |
12777 |
Lam, Samson |
1497883136 |
Dentist |
UNKNOWN |
923 S. San Gabriel Blvd. |
San Gabriel |
Los Angeles |
91776 |
California |
2020 |
2020 |
4 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
46750 |
8500 |
34.0907429285 |
-118.090917555 |
-120.060259635973 |
36.7316212113499 |
12782 |
Galbreath, Kimberly |
1497899561 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
275 S Madera Ave Ste 201 |
Kerman |
Fresno |
93630 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1871839027 |
38250 |
8500 |
36.7316212107 |
-120.060259636 |
-122.231195302121 |
37.7991749638535 |
12783 |
Twomey, Patrick |
1497880090 |
Physician |
GENERAL SURGERY |
1411 E 31st St, Department of Surgery |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-119.752161579693 |
36.8666154840174 |
12784 |
Mahjouri, Farhad |
1497902993 |
Physician |
NEUROSURGERY |
1740 E Shepherd Ave, 251 |
Fresno |
Fresno |
93720 |
California |
2012 |
2013 |
1 |
AIU |
COMM HEALTHCARE BAART |
1982781159 |
21250 |
21250 |
36.8666154838 |
-119.75216158 |
-122.562698424193 |
38.095736927917 |
12789 |
Brown, Scott |
1497905756 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1003900101 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-118.230907611597 |
34.0592654861134 |
12791 |
Power, William |
1497908628 |
Physician |
PSYCHIATRY |
450 Bauchet St |
Los Angeles |
Los Angeles |
90012 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0592654859 |
-118.230907612 |
-122.132916000373 |
38.0065680004129 |
12803 |
Shah, Nishant |
1497940159 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-119.798928479066 |
36.7511939997034 |
12814 |
ICHIYAMA, HARRIET |
1497963300 |
Nurse Practitioner |
UNKNOWN |
539 N Van Ness Ave |
Fresno |
Fresno |
93728 |
California |
2016 |
2018 |
1 |
AIU |
COMMUNITY HEALTHCARE BAART |
1982781159 |
21250 |
21250 |
36.751194 |
-119.798928479 |
-118.393975957624 |
34.2395150830547 |
12818 |
Ramirez, Lilibeth |
1497964688 |
Nurse Practitioner |
UNKNOWN |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
5 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
55250 |
8500 |
34.2395150827 |
-118.393975958 |
-118.329789269359 |
34.0979749635737 |
12826 |
Good, David |
1497975825 |
Dentist |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.016667000282 |
34.0608600002888 |
12835 |
Petitt, John |
1497992432 |
Physician |
UNKNOWN |
12100 Valley Blvd Ste 109A |
El Monte |
Los Angeles |
91732 |
California |
2018 |
2019 |
2 |
MU |
CALIFORNIA MED CTR SOUTHERN |
1225357114 |
29750 |
8500 |
34.06086 |
-118.016667 |
-122.132916000373 |
38.0065680004129 |
12838 |
Groode, Tamra |
1497996953 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.228721500197 |
33.2096760004471 |
12840 |
Ko, Amy |
1508002577 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.224776035785 |
37.7798441425932 |
12841 |
Santos, Riza |
1508004466 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.240379999837 |
34.1367570001355 |
12843 |
Chang, Wen-Shi |
1508004193 |
Physician |
UNKNOWN |
801 S Chevy Chase Dr, #250 |
Glendale |
Los Angeles |
91205 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.136757 |
-118.24038 |
-118.184624999844 |
33.8077440000856 |
12847 |
Winkle, Taryn |
1508020348 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
3 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
38250 |
8500 |
33.807744 |
-118.184625 |
-117.885488708437 |
33.6847806931745 |
12852 |
Byrne, Francesca |
1508023425 |
Physician |
UNKNOWN |
3080 Bristol St |
Costa Mesa |
Orange |
92626 |
California |
2018 |
2019 |
4 |
MU |
CARDIOVASCULAR PACIFIC |
1700821691 |
46750 |
8500 |
33.6847806931 |
-117.885488708 |
-119.337547068442 |
36.2234687042174 |
12857 |
Halol, Athena Jane |
1508028895 |
Physician |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2016 |
2017 |
4 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
8500 |
8500 |
36.2234687039 |
-119.337547068 |
-117.228721500197 |
33.2096760004471 |
12859 |
Vasquez, David |
1508033598 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-118.329789269359 |
34.0979749635737 |
12863 |
CHAO, LILY |
1508031352 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.98973500037 |
36.963917999716 |
12868 |
Keet, Meredith |
1508049859 |
Nurse Practitioner |
UNKNOWN |
21507 East Cliff Drive |
Santa Cruz |
Santa Cruz |
95062 |
California |
2016 |
2017 |
2 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
29750 |
8500 |
36.963918 |
-121.989735 |
-118.184624999844 |
33.8077440000856 |
12874 |
Miotto, Gabriella |
1508063769 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-118.242830597554 |
33.9245590162856 |
12889 |
Hara, Belinda |
1508080250 |
Physician |
PSYCHIATRY |
1720 E 120th St |
Los Angeles |
Los Angeles |
90059 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.9245590158 |
-118.242830598 |
-122.500401958883 |
37.9578750436984 |
12896 |
Kris, Anita |
1508108820 |
Dentist |
UNKNOWN |
3110 Kerner Blvd |
San Rafael |
Marin |
94901 |
California |
2018 |
2019 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
37.9578750436 |
-122.500401959 |
-122.499895500277 |
37.96045199976 |
12917 |
Yamnik, Alexandra |
1508165077 |
Certified Nurse - Midwife |
UNKNOWN |
3260 Kerner Blvd, Suite A |
San Rafael |
Marin |
94901 |
California |
2014 |
2015 |
2 |
MU |
COMMUNITY CLINIC MARIN |
1922303437 |
29750 |
8500 |
37.960452 |
-122.4998955 |
-121.931844043068 |
37.3128740632874 |
12918 |
Barraza Conrad, Veronica |
1508164443 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
12919 |
Vanjani, Rachna |
1508165754 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
17000 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
12920 |
Khan, Farhat |
1508166273 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
UNKNOWN |
94623 |
California |
2016 |
2017 |
1 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.173367945774 |
37.769210747578 |
12925 |
Rogers, Sharonne |
1508176652 |
Nurse Practitioner |
UNKNOWN |
6955 Foothill Blvd |
Oakland |
Alameda |
94605 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.7692107483 |
-122.173367946 |
-121.931844043068 |
37.3128740632874 |
12927 |
Cirone, Molly |
1508183914 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.15612921659 |
33.1407478633233 |
12928 |
Jung, Yewah |
1508187063 |
Physician |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
3 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
38250 |
8500 |
33.1407478629 |
-117.156129217 |
-118.256434514441 |
33.9855840003014 |
12933 |
Berhane, Aman |
1508193640 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
5970 S. Central Avenue |
los angeles |
Los Angeles |
90001 |
California |
2020 |
2020 |
2 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
29750 |
8500 |
33.985584 |
-118.256434514 |
-119.337547068442 |
36.2234687042174 |
12946 |
KALINY, VIOLETTE |
1508262924 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
3 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
38250 |
8500 |
36.2234687039 |
-119.337547068 |
-121.931844043068 |
37.3128740632874 |
12950 |
Vo, Tho |
1508272907 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
12966 |
Wong, Vivian |
1508805011 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr, (Vista Community Clinic) |
Vista |
San Diego |
92084 |
California |
2013 |
2013 |
2 |
MU |
COMM CLINIC VISTA |
1295822658 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-117.152023500284 |
32.7983220001602 |
12968 |
Neul, Jeffrey |
1508801556 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
3 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
8500 |
8500 |
32.798322 |
-117.1520235 |
-118.184624999844 |
33.8077440000856 |
12970 |
Larsen, Leslie |
1508816984 |
Nurse Practitioner |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-119.379324673895 |
36.5455597591756 |
12971 |
Suarez, Boris |
1508812645 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1451 E El Monte Way |
Dinuba |
Tulare |
93618 |
California |
2015 |
2016 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1427025691 |
29750 |
8500 |
36.5455597592 |
-119.379324674 |
-121.931844043068 |
37.3128740632874 |
12975 |
Lugovoy, June |
1508822248 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
12983 |
Garabedian, Matthew |
1508833120 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.010372999914 |
37.6862310002605 |
12985 |
Villarreal, Hilda |
1508832965 |
Nurse Practitioner |
UNKNOWN |
1209 Woodrow Ave., Suite B-10 |
Modesto |
Stanislaus |
95350 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HLTH STANISLAUS |
1093910275 |
29750 |
8500 |
37.686231 |
-121.010373 |
-123.803844077242 |
39.43025401611 |
12995 |
Gray, Wade |
1508861782 |
Physician |
FAMILY PRACTICE |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2018 |
2019 |
6 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
63750 |
8500 |
39.4302540158 |
-123.803844077 |
-121.931844043068 |
37.3128740632874 |
12996 |
Ogden, William |
1508862525 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
13011 |
Brown, Joseph |
1508882408 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2014 |
2015 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-118.352422204221 |
33.916841664911 |
13033 |
maanavi, susan |
1508911785 |
Dentist |
UNKNOWN |
12730 HAWTHORNE BIV., SUITE D |
HAWTHORNE |
Los Angeles |
90250 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.9168416653 |
-118.352422204 |
-118.413825981784 |
34.1944379999138 |
13034 |
Goldberg, Rachel |
1508911876 |
Dentist |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2017 |
2018 |
4 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
46750 |
8500 |
34.194438 |
-118.413825982 |
-122.231195302121 |
37.7991749638535 |
13054 |
Nevin, Alyssa |
1508930058 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
13066 |
Sukumaran, Meera |
1508950874 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
13067 |
Wada, Carol |
1508951385 |
Dentist |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
13070 |
MACKENZIE, RICHARD |
1508951427 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.184609985662 |
34.1044891830294 |
13077 |
Aguilar, Maria |
1508955824 |
Physician |
PSYCHIATRY |
5321 Via Marisol |
Los Angeles |
Los Angeles |
90042 |
California |
2016 |
2018 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1044891832 |
-118.184609986 |
-120.723421943068 |
37.3798552940866 |
13090 |
SAMPSON, PHILIP |
1508974213 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1140 Main Street |
Livingston |
Merced |
95334 |
California |
2015 |
2016 |
1 |
AIU |
COMM HLTH SVS LIVINGSTON |
1427110329 |
21250 |
21250 |
37.3798552945 |
-120.723421943 |
-118.184624999844 |
33.8077440000856 |
13099 |
Magana, Dora |
1508993460 |
Nurse Practitioner |
UNKNOWN |
2790 Atlantic Avenue |
Long Beach |
Los Angeles |
90806 |
California |
2015 |
2017 |
4 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
46750 |
8500 |
33.807744 |
-118.184625 |
-122.224776035785 |
37.7798441425932 |
13106 |
Zayas, Patricia |
1518003581 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.748589048346 |
38.4279142321561 |
13107 |
Foster, Nancy |
1518005164 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2017 |
2018 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4279142323 |
-122.748589048 |
-118.329789269359 |
34.0979749635737 |
13108 |
BUFFENN, ANGELA |
1508957895 |
Physician |
OPHTHALMOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.299474500148 |
40.4472959996107 |
13110 |
goodall, shawn |
1518011154 |
Physician |
FAMILY PRACTICE |
2801 Silver St |
Anderson |
Shasta |
96007 |
California |
2012 |
2013 |
2 |
MU |
COMMUNITY HEALTH SHASTA |
1942225719 |
29750 |
8500 |
40.447296 |
-122.2994745 |
-117.15612921659 |
33.1407478633233 |
13117 |
Tirtanadi, Laurie |
1518025626 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2015 |
2016 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-121.939887305155 |
40.8041224683773 |
13121 |
Logan, James |
1518023894 |
Dentist |
UNKNOWN |
29632 Highway 299 East, PO Box 228 |
Round Mountain |
Shasta |
96084 |
California |
2017 |
2018 |
4 |
MU |
COUNTRY COMM CLINIC HILL |
1407914260 |
46750 |
8500 |
40.8041224681 |
-121.939887305 |
-118.293532020986 |
33.8315565468972 |
13123 |
Burgoyne, Karl |
1518028943 |
Physician |
PSYCHIATRY |
1000 W Carson St, Box 8 |
Torrance |
Los Angeles |
90502 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.8315565466 |
-118.293532021 |
-121.931844043068 |
37.3128740632874 |
13129 |
Lum, Baron |
1518036581 |
Dentist |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-123.211126833337 |
39.1278118681233 |
13131 |
Mucho, Shawn |
1518037407 |
Dentist |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
46750 |
8500 |
39.1278118679 |
-123.211126833 |
-122.135176589328 |
37.47163190299 |
13133 |
WALSH, LINDA |
1518035872 |
Certified Nurse - Midwife |
UNKNOWN |
1798A Bay Road |
East Palo Alto |
UNKNOWN |
94303 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.4716319031 |
-122.135176589 |
-117.225553499794 |
33.8024879996215 |
13134 |
Po, Tedmund |
1518042167 |
Physician |
UNKNOWN |
1675 N. perris Blvd |
Perris |
Riverside |
92571 |
California |
2017 |
2018 |
3 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
38250 |
8500 |
33.802488 |
-117.2255535 |
-122.132916000373 |
38.0065680004129 |
13141 |
Barrow, Roger |
1518049139 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
13145 |
Baldwin, Patricia |
1518053933 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
13152 |
HUANG, CATHY |
1518070242 |
Physician |
UNKNOWN |
2500 Alhambra Ave. |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2015 |
2 |
MU |
COSTA COUNTY CONTRA |
1437237690 |
29750 |
8500 |
38.006568 |
-122.132916 |
-122.562698424193 |
38.095736927917 |
13167 |
Ahmadian, Lohrasb |
1518087030 |
Physician |
UNKNOWN |
6090 Redwood Blvd, suite G, Marin Community Clinic |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-122.132916000373 |
38.0065680004129 |
13170 |
Cedermaz, Heather |
1518093855 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
13174 |
HA, BO YOON |
1518101070 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
13176 |
Wallace, Stephanie |
1518104942 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
5 |
MU |
COMM CLINIC VISTA |
1295822658 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
13181 |
Gowra, Veena |
1518115906 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
42500 |
8500 |
37.3128740633 |
-121.931844043 |
-123.211126833337 |
39.1278118681233 |
13186 |
Mansukhani, Navneet |
1518122647 |
Dentist |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
46750 |
8500 |
39.1278118679 |
-123.211126833 |
-122.231195302121 |
37.7991749638535 |
13188 |
Ikharo-okhomina, Afishetu |
1518122472 |
Nurse Practitioner |
NURSE PRACTITIONER |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
13195 |
Murguia-Gregory, Sandra |
1518141886 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1467522284 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.15612921659 |
33.1407478633233 |
13197 |
Spence, JAMIE |
1518133032 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.224776035785 |
37.7798441425932 |
13199 |
Yang, Nathan |
1518148196 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland, |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
13203 |
REDDY, DIVYA |
1518120211 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE, 5b3, blgd 5 |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
13210 |
Hong, Garrick |
1518170059 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.562698424193 |
38.095736927917 |
13215 |
Nadiv, Elizabeth |
1518173400 |
Physician |
PEDIATRIC MEDICINE |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
3 |
MU |
COMM CLINIC MARIN |
1912091018 |
38250 |
8500 |
38.0957369279 |
-122.562698424 |
-117.152023500284 |
32.7983220001602 |
13217 |
Yoon, Janet |
1518166966 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-119.251855838176 |
34.2762568924417 |
13225 |
Chen, George |
1518197615 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-121.931761542861 |
37.3141238808125 |
13238 |
Welty, Carson |
1518234889 |
Physician |
UNKNOWN |
750 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.314123881 |
-121.931761543 |
-117.15612921659 |
33.1407478633233 |
13239 |
Peter-Truesdell, Jillian |
1518247436 |
Nurse Practitioner |
NURSE PRACTITIONER |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2013 |
2014 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.15612921659 |
33.1407478633233 |
13254 |
Goodwin, Rachel |
1518274919 |
Certified Nurse - Midwife |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2015 |
2016 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.439591000025 |
37.7160389998 |
13259 |
Maung, Aung Kyaw |
1518288877 |
Physician |
UNKNOWN |
888 Paris St, Ste 202 |
San Francisco |
San Francisco |
94112 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH CHINESE |
1487684452 |
21250 |
21250 |
37.716039 |
-122.439591 |
-118.200144220879 |
34.0632203591323 |
13261 |
Jimenez, John |
1518286137 |
Physician |
UNKNOWN |
2250 Alcazar St, CSC Building, Suite 2200 |
Los Angeles |
Los Angeles |
90033 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0632203589 |
-118.200144221 |
-122.407149450087 |
37.7614542154398 |
13263 |
Warden, Meredith |
1518294842 |
Physician |
OBSTETRICS/GYNECOLOGY |
625 Potrero Ave., |
San Francisco |
San Francisco |
94110 |
California |
2013 |
2013 |
1 |
AIU |
CALIF OF SF UNIVERSITY |
1407821523 |
21250 |
21250 |
37.7614542151 |
-122.40714945 |
-122.730009116028 |
38.4800536013926 |
13267 |
Ramirez, Toni |
1518303155 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
UNKNOWN |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-117.852587999736 |
33.6841739997304 |
13286 |
Nguyen, Huy |
1518372705 |
Dentist |
UNKNOWN |
1920 Main St #970 |
Irvine |
UNKNOWN |
92614 |
California |
2015 |
2016 |
1 |
AIU |
CARE DENTAL UNIVERSAL |
1407972219 |
21250 |
21250 |
33.684174 |
-117.852588 |
-122.730009116028 |
38.4800536013926 |
13288 |
Boittin, Nathalie |
1518384635 |
Physician |
UNKNOWN |
3569 Round Barn Cir Ste 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2016 |
2017 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-116.32904549985 |
33.1939799996773 |
13295 |
Parada, Jacqueline |
1518415546 |
Nurse Practitioner |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2016 |
2018 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-119.660146984096 |
37.3276938788695 |
13310 |
Monnens, Helen |
1518932490 |
Nurse Practitioner |
UNKNOWN |
48677 Victoria Lane |
Oakhurst |
Madera |
93644 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1205253374 |
38250 |
8500 |
37.3276938793 |
-119.660146984 |
-119.810352082283 |
34.4349135278371 |
13311 |
Slomiany, David |
1518934710 |
Physician |
UNKNOWN |
5333 Hollister Ave Suite 250 |
Goleta |
Santa Barbara |
93111 |
California |
2016 |
2017 |
2 |
MU |
COAST PEDIATRIC CENTRAL |
1962495887 |
29750 |
8500 |
34.4349135284 |
-119.810352082 |
-122.730009116028 |
38.4800536013926 |
13316 |
Desruisseau, Andrew |
1518945658 |
Physician |
INTERNAL MEDICINE |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2012 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-119.786804188862 |
36.3014707291908 |
13322 |
TALOB, ROGER |
1518939636 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
405 W D St, Avenal Community Health Center |
Lemoore |
Kings |
93245 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
29750 |
8500 |
36.3014707288 |
-119.786804189 |
-122.730705722791 |
38.4794050139303 |
13327 |
Betts, Jennifer |
1518965771 |
Physician |
UNKNOWN |
3562 Round Barn Circle, Suite 216 |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4794050143 |
-122.730705723 |
-118.265094000088 |
34.0367310000357 |
13329 |
Songster, Giuliana |
1518962513 |
Physician |
OBSTETRICS/GYNECOLOGY |
1400 S Grand Ave, Ste 805 |
Los Angeles |
Los Angeles |
90015 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.036731 |
-118.265094 |
-118.329789269359 |
34.0979749635737 |
13340 |
Desai, Jay |
1518990415 |
Physician |
NEUROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.228721500197 |
33.2096760004471 |
13349 |
Dhillon-Ashley, Tina |
1518998814 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2019 |
2020 |
4 |
MU |
COMM CLINIC VISTA |
1295822658 |
46750 |
8500 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
13359 |
Ho, Cheryl |
1528022357 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.069360181127 |
38.2372400007255 |
13360 |
Alota, Ofelia |
1528022456 |
Physician |
UNKNOWN |
2201 Courage Dr |
Fairfield |
Solano |
94533 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HLTH and SOCIAL SOLANO |
1083845275 |
21250 |
21250 |
38.237240001 |
-122.069360181 |
-121.931844043068 |
37.3128740632874 |
13361 |
Kelsey, Thomas |
1528022530 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.748589048346 |
38.4279142321561 |
13362 |
Scott, Tara |
1528023835 |
Physician |
EMERGENCY MEDICINE |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-121.931844043068 |
37.3128740632874 |
13370 |
Bhat, Nirmala |
1528031051 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
13375 |
Dang-Peterson, Lien |
1528037421 |
Dentist |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.398478499783 |
34.1866995081758 |
13384 |
PARONIAN, OGANES |
1528048899 |
Physician |
FAMILY PRACTICE |
12157 Victory Blvd |
North Hollywood |
Los Angeles |
91606 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.1866995076 |
-118.3984785 |
-119.452297394109 |
36.6078683752254 |
13391 |
Laberteaux-Medina, Julie |
1528061298 |
Certified Nurse - Midwife |
UNKNOWN |
550 W Cypress Ave |
Reedley |
Fresno |
93654 |
California |
2015 |
2017 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1962805283 |
21250 |
21250 |
36.6078683755 |
-119.452297394 |
-124.137814189873 |
40.7789547799392 |
13392 |
STOKES, DEEPAK |
1528066206 |
Physician |
UNKNOWN |
3200 Walford Ave |
Eureka |
Humboldt |
95503 |
California |
2013 |
2014 |
1 |
AIU |
CARE MEDICAL HEALTH |
1679798425 |
21250 |
21250 |
40.7789547799 |
-124.13781419 |
-122.231195302121 |
37.7991749638535 |
13405 |
Berry, Lyn |
1528078193 |
Physician |
INTERNAL MEDICINE |
1411 E 31st Street, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
13406 |
Yee, Stephen |
1528078185 |
Physician |
INTERNAL MEDICINE |
1411 East 31st Street, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
13413 |
Bhatt, Veda |
1528100658 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1467522284 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.186132500115 |
33.8198580002465 |
13416 |
Hancock, C |
1528104437 |
Physician |
UNKNOWN |
3490 Linden Ave |
Long Beach |
Los Angeles |
90807 |
California |
2020 |
2020 |
5 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
55250 |
8500 |
33.819858 |
-118.1861325 |
-117.96678064591 |
34.0854351362226 |
13419 |
lee, ryan |
1528105715 |
Dentist |
UNKNOWN |
4000 La Rica Ave Ste D |
Baldwin Park |
Los Angeles |
91706 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.0854351361 |
-117.966780646 |
-119.251855838176 |
34.2762568924417 |
13420 |
Pearson, Duane |
1528083631 |
Physician |
RHEUMATOLOGY |
3291 Loma Vista Rd, Ventura County Medical Center |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-123.211126833337 |
39.1278118681233 |
13429 |
Jackinsky, Timothy |
1528114519 |
Nurse Practitioner |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-122.132916000373 |
38.0065680004129 |
13432 |
Gordon, Amy |
1528123692 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
13441 |
Pizzo, Anthony |
1528135894 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
13447 |
Weiss, Stephen |
1528138427 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.730009116028 |
38.4800536013926 |
13450 |
French, Anne |
1528141587 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-122.231195302121 |
37.7991749638535 |
13451 |
chen, michellee |
1528141306 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.357922269197 |
33.2078401756836 |
13452 |
Taylor, Tasha |
1528144433 |
Physician |
UNKNOWN |
2210 Mesa Drive Ste. 12 |
Oceanside |
San Diego |
92054 |
California |
2016 |
2018 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.2078401763 |
-117.357922269 |
-122.231195302121 |
37.7991749638535 |
13453 |
Spanier, Andrew |
1528148053 |
Physician |
UNKNOWN |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-119.769500862175 |
36.3007032837296 |
13454 |
Thomas, Cheryl |
1528146198 |
Nurse Practitioner |
UNKNOWN |
810 E D St |
Lemoore |
Kings |
93245 |
California |
2017 |
2018 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
46750 |
8500 |
36.3007032839 |
-119.769500862 |
-122.133636000301 |
37.4709959995658 |
13455 |
Chamberlain, Lisa |
1528145513 |
Physician |
PEDIATRIC MEDICINE |
1798 A Bay Rd |
East Palo Alto |
San Mateo |
94303 |
California |
2014 |
2015 |
3 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
38250 |
8500 |
37.470996 |
-122.133636 |
-121.931844043068 |
37.3128740632874 |
13456 |
McGullam, Jennifer |
1528151370 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
13457 |
Vadivel, Uma |
1528152428 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
13460 |
DOHIL, MAGDALENE |
1528139383 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
13462 |
Nguyen, Hau |
1528155835 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.227613500163 |
33.9280920002457 |
13480 |
Tasic, Katarina |
1528185949 |
Physician |
UNKNOWN |
11705 Alameda St |
Lynwood |
Los Angeles |
90262 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.928092 |
-118.2276135 |
-121.931844043068 |
37.3128740632874 |
13483 |
Nolasco, Antonio |
1528192481 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.234247260303 |
37.7997439990863 |
13491 |
Lat, Grace |
1528196326 |
Physician |
UNKNOWN |
1311 E. 31st. St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.7997439994 |
-122.23424726 |
-121.931844043068 |
37.3128740632874 |
13508 |
Sarrafan, Maryam |
1528260593 |
Dentist |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.463696418155 |
34.2281841459816 |
13525 |
Lim, Jennifer |
1528288990 |
Physician |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2017 |
2018 |
5 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
55250 |
8500 |
34.228184146 |
-118.463696418 |
-119.251855838176 |
34.2762568924417 |
13530 |
Patton, Greg |
1528298981 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-118.293532020986 |
33.8315565468972 |
13531 |
Yen, Lynn |
1528295821 |
Physician |
UNKNOWN |
1000 W Carson St, 2-S |
Torrance |
Los Angeles |
90502 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.8315565466 |
-118.293532021 |
-118.349731509102 |
33.954067100916 |
13537 |
McCreedy, Chanel |
1528313830 |
Dentist |
UNKNOWN |
300 E Buckthorn Street |
Los Angeles |
Los Angeles |
90301 |
California |
2015 |
2015 |
1 |
AIU |
CHILDREN'S DENTAL CENTER THE |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-118.075851000124 |
34.0629929997272 |
13538 |
Ma, Cherry |
1528317070 |
Dentist |
UNKNOWN |
8841 Garvey Ave. |
Rosemead |
Los Angeles |
91770 |
California |
2020 |
2020 |
3 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
38250 |
8500 |
34.062993 |
-118.075851 |
-118.240379999837 |
34.1367570001355 |
13554 |
Chen, Sun-Ling |
1528366432 |
Physician |
UNKNOWN |
801 S. Chevy Chase Dr., Ste. 20 |
Glendale |
Los Angeles |
91205 |
California |
2014 |
2015 |
1 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
21250 |
21250 |
34.136757 |
-118.24038 |
-122.748589048346 |
38.4279142321561 |
13557 |
Murphy, Sarah |
1528384146 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2013 |
2014 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4279142323 |
-122.748589048 |
-123.801499006874 |
39.4322470387699 |
13558 |
HEWITT, SUZANNE |
1528392743 |
Nurse Practitioner |
UNKNOWN |
721 River Drive |
Fort Bragg |
Mendocino |
95437 |
California |
2018 |
2019 |
3 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
38250 |
8500 |
39.4322470385 |
-123.801499007 |
-122.132916000373 |
38.0065680004129 |
13559 |
Phillips, Stephanie |
1528391232 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.18459350019 |
33.8084730004287 |
13569 |
Kry, Jenny |
1528413903 |
Nurse Practitioner |
UNKNOWN |
701 E. 28th Street, Suite 200 |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
5 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
55250 |
8500 |
33.808473 |
-118.1845935 |
-121.931844043068 |
37.3128740632874 |
13599 |
Hanafusa, Kei |
1538122270 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.63151699981 |
36.7040969996768 |
13603 |
Chan, John |
1538129663 |
Dentist |
UNKNOWN |
633 E. Alvin Dr., Suite B |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Central Coast Pediatric Dental Group |
1205922705 |
21250 |
21250 |
36.704097 |
-121.631517 |
-122.115285243119 |
37.9952391677534 |
13611 |
Das, Sakti |
1538139555 |
Physician |
UROLOGY |
150 Muir Rd |
Martinez |
Contra Costa |
94553 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.9952391681 |
-122.115285243 |
-117.102322508777 |
32.7514272099978 |
13613 |
Shoukry, Cristina |
1538143789 |
Nurse Practitioner |
NURSE PRACTITIONER |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC MID-CITY |
1306827332 |
21250 |
21250 |
32.7514272104 |
-117.102322509 |
-121.481325000249 |
38.5705530003208 |
13615 |
Troia-Cancio, Paolo |
1538141619 |
Physician |
INFECTIOUS DISEASE |
1500 21st St |
Sacramento |
Sacramento |
95814 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HEALTH CARES |
1447297379 |
46750 |
8500 |
38.570553 |
-121.481325 |
-117.228721500197 |
33.2096760004471 |
13632 |
Park, Sue Ann |
1538176201 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.231195302121 |
37.7991749638535 |
13644 |
Schub, Herbert |
1538179197 |
Physician |
PULMONARY DISEASE |
1411 East 31st Street, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
13657 |
SILLS, STARLA |
1538207923 |
Physician |
ANESTHESIOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.562698424193 |
38.095736927917 |
13667 |
Matteo, Sheri |
1538216890 |
Certified Nurse - Midwife |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1003900101 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-122.947541034691 |
38.4087507018834 |
13669 |
Timko, Susan |
1538217146 |
Nurse Practitioner |
UNKNOWN |
3802 Main Street |
Occidental |
Sonoma |
95465 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY HEALTH CTRS WEST |
1598768962 |
21250 |
21250 |
38.4087507017 |
-122.947541035 |
-122.028876790931 |
36.9749133592642 |
13675 |
Cowan, Donna |
1538221676 |
Nurse Practitioner |
UNKNOWN |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2012 |
1 |
AIU |
CRUZ WOMEN'S SANTA |
1902923329 |
21250 |
21250 |
36.9749133589 |
-122.028876791 |
-118.187954999624 |
34.0361999998302 |
13678 |
Laureola, Michael |
1538221742 |
Dentist |
UNKNOWN |
3635 E 1st St |
Los Angeles |
Los Angeles |
90063 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.0362 |
-118.187955 |
-117.152023500284 |
32.7983220001602 |
13681 |
Thornburg, Courtney |
1538222310 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
34000 |
8500 |
32.798322 |
-117.1520235 |
-118.43748018856 |
34.0404355863333 |
13683 |
Brodhead, Patricia |
1538227475 |
Physician |
PSYCHIATRY |
11080 W Olympic Blvd |
Los Angeles |
Los Angeles |
90064 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0404355856 |
-118.437480189 |
-118.133172000387 |
33.9025319996521 |
13685 |
Ramos, Ricardo |
1538230438 |
Physician |
UNKNOWN |
9400 Rosecrans Ave |
Bellflower |
Los Angeles |
90706 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1811914377 |
29750 |
8500 |
33.902532 |
-118.133172 |
-123.211126833337 |
39.1278118681233 |
13686 |
Chen, Richard |
1538231592 |
Dentist |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
38250 |
8500 |
39.1278118679 |
-123.211126833 |
-118.184624999844 |
33.8077440000856 |
13689 |
Bastas-Bratkic, Demetra |
1538237177 |
Nurse Practitioner |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2011 |
2012 |
1 |
AIU |
CLINIC, THE CHILDREN'S |
1639233935 |
21250 |
21250 |
33.807744 |
-118.184625 |
-119.251855838176 |
34.2762568924417 |
13692 |
CHIENG, TUNG-HUA |
1538233986 |
Physician |
UROLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-122.224776035785 |
37.7798441425932 |
13694 |
Pizano, Annette |
1538241260 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
13695 |
Salceda, Irene |
1538241401 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-118.326603468675 |
34.0932599997493 |
13706 |
Levin, Larisa |
1538248315 |
Physician |
PSYCHIATRY |
1224 Vine St |
Los Angeles |
Los Angeles |
90038 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.09326 |
-118.326603469 |
-121.931844043068 |
37.3128740632874 |
13708 |
Wehner, John |
1538254339 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
13710 |
TAN, GISELDA |
1538257035 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
13713 |
Smiler, Alan |
1538262738 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.203022217801 |
34.0626159023021 |
13719 |
Javadi, Fariba |
1538265830 |
Physician |
INTERNAL MEDICINE |
1520 SAN PABLO STREET, SUITE 1000 |
LOS ANGELES |
Los Angeles |
90033 |
California |
2012 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.062615902 |
-118.203022218 |
-124.192888726833 |
41.7727692741827 |
13723 |
Cutter, Christopher |
1538274287 |
Physician |
UNKNOWN |
780 E Washington Blvd, Ste 202 |
Crescent City |
Del Norte |
95531 |
California |
2013 |
2014 |
1 |
MU |
COAST COMM CLINIC SUTTER |
1700960267 |
21250 |
21250 |
41.7727692742 |
-124.192888727 |
-122.132490074257 |
38.0066599453003 |
13730 |
Reif, Paul |
1538242383 |
Physician |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006659945 |
-122.132490074 |
-122.231195302121 |
37.7991749638535 |
13738 |
Calayag, Maria Clara |
1538295076 |
Physician |
UNKNOWN |
1411 E 31st St. |
Oakland |
Alameda |
94605 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-122.456764246073 |
37.7637526946312 |
13741 |
Sandegard, Erik |
1538300397 |
Physician |
UNKNOWN |
401 Parnassus Ave, Box 0984-RTP |
San Francisco |
San Francisco |
94143 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.7637526947 |
-122.456764246 |
-121.931844043068 |
37.3128740632874 |
13744 |
Chao, Tiffany |
1538301338 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.352773353707 |
34.071932436233 |
13754 |
Miyata, Shin |
1538319959 |
Physician |
UNKNOWN |
400 N Pepper Ave, MOB Suite 308 |
Colton |
San Bernardino |
92324 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-121.931844043068 |
37.3128740632874 |
13755 |
ALMAS, ROXANNE |
1538320916 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.15612921659 |
33.1407478633233 |
13758 |
Henley, Meara |
1538319645 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
3 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
8500 |
8500 |
33.1407478629 |
-117.156129217 |
-118.212024523213 |
34.062135810919 |
13767 |
Martin, Bhuvan |
1538344205 |
Physician |
OBSTETRICS/GYNECOLOGY |
1240 N Mission Rd Rm 5K40 |
Los Angeles |
Los Angeles |
90033 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.0621358111 |
-118.212024523 |
-122.135176589328 |
37.47163190299 |
13774 |
Li, Erin |
1538329990 |
Nurse Practitioner |
UNKNOWN |
1798A Bay road, Ravenswood Family Health Center |
East Palo Alto |
Santa Clara |
94303 |
California |
2018 |
2019 |
5 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
55250 |
8500 |
37.4716319031 |
-122.135176589 |
-122.81837400016 |
38.3967809997434 |
13775 |
Sullivan, Elise |
1538365986 |
Physician |
UNKNOWN |
6800 Palm Avenue |
Sebastopol |
Sonoma |
95472 |
California |
2013 |
2014 |
3 |
MU |
COUNTY HEALTH CENTER WEST |
1538334065 |
38250 |
8500 |
38.396781 |
-122.818374 |
-118.280834826666 |
33.7378414178472 |
13783 |
Sandoval, Sabrina |
1538370721 |
Physician |
PSYCHIATRY |
150 W 7th St Ste 214 |
San Pedro |
Los Angeles |
90731 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.737841418 |
-118.280834827 |
-122.335848000285 |
37.570598999944 |
13802 |
Ajami, Maryam |
1538411814 |
Dentist |
UNKNOWN |
430 North El Camino Real |
San Mateo |
San Mateo |
94401 |
California |
2016 |
2016 |
1 |
AIU |
COASTSIDE MEDICAL DENTAL THE |
1205215795 |
21250 |
21250 |
37.570599 |
-122.335848 |
-119.251855838176 |
34.2762568924417 |
13807 |
MCSORLEY, REBECCA |
1538435508 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.132916000373 |
38.0065680004129 |
13814 |
Ayala, Miguel |
1538446448 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-120.84840000026 |
37.4038470002389 |
13815 |
Kaur, Sukhmeet |
1538453956 |
Dentist |
UNKNOWN |
7970 Lander Ave, Suite A |
Hilmar |
Merced |
95324 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH LIVINGSTON |
1124300207 |
21250 |
21250 |
37.403847 |
-120.8484 |
-118.97078849959 |
35.3824379999138 |
13820 |
Hassamal, Sameer |
1538459011 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.224776035785 |
37.7798441425932 |
13829 |
Nguyen, Regina |
1538476262 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.393975957624 |
34.2395150830547 |
13830 |
Juarez Morales, Laurie Beth |
1538467477 |
Physician |
UNKNOWN |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
2 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
29750 |
8500 |
34.2395150827 |
-118.393975958 |
-119.327727681287 |
36.2301307740161 |
13839 |
Zegarra Loza, Ricardo David |
1538490917 |
Physician |
PEDIATRIC MEDICINE |
1186 Leland Ave |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
6 |
MU |
CENTERS FOR HEALTH ALTURA |
1811174725 |
63750 |
8500 |
36.2301307738 |
-119.327727681 |
-117.152023500284 |
32.7983220001602 |
13840 |
Yu, Elizabeth |
1538485586 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.224776035785 |
37.7798441425932 |
13842 |
Wong, Cynthia |
1538493622 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.256434514441 |
33.9855840003014 |
13847 |
siddiqi, shafi |
1538499470 |
Physician |
UNKNOWN |
5970 S Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2014 |
2015 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-117.15612921659 |
33.1407478633233 |
13849 |
BALLANTINE, KATHERINE |
1538516240 |
Certified Nurse - Midwife |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.730009116028 |
38.4800536013926 |
13857 |
Zimmerman, Leilani |
1538565684 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
4 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
46750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.132916000373 |
38.0065680004129 |
13872 |
Grathwohl, Kendra |
1538599568 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2017 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1467522284 |
29750 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
13879 |
Borchert, Mark |
1548200082 |
Physician |
OPHTHALMOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.960722999667 |
33.7877909999547 |
13890 |
Ponce, Jeanette |
1548230337 |
Physician |
FAMILY PRACTICE |
9862 Chapman Avenue Suite B |
Garden Grove |
Orange |
92841 |
California |
2011 |
2012 |
1 |
AIU |
COMM OF ORNG VIETNAMESE |
1285708818 |
21250 |
21250 |
33.787791 |
-117.960723 |
-118.463696418155 |
34.2281841459816 |
13897 |
Anderson, Judith |
1548258452 |
Nurse Practitioner |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2015 |
2016 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.228184146 |
-118.463696418 |
-121.931844043068 |
37.3128740632874 |
13911 |
Wong, Kaklam |
1548285596 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.413825981784 |
34.1944379999138 |
13915 |
Shulkin, Edwin |
1548285794 |
Physician |
INTERNAL MEDICINE |
6801 Coldwater Canyon Ave. |
North Hollywood |
Los Angeles |
91605 |
California |
2012 |
2013 |
2 |
MU |
COMMUNITY CLINIC VALLEY |
1588740989 |
29750 |
8500 |
34.194438 |
-118.413825982 |
-122.028876790931 |
36.9749133592642 |
13935 |
Bregman, Lynn |
1548315419 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2012 |
2013 |
1 |
AIU |
CRUZ WOMEN'S SANTA |
1902923329 |
21250 |
21250 |
36.9749133589 |
-122.028876791 |
-119.251855838176 |
34.2762568924417 |
13945 |
Jones, Brock |
1548324031 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-117.122650002795 |
32.812365973311 |
13950 |
MOWER, ANDREW |
1548331309 |
Physician |
UNKNOWN |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-122.385354438756 |
40.5834973198455 |
13951 |
Long-Miller, Mary Jo |
1548330095 |
Nurse Practitioner |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
5 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
55250 |
8500 |
40.5834973202 |
-122.385354439 |
-122.132916000373 |
38.0065680004129 |
13968 |
Cavallaro, Grace |
1548342165 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.43537399971 |
34.2880199996233 |
13973 |
Wallner, Barbara |
1548344856 |
Nurse Practitioner |
UNKNOWN |
501 N Maclay Avenue |
San Fernando |
Los Angeles |
91340 |
California |
2012 |
2013 |
2 |
MU |
CARE MEDICAL GROUP INC NOBEL |
1093933939 |
29750 |
8500 |
34.28802 |
-118.435374 |
-122.224776035785 |
37.7798441425932 |
13979 |
Heydari, Mahnaz |
1548355571 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
13993 |
Schiff, Steve |
1548363856 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.231195302121 |
37.7991749638535 |
13995 |
Do, Anh |
1548362122 |
Physician |
OBSTETRICS/GYNECOLOGY |
1411 E 31st Street, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.97078849959 |
35.3824379999138 |
14006 |
Liu, Jiafan |
1548377641 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.536111710687 |
34.2225762425996 |
14012 |
NGUYEN-TRAN, THUY |
1548387822 |
Dentist |
UNKNOWN |
8363 Reseda Blvd, #11 |
Northridge |
Los Angeles |
91324 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.2225762434 |
-118.536111711 |
-122.748589048346 |
38.4279142321561 |
14020 |
Wu, James |
1548404494 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2014 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.249201239446 |
37.794515054726 |
14022 |
Robertson, Christa |
1548406515 |
Nurse Practitioner |
UNKNOWN |
819 Foothill Blvd |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.7945150548 |
-122.249201239 |
-117.275113154748 |
33.1914165928015 |
14033 |
Thompson, Cheryl |
1548429863 |
Physician |
UNKNOWN |
134 Grapevine Rd, VCC - Grapevine |
Vista |
San Diego |
92083 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
63750 |
8500 |
33.1914165926 |
-117.275113155 |
-117.152023500284 |
32.7983220001602 |
14038 |
Upasani, Vidyadhar |
1548417652 |
Physician |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
14040 |
aye, yin |
1548447675 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.97078849959 |
35.3824379999138 |
14048 |
Thomas, Kiron |
1548456155 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.931844043068 |
37.3128740632874 |
14049 |
Jou, Ronald |
1548456718 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.012021083706 |
33.7153896604046 |
14054 |
Lee, Sooji |
1548463672 |
Dentist |
UNKNOWN |
6700 Warner Ave Apt 3G |
Huntington Beach |
Orange |
92647 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.7153896599 |
-118.012021084 |
-118.97078849959 |
35.3824379999138 |
14069 |
GHAFARIZADEH, BAHAREH |
1548503683 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.224776035785 |
37.7798441425932 |
14074 |
Adler-McDonald, Sarah |
1548514888 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.562698424193 |
38.095736927917 |
14075 |
Walters, Helene |
1548515877 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1003900101 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-122.132916000373 |
38.0065680004129 |
14079 |
Chan, Lilian |
1548521289 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
14081 |
Beaton, Melina |
1548529027 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
14096 |
Chandra, Aditi |
1548566177 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.187343371599 |
33.8090145901513 |
14098 |
Lesi, Adebanke |
1548563174 |
Physician |
UNKNOWN |
455 East Columbia Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.8090145898 |
-118.187343372 |
-121.931844043068 |
37.3128740632874 |
14102 |
Anchala, Praveen |
1548571789 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-116.115338321406 |
33.4988880797212 |
14104 |
Balasta, Perpemelo |
1548580624 |
Physician |
UNKNOWN |
88775 Avenue 76, Ste. 1 |
Thermal |
Riverside |
92274 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.4988880804 |
-116.115338321 |
-122.335848000285 |
37.570598999944 |
14117 |
Johnston, Tara |
1548620107 |
Dentist |
UNKNOWN |
430 North El Camino Real |
San Mateo |
San Mateo |
94401 |
California |
2016 |
2017 |
1 |
AIU |
COASTSIDE MEDICAL DENTAL THE |
1205215795 |
21250 |
21250 |
37.570599 |
-122.335848 |
-122.142199500407 |
37.4270039997348 |
14118 |
Hong, Doris |
1548635840 |
Nurse Practitioner |
UNKNOWN |
270 Grant Avenue |
Palo Alto |
Santa Clara |
94306 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HLTH MAYVIEW |
1780796540 |
21250 |
21250 |
37.427004 |
-122.1421995 |
-122.302085033298 |
37.8743801080556 |
14119 |
Baluyut, Virgilio |
1548605587 |
Physician |
NURSE PRACTITIONER |
1510 4th St, Suite 1 |
Berkeley |
Alameda |
94710 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
37.8743801077 |
-122.302085033 |
-122.224776035785 |
37.7798441425932 |
14121 |
Lewis-Pine, Tegwyn |
1548637382 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-116.32904549985 |
33.1939799996773 |
14133 |
Nicolaisen, John |
1548666738 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-117.353578499648 |
33.9868710002965 |
14137 |
Hensley, Jeffrey |
1548678881 |
Nurse Practitioner |
UNKNOWN |
2880 Hulen Place |
Riverside |
Riverside |
92507 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY ACTION URBAN |
1538407325 |
21250 |
21250 |
33.986871 |
-117.3535785 |
-122.231195302121 |
37.7991749638535 |
14142 |
Tran, Vivan |
1548687429 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.97078849959 |
35.3824379999138 |
14159 |
MYERS, MICHAEL |
1558322180 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.541526000225 |
39.504824999774 |
14164 |
Howard, Nathaniel |
1558325787 |
Physician |
GASTROENTEROLOGY |
2721 Olive Hwy, Ste 12 |
Oroville |
Butte |
95966 |
California |
2014 |
2015 |
2 |
MU |
CORPORATION OROHEALTH |
1013933167 |
29750 |
8500 |
39.504825 |
-121.541526 |
-121.931844043068 |
37.3128740632874 |
14166 |
Burns, Robert |
1558334623 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.351929499647 |
36.3295474519534 |
14174 |
Bayardo, Carlos |
1558347393 |
Physician |
UNKNOWN |
5400 W. Hillsdale |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1427497866 |
38250 |
8500 |
36.3295474516 |
-119.3519295 |
-117.29368569284 |
33.0374764437829 |
14185 |
ALDANA, NANCY |
1558371963 |
Physician |
UNKNOWN |
1130 2nd St |
Encinitas |
San Diego |
92024 |
California |
2013 |
2014 |
3 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
38250 |
8500 |
33.0374764438 |
-117.293685693 |
-117.15612921659 |
33.1407478633233 |
14190 |
KREMP, PETER |
1558375998 |
Dentist |
UNKNOWN |
150 VALPREDA ROAD |
SAN MARCOS |
San Diego |
92065 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HEALTH SVS NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-117.228721500197 |
33.2096760004471 |
14200 |
Nicholas, Estela |
1558384792 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2016 |
2017 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-118.203022217801 |
34.0626159023021 |
14203 |
Rao, Adupa |
1558390880 |
Physician |
PULMONARY DISEASE |
1520 San Pablo St, SUITE 1000 |
Los Angeles |
Los Angeles |
90033 |
California |
2012 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.062615902 |
-118.203022218 |
-117.152023500284 |
32.7983220001602 |
14220 |
Suresh, Premi |
1558408559 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-117.15612921659 |
33.1407478633233 |
14224 |
DICKINSON, CYNTHIA |
1558421362 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
3 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
38250 |
8500 |
33.1407478629 |
-117.156129217 |
-122.028876790931 |
36.9749133592642 |
14233 |
Donnelly, Eileen |
1558435297 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2012 |
2013 |
1 |
AIU |
CRUZ WOMEN'S SANTA |
1902923329 |
21250 |
21250 |
36.9749133589 |
-122.028876791 |
-122.231195302121 |
37.7991749638535 |
14234 |
Spangler, Linda |
1558429894 |
Physician |
FAMILY PRACTICE |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-118.463696418155 |
34.2281841459816 |
14245 |
Noghreian, Jacob |
1558450122 |
Physician |
UNKNOWN |
15206 Parthenia Street |
North Hills |
Los Angeles |
91343 |
California |
2017 |
2018 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.228184146 |
-118.463696418 |
-117.06912952221 |
33.1323619730267 |
14253 |
Fleming, Maureen |
1558459941 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1121 E Washington Ave |
Escondido |
San Diego |
92025 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.1323619732 |
-117.069129522 |
-122.562698424193 |
38.095736927917 |
14254 |
Schten, Erik |
1558461103 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2014 |
2015 |
4 |
MU |
COMMUNITY CLINIC MARIN |
1003900101 |
46750 |
8500 |
38.0957369279 |
-122.562698424 |
-122.532927443447 |
38.0685794121102 |
14266 |
Thompson, Patrick |
1558474023 |
Nurse Practitioner |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
38250 |
8500 |
38.0685794125 |
-122.532927443 |
-122.748589048346 |
38.4279142321561 |
14267 |
Eliaser, Gerald |
1558474270 |
Physician |
FAMILY PRACTICE |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.132490074257 |
38.0066599453003 |
14278 |
Suchow, David |
1558457531 |
Physician |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006659945 |
-122.132490074 |
-122.224776035785 |
37.7798441425932 |
14284 |
Kasberger, Kate |
1558498469 |
Physician |
PEDIATRIC MEDICINE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.028876790931 |
36.9749133592642 |
14287 |
Muten, Kristina |
1558499327 |
Physician |
FAMILY PRACTICE |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2018 |
2019 |
4 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
46750 |
8500 |
36.9749133589 |
-122.028876791 |
-122.192042277229 |
37.91404787431 |
14288 |
Shidara, Chiyo |
1558510156 |
Dentist |
UNKNOWN |
94 Tarry Lane |
Orinda |
Contra Costa |
94563 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
37.914047874 |
-122.192042277 |
-122.017646291043 |
36.9915277342176 |
14291 |
Soysal, Nesibe |
1558513309 |
Physician |
UNKNOWN |
1080 Emeline |
Santa Cruz |
Santa Cruz |
95060 |
California |
2017 |
2018 |
2 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
29750 |
8500 |
36.9915277341 |
-122.017646291 |
-122.231195302121 |
37.7991749638535 |
14299 |
Johnson, Juliet |
1558531400 |
Physician |
UNKNOWN |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-120.723421943068 |
37.3798552940866 |
14301 |
CORRAL, JESUS |
1558536003 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1140 Main Street |
Livingston |
Merced |
95334 |
California |
2014 |
2015 |
2 |
MU |
COMM HLTH SVS LIVINGSTON |
1427110329 |
29750 |
8500 |
37.3798552945 |
-120.723421943 |
-122.132916000373 |
38.0065680004129 |
14308 |
Jamwal, Abhilasha |
1558551143 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
42500 |
8500 |
38.006568 |
-122.132916 |
-122.743877948009 |
38.4400615036355 |
14316 |
Betita, Gina |
1558566737 |
Dentist |
UNKNOWN |
144 Stony Point Road |
Santa Rosa |
Sonoma |
95401 |
California |
2016 |
2017 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-122.231195302121 |
37.7991749638535 |
14317 |
Nguyen, Danielle |
1558564674 |
Physician |
PEDIATRIC MEDICINE |
1411 E 31st St, Suite K6 Pediatrics |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.224776035785 |
37.7798441425932 |
14323 |
Newhouse, Emily |
1558574772 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.152023500284 |
32.7983220001602 |
14330 |
Cherry, Rebecca |
1558581082 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
14331 |
Matiz, Catalina |
1558577957 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
2 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.798322 |
-117.1520235 |
-123.211126833337 |
39.1278118681233 |
14338 |
Way, Susan |
1558603480 |
Certified Nurse - Midwife |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
38250 |
8500 |
39.1278118679 |
-123.211126833 |
-118.189907999754 |
33.7932810004179 |
14339 |
Gorsky, Olena |
1558595421 |
Physician |
UNKNOWN |
1975 LONG BEACH BLVD LONG BEACH |
LONG BEACH |
Los Angeles |
90806 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.793281 |
-118.189908 |
-118.256769000189 |
34.0030619996116 |
14343 |
Alexander, Edward |
1558578005 |
Physician |
UNKNOWN |
4425 South Central |
Los Angeles |
Los Angeles |
90011 |
California |
2018 |
2019 |
3 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
38250 |
8500 |
34.003062 |
-118.256769 |
-117.228721500197 |
33.2096760004471 |
14344 |
Farrell, Corinna |
1558609644 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-118.97078849959 |
35.3824379999138 |
14346 |
Gill, Harsimran |
1558603290 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave, Department of medicine |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-120.839395499603 |
37.5104714898674 |
14357 |
Battaglia, Christine |
1558657106 |
Doctor of Optometry |
UNKNOWN |
800 Delbon Ave, Suite A |
Turlock |
Stanislaus |
95380 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH STANISLAUS |
1831394998 |
29750 |
8500 |
37.5104714898 |
-120.8393955 |
-122.338322546948 |
37.9532997526815 |
14373 |
McKenna, Kathleen |
1558689406 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
2023 Vale Rd |
San Pablo |
Contra Costa |
94806 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
37.953299753 |
-122.338322547 |
-118.413825981784 |
34.1944379999138 |
14378 |
Bedford-Oppong, Eva |
1558695791 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave, Suite 1B |
North Hollywood |
Los Angeles |
91605 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-117.228721500197 |
33.2096760004471 |
14380 |
Young, Jennifer |
1558701094 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
14400 |
Pham, Nhat |
1568408763 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.97078849959 |
35.3824379999138 |
14405 |
Enlow, Susan |
1568431724 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.090917554601 |
34.090742927744 |
14408 |
Chen, Mary |
1568445229 |
Physician |
UNKNOWN |
923 S. San Gabriel Blvd |
San Gabriel |
Los Angeles |
91776 |
California |
2020 |
2020 |
2 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
29750 |
8500 |
34.0907429285 |
-118.090917555 |
-117.152023500284 |
32.7983220001602 |
14413 |
Nelson, James |
1568434546 |
Physician |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
34000 |
8500 |
32.798322 |
-117.1520235 |
-122.500401958883 |
37.9578750436984 |
14414 |
JOHNSON, KEITH |
1568449494 |
Physician |
UNKNOWN |
3110 Kerner Blvd |
San Rafael |
Marin |
94901 |
California |
2014 |
2015 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
37.9578750436 |
-122.500401959 |
-122.264315849197 |
37.8260681050591 |
14418 |
Evenhouse, Genevieve |
1568454387 |
Nurse Practitioner |
UNKNOWN |
482 W Macarthur Blvd |
Oakland |
Alameda |
94609 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY CLINIC WOMENS |
1629498118 |
21250 |
21250 |
37.8260681055 |
-122.264315849 |
-117.15612921659 |
33.1407478633233 |
14426 |
OROZCO, ANTONIO |
1568477917 |
Dentist |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.866488500444 |
33.7823624951331 |
14430 |
Gates, Richard |
1568481414 |
Physician |
THORACIC SURGERY |
1310 W Stewart Dr, Suite 503 |
Orange |
Orange |
92868 |
California |
2015 |
2016 |
4 |
MU |
COUNTY THORACIC and ORANGE |
1154336949 |
46750 |
8500 |
33.7823624951 |
-117.8664885 |
-118.468015071438 |
34.0436787053081 |
14462 |
manavi, Farhad |
1568505303 |
Dentist |
UNKNOWN |
12121 Wilshire Blvd, suite 1111 |
Los Angeles |
Los Angeles |
90025 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.0436787053 |
-118.468015071 |
-122.748589048346 |
38.4279142321561 |
14465 |
Brown, Benjamin |
1568515112 |
Physician |
FAMILY PRACTICE |
751 Lombardi Ct Ste B |
Santa Rosa |
Sonoma |
95407 |
California |
2017 |
2018 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-119.251855838176 |
34.2762568924417 |
14474 |
mosallaei-benjamin, mahshid |
1568515138 |
Physician |
INTERNAL MEDICINE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
3 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
-122.132916000373 |
38.0065680004129 |
14477 |
Cherayil, Annie |
1568528750 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA COUNTY CONTRA |
1346328507 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.263445074331 |
37.8665446253343 |
14479 |
Schuman, Carolyn |
1568532091 |
Physician |
INTERNAL MEDICINE |
2380 Ellsworth St, Suite A |
Berkeley |
Alameda |
94704 |
California |
2012 |
2013 |
1 |
AIU |
COMM HEALTHCARE BAART |
1982781159 |
21250 |
21250 |
37.8665446253 |
-122.263445074 |
-117.152023500284 |
32.7983220001602 |
14485 |
RYU, JULIE |
1568533321 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
14486 |
PONG, ALICE |
1568533313 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.335471348124 |
33.6939275529143 |
14490 |
NGUYEN, KHOI |
1568541191 |
Dentist |
UNKNOWN |
29273 Central Ave, SUITE # A |
Lake Elsinore |
Riverside |
92532 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.6939275529 |
-117.335471348 |
-121.931844043068 |
37.3128740632874 |
14491 |
Klein, Scott |
1568546398 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
14493 |
Diaz, Janet |
1568550812 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2014 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-117.352773353707 |
34.071932436233 |
14495 |
Wolfe, Thomas |
1568548642 |
Physician |
NEUROSURGERY |
400 N Pepper Ave, General Surgery MOB Ste#308 |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-117.651550499956 |
34.0680510000537 |
14497 |
MANUSIA, CATHLEEN |
1568554194 |
Nurse Practitioner |
UNKNOWN |
437 N. Euclid Ave., SUITE A |
Ontario |
San Bernardino |
91762 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HEALTH UNICARE |
1710309513 |
29750 |
8500 |
34.068051 |
-117.6515505 |
-121.931844043068 |
37.3128740632874 |
14503 |
Morrison, Harry |
1568558047 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
14505 |
YACOOB, SAJJAD |
1568558013 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
LOS ANGELES |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
14511 |
LILEY, FASHA |
1568568988 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.356543499583 |
37.9252405298266 |
14520 |
Moore, Kyle |
1568580322 |
Physician |
GENERAL PRACTICE |
1313 Cutting Blvd |
Richmond |
Contra Costa |
94804 |
California |
2012 |
2013 |
1 |
AIU |
COMM HEALTHCARE BAART |
1982781159 |
21250 |
21250 |
37.9252405304 |
-122.3565435 |
-123.803844077242 |
39.43025401611 |
14527 |
Maxham, Marcie |
1568594216 |
Dentist |
UNKNOWN |
205 South Street |
Fort Bragg |
Mendocino |
95437 |
California |
2017 |
2018 |
3 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
38250 |
8500 |
39.4302540158 |
-123.803844077 |
-118.413825981784 |
34.1944379999138 |
14528 |
Cheng, Tina |
1568591196 |
Physician |
OPTOMETRY |
6801 Coldwater Canyon Ave. |
North Hollywood |
Los Angeles |
91605 |
California |
2014 |
2015 |
2 |
MU |
COMMUNITY CLINIC VALLEY |
1588740989 |
29750 |
8500 |
34.194438 |
-118.413825982 |
-122.748589048346 |
38.4279142321561 |
14533 |
Mertz, Michelle |
1568606416 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-122.338322546948 |
37.9532997526815 |
14538 |
Ruiz, Esther |
1568591527 |
Nurse Practitioner |
NURSE PRACTITIONER |
2023 Vale Road, Suite 107, Brookside Community Health Center |
San Pablo |
Contra Costa |
94806 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
37.953299753 |
-122.338322547 |
-121.931844043068 |
37.3128740632874 |
14540 |
Mahapatra, Dharitri |
1568633170 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-116.542844999997 |
33.8372639998338 |
14541 |
Kim, Tae |
1568629889 |
Physician |
UNKNOWN |
555 E Tachevah Dr, Suite 2 E 107 |
Palm Springs |
Riverside |
92262 |
California |
2016 |
2017 |
3 |
MU |
CHOICE PHYSICIAN FIRST |
1558797118 |
38250 |
8500 |
33.837264 |
-116.542845 |
-122.472864279863 |
37.6808530319419 |
14555 |
Zeng, Rong |
1568661056 |
Physician |
OBSTETRICS/GYNECOLOGY |
1850 sullivan avenue, suite 550 |
daly city |
San Mateo |
94015 |
California |
2015 |
2017 |
2 |
MU |
CONSIGLIERI WHEELER |
1699986950 |
29750 |
8500 |
37.6808530325 |
-122.47286428 |
-118.413825981784 |
34.1944379999138 |
14564 |
LEEDS, LEYLA |
1568668606 |
Dentist |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2020 |
2020 |
5 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
55250 |
8500 |
34.194438 |
-118.413825982 |
-122.224776035785 |
37.7798441425932 |
14582 |
Gutierrez, Juan |
1568698090 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.231195302121 |
37.7991749638535 |
14594 |
Wu, Yu-Tai |
1568725562 |
Doctor of Optometry |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
14605 |
Robello, Michelle |
1568742450 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-119.245010602557 |
35.7720655289011 |
14610 |
Chaco, Laarnie |
1568760551 |
Nurse Practitioner |
UNKNOWN |
1201 Jefferson St |
Delano |
Kern |
93215 |
California |
2016 |
2016 |
1 |
AIU |
CALIFORNIA CENTRAL |
1851429658 |
21250 |
21250 |
35.772065529 |
-119.245010603 |
-122.224776035785 |
37.7798441425932 |
14612 |
Chavez-Johnson, Christina |
1568763233 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.97078849959 |
35.3824379999138 |
14614 |
Pakula, Andrea |
1568767960 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.152023500284 |
32.7983220001602 |
14618 |
Gold, Jeffrey |
1568773984 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-117.651550499956 |
34.0680510000537 |
14626 |
Lin, Hsin-Ying |
1568842706 |
Nurse Practitioner |
UNKNOWN |
437 N. Euclid Ave |
Ontario |
San Bernardino |
91762 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH UNICARE |
1710309513 |
21250 |
21250 |
34.068051 |
-117.6515505 |
-118.265307950601 |
34.0072110002875 |
14630 |
Estell, Cherrelyn |
1568850253 |
Nurse Practitioner |
UNKNOWN |
4211 Avalon Blvd, Ste A |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH KEDREN |
1417378597 |
21250 |
21250 |
34.007211 |
-118.265307951 |
-122.385354438756 |
40.5834973198455 |
14634 |
Alatorre, Megan |
1568870988 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
2 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
29750 |
8500 |
40.5834973202 |
-122.385354439 |
-121.939887305155 |
40.8041224683773 |
14637 |
Barnhart, Rachel |
1568870723 |
Dentist |
UNKNOWN |
29632 Highway 299 East |
Round Mountain |
Shasta |
96084 |
California |
2017 |
2018 |
2 |
MU |
COUNTRY COMM CLINIC HILL |
1407914260 |
29750 |
8500 |
40.8041224681 |
-121.939887305 |
-121.931844043068 |
37.3128740632874 |
14652 |
Cammon, Laurie |
1578510731 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.240379999837 |
34.1367570001355 |
14658 |
Iqbal, Muhammad |
1578515896 |
Physician |
UNKNOWN |
801 S Chevy Chase Dr, Suite 20 |
Glendale |
Los Angeles |
91205 |
California |
2020 |
2020 |
5 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
55250 |
8500 |
34.136757 |
-118.24038 |
-119.399005209123 |
36.5458731980897 |
14664 |
LEONI, MICHAEL |
1578532735 |
Physician |
UNKNOWN |
444 W. El Mone Way |
Dinuba |
Tulare |
93618 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1235578444 |
29750 |
8500 |
36.5458731975 |
-119.399005209 |
-118.329789269359 |
34.0979749635737 |
14665 |
FREYER, DAVID |
1578533865 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.377738999555 |
33.1986510001436 |
14670 |
Ghosh, Tanushree |
1578541256 |
Physician |
UNKNOWN |
818 Pier View Way |
Oceanside |
San Diego |
92054 |
California |
2020 |
2020 |
4 |
MU |
COMM CLINIC-WEST VISTA |
1649363375 |
17000 |
8500 |
33.198651 |
-117.377739 |
-119.660146984096 |
37.3276938788695 |
14674 |
Guzman, Ramona |
1578554150 |
Nurse Practitioner |
UNKNOWN |
48677 Victoria Ln |
Oakhurst |
Madera |
93644 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1205253374 |
38250 |
8500 |
37.3276938793 |
-119.660146984 |
-118.203927427709 |
34.1392982378235 |
14675 |
AIRAPETIAN, ARA |
1578543443 |
Physician |
GENERAL PRACTICE |
1704 Colorado Blvd |
Los Angeles |
Los Angeles |
90041 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.1392982381 |
-118.203927428 |
-122.132916000373 |
38.0065680004129 |
14680 |
stokes, michael |
1578569943 |
Dentist |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-119.759074820247 |
36.8388534448306 |
14683 |
Wood, Mark |
1578570529 |
Physician |
OPHTHALMOLOGY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2013 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-122.385354438756 |
40.5834973198455 |
14685 |
Spiller, Bettina |
1578575494 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2015 |
2016 |
4 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
46750 |
8500 |
40.5834973202 |
-122.385354439 |
-117.228721500197 |
33.2096760004471 |
14690 |
Remas, Vicki |
1578580288 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-118.97078849959 |
35.3824379999138 |
14691 |
Sofinski, Sandra |
1578558771 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave, Department of medicine |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-119.031572176615 |
35.4085577016767 |
14699 |
Coelho, Isaias |
1578583092 |
Physician |
UNKNOWN |
525 Roberts Lane |
Bakersfield |
Kern |
93308 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1962805283 |
29750 |
8500 |
35.408557702 |
-119.031572177 |
-117.989037928558 |
33.7030860255996 |
14702 |
Tolly, Kristy |
1578591426 |
Physician |
UNKNOWN |
17822 Beach Blvd, Suite 278 |
Huntington Beach |
Orange |
92647 |
California |
2013 |
2014 |
2 |
MU |
CARE MED GRP PEDIATRIC |
1851337356 |
29750 |
8500 |
33.7030860261 |
-117.989037929 |
-118.203022217801 |
34.0626159023021 |
14703 |
Campese, Vito |
1578590949 |
Physician |
NEPHROLOGY |
1520 San Pablo St, SUITE 1000 |
Los Angeles |
Los Angeles |
90033 |
California |
2012 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.062615902 |
-118.203022218 |
-118.045836668228 |
34.0764334702285 |
14705 |
Peralta, Cynthia |
1578596698 |
Physician |
PEDIATRIC MEDICINE |
10418 Valley Blvd |
El Monte |
Los Angeles |
91731 |
California |
2013 |
2014 |
2 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
29750 |
8500 |
34.0764334701 |
-118.045836668 |
-118.393975957624 |
34.2395150830547 |
14710 |
JACOBS, ARNOLD |
1578599411 |
Physician |
ORTHOPEDIC SURGERY |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2012 |
2013 |
2 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
29750 |
8500 |
34.2395150827 |
-118.393975958 |
-118.256434514441 |
33.9855840003014 |
14737 |
LEE, BUM-SOO |
1578636429 |
Physician |
UNKNOWN |
5970 South Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2014 |
2015 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-124.149759157059 |
40.8006381521291 |
14741 |
Wright, Carter |
1578657110 |
Dentist |
UNKNOWN |
959 Myrtle Aveue |
Eureka |
Humboldt |
95501 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CTR EUREKA |
1851486989 |
21250 |
21250 |
40.8006381515 |
-124.149759157 |
-121.540554000367 |
39.5047619995667 |
14765 |
Wagner, Barbara |
1578675666 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2809 Olive Highway, Suite #350 |
Oroville |
Butte |
95966 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.504762 |
-121.540554 |
-122.947541034691 |
38.4087507018834 |
14778 |
Troll, James |
1578720223 |
Physician |
UNKNOWN |
3802 Main Street |
Occidental |
Sonoma |
95465 |
California |
2016 |
2017 |
2 |
MU |
COUNTY HEALTH CTRS WEST |
1598768962 |
29750 |
8500 |
38.4087507017 |
-122.947541035 |
-122.947541034691 |
38.4087507018834 |
14780 |
Applegarth, Penelope |
1578726139 |
Nurse Practitioner |
NURSE PRACTITIONER |
3802 Main Street |
Occidental |
Sonoma |
95465 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HEALTH CTRS WEST |
1598768962 |
21250 |
21250 |
38.4087507017 |
-122.947541035 |
-118.240379999837 |
34.1367570001355 |
14787 |
Castillo, Veronica |
1578737995 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
801 S Chevy Chase Dr Ste 20 |
Glendale |
Los Angeles |
91205 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY COMPREHENSIVE |
1245210749 |
21250 |
21250 |
34.136757 |
-118.24038 |
-118.184624999844 |
33.8077440000856 |
14798 |
R GOLDENBERG, PATRICIA |
1578758025 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-118.184624999844 |
33.8077440000856 |
14799 |
TYREE, MARGARET |
1578758041 |
Nurse Practitioner |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-122.134456012035 |
37.4720028130794 |
14809 |
Yoon, Sarah |
1578763306 |
Dentist |
UNKNOWN |
1807 Bay Road |
East Palo ALlto |
Santa Clara |
94303 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMM HEALTH CTR SOUTH |
1184957771 |
21250 |
21250 |
37.4720028128 |
-122.134456012 |
-122.224776035785 |
37.7798441425932 |
14824 |
Sethi, Harleen |
1578793394 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
14826 |
Sofos, Elvera |
1578806808 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.326664985001 |
33.9890711898835 |
14835 |
Ganjian, Shiva |
1578834511 |
Dentist |
UNKNOWN |
3019 W Slauson Ave |
Los Angeles |
Los Angeles |
90043 |
California |
2015 |
2016 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
33.9890711899 |
-118.326664985 |
-121.939887305155 |
40.8041224683773 |
14851 |
HERNANDEZ, ELIZABETH |
1578842944 |
Nurse Practitioner |
UNKNOWN |
29632 Highway 299 East |
Round Mountain |
Shasta |
96084 |
California |
2018 |
2019 |
3 |
MU |
COUNTRY COMM CLINIC HILL |
1407914260 |
38250 |
8500 |
40.8041224681 |
-121.939887305 |
-122.231195302121 |
37.7991749638535 |
14863 |
Wolfe, Laura |
1578887105 |
Physician |
PSYCHIATRY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
14865 |
Wooldridge, Monica |
1578898383 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.028876790931 |
36.9749133592642 |
14872 |
Jolliffe, Alyssa |
1578907069 |
Nurse Practitioner |
UNKNOWN |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2014 |
2015 |
1 |
AIU |
CRUZ WOMEN'S SANTA |
1902923329 |
21250 |
21250 |
36.9749133589 |
-122.028876791 |
-122.132916000373 |
38.0065680004129 |
14894 |
Owen, Jennifer |
1578992285 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2015 |
2016 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-118.611988015335 |
34.1961526608167 |
14908 |
Linkova, Anastassia |
1588029953 |
Nurse Practitioner |
UNKNOWN |
22251 Schoolcraft St |
Canoga Park |
Los Angeles |
91303 |
California |
2016 |
2018 |
1 |
AIU |
COMMUNITY HEALTHCARE BAART |
1982781159 |
21250 |
21250 |
34.1961526609 |
-118.611988015 |
-118.075851000124 |
34.0629929997272 |
14914 |
ip, moon |
1588062566 |
Physician |
UNKNOWN |
8841 Garvey Ave. |
Rosemead |
Los Angeles |
91770 |
California |
2020 |
2020 |
4 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
46750 |
8500 |
34.062993 |
-118.075851 |
-118.045836668228 |
34.0764334702285 |
14915 |
Collie, Norma |
1588061832 |
Nurse Practitioner |
UNKNOWN |
10418 Valley Blvd, Ste B |
El Monte |
UNKNOWN |
91731 |
California |
2020 |
2020 |
2 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
29750 |
8500 |
34.0764334701 |
-118.045836668 |
-118.256769000189 |
34.0030619996116 |
14921 |
Boone, Kelly |
1588063713 |
Nurse Practitioner |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
3 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
38250 |
8500 |
34.003062 |
-118.256769 |
-118.463696418155 |
34.2281841459816 |
14925 |
Benedicto, Christienne |
1588088215 |
Nurse Practitioner |
UNKNOWN |
15206 Parthenia Street |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-122.730009116028 |
38.4800536013926 |
14931 |
Loew, Lily |
1588113856 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2017 |
2018 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.270849622612 |
37.8069227365951 |
14934 |
Herman, Michele |
1588600753 |
Physician |
UNKNOWN |
510 17th Street |
Oakland |
Alameda |
94612 |
California |
2014 |
2015 |
1 |
AIU |
Center for Elders Independence |
1245371061 |
21250 |
21250 |
37.8069227375 |
-122.270849623 |
-122.231195302121 |
37.7991749638535 |
14938 |
Landau, claudia |
1588608756 |
Physician |
INTERNAL MEDICINE |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
14945 |
McNall-Lubeck, Mabel |
1588620967 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
14948 |
Yeoh, Beahwa |
1588621577 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.440802000212 |
33.9275969999017 |
14951 |
KOO, CHULHWE |
1588628408 |
Physician |
UNKNOWN |
3975 Jackson St, #305 |
Riverside |
Riverside |
92503 |
California |
2020 |
2020 |
6 |
MU |
CHULHWE MD KOO |
1588628408 |
56666.67 |
8500 |
33.927597 |
-117.440802 |
-122.151138825396 |
37.7421031099706 |
14954 |
Schweitzer, Beth |
1588618813 |
Physician |
INTERNAL MEDICINE |
10700 Macarthur Blvd, East Oakland Clinic, Suite 14B |
Oakland |
Alameda |
94605 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.7421031103 |
-122.151138825 |
-121.931844043068 |
37.3128740632874 |
14959 |
Bhatia, Gulshan |
1588639181 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
14960 |
Mallick, Annemarie |
1588633507 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St, Dept. of Medicine, Highland Hospital |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.939818285585 |
40.7376560239064 |
14967 |
McElheran, Daniel |
1588649859 |
Physician |
UNKNOWN |
31 Easter Avenue, PO Box 1229 |
Weaverville |
Trinity |
96093 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITIES MOUNTAIN |
1356422307 |
21250 |
21250 |
40.7376560241 |
-122.939818286 |
-121.456646999859 |
38.5524089999754 |
14969 |
Parrish, Mark |
1588640247 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
2516 Stockton Blvd, Dept of Pediatrics, room 333 |
Sacramento |
Sacramento |
95817 |
California |
2014 |
2015 |
2 |
MU |
CARDI REGENTS/UCDPBG/PED |
1144213166 |
29750 |
8500 |
38.552409 |
-121.456647 |
-118.187343371599 |
33.8090145901513 |
14974 |
Williams, Lillie |
1588665111 |
Physician |
UNKNOWN |
455 E Columbia |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
5 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
55250 |
8500 |
33.8090145898 |
-118.187343372 |
-117.152023500284 |
32.7983220001602 |
14983 |
Nguyen, Quyen |
1588666440 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-122.385354438756 |
40.5834973198455 |
14989 |
Stanfield, Robert |
1588683247 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
4 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
46750 |
8500 |
40.5834973202 |
-122.385354439 |
-118.404414735751 |
34.2789575259691 |
14993 |
Tripodis, Konstantinos |
1588698534 |
Physician |
PSYCHIATRY |
12450 Van Nuys Blvd, Suite 200 |
Pacoima |
Los Angeles |
91331 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.2789575262 |
-118.404414736 |
-117.721502999963 |
34.0619039998697 |
15021 |
Desai, Pratibha |
1588725832 |
Physician |
UNKNOWN |
1450 E. Holt Avenue |
Pomona |
Los Angeles |
91767 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HEALTH POMONA |
1417211426 |
38250 |
8500 |
34.061904 |
-117.721503 |
-122.231195302121 |
37.7991749638535 |
15024 |
Drejet, Anne |
1588730238 |
Physician |
PATHOLOGY |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
15028 |
Rogers, Kerry |
1588734859 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
15032 |
MELTZER, HAL |
1588735344 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
15033 |
PHILLIPS, SUSAN |
1588735336 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-118.256434514441 |
33.9855840003014 |
15035 |
GALAPON, BLANCA |
1588714679 |
Physician |
UNKNOWN |
5970 South Central Ave |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
2 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
29750 |
8500 |
33.985584 |
-118.256434514 |
-122.231195302121 |
37.7991749638535 |
15036 |
Plotkin, Mindy |
1588742050 |
Physician |
OBSTETRICS/GYNECOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
15037 |
sood, veronica |
1588739569 |
Physician |
UNKNOWN |
1411 E 31st St, highland pediatric clinic |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-119.251855838176 |
34.2762568924417 |
15046 |
Andrews, Elena |
1588751556 |
Physician |
UNKNOWN |
3291 Loma Vist Road |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
8500 |
8500 |
34.2762568923 |
-119.251855838 |
-122.132916000373 |
38.0065680004129 |
15059 |
Smith, Mark |
1588767602 |
Physician |
UNKNOWN |
2500 Alhambra Ave. |
Martinez |
Solano |
94533 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.017646291043 |
36.9915277342176 |
15060 |
Johnson, Charles |
1588767495 |
Physician |
PSYCHIATRY |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2012 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-119.862098999969 |
36.4306140000361 |
15074 |
Montana, Anthony |
1588789788 |
Physician |
UNKNOWN |
3567 Mount Whitney Ave |
Riverdale |
Fresno |
93656 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1679819742 |
21250 |
21250 |
36.430614 |
-119.862099 |
-117.152023500284 |
32.7983220001602 |
15078 |
Bhattacharjee, Rakesh |
1588781173 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
34000 |
8500 |
32.798322 |
-117.1520235 |
-117.228721500197 |
33.2096760004471 |
15084 |
BERNARDO-GREGORY, ELSIE |
1588808349 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC-WEST VISTA |
1649363375 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.132916000373 |
38.0065680004129 |
15087 |
Luong, Wini |
1588823819 |
Dentist |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
25500 |
8500 |
38.006568 |
-122.132916 |
-122.135176589328 |
37.47163190299 |
15088 |
Kosydar, Marla |
1588806343 |
Physician |
UNKNOWN |
1798A Bay Road |
East Palo Alto |
Unknown |
92303 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.4716319031 |
-122.135176589 |
-117.228721500197 |
33.2096760004471 |
15089 |
Gentzsch, Charles |
1588823157 |
Nurse Practitioner |
NURSE PRACTITIONER |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-117.152023500284 |
32.7983220001602 |
15091 |
Tith, Tevy |
1588816086 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
3 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-118.329789269359 |
34.0979749635737 |
15093 |
Luc, Quyen |
1588829154 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.132916000373 |
38.0065680004129 |
15095 |
Lee, Daniel |
1588833388 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
63750 |
8500 |
38.006568 |
-122.132916 |
-120.045810184592 |
36.94541455204 |
15098 |
Kaur, Gurinder |
1588837660 |
Nurse Practitioner |
UNKNOWN |
1210 E Almond Ave |
Madera |
Madera |
93637 |
California |
2017 |
2018 |
5 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1679819742 |
55250 |
8500 |
36.9454145522 |
-120.045810185 |
-122.224776035785 |
37.7798441425932 |
15099 |
Chen, Crystal |
1588841365 |
Physician |
OPTOMETRY |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.730579232246 |
38.4794632549253 |
15103 |
Papsco, Mary |
1588850796 |
Nurse Practitioner |
UNKNOWN |
3565 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
55250 |
8500 |
38.4794632554 |
-122.730579232 |
-121.931844043068 |
37.3128740632874 |
15105 |
Imrie, Meghan |
1588850374 |
Physician |
UNKNOWN |
751 South Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.762119000392 |
34.2688679995586 |
15109 |
nazarian, carineh |
1588860142 |
Dentist |
UNKNOWN |
1687 Erringer Rd., 207 |
Simi Valley |
Ventura |
93065 |
California |
2018 |
2018 |
2 |
MU |
CARINEH DDS NAZARIAN |
1588860142 |
29750 |
8500 |
34.268868 |
-118.762119 |
-121.931844043068 |
37.3128740632874 |
15115 |
Young, Brian |
1588871990 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
15121 |
Elster, Jennifer |
1588866115 |
Physician |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
25500 |
8500 |
32.798322 |
-117.1520235 |
-122.412320999714 |
37.778444999837 |
15123 |
Trilesskaya, Marina |
1588893580 |
Physician |
UNKNOWN |
1160 Mission St Unit 811 |
San Francisco |
San Francisco |
94103 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.778445 |
-122.412321 |
-121.931844043068 |
37.3128740632874 |
15125 |
dawley, monica |
1588902258 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
15127 |
BALACHANDRAN, JACQUELINE |
1588907596 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
15135 |
Diez Gonzalez, Yarigtnetzilem |
1588913206 |
Physician |
OPTOMETRY |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
15136 |
BONDI-BOYD, BREA |
1588916381 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA COUNTY CONTRA |
1346328507 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.256769000189 |
34.0030619996116 |
15147 |
DIAZ, CARMEN |
1588939466 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2018 |
2019 |
3 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
38250 |
8500 |
34.003062 |
-118.256769 |
-122.132916000373 |
38.0065680004129 |
15148 |
Sobel, Daniel |
1588957831 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2015 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-118.344352500268 |
33.9657120003086 |
15154 |
Khan, Khadeer |
1588964456 |
Nurse Practitioner |
UNKNOWN |
301 N Prairie Blvd #300 |
Inglewood |
UNKNOWN |
90301 |
California |
2016 |
2017 |
3 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
38250 |
8500 |
33.965712 |
-118.3443525 |
-117.15612921659 |
33.1407478633233 |
15157 |
Lal, Janna |
1588977151 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
3 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
38250 |
8500 |
33.1407478629 |
-117.156129217 |
-122.532927443447 |
38.0685794121102 |
15164 |
Leffall, Sheila |
1588985121 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
4 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
46750 |
8500 |
38.0685794125 |
-122.532927443 |
-116.962897500319 |
32.799050999604 |
15184 |
Carroll, Joseph |
1598041261 |
Nurse Practitioner |
UNKNOWN |
396 N Magnolia Ave |
El Cajon |
San Diego |
92020 |
California |
2014 |
2015 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
32.799051 |
-116.9628975 |
-119.251855838176 |
34.2762568924417 |
15185 |
THORP, SARA |
1598031395 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-119.336979694257 |
36.2246418923095 |
15188 |
Valenzuela, Alan |
1598048407 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1201 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH TULARE |
1023011632 |
21250 |
21250 |
36.2246418916 |
-119.336979694 |
-122.224776035785 |
37.7798441425932 |
15204 |
Adeniyi, Hakeem |
1598083164 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-118.184503499637 |
33.8084730004287 |
15220 |
Kiss, Jessica |
1598132250 |
Physician |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
1 |
AIU |
CHILDRENS CLINIC THE |
1639233935 |
21250 |
21250 |
33.808473 |
-118.1845035 |
-117.152023500284 |
32.7983220001602 |
15225 |
DEL CAMPO CASANELLES, MIGUEL |
1598141475 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-117.228721500197 |
33.2096760004471 |
15230 |
Wagner, Tasia |
1598158768 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92058 |
California |
2020 |
2020 |
5 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-122.132916000373 |
38.0065680004129 |
15235 |
Jackson, Neil |
1598170193 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
15250 |
Kamal, Ahmad |
1598703787 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.780656000274 |
37.6782750002911 |
15253 |
Salyapongse, Aaron |
1598711681 |
Physician |
UNKNOWN |
1133 E Stanley Blvd, Ste 111 |
Livermore |
Alameda |
94550 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.678275 |
-121.780656 |
-117.43823250043 |
33.9258060000469 |
15255 |
Sahay, Vikram |
1598714214 |
Physician |
INTERNAL MEDICINE |
9041 Magnolia Ave, Ste 107 |
Riverside |
Riverside |
92503 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
33.925806 |
-117.4382325 |
-121.931844043068 |
37.3128740632874 |
15260 |
Lee, Angela |
1598721946 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
15266 |
Aguilar, Dolores |
1598731788 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
15267 |
Colon, Iris |
1598734998 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
15268 |
Comstock, Curt |
1598734436 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
15324 |
Cheng, Luhua |
1598823890 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.282328262639 |
34.0666965580998 |
15328 |
Prado, Amelia |
1598830069 |
Physician |
FAMILY PRACTICE |
1906 Commercenter E, Suite #101 |
San Bernardino |
San Bernardino |
92408 |
California |
2012 |
2012 |
1 |
AIU |
COMPREHENSIVE CARE VANTAGE |
1154550812 |
21250 |
21250 |
34.0666965576 |
-117.282328263 |
-122.132916000373 |
38.0065680004129 |
15331 |
Desoer, Craig |
1598832867 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1568540763 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.122650002795 |
32.812365973311 |
15335 |
BARRIO, VICTORIA |
1598836355 |
Physician |
DERMATOLOGY |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2012 |
2013 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.8123659731 |
-117.122650003 |
-118.187343371599 |
33.8090145901513 |
15344 |
Iluore, Uduak |
1598841983 |
Physician |
UNKNOWN |
455 E Columbia |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
4 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
46750 |
8500 |
33.8090145898 |
-118.187343372 |
-122.132916000373 |
38.0065680004129 |
15347 |
Thwaites, Daniel |
1598846362 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.133636000301 |
37.4709959995658 |
15349 |
Perkins, Shanti |
1598844516 |
Physician |
INTERNAL MEDICINE |
1798 Bay Rd # A |
East Palo Alto |
San Mateo |
94303 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1073640918 |
21250 |
21250 |
37.470996 |
-122.133636 |
-116.962897500319 |
32.799050999604 |
15358 |
Berchin, Joel |
1598861171 |
Physician |
UNKNOWN |
396 North Magnolia Ave. |
El Cajon |
San Diego |
92020 |
California |
2014 |
2014 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
32.799051 |
-116.9628975 |
-118.353629385787 |
33.8367377048812 |
15373 |
Kerendian, BITA |
1598881831 |
Dentist |
UNKNOWN |
21229 Hawthorne Blvd Ste B |
Torrance |
Los Angeles |
90503 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.8367377047 |
-118.353629386 |
-118.349731509102 |
33.954067100916 |
15376 |
Stalley, Fred |
1598887382 |
Dentist |
UNKNOWN |
300 E. Buckthorn Street |
Inglewood |
Los Angeles |
90301 |
California |
2015 |
2015 |
1 |
AIU |
CHILDREN'S DENTAL CENTER THE |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-117.228721500197 |
33.2096760004471 |
15381 |
Ascher, Barbara |
1598901993 |
Certified Nurse - Midwife |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
15385 |
Bythadka, Lakshmi |
1598909764 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.223829500231 |
37.7754209997794 |
15389 |
Clark, Mary |
1598918690 |
Nurse Practitioner |
UNKNOWN |
3451 E. 12th St. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.775421 |
-122.2238295 |
-122.724368019568 |
38.4676200001629 |
15390 |
Luders, James |
1598922148 |
Physician |
UNKNOWN |
2777 Ventura Ave |
Santa Rosa |
Sonoma |
95403 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HOSP REDBUD |
1316937121 |
21250 |
21250 |
38.46762 |
-122.72436802 |
-121.931844043068 |
37.3128740632874 |
15391 |
Takehana, Christopher |
1598911695 |
Physician |
UNKNOWN |
751 S. Bascom |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
15394 |
Fujikami, Gina |
1598932535 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-120.369868359937 |
37.976814685949 |
15413 |
Eddi, Rodney |
1598972838 |
Physician |
UNKNOWN |
680 Guzzi Ln, Suite 206 |
Sonora |
Tuolumne |
95370 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
55250 |
8500 |
37.9768146862 |
-120.36986836 |
-122.730009116028 |
38.4800536013926 |
15419 |
Morgan, Sharon |
1598981912 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2014 |
2015 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-117.152023500284 |
32.7983220001602 |
15428 |
Thangarajah, Hariharan |
1598979593 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-118.184624999844 |
33.8077440000856 |
15431 |
Yang, Elaine |
1609004530 |
Physician |
PEDIATRIC MEDICINE |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2014 |
2015 |
4 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
46750 |
8500 |
33.807744 |
-118.184625 |
-121.931844043068 |
37.3128740632874 |
15434 |
Chandra, Neha |
1609012855 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
15436 |
Campo, Carla |
1609012830 |
Dentist |
UNKNOWN |
1000 Vale Terrace, Suite 204 |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-122.142199500407 |
37.4270039997348 |
15441 |
Davarpanah, Romina |
1609037472 |
Physician |
FAMILY PRACTICE |
270 Grant Ave. |
palo Alto |
Santa Clara |
94306 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HLTH MAYVIEW |
1780796540 |
21250 |
21250 |
37.427004 |
-122.1421995 |
-122.748589048346 |
38.4279142321561 |
15442 |
Austin, Annemieke |
1609042472 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-117.152023500284 |
32.7983220001602 |
15443 |
Dalal, Pritha |
1609017532 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
15449 |
Munoz, Amanda |
1609057736 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.184624999844 |
33.8077440000856 |
15451 |
Bellas, Patricia |
1609061159 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-118.184624999844 |
33.8077440000856 |
15453 |
MOORE, CYNTHIA |
1609061183 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-121.931844043068 |
37.3128740632874 |
15457 |
Elliott, Christopher |
1609063262 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
15458 |
Asrani, Hiya |
1609063718 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.016667000282 |
34.0608600002888 |
15462 |
Young, Charles |
1609068097 |
Dentist |
UNKNOWN |
12100 Valley Blvd #109A |
El Monte |
Los Angeles |
91732 |
California |
2016 |
2018 |
1 |
AIU |
CALIFORNIA MED CTR SOUTHERN |
1225357114 |
21250 |
21250 |
34.06086 |
-118.016667 |
-121.542277499807 |
39.5052030001184 |
15470 |
Khanna, Deepak |
1609073071 |
Physician |
INTERNAL MEDICINE |
2721 Olive Highway, Suite 12B |
Oroville |
Butte |
95966 |
California |
2014 |
2015 |
2 |
MU |
CORPORATION OROHEALTH |
1013933167 |
29750 |
8500 |
39.505203 |
-121.5422775 |
-122.059417499618 |
37.8918269998163 |
15489 |
Wengert, James |
1609094762 |
Physician |
UNKNOWN |
1425 S Main St |
Walnut Creek |
Contra Costa |
94596 |
California |
2015 |
2017 |
2 |
MU |
COMM HOSP SONORA |
1003014952 |
29750 |
8500 |
37.891827 |
-122.0594175 |
-118.240379999837 |
34.1367570001355 |
15491 |
Akopyan, Oganes |
1609098037 |
Physician |
FAMILY PRACTICE |
801 S Chevy Chase Dr, 250 |
Glendale |
Los Angeles |
91205 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
38250 |
8500 |
34.136757 |
-118.24038 |
-118.255999499777 |
34.0525710002515 |
15497 |
Huang, Charles |
1609104918 |
Dentist |
UNKNOWN |
404 S Figueroa St Ste 207 |
Los Angeles |
Los Angeles |
90071 |
California |
2013 |
2014 |
1 |
AIU |
Charles Huang |
1609104918 |
21250 |
21250 |
34.052571 |
-118.2559995 |
-119.251855838176 |
34.2762568924417 |
15510 |
NOMIDES, JENNIFER |
1609160241 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-121.939887305155 |
40.8041224683773 |
15515 |
Calkins, Asa |
1609152941 |
Nurse Practitioner |
UNKNOWN |
29632 Highway 299 East |
Round Mountain |
Shasta |
96084 |
California |
2012 |
2012 |
1 |
AIU |
COUNTRY COMM CLINIC HILL |
1407914260 |
21250 |
21250 |
40.8041224681 |
-121.939887305 |
-121.931844043068 |
37.3128740632874 |
15532 |
Martin, Melissa |
1609210913 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
15548 |
Toosky, Tina |
1609289107 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2015 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-118.534512637848 |
34.1721889325732 |
15556 |
Chavarria, Cesar |
1609803212 |
Physician |
UNKNOWN |
18425 Burbank Blvd, Suite 719 |
Tarzana |
Los Angeles |
91356 |
California |
2014 |
2015 |
3 |
MU |
CESAR MD INC CHAVARRIA |
1316165384 |
31166.67 |
8500 |
34.1721889329 |
-118.534512638 |
-121.931844043068 |
37.3128740632874 |
15557 |
Dinh, Michelle |
1609800960 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.089913500208 |
34.5804570000905 |
15558 |
Spencer, Donavan |
1609803691 |
Physician |
UNKNOWN |
2151 E. Palmdale Blvd |
Palmdale |
Los Angeles |
93550 |
California |
2020 |
2020 |
3 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
38250 |
8500 |
34.580457 |
-118.0899135 |
-117.152023500284 |
32.7983220001602 |
15565 |
GREINER, ALEXANDER |
1609801299 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
15575 |
Cervenka, Andrea |
1609841774 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.291823999778 |
34.0266599996593 |
15576 |
Kellner, Maria |
1609840826 |
Physician |
UNKNOWN |
3031 S Vermont Ave |
Los Angeles |
Los Angeles |
90007 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.02666 |
-118.291824 |
-123.211126833337 |
39.1278118681233 |
15597 |
WIRTH, STEVEN |
1609874510 |
Physician |
FAMILY PRACTICE |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
63750 |
8500 |
39.1278118679 |
-123.211126833 |
-122.947541034691 |
38.4087507018834 |
15599 |
Bowen, Trina |
1609878917 |
Physician |
UNKNOWN |
3802 Main Street |
Occidental |
Sonoma |
95465 |
California |
2018 |
2019 |
5 |
MU |
COUNTY HEALTH CTRS WEST |
1598768962 |
55250 |
8500 |
38.4087507017 |
-122.947541035 |
-121.620135641347 |
39.1559550570803 |
15600 |
Maas, Charles |
1609851757 |
Physician |
UNKNOWN |
1965 Live Oak Blvd, Sutter-Yuba Mental Heath Youth Services |
Yuba City |
Sutter |
95991 |
California |
2016 |
2017 |
1 |
AIU |
County of Sutter |
1487872263 |
21250 |
21250 |
39.1559550572 |
-121.620135641 |
-118.97078849959 |
35.3824379999138 |
15601 |
Kay, Selwyn |
1609876754 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.667129499827 |
33.5623950001292 |
15602 |
Viele, Steven |
1609871888 |
Physician |
UNKNOWN |
26800 crown valley parkway, Ste 460 |
Laguna Beach |
Orange |
92691 |
California |
2016 |
2017 |
1 |
AIU |
CHILDRENS MEDICAL NEWPORT |
1154765709 |
21250 |
21250 |
33.562395 |
-117.6671295 |
-122.069360181127 |
38.2372400007255 |
15612 |
Orvell, Barry |
1609898519 |
Physician |
INTERNAL MEDICINE |
2201 Courage Dr |
Fairfield |
Solano |
94533 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HLTH and SOCIAL SOLANO |
1083845275 |
21250 |
21250 |
38.237240001 |
-122.069360181 |
-122.133636000301 |
37.4709959995658 |
15622 |
WEINTRAUB, DANA |
1609901933 |
Physician |
PEDIATRIC MEDICINE |
1798 A Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2013 |
2014 |
2 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
29750 |
8500 |
37.470996 |
-122.133636 |
-117.152023500284 |
32.7983220001602 |
15623 |
Stearns, Philip |
1609900810 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-119.251855838176 |
34.2762568924417 |
15626 |
Ficks, Lauren |
1609912666 |
Physician |
ENDOCRINOLOGY |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.335848000285 |
37.570598999944 |
15629 |
Jue, Vincent |
1609916766 |
Dentist |
UNKNOWN |
430 North El Camino Real |
San Mateo |
San Mateo |
94401 |
California |
2016 |
2016 |
1 |
AIU |
COASTSIDE MEDICAL DENTAL THE |
1205215795 |
21250 |
21250 |
37.570599 |
-122.335848 |
-117.15612921659 |
33.1407478633233 |
15634 |
Montemayor, Manuel |
1609918978 |
Physician |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.960722999667 |
33.7877909999547 |
15638 |
NGUYEN, THUY-ANH |
1609927722 |
Physician |
GENERAL PRACTICE |
9862 Chapman Ave, Suite B |
Garden Grove |
Orange |
92841 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY OF VIETNAMESE |
1285708818 |
46750 |
8500 |
33.787791 |
-117.960723 |
-122.132916000373 |
38.0065680004129 |
15643 |
Griesau, Barbara |
1609934884 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-123.211126833337 |
39.1278118681233 |
15648 |
Claypool, Scott |
1609945138 |
Nurse Practitioner |
NURSE PRACTITIONER |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
63750 |
8500 |
39.1278118679 |
-123.211126833 |
-122.532927443447 |
38.0685794121102 |
15651 |
Rosenthal, Ellen |
1609948231 |
Physician |
UNKNOWN |
9 Commercial Blvd, Ste 103 |
Novato |
UNKNOWN |
94945 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0685794125 |
-122.532927443 |
-118.256769000189 |
34.0030619996116 |
15652 |
Zavala, Luz |
1609939412 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2014 |
2015 |
3 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
38250 |
8500 |
34.003062 |
-118.256769 |
-121.931844043068 |
37.3128740632874 |
15653 |
chuang, irene |
1609949536 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.349731509102 |
33.954067100916 |
15657 |
MAUNG, VIVIAN |
1609952142 |
Dentist |
UNKNOWN |
300 E Buckthorn St |
Inglewood |
Los Angeles |
90301 |
California |
2015 |
2015 |
1 |
AIU |
Children's Dental Center of Greater LA |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-122.748589048346 |
38.4279142321561 |
15664 |
Moilanen, Erin |
1609959667 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Ct, Suite A |
Santa Rosa |
Sonoma |
95407 |
California |
2020 |
2020 |
6 |
MU |
COMM HEALTH CT SOUTHWEST |
1871651273 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-121.931844043068 |
37.3128740632874 |
15665 |
Villanueva, Maria |
1609960434 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.440907911371 |
34.2360562940628 |
15666 |
Choi, Christopher |
1609960632 |
Dentist |
UNKNOWN |
9130 Woodman Ave |
Arleta |
Los Angeles |
91331 |
California |
2014 |
2015 |
1 |
AIU |
Christopher B Choi |
1609960632 |
21250 |
21250 |
34.2360562939 |
-118.440907911 |
-121.931844043068 |
37.3128740632874 |
15672 |
Silberstein, Richard |
1609971233 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.748589048346 |
38.4279142321561 |
15675 |
Kohatsu, Wendy |
1609973478 |
Physician |
FAMILY PRACTICE |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-117.228721500197 |
33.2096760004471 |
15683 |
LU, PHONG |
1609986686 |
Dentist |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92054 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.133636000301 |
37.4709959995658 |
15685 |
Toache-Guerrero, Gabriela |
1609980580 |
Nurse Practitioner |
NURSE PRACTITIONER |
1798-A Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.470996 |
-122.133636 |
-123.803844077242 |
39.43025401611 |
15690 |
Thomas, James |
1609990167 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2020 |
2020 |
6 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
63750 |
8500 |
39.4302540158 |
-123.803844077 |
-118.200469500267 |
33.9291630001724 |
15694 |
RODRIGUEZ, CRISTINA |
1619001500 |
Dentist |
UNKNOWN |
3737 Martin Luther King Jr Blvd, Ste 375 |
Lynwood |
Los Angeles |
90262 |
California |
2015 |
2016 |
1 |
AIU |
CRISTINA A RODRIGUEZ |
1619001500 |
21250 |
21250 |
33.929163 |
-118.2004695 |
-119.45094505567 |
36.6092828703083 |
15695 |
Dueck, Melvin |
1619016904 |
Nurse Practitioner |
UNKNOWN |
1471 N Acacia Ave |
Reedley |
Fresno |
93654 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1083647036 |
38250 |
8500 |
36.6092828696 |
-119.450945056 |
-122.231195302121 |
37.7991749638535 |
15703 |
Bhateja, Meera |
1619023793 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-119.245010602557 |
35.7720655289011 |
15708 |
Duran, Veronica |
1619025152 |
Nurse Practitioner |
UNKNOWN |
1201 Jefferson |
Delano |
Kern |
93215 |
California |
2016 |
2016 |
1 |
AIU |
CALIFORNIA CENTRAL |
1851429658 |
21250 |
21250 |
35.772065529 |
-119.245010603 |
-122.532927443447 |
38.0685794121102 |
15709 |
LEVINE, CLAUDIA |
1619026572 |
Physician |
UNKNOWN |
9 Commercial Blvd, Ste 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-117.152023500284 |
32.7983220001602 |
15717 |
EL-SAID, HOWAIDA |
1619030194 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.385354438756 |
40.5834973198455 |
15721 |
Shiu, Wilfred |
1619039716 |
Physician |
UNKNOWN |
1035 Placer St, EIS |
Redding |
Shasta |
96001 |
California |
2017 |
2018 |
3 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
38250 |
8500 |
40.5834973202 |
-122.385354439 |
-119.251855838176 |
34.2762568924417 |
15727 |
muthukumaran, abirami |
1619050572 |
Physician |
NEUROLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-117.152023500284 |
32.7983220001602 |
15730 |
BURNS, JANE |
1619040953 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-122.562698424193 |
38.095736927917 |
15742 |
Nunnally, Janet |
1619067469 |
Nurse Practitioner |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY CLINIC MARIN |
1922303437 |
38250 |
8500 |
38.0957369279 |
-122.562698424 |
-118.329786000324 |
34.0978229997317 |
15755 |
DE CLERCK, YVES |
1619077799 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 W Sunset Blvd |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.097823 |
-118.329786 |
-118.440926812422 |
33.9868769097416 |
15763 |
Zvereva, Romana |
1619088713 |
Physician |
UNKNOWN |
13428 Maxella Ave, # 529 |
Marina Del Rey |
Los Angeles |
90292 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.9868769101 |
-118.440926812 |
-123.803844077242 |
39.43025401611 |
15767 |
Leventhal, Fayne |
1619091139 |
Physician |
UNKNOWN |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2011 |
2012 |
1 |
AIU |
COAST CLINICS MENDOCINO |
1083783757 |
21250 |
21250 |
39.4302540158 |
-123.803844077 |
-117.152023500284 |
32.7983220001602 |
15768 |
Alagiri, Madhu |
1619083961 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.329789269359 |
34.0979749635737 |
15771 |
Mizani, Elham |
1619095973 |
Physician |
PSYCHIATRY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.960869306773 |
33.8178381049447 |
15779 |
Reyes, Rosemary |
1619105327 |
Physician |
UNKNOWN |
2237 W Ball Rd |
Anaheim |
Orange |
92804 |
California |
2020 |
2020 |
3 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
38250 |
8500 |
33.8178381046 |
-117.960869307 |
-122.748589048346 |
38.4279142321561 |
15784 |
Fish, Jennifer |
1619111556 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4279142323 |
-122.748589048 |
-118.124154000007 |
33.8611230002263 |
15787 |
LE, HANH |
1619121811 |
Dentist |
UNKNOWN |
5819 Adenmoor ave |
lakewood |
Los Angeles |
90713 |
California |
2018 |
2019 |
3 |
MU |
CERRITOS DENTAL LAKEWOOD |
1407124290 |
38250 |
8500 |
33.861123 |
-118.124154 |
-118.38192507728 |
34.0752336649018 |
15795 |
Botros, Maged |
1619102738 |
Physician |
UNKNOWN |
8730 Alden Dr, Thalians Building |
Los Angeles |
Los Angeles |
90048 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0752336651 |
-118.381925077 |
-117.152023500284 |
32.7983220001602 |
15797 |
DEMETERCO-BERGGREN, CARLA |
1619130655 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-121.646867788618 |
36.6601614385996 |
15808 |
TRIEU, CHUYEN |
1619164456 |
Physician |
UNKNOWN |
505 E Romie Ln Ste K |
Salinas |
Monterey |
93901 |
California |
2016 |
2017 |
6 |
MU |
CHUYEN L MD TRIEU |
1619164456 |
63750 |
8500 |
36.6601614394 |
-121.646867789 |
-118.099141577722 |
33.8701286160428 |
15810 |
stepan, catherine |
1619165529 |
Physician |
UNKNOWN |
17707 Studebaker Rd |
Cerritos |
Los Angeles |
90703 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.8701286164 |
-118.099141578 |
-117.152023500284 |
32.7983220001602 |
15812 |
Pennock, Andrew |
1619151685 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.748589048346 |
38.4279142321561 |
15826 |
Bernard Pearl, Deirdre |
1619189388 |
Physician |
UNKNOWN |
751 Lombardi Ct #B |
Santa Rosa |
Sonoma |
95407 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HEALTH SOUTHWEST |
1558512624 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-121.931844043068 |
37.3128740632874 |
15827 |
Narasimhan, Supriya |
1619189222 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
15836 |
Polon, Lynn |
1619198520 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-118.114434925931 |
34.5855447661781 |
15838 |
buenaventura, esperanza |
1619196318 |
Dentist |
UNKNOWN |
38655 9th St E |
Palmdale |
Los Angeles |
93550 |
California |
2015 |
2016 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.585544766 |
-118.114434926 |
-117.228721500197 |
33.2096760004471 |
15847 |
Welch, Erin |
1619230844 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
UNKNOWN |
92084 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY CLINIC VISTA |
1689760100 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.224776035785 |
37.7798441425932 |
15867 |
Moniz, Stephanie |
1619265410 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.133636000301 |
37.4709959995658 |
15868 |
Weaver, Candice |
1619261526 |
Physician |
FAMILY PRACTICE |
1798 Bay Road |
East Palo Alto |
UNKNOWN |
93403 |
California |
2013 |
2013 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.470996 |
-122.133636 |
-122.730009116028 |
38.4800536013926 |
15869 |
King, Jennifer |
1619267465 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2014 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.132916000373 |
38.0065680004129 |
15876 |
Herron, Sheryl |
1619290228 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
15883 |
Cotter, Laura |
1619301256 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA COUNTY CONTRA |
1962587071 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.413825981784 |
34.1944379999138 |
15891 |
MANAGUELOD, VIC |
1619335544 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
21250 |
21250 |
34.194438 |
-118.413825982 |
-118.256769000189 |
34.0030619996116 |
15897 |
hsu, iting |
1619365384 |
Nurse Practitioner |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2015 |
2016 |
1 |
AIU |
CENTRAL FAMILY SOUTH |
1396891909 |
21250 |
21250 |
34.003062 |
-118.256769 |
-119.646007366247 |
36.3359516654371 |
15899 |
Ayuen, Jacob |
1619370822 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1025 N Douty St |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
38250 |
8500 |
36.3359516647 |
-119.646007366 |
-122.087328166162 |
37.6981381743373 |
15913 |
Bhargava, Monica |
1619900347 |
Physician |
UNKNOWN |
20103 Lake Chabot Rd |
Castro Valley |
Alameda |
94546 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.6981381735 |
-122.087328166 |
-117.989037928558 |
33.7030860255996 |
15917 |
Cornelsen, Ronald |
1619905486 |
Physician |
UNKNOWN |
17822 Beach Blvd, Suite 278 |
Huntington Beach |
Orange |
92647 |
California |
2012 |
2013 |
1 |
AIU |
CARE MED GRP PEDIATRIC |
1851337356 |
21250 |
21250 |
33.7030860261 |
-117.989037929 |
-122.132916000373 |
38.0065680004129 |
15924 |
Keels, Laura |
1619925286 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-116.32904549985 |
33.1939799996773 |
15927 |
Newman, Paulette |
1619928538 |
Dentist |
UNKNOWN |
4343 Yaqui Pass Rd, PO BOX 2369 |
Palm Springs |
San Diego |
92004 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-121.931844043068 |
37.3128740632874 |
15934 |
Fraser, Jeffrey |
1619930716 |
Physician |
UNKNOWN |
751 S Bascom Ave, Neurology Department |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
15935 |
chen, ashley |
1619941721 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
15939 |
Cummings, Susan |
1619946514 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.97078849959 |
35.3824379999138 |
15947 |
Wisnoff, Warren |
1619956927 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-123.211126833337 |
39.1278118681233 |
15951 |
Allende, Jorge |
1619970068 |
Physician |
INTERNAL MEDICINE |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-117.346189490752 |
33.1602546522305 |
15957 |
WELCHEZ, FRANCINE |
1619984184 |
Nurse Practitioner |
UNKNOWN |
3050 Madison St |
Carlsbad |
San Diego |
92008 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HEALTH SVS NORTH |
1245246917 |
21250 |
21250 |
33.160254652 |
-117.346189491 |
-117.357922269197 |
33.2078401756836 |
15961 |
SCHULTZ, STEPHANIE |
1619988409 |
Certified Nurse - Midwife |
UNKNOWN |
2210 Mesa Dr, Suite 5 |
Oceanside |
San Diego |
92054 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HEALTH SVS NORTH |
1245246917 |
21250 |
21250 |
33.2078401763 |
-117.357922269 |
-122.231195302121 |
37.7991749638535 |
15963 |
Cuadros, Yolanda |
1619987203 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.18459350019 |
33.8084730004287 |
15968 |
Malet'a, Viviana |
1619997525 |
Physician |
UNKNOWN |
701 E. 28th Street, Suite 200 |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
5 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
25500 |
8500 |
33.808473 |
-118.1845935 |
-122.730009116028 |
38.4800536013926 |
15972 |
Trilla, Francisco |
1629000146 |
Physician |
INTERNAL MEDICINE |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2012 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-118.97078849959 |
35.3824379999138 |
15974 |
Ragland, Alan |
1629002407 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.193363999949 |
33.8000489995617 |
15975 |
GOODMAN, MARK |
1629005780 |
Physician |
UNKNOWN |
2360 Pacific Ave |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.800049 |
-118.193364 |
-118.463696418155 |
34.2281841459816 |
15986 |
Ezra, Joseph |
1629020755 |
Physician |
UNKNOWN |
15206 Parthenia Street |
North Hills |
Los Angeles |
91343 |
California |
2017 |
2018 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.228184146 |
-118.463696418 |
-118.095489546006 |
34.1690918913777 |
15987 |
AZINGE, ELIZABETH |
1629021092 |
Physician |
PEDIATRIC MEDICINE |
2661 E Washington Blvd |
Pasadena |
Los Angeles |
91107 |
California |
2012 |
2013 |
1 |
AIU |
CITY MEDICAL GROUP CROWN |
1073512836 |
21250 |
21250 |
34.169091891 |
-118.095489546 |
-122.132916000373 |
38.0065680004129 |
16002 |
Adler, Frederick |
1629030515 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-121.010372999914 |
37.6862310002605 |
16003 |
Eppers, Lisa |
1629031042 |
Nurse Practitioner |
UNKNOWN |
1209 Woodrow Ave., Suite B-10 |
Modesto |
Stanislaus |
95350 |
California |
2016 |
2016 |
1 |
AIU |
COUNTY HLTH STANISLAUS |
1093910275 |
21250 |
21250 |
37.686231 |
-121.010373 |
-117.321840000116 |
33.3475999999401 |
16012 |
Trueblood, John |
1629047931 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
Battalion Aid Station 2/1, BLDG 555442 |
Camp Pendleton |
San Diego |
92055 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1972586386 |
29750 |
8500 |
33.3476 |
-117.32184 |
-121.77044549976 |
36.9377279997474 |
16015 |
SHAW, LINDA |
1629048731 |
Physician |
UNKNOWN |
252 Green Valley Rd |
Freedom |
Santa Cruz |
95019 |
California |
2014 |
2015 |
4 |
MU |
COAST PEDIATRIC PACIFIC |
1619152402 |
46750 |
8500 |
36.937728 |
-121.7704455 |
-122.743877948009 |
38.4400615036355 |
16017 |
Le, Nicole |
1629059837 |
Dentist |
UNKNOWN |
144 Stony Point Rd. |
Santa Rosa |
Sonoma |
95401 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-118.349731509102 |
33.954067100916 |
16022 |
Trask, Philip |
1629062757 |
Dentist |
UNKNOWN |
300 Buckthorn Street |
Inglewood |
Los Angeles |
90301 |
California |
2014 |
2015 |
1 |
AIU |
Children's Dental Center of Greater LA |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-122.132916000373 |
38.0065680004129 |
16023 |
Lessin, Susan |
1629066618 |
Physician |
UNKNOWN |
2500 Alhambra |
Martinez |
Contra Costa |
94553 |
California |
2013 |
2014 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-122.017646291043 |
36.9915277342176 |
16027 |
Hendrix, Rose Marie |
1629078415 |
Physician |
UNKNOWN |
1080 Emeline Ave, ATTN: Clinic Admin |
Santa Cruz |
Santa Cruz |
95060 |
California |
2013 |
2014 |
3 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
38250 |
8500 |
36.9915277341 |
-122.017646291 |
-118.256434514441 |
33.9855840003014 |
16032 |
larner, allan |
1629078969 |
Physician |
UNKNOWN |
5970 S Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2014 |
2015 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-117.294551908144 |
33.04413104741 |
16034 |
VENERI, COLLEEN |
1629084561 |
Nurse Practitioner |
UNKNOWN |
629 2nd St |
Encinitas |
San Diego |
92024 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HEALTH SVS NORTH |
1245246917 |
21250 |
21250 |
33.0441310475 |
-117.294551908 |
-122.030302499661 |
36.9847709999817 |
16037 |
Bailey, Holly |
1629091574 |
Nurse Practitioner |
UNKNOWN |
115 Coral St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2013 |
2014 |
3 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
38250 |
8500 |
36.984771 |
-122.0303025 |
-118.329789269359 |
34.0979749635737 |
16042 |
LEMLEY, KEVIN |
1629092143 |
Physician |
PEDIATRIC MEDICINE |
6430 W Sunset Blvd, 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-116.638843499628 |
33.5570039997348 |
16047 |
Foster, Lawrence |
1629094339 |
Physician |
UNKNOWN |
58581 US Highway 371, Ste F, G, H |
Anza |
Riverside |
92539 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.557004 |
-116.6388435 |
-122.432541453725 |
37.7905062808402 |
16051 |
Indresano, Abert |
1629108550 |
Dentist |
UNKNOWN |
2155 Webster St, Suite 522F |
San Francisco |
San Francisco |
94115 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.790506281 |
-122.432541454 |
-122.947541034691 |
38.4087507018834 |
16054 |
Kovner, Shari |
1629113717 |
Nurse Practitioner |
UNKNOWN |
3802 Main St. |
Occidental |
Sonoma |
95465 |
California |
2016 |
2017 |
3 |
MU |
COUNTY HEALTH CTRS WEST |
1598768962 |
38250 |
8500 |
38.4087507017 |
-122.947541035 |
-117.122650002795 |
32.812365973311 |
16056 |
Trivedi, Neha |
1629123286 |
Physician |
OBSTETRICS/GYNECOLOGY |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2012 |
2013 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-119.251855838176 |
34.2762568924417 |
16066 |
Merrick, Nancy |
1629132832 |
Physician |
INTERNAL MEDICINE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
3 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
-118.293532020986 |
33.8315565468972 |
16070 |
Auerbach, Eric |
1629135520 |
Physician |
PSYCHIATRY |
1000 W Carson St, Box 498 |
Torrance |
Los Angeles |
90502 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.8315565466 |
-118.293532021 |
-122.069360181127 |
38.2372400007255 |
16071 |
jiras, nuntaya |
1629138334 |
Physician |
INTERNAL MEDICINE |
2201 Courage Dr |
Fairfield |
Solano |
94533 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HLTH and SOCIAL SOLANO |
1083845275 |
21250 |
21250 |
38.237240001 |
-122.069360181 |
-121.931844043068 |
37.3128740632874 |
16072 |
Gandhi, Renu |
1629137542 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
16074 |
Pinkel, Sara |
1629138474 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
16080 |
Johnson, Shayla |
1629145925 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Solano |
94533 |
California |
2017 |
2018 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1568540763 |
38250 |
8500 |
38.006568 |
-122.132916 |
-117.122650002795 |
32.812365973311 |
16082 |
SZER, ILONA |
1629149489 |
Physician |
UNKNOWN |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2012 |
2013 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.8123659731 |
-117.122650003 |
-122.224776035785 |
37.7798441425932 |
16089 |
Wong, Griselda |
1629154224 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2016 |
2018 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-122.133636000301 |
37.4709959995658 |
16092 |
Chavarria, Jaime |
1629155619 |
Physician |
FAMILY PRACTICE |
1798 Bay Rd # A |
East Palo Alto |
San Mateo |
94303 |
California |
2015 |
2016 |
3 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
38250 |
8500 |
37.470996 |
-122.133636 |
-118.280834826666 |
33.7378414178472 |
16095 |
Remington, Neil |
1629157102 |
Physician |
PSYCHIATRY |
150 W 7th St |
San Pedro |
Los Angeles |
90731 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.737841418 |
-118.280834827 |
-122.142083930329 |
37.7146948317012 |
16104 |
Ho, Chao |
1629161146 |
Physician |
INTERNAL MEDICINE |
13847 East 14th Street, Suite 113 |
San Leandro |
Alameda |
94578 |
California |
2013 |
2013 |
2 |
MU |
CHAO MD INC HO |
1649428160 |
29750 |
8500 |
37.7146948323 |
-122.14208393 |
-122.385354438756 |
40.5834973198455 |
16105 |
Schooler-Smith, Andrea |
1629161625 |
Nurse Practitioner |
NURSE PRACTITIONER |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2013 |
2014 |
2 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
29750 |
8500 |
40.5834973202 |
-122.385354439 |
-118.329789269359 |
34.0979749635737 |
16108 |
WARD, SALLY |
1629169107 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.570123464626 |
39.5058868428036 |
16112 |
Stack, John |
1629170592 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1611 Feather River Blvd, Suite #10 |
Oroville |
Butte |
95965 |
California |
2014 |
2015 |
2 |
MU |
CORPORATION OROHEALTH |
1013933167 |
29750 |
8500 |
39.5058868432 |
-121.570123465 |
-117.992764203805 |
33.7863069423116 |
16113 |
Cao, Hao |
1629173364 |
Physician |
UNKNOWN |
12116 Beach Blvd |
Stanton |
Orange |
90680 |
California |
2020 |
2020 |
3 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
38250 |
8500 |
33.7863069425 |
-117.992764204 |
-118.329789269359 |
34.0979749635737 |
16115 |
Young, Guy |
1629175195 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
16116 |
WONG, PIERRE |
1629176912 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.252399500137 |
33.8968710002965 |
16121 |
Cucuiat, Andrew |
1629180062 |
Physician |
UNKNOWN |
201 N Central Avenue |
Compton |
Los Angeles |
90220 |
California |
2011 |
2012 |
1 |
AIU |
CENTRAL HLTH CLN COMPTON |
1518036565 |
21250 |
21250 |
33.896871 |
-118.2523995 |
-122.743877948009 |
38.4400615036355 |
16124 |
Sheehan, Melinda |
1629182621 |
Nurse Practitioner |
UNKNOWN |
144 Stony Point Rd. |
Santa Rosa |
Sonoma |
95401 |
California |
2016 |
2017 |
5 |
MU |
CO INDIAN HEALTH SONOMA |
1265457980 |
55250 |
8500 |
38.4400615041 |
-122.743877948 |
-123.803844077242 |
39.43025401611 |
16129 |
Heiss, Larry |
1629192687 |
Physician |
UNKNOWN |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2011 |
2012 |
1 |
AIU |
COAST CLINICS MENDOCINO |
1083783757 |
21250 |
21250 |
39.4302540158 |
-123.803844077 |
-117.352773353707 |
34.071932436233 |
16150 |
Cortez, Vladimir |
1629230065 |
Physician |
UNKNOWN |
400 N Pepper Ave, Suite 308 Surgery Dept. |
Colton |
San Bernardino |
92324 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-121.931844043068 |
37.3128740632874 |
16154 |
Moblad-Barlics, Courtney |
1629236880 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-119.251855838176 |
34.2762568924417 |
16157 |
Bove, Alexander |
1629237391 |
Physician |
ENDOCRINOLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-121.931844043068 |
37.3128740632874 |
16158 |
Dozier, Tawnya |
1629248067 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-123.211126833337 |
39.1278118681233 |
16172 |
Crabtree, Karen |
1629276472 |
Physician |
OBSTETRICS/GYNECOLOGY |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2017 |
5 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
55250 |
8500 |
39.1278118679 |
-123.211126833 |
-122.730009116028 |
38.4800536013926 |
16175 |
Baluyut, Irene |
1629281662 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2019 |
2020 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.210949177762 |
33.9727413127614 |
16184 |
lim, hyun sook |
1629293865 |
Dentist |
UNKNOWN |
3131 E Florence Ave |
Huntington Park |
Los Angeles |
90255 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.9727413125 |
-118.210949178 |
-119.251855838176 |
34.2762568924417 |
16189 |
GUEVARA, ALICIA |
1629295217 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
3 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
-118.329789269359 |
34.0979749635737 |
16191 |
Kim, Mimi |
1629296181 |
Physician |
ENDOCRINOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.748589048346 |
38.4279142321561 |
16192 |
Prystowsky, Brian |
1629298112 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4279142323 |
-122.748589048 |
-122.224776035785 |
37.7798441425932 |
16193 |
Curbelo, Gustavo |
1629298153 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
16199 |
Rivas, Nancy |
1629310024 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.242828694688 |
37.7817946444073 |
16216 |
Sandoval, Delia |
1629345269 |
Nurse Practitioner |
UNKNOWN |
2000 Embarcadero, Suite 101 |
Oakland |
Alameda |
94606 |
California |
2016 |
2017 |
1 |
AIU |
CNTY BEHAV HLTH CARE ALAMEDA |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
-122.132916000373 |
38.0065680004129 |
16221 |
McIlroy, Richard |
1629357264 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
16223 |
Goheen, Katharine |
1629358734 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-121.939887305155 |
40.8041224683773 |
16226 |
Piccione, Michael |
1629351887 |
Dentist |
UNKNOWN |
29632 Highway 299 East |
Round Mountain |
Shasta |
96084 |
California |
2013 |
2014 |
1 |
AIU |
COUNTRY COMM CLINIC HILL |
1407914260 |
21250 |
21250 |
40.8041224681 |
-121.939887305 |
-117.15612921659 |
33.1407478633233 |
16227 |
Meador, Matthew |
1629366240 |
Dentist |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-117.228721500197 |
33.2096760004471 |
16231 |
McCammack, Bradley |
1629368857 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
6 |
MU |
COMMUNITY CLINIC VISTA |
1689760100 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
16236 |
Karch, Christoph |
1629396684 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.102322508777 |
32.7514272099978 |
16240 |
Howe, Julie |
1629403928 |
Nurse Practitioner |
UNKNOWN |
4290 Polk Avenue |
San Diego |
San Diego |
92105 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC MID-CITY |
1306827332 |
21250 |
21250 |
32.7514272104 |
-117.102322509 |
-122.730009116028 |
38.4800536013926 |
16251 |
Zwerdling, Maya |
1629462254 |
Physician |
UNKNOWN |
3569 Round Barn Cir, Suite 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2018 |
2019 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-122.224776035785 |
37.7798441425932 |
16252 |
Huggans-Zapeta, Jennifer |
1629466479 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.564627868581 |
39.5000182070747 |
16256 |
Crizer, Eric |
1629471511 |
Nurse Practitioner |
UNKNOWN |
900 Oro Dam Blvd E |
Oroville |
Butte |
95965 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.5000182074 |
-121.564627869 |
-124.149759157059 |
40.8006381521291 |
16257 |
Trinidad, Vincent |
1629477880 |
Dentist |
UNKNOWN |
959 Myrtle Ave |
Eureka |
Humboldt |
95501 |
California |
2015 |
2016 |
1 |
AIU |
COMM HEALTH CTR EUREKA |
1851486989 |
21250 |
21250 |
40.8006381515 |
-124.149759157 |
-118.97078849959 |
35.3824379999138 |
16265 |
Farvon, Shiva |
1629475538 |
Physician |
UNKNOWN |
1700 Mt. Vernon |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.463696418155 |
34.2281841459816 |
16270 |
Miller, Shaunda |
1629512306 |
Nurse Practitioner |
UNKNOWN |
15206 Parthenia Street, |
North Hills |
Los Angeles |
91340 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-121.873719412221 |
37.6614078555881 |
16278 |
Raj, Divya |
1639106610 |
Physician |
FAMILY PRACTICE |
4361 Railroad Ave |
Pleasanton |
Alameda |
94566 |
California |
2014 |
2015 |
4 |
MU |
COMMUNITY HEALTH AXIS |
1669403390 |
46750 |
8500 |
37.6614078563 |
-121.873719412 |
-118.368247499622 |
34.1550269999961 |
16289 |
Gipe, Bruce |
1639134877 |
Physician |
UNKNOWN |
4640 lankershim blvd., ste. 305 |
north hollywood |
Los Angeles |
91602 |
California |
2015 |
2017 |
1 |
AIU |
CRITICAL CARE PRIMARY |
1467410134 |
21250 |
21250 |
34.155027 |
-118.3682475 |
-117.142802999559 |
32.7622860002987 |
16298 |
Teguh, Collin |
1639148828 |
Physician |
UNKNOWN |
2045 Adams Ave |
San Diego |
San Diego |
92116 |
California |
2020 |
2020 |
4 |
MU |
COLLIN DO TEGUH |
1639148828 |
46750 |
8500 |
32.762286 |
-117.142803 |
-117.467397476612 |
33.9464784380295 |
16308 |
Hetsko, Michael |
1639166978 |
Dentist |
UNKNOWN |
8856 Arlington Ave |
Riverside |
Riverside |
92503 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.9464784376 |
-117.467397477 |
-121.413545999748 |
38.5772580001566 |
16315 |
Bradbrook, Charles |
1639182413 |
Physician |
OPHTHALMOLOGY |
650 Howe Ave, Suite 830 |
Sacramento |
Sacramento |
95825 |
California |
2013 |
2014 |
2 |
MU |
CHARLES MD BRADBROOK |
1639182413 |
29750 |
8500 |
38.577258 |
-121.413546 |
-118.97078849959 |
35.3824379999138 |
16318 |
SHAFFER, NANCY |
1639191299 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.385354438756 |
40.5834973198455 |
16325 |
Kingsley, Jolene |
1639195837 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2013 |
2014 |
2 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
29750 |
8500 |
40.5834973202 |
-122.385354439 |
-118.38192507728 |
34.0752336649018 |
16330 |
SZEFTEL, ROXY |
1639153570 |
Physician |
PSYCHIATRY |
8730 Alden Drive, Thalians, W129 |
Los Angeles |
Los Angeles |
90048 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0752336651 |
-118.381925077 |
-122.231195302121 |
37.7991749638535 |
16334 |
Swift, Upasna |
1639205172 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
16342 |
RAMIREDDY, OBULAREDDY |
1639216559 |
Physician |
ANESTHESIOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.144961999996 |
33.9013980004174 |
16345 |
lee, mia |
1639216245 |
Dentist |
UNKNOWN |
14525 Lakewood Blvd |
Paramount |
Los Angeles |
90723 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.901398 |
-118.144962 |
-122.132916000373 |
38.0065680004129 |
16346 |
Lockhart, Ann |
1639219876 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2017 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.420664000443 |
37.747205999957 |
16347 |
BLOCK, ROBERT |
1639219355 |
Nurse Practitioner |
CERTIFIED REGISTERED NURSE ANESTHETIST |
3555 Cesar Chavez |
San Francisco |
San Francisco |
94110 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.747206 |
-122.420664 |
-118.349731509102 |
33.954067100916 |
16350 |
Fernandes, Antone |
1639225089 |
Dentist |
UNKNOWN |
300 E Buckthorn Street |
Inglewood |
Los Angeles |
90301 |
California |
2015 |
2015 |
1 |
AIU |
CHILDREN'S DENTAL CENTER THE |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-122.132916000373 |
38.0065680004129 |
16357 |
Furtado, Marcia |
1639235823 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.008769719747 |
33.8172377040568 |
16363 |
Dinh, Chinh |
1639244049 |
Physician |
FAMILY PRACTICE |
3414 W Ball Rd, Suite F |
Anaheim |
Orange |
92804 |
California |
2013 |
2013 |
2 |
MU |
CHINH T APMC DINH |
1093958464 |
29750 |
8500 |
33.8172377044 |
-118.00876972 |
-121.931844043068 |
37.3128740632874 |
16364 |
Kirpekar, Rashmi |
1639245319 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.028876790931 |
36.9749133592642 |
16398 |
Deraco, Anna |
1639291867 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2013 |
2014 |
2 |
MU |
CRUZ WOMEN'S SANTA |
1902923329 |
29750 |
8500 |
36.9749133589 |
-122.028876791 |
-121.77044549976 |
36.9377279997474 |
16412 |
Bielas-Flynn, Barbara |
1639309768 |
Nurse Practitioner |
UNKNOWN |
252 Green Valley Rd |
Freedom |
Santa Cruz |
95019 |
California |
2014 |
2015 |
4 |
MU |
COAST PEDIATRIC PACIFIC |
1619152402 |
46750 |
8500 |
36.937728 |
-121.7704455 |
-121.941903022207 |
37.7734063807999 |
16414 |
milani, nahal |
1639320963 |
Dentist |
UNKNOWN |
2246 Dewberry Dr |
San Ramon |
Contra Costa |
94582 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY COMPREHENSIVE |
1245210749 |
21250 |
21250 |
37.7734063805 |
-121.941903022 |
-117.15612921659 |
33.1407478633233 |
16426 |
Dodge, Geraldine |
1639335771 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.748589048346 |
38.4279142321561 |
16427 |
Friedman, Rachel |
1639345416 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-122.132916000373 |
38.0065680004129 |
16428 |
Fraser-Hulthage, Anna |
1639352131 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA COUNTY CONTRA |
1346328507 |
63750 |
8500 |
38.006568 |
-122.132916 |
-119.337547068442 |
36.2234687042174 |
16429 |
Akabike, Nkiruka |
1639356678 |
Physician |
UNKNOWN |
1101 Cherry Street |
Tulare |
Tulare |
93274 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HEALTH TULARE |
1023011632 |
21250 |
21250 |
36.2234687039 |
-119.337547068 |
-121.931844043068 |
37.3128740632874 |
16430 |
Gerlach, Melissa |
1639356553 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.452297394109 |
36.6078683752254 |
16432 |
Dominguez, Aaron |
1639360613 |
Physician |
UNKNOWN |
550 W Cypress Ave |
Reedley |
Fresno |
93654 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1962805283 |
29750 |
8500 |
36.6078683755 |
-119.452297394 |
-116.32904549985 |
33.1939799996773 |
16437 |
Patterson, Patricia |
1639362015 |
Dentist |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-121.620135641347 |
39.1559550570803 |
16439 |
SINGH, HARDEEP |
1639369168 |
Physician |
UNKNOWN |
1965 Live Oak Blvd |
Yuba City |
UNKNOWN |
95991 |
California |
2016 |
2017 |
1 |
AIU |
County of Sutter |
1487872263 |
21250 |
21250 |
39.1559550572 |
-121.620135641 |
-122.020145999838 |
37.3941629997227 |
16442 |
Chotai, Namisha |
1639377872 |
Physician |
FAMILY PRACTICE |
785 Morse Ave |
Sunnyvale |
Santa Clara |
94085 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY HLTH MAYVIEW |
1780796540 |
21250 |
21250 |
37.394163 |
-122.020146 |
-122.231195302121 |
37.7991749638535 |
16452 |
Barnett, Farrell |
1639391170 |
Physician |
INTERNAL MEDICINE |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
16466 |
Garg, Shally |
1639437916 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.532927443447 |
38.0685794121102 |
16483 |
Nahrwold, Tara |
1639487473 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2017 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-121.931844043068 |
37.3128740632874 |
16489 |
Layokun, Monilola |
1639508195 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.385354438756 |
40.5834973198455 |
16498 |
EUSEBIO, ESPERANZA |
1639543994 |
Nurse Practitioner |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
1 |
AIU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-122.730009116028 |
38.4800536013926 |
16503 |
Coutinho, Anastasia |
1639564560 |
Physician |
UNKNOWN |
3569 Round Barn Cir, Suite 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2017 |
2018 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-119.337547068442 |
36.2234687042174 |
16505 |
Gilbuena, Frances |
1639573801 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1101 Cherry Street |
Tulare |
Tulare |
93274 |
California |
2016 |
2016 |
1 |
AIU |
COMMUNITY HEALTH TULARE |
1023011632 |
21250 |
21250 |
36.2234687039 |
-119.337547068 |
-119.800377524303 |
36.8843745979094 |
16509 |
Ebenezer, Ashley |
1639596950 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2017 |
2018 |
2 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
29750 |
8500 |
36.8843745978 |
-119.800377524 |
-119.251855838176 |
34.2762568924417 |
16523 |
DYER, JEFFREY |
1649215260 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-116.198875146571 |
33.645612610034 |
16531 |
sloan, eric |
1649237280 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
55497 Van Buren St |
Thermal |
Riverside |
92274 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.6456126105 |
-116.198875147 |
-123.801499006874 |
39.4322470387699 |
16550 |
Newell, David |
1649282674 |
Physician |
INTERNAL MEDICINE |
721 River Drive, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2013 |
2014 |
2 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
29750 |
8500 |
39.4322470385 |
-123.801499007 |
-118.476397288904 |
34.2356750525617 |
16554 |
Ghafur, Naeemah |
1649292459 |
Physician |
UNKNOWN |
9119 Haskell Ave |
North Hills |
Los Angeles |
91343 |
California |
2020 |
2020 |
5 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
55250 |
8500 |
34.2356750533 |
-118.476397289 |
-117.974312355631 |
33.7738337619186 |
16560 |
Chavez, Carlos |
1649298639 |
Dentist |
UNKNOWN |
9042 Garden Grove Blvd, Suite 140 |
Garden Grove |
Orange |
92844 |
California |
2015 |
2015 |
1 |
AIU |
Carlos Enrique Chavez |
1649298639 |
21250 |
21250 |
33.7738337624 |
-117.974312356 |
-118.329789269359 |
34.0979749635737 |
16561 |
Brown, Diane |
1649298282 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.733489943806 |
38.458380780049 |
16565 |
Machado, Asterita |
1649309014 |
Dentist |
UNKNOWN |
1331 Guerneville Rd, Suite G |
Santa Rosa |
Sonoma |
95403 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4583807805 |
-122.733489944 |
-118.291512266878 |
34.0315089570728 |
16570 |
Chun, Faith |
1649310269 |
Dentist |
UNKNOWN |
2604 S Vermont Ave Ste F |
Los Angeles |
Los Angeles |
90007 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.031508957 |
-118.291512267 |
-118.097980794878 |
34.1497971437233 |
16583 |
Yates, Nancy |
1649323692 |
Nurse Practitioner |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2015 |
2016 |
1 |
AIU |
CLINICS PACIFIC |
1932244985 |
21250 |
21250 |
34.149797144 |
-118.097980795 |
-122.385354438756 |
40.5834973198455 |
16585 |
Nix, Tawana |
1649324294 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY HLTH CT SHASTA |
1013931476 |
29750 |
8500 |
40.5834973202 |
-122.385354439 |
-122.132916000373 |
38.0065680004129 |
16594 |
Wildfire, Gila |
1649348137 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
16597 |
Harvey, Ann |
1649349135 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
3 |
MU |
COSTA COUNTY CONTRA |
1962587071 |
38250 |
8500 |
38.006568 |
-122.132916 |
-117.352773353707 |
34.071932436233 |
16599 |
Fitzmorris, Steven |
1649351198 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
400 N PEPPER AVE |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
CARDIOLOGY MED ARROWHEAD |
1437230067 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-118.318967999673 |
33.9164744528338 |
16601 |
baig, eram |
1649352121 |
Physician |
PSYCHIATRY |
2311 W El Segundo Blvd |
Hawthorne |
Los Angeles |
90250 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.916474453 |
-118.318968 |
-117.102322508777 |
32.7514272099978 |
16610 |
Schweer, Sherri |
1649363565 |
Nurse Practitioner |
NURSE PRACTITIONER |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2014 |
2015 |
3 |
MU |
COMM CLINIC MID-CITY |
1306827332 |
38250 |
8500 |
32.7514272104 |
-117.102322509 |
-117.00700650015 |
32.7807720002277 |
16614 |
Segnit, Robert |
1649364746 |
Physician |
UNKNOWN |
8851 Center Dr, Ste 210 |
La Mesa |
San Diego |
91942 |
California |
2018 |
2020 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
32.780772 |
-117.0070065 |
-121.931844043068 |
37.3128740632874 |
16618 |
Garland, Adela |
1649368754 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
16622 |
JUBRAN, RIMA |
1649379140 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.98018152206 |
36.9883873259144 |
16624 |
Taff, Joshua |
1649380783 |
Dentist |
UNKNOWN |
1830 Commercial Way |
Santa Cruz |
Santa Cruz |
95065 |
California |
2013 |
2014 |
1 |
AIU |
COMMUNITY DENTAL DIENTES |
1437213279 |
21250 |
21250 |
36.9883873258 |
-121.980181522 |
-123.803844077242 |
39.43025401611 |
16637 |
MARTIN, JOSEPH |
1649391889 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2013 |
2014 |
1 |
AIU |
COAST CLINICS MENDOCINO |
1083783757 |
21250 |
21250 |
39.4302540158 |
-123.803844077 |
-122.133636000301 |
37.4709959995658 |
16643 |
Allen, Margaret |
1649393802 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1798 Bay Rd # A |
East Palo Alto |
San Mateo |
94303 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.470996 |
-122.133636 |
-117.102322508777 |
32.7514272099978 |
16655 |
Bono Foltz, Justine |
1649421116 |
Nurse Practitioner |
UNKNOWN |
4290 Polk Avenue |
San Diego |
San Diego |
92105 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC MID-CITY |
1306827332 |
21250 |
21250 |
32.7514272104 |
-117.102322509 |
-118.641453009848 |
34.1430549856991 |
16675 |
Sanjideh, Payam |
1649469768 |
Dentist |
UNKNOWN |
23487 Park Colombo |
Calabasas |
Los Angeles |
91302 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.1430549862 |
-118.64145301 |
-118.193363999949 |
33.8000489995617 |
16683 |
Guevara, Gabriel |
1649476672 |
Dentist |
UNKNOWN |
2360 Pacific Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
2 |
MU |
CARE DENTAL UNIVERSAL |
1407972219 |
29750 |
8500 |
33.800049 |
-118.193364 |
-121.931844043068 |
37.3128740632874 |
16684 |
Sa, Tanya |
1649476748 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.173367945774 |
37.769210747578 |
16693 |
mccartney, marilyn |
1649490046 |
Physician |
UNKNOWN |
6955 Foothill Blvd, #200 |
oakland |
Alameda |
94605 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.7692107483 |
-122.173367946 |
-118.256434514441 |
33.9855840003014 |
16697 |
Tefera, Solomon |
1649488479 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
5970 S Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2014 |
2015 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-117.352773353707 |
34.071932436233 |
16705 |
Ramakrishnan, Vivek |
1649505009 |
Physician |
UNKNOWN |
400 N Pepper Ave, MOB Suite 308 |
Colton |
San Bernardino |
92324 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-118.075851000124 |
34.0629929997272 |
16712 |
Ngo, Anna |
1649525437 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
8841 Garvey Ave |
Rosemead |
Los Angeles |
91770 |
California |
2020 |
2020 |
4 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
46750 |
8500 |
34.062993 |
-118.075851 |
-123.211126833337 |
39.1278118681233 |
16713 |
Bilderbeck, Eva |
1649531088 |
Certified Nurse - Midwife |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-118.184624999844 |
33.8077440000856 |
16715 |
Lizcano, Jennifer |
1649534900 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2015 |
2017 |
1 |
AIU |
CLINIC, THE CHILDREN'S |
1639233935 |
21250 |
21250 |
33.807744 |
-118.184625 |
-122.231195302121 |
37.7991749638535 |
16717 |
Babey, Muriel |
1649513797 |
Physician |
UNKNOWN |
1411 E 31st St, QIC 22134, 3rd Floor |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.200469500267 |
33.9291630001724 |
16726 |
Liu, Christine |
1649556309 |
Nurse Practitioner |
UNKNOWN |
3737 Martin Luther King Jr Blvd, Suite 605B |
Lynwood |
Los Angeles |
90262 |
California |
2012 |
2013 |
1 |
AIU |
CHRISTINE M NP LIU |
1649556309 |
21250 |
21250 |
33.929163 |
-118.2004695 |
-117.29368569284 |
33.0374764437829 |
16732 |
Viader, Meghan |
1649582289 |
Nurse Practitioner |
NURSE PRACTITIONER |
1130 2nd Street |
Encinitas |
San Diego |
92024 |
California |
2016 |
2017 |
3 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
38250 |
8500 |
33.0374764438 |
-117.293685693 |
-120.391143022632 |
37.9787365848256 |
16740 |
Jones, Christopher |
1649594417 |
Physician |
UNKNOWN |
193 Fairview Lane |
Sonora |
Tuolumne |
95370 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
46750 |
8500 |
37.9787365855 |
-120.391143023 |
-122.132916000373 |
38.0065680004129 |
16741 |
Ramos, Mena |
1649609355 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-118.2899025002 |
33.7385069997982 |
16747 |
Pumpuang, Maiteeny |
1649614835 |
Physician |
UNKNOWN |
593 W 6th St |
San Pedro |
Los Angeles |
90731 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY CLINIC HARBOR |
1467490425 |
29750 |
8500 |
33.738507 |
-118.2899025 |
-120.723421943068 |
37.3798552940866 |
16757 |
Rogers, Amy |
1649679390 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1140 Main St |
Livingston |
Merced |
95334 |
California |
2015 |
2016 |
1 |
AIU |
COMM HLTH SVS LIVINGSTON |
1427110329 |
21250 |
21250 |
37.3798552945 |
-120.723421943 |
-117.152023500284 |
32.7983220001602 |
16763 |
Callahan, Abigail |
1649655317 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
3 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-119.783164500341 |
36.7465230001364 |
16777 |
Srivatsa, Preeti |
1659326775 |
Physician |
UNKNOWN |
290 N Wayte Ln |
Fresno |
Fresno |
93701 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1497006126 |
29750 |
8500 |
36.746523 |
-119.7831645 |
-121.931844043068 |
37.3128740632874 |
16780 |
Duggal, Neena |
1659333730 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
16781 |
Egbert, James |
1659333540 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
16782 |
Jiang, Wen |
1659305753 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.256769000189 |
34.0030619996116 |
16797 |
Castillo, Hector |
1659366136 |
Physician |
FAMILY PRACTICE |
4425 S. Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2012 |
2013 |
2 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
29750 |
8500 |
34.003062 |
-118.256769 |
-117.885446682219 |
33.7111736116729 |
16818 |
ESTRADA, RAUL |
1659396141 |
Physician |
UNKNOWN |
2650 S Bristol St, STE. 101-103 |
Santa Ana |
Orange |
92704 |
California |
2020 |
2020 |
5 |
MU |
COAST PEDIATRICS SOUTH |
1568495364 |
55250 |
8500 |
33.7111736123 |
-117.885446682 |
-121.931844043068 |
37.3128740632874 |
16822 |
fulara, indira |
1659399244 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.353629385787 |
33.8367377048812 |
16827 |
Bhalla, Pooja |
1659416758 |
Dentist |
UNKNOWN |
21229 Hawthorne Blvd. |
Torrance |
Los Angeles |
90503 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.8367377047 |
-118.353629386 |
-122.338322546948 |
37.9532997526815 |
16836 |
Swope, Brian |
1659410140 |
Physician |
PEDIATRIC MEDICINE |
Brookside Community Health Center, 2023 Vale Road, Suite 107 |
San Pablo |
Contra Costa |
94806 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
37.953299753 |
-122.338322547 |
-119.800377524303 |
36.8843745979094 |
16841 |
Gilliam, Lisa |
1659434074 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
63750 |
8500 |
36.8843745978 |
-119.800377524 |
-119.800377524303 |
36.8843745979094 |
16842 |
Gleason, Erin |
1659434959 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
63750 |
8500 |
36.8843745978 |
-119.800377524 |
-122.132916000373 |
38.0065680004129 |
16849 |
Sinha, Nanda |
1659441749 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-117.122650002795 |
32.812365973311 |
16850 |
LEAKE, JOHN |
1659442408 |
Physician |
PEDIATRIC MEDICINE |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2012 |
2013 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.8123659731 |
-117.122650003 |
-122.532927443447 |
38.0685794121102 |
16858 |
Maclaughlin, Kathryn |
1659450427 |
Nurse Practitioner |
UNKNOWN |
9 COMMERCIAL BLVD, SUITE 103 |
NOVATO |
Marin |
94945 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0685794125 |
-122.532927443 |
-117.913058999573 |
33.774506513265 |
16861 |
Tran, Christine |
1659451482 |
Physician |
UNKNOWN |
12555 Garden Grove Blvd., Ste. 304 |
Garden Grove |
Orange |
92843 |
California |
2011 |
2012 |
1 |
AIU |
CHRISTINE H MD INC TRAN |
1659451482 |
21250 |
21250 |
33.7745065132 |
-117.913059 |
-121.931844043068 |
37.3128740632874 |
16875 |
Noonan, John |
1659466068 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
16876 |
HOFFMAN, JILL |
1659465771 |
Physician |
INFECTIOUS DISEASE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
16881 |
Buskirk, James |
1659474963 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.888678000289 |
33.7883670004368 |
16883 |
CLASTER, SUSAN |
1659471829 |
Physician |
UNKNOWN |
UCI Medical Center, 101 The City Drive South |
Orange |
Orange |
92868 |
California |
2020 |
2020 |
6 |
MU |
CENTER FOR COMPREHENSIVE THE |
1679875942 |
63750 |
8500 |
33.788367 |
-117.888678 |
-118.329789269359 |
34.0979749635737 |
16885 |
Ong, Peck |
1659478865 |
Physician |
ALLERGY/IMMUNOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.017646291043 |
36.9915277342176 |
16887 |
Christie, Michael |
1659486512 |
Physician |
PSYCHIATRY |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2012 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-117.536182504619 |
33.8469660002808 |
16891 |
Lee, Alan |
1659497535 |
Physician |
UNKNOWN |
2115 Compton Ave, Suite 100 |
Corona |
Riverside |
92881 |
California |
2012 |
2012 |
1 |
AIU |
COMPREHENSIVE CARE VANTAGE |
1154550812 |
21250 |
21250 |
33.846966 |
-117.536182505 |
-117.15612921659 |
33.1407478633233 |
16898 |
Freeman, Wanda |
1659504264 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
5 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
17000 |
8500 |
33.1407478629 |
-117.156129217 |
-121.931844043068 |
37.3128740632874 |
16899 |
Naidu, Jennifer |
1659508117 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
16905 |
Baez, Elizabeth |
1659519940 |
Nurse Practitioner |
NURSE PRACTITIONER |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-118.329789269359 |
34.0979749635737 |
16906 |
DETTERICH, JON |
1659518884 |
Physician |
EMERGENCY MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-119.451067796042 |
36.6088634615795 |
16916 |
Utarnachitt, Ryan |
1659545796 |
Physician |
UNKNOWN |
1419 N Acacia Ave Ste 101 |
Reedley |
UNKNOWN |
93654 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1326063199 |
29750 |
8500 |
36.608863462 |
-119.451067796 |
-122.224776035785 |
37.7798441425932 |
16919 |
Tam, Karbo |
1659553410 |
Physician |
OBSTETRICS/GYNECOLOGY |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.336979694257 |
36.2246418923095 |
16920 |
Ikedilo, Adanna |
1659554509 |
Physician |
OBSTETRICS/GYNECOLOGY |
1201 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2013 |
2014 |
1 |
AIU |
COMMUNITY HEALTH TULARE |
1023011632 |
21250 |
21250 |
36.2246418916 |
-119.336979694 |
-117.866853000166 |
33.7811759997726 |
16922 |
Soni, Amit |
1659539211 |
Physician |
UNKNOWN |
455 S Main St, PSF Hematology |
Orange |
Orange |
92868 |
California |
2020 |
2020 |
4 |
MU |
CENTER FOR COMPREHENSIVE THE |
1679875942 |
46750 |
8500 |
33.781176 |
-117.866853 |
-122.730009116028 |
38.4800536013926 |
16924 |
Blaufarb, Pamela |
1659558948 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-117.15612921659 |
33.1407478633233 |
16926 |
Safi, Roozchehr |
1659563641 |
Physician |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
42500 |
8500 |
33.1407478629 |
-117.156129217 |
-123.801499006874 |
39.4322470387699 |
16927 |
Magoffin, Marilyn |
1659562742 |
Nurse Practitioner |
NURSE PRACTITIONER |
721 River Dr, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2017 |
2018 |
6 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
63750 |
8500 |
39.4322470385 |
-123.801499007 |
-122.532927443447 |
38.0685794121102 |
16928 |
ALBUJAR, ROSE MARY |
1659563849 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Alameda |
94545 |
California |
2015 |
2017 |
3 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
38250 |
8500 |
38.0685794125 |
-122.532927443 |
-118.463696418155 |
34.2281841459816 |
16946 |
pepper, Gayle |
1659597144 |
Nurse Practitioner |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2017 |
2018 |
5 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
55250 |
8500 |
34.228184146 |
-118.463696418 |
-117.15612921659 |
33.1407478633233 |
16947 |
Mata, Roxana |
1659597599 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
5 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
55250 |
8500 |
33.1407478629 |
-117.156129217 |
-122.132916000373 |
38.0065680004129 |
16950 |
Lee, Rebecca |
1659603942 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA COUNTY CONTRA |
1962587071 |
63750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
16962 |
Ku, Kevin |
1659639011 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
16969 |
Ginger, Kristen |
1659646792 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-123.211126833337 |
39.1278118681233 |
16991 |
Wyatt, Carolyn |
1659699569 |
Nurse Practitioner |
NURSE PRACTITIONER |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
63750 |
8500 |
39.1278118679 |
-123.211126833 |
-122.267252075423 |
37.8373378810384 |
16996 |
Espiritu, Chiara |
1659711786 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2015 |
2015 |
1 |
AIU |
Chiara Itchon Espiritu |
1659711786 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
-122.730009116028 |
38.4800536013926 |
17003 |
Chang, Julia |
1659744423 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-118.023591402321 |
34.0657268488151 |
17009 |
Kuo, Chloe |
1659780328 |
Dentist |
UNKNOWN |
11733 Valley Blvd |
El Monte |
Los Angeles |
91732 |
California |
2020 |
2020 |
4 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
46750 |
8500 |
34.0657268488 |
-118.023591402 |
-118.413825981784 |
34.1944379999138 |
17025 |
TRAN, ANDREW |
1669408621 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
21250 |
21250 |
34.194438 |
-118.413825982 |
-118.246086000369 |
33.9747195029028 |
17051 |
Neumann, Pacita |
1669471363 |
Physician |
GENERAL PRACTICE |
1542 E Florence Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2012 |
2013 |
1 |
AIU |
CITY MEDICAL GROUP CROWN |
1962525964 |
21250 |
21250 |
33.9747195032 |
-118.246086 |
-117.228721500197 |
33.2096760004471 |
17058 |
Edmiston, Elaine |
1669488680 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2014 |
2015 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-121.564627868581 |
39.5000182070747 |
17063 |
Reid, Beth |
1669495107 |
Nurse Practitioner |
UNKNOWN |
900 Oro Dam Blvd. |
Oroville |
Butte |
95965 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.5000182074 |
-121.564627869 |
-121.931844043068 |
37.3128740632874 |
17074 |
Shukla, Yogini |
1669505467 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.262725564433 |
33.7831557169628 |
17089 |
Arnwine, Andrea |
1669531307 |
Nurse Practitioner |
UNKNOWN |
1009 N Avalon Blvd |
Wilmington |
Los Angeles |
90744 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY CLN WILMINGTON |
1932194586 |
21250 |
21250 |
33.7831557172 |
-118.262725564 |
-121.931844043068 |
37.3128740632874 |
17098 |
Johnson, Eric |
1669537767 |
Dentist |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-122.730009116028 |
38.4800536013926 |
17101 |
Threlfall, Alexander |
1669538187 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-123.211126833337 |
39.1278118681233 |
17103 |
Lewis, Douglas |
1669542627 |
Dentist |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
46750 |
8500 |
39.1278118679 |
-123.211126833 |
-122.224776035785 |
37.7798441425932 |
17109 |
Gray, Andrea |
1669553418 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.759074820247 |
36.8388534448306 |
17112 |
Kim, Vivian |
1669560041 |
Physician |
OPHTHALMOLOGY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2013 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-117.152023500284 |
32.7983220001602 |
17114 |
PRANSKY, SETH |
1669543427 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
17115 |
Aggarwal, Meenakshi |
1669560249 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
17121 |
Yoo, Jennifer |
1669565321 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
17122 |
Patel, Bina |
1669566451 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.63151699981 |
36.7040969996768 |
17123 |
Morris, Paul |
1669568168 |
Dentist |
UNKNOWN |
633 E Alvin Dr Suite B |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Central Coast Pediatric Dental Group |
1205922705 |
21250 |
21250 |
36.704097 |
-121.631517 |
-121.931844043068 |
37.3128740632874 |
17124 |
Nguyen, Vu |
1669568135 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
17129 |
Ansari, Nelofer |
1669575783 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
17130 |
Ferrazares, David |
1669576294 |
Physician |
PEDIATRIC MEDICINE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.329789269359 |
34.0979749635737 |
17132 |
KANG, DAVID |
1669569463 |
Dentist |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-119.452023000161 |
36.6078234837668 |
17133 |
Austin, Monteith |
1669578639 |
Physician |
UNKNOWN |
372 W Cypress Ave |
Reedley |
Fresno |
93654 |
California |
2015 |
2016 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1093980823 |
29750 |
8500 |
36.6078234835 |
-119.452023 |
-121.931844043068 |
37.3128740632874 |
17137 |
Samman, Antoine |
1669585410 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
UNKNOWN |
95128 |
California |
2015 |
2016 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
17139 |
Singh, Sharad |
1669578209 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE, Anesthesiology Dept |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.748589048346 |
38.4279142321561 |
17146 |
KISER, JULIE |
1669606505 |
Physician |
UNKNOWN |
751 Lombardi Ct # B |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-123.211126833337 |
39.1278118681233 |
17148 |
LIEBEN, KATRINA |
1669610812 |
Certified Nurse - Midwife |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
46750 |
8500 |
39.1278118679 |
-123.211126833 |
-122.439591000025 |
37.7160389998 |
17149 |
Xu, Chengyu |
1669600086 |
Physician |
UNKNOWN |
888 Paris St, Ste 202 |
San Francisco |
San Francisco |
94112 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH CHINESE |
1487684452 |
21250 |
21250 |
37.716039 |
-122.439591 |
-122.730705722791 |
38.4794050139303 |
17151 |
Zarate, Ramiro |
1669612834 |
Nurse Practitioner |
UNKNOWN |
3562 Round Barn Circle, Suite 216 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2019 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4794050143 |
-122.730705723 |
-118.40746499961 |
34.0681680000532 |
17153 |
Walsh, Sara |
1669613378 |
Nurse Practitioner |
UNKNOWN |
465 N Roxbury Dr Ste 903 |
Beverly Hills |
Los Angeles |
90210 |
California |
2016 |
2017 |
3 |
MU |
COMM HOSP SONORA |
1003014952 |
38250 |
8500 |
34.068168 |
-118.407465 |
-118.231099981979 |
34.0592099889499 |
17154 |
Kidwell, David |
1669611950 |
Physician |
UNKNOWN |
450 Bauchet St, Twin Towers Correctional Facility |
Los Angeles |
Los Angeles |
90012 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0592099889 |
-118.231099982 |
-122.224776035785 |
37.7798441425932 |
17159 |
Chen, Frank |
1669624391 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.256769000189 |
34.0030619996116 |
17169 |
Camarena, Juan |
1669637070 |
Dentist |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
3 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
38250 |
8500 |
34.003062 |
-118.256769 |
-119.810352082283 |
34.4349135278371 |
17170 |
Taketani, Tamara |
1669642385 |
Physician |
UNKNOWN |
5333 Hollister Ave, Suite 250 |
santa barbara |
Santa Barbara |
93111 |
California |
2016 |
2017 |
2 |
MU |
CENTRAL COAST CHILDRENS |
1265681399 |
29750 |
8500 |
34.4349135284 |
-119.810352082 |
-121.931844043068 |
37.3128740632874 |
17181 |
Cho, Nam |
1669668323 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931761542861 |
37.3141238808125 |
17197 |
Jayakar, Saranya |
1669713624 |
Physician |
UNKNOWN |
750 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.314123881 |
-121.931761543 |
-122.269546710013 |
37.8361179839578 |
17205 |
Clark-Derman, Corina |
1669734778 |
Nurse Practitioner |
UNKNOWN |
5103 West St Apt A |
Oakland |
Alameda |
94608 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.8361179842 |
-122.26954671 |
-121.931844043068 |
37.3128740632874 |
17212 |
Teodoro, Alvin Patrick |
1669767976 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
17000 |
8500 |
37.3128740633 |
-121.931844043 |
-117.721502999963 |
34.0619039998697 |
17224 |
Galustian, Caroline |
1669809000 |
Nurse Practitioner |
UNKNOWN |
1450 E Holt Ave |
Pomona |
Los Angeles |
91767 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HEALTH POMONA |
1417211426 |
21250 |
21250 |
34.061904 |
-117.721503 |
-118.463696418155 |
34.2281841459816 |
17228 |
Portugal, Alna |
1669813648 |
Nurse Practitioner |
UNKNOWN |
15206 Parthenia Street, |
North Hills |
Los Angeles |
91340 |
California |
2017 |
2018 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.228184146 |
-118.463696418 |
-121.931844043068 |
37.3128740632874 |
17234 |
Ding, Annie |
1669856654 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
UNKNOWN |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
17235 |
Martinez, Yajaira |
1669872404 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-120.060166500384 |
36.7205355023116 |
17245 |
Garibay, Julio |
1669928644 |
Nurse Practitioner |
UNKNOWN |
1000 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1902823461 |
21250 |
21250 |
36.7205355017 |
-120.0601665 |
-118.393975957624 |
34.2395150830547 |
17266 |
EIPE, JOSEPH |
1679515126 |
Physician |
EMERGENCY MEDICINE |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2013 |
2014 |
3 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
38250 |
8500 |
34.2395150827 |
-118.393975958 |
-122.499895500277 |
37.96045199976 |
17271 |
Jacobs, Mark |
1679533186 |
Physician |
OBSTETRICS/GYNECOLOGY |
3260 Kerner Blvd, Suite A |
San Rafael |
Marin |
94901 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1922303437 |
21250 |
21250 |
37.960452 |
-122.4998955 |
-119.018416499822 |
35.3738699996009 |
17275 |
Frigon, Carolyn |
1679535884 |
Physician |
UNKNOWN |
1430 Truxtun Ave, Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1811914377 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.931761542861 |
37.3141238808125 |
17279 |
Mele, Christopher |
1679539340 |
Physician |
UNKNOWN |
750 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.314123881 |
-121.931761543 |
-122.562698424193 |
38.095736927917 |
17286 |
Lopez, Michael |
1679559348 |
Dentist |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-118.072698111029 |
34.0625758653839 |
17295 |
TRUONG, CAROLINE |
1679579809 |
Physician |
UNKNOWN |
9014 Garvey Ave, Ste I |
Rosemead |
Los Angeles |
91770 |
California |
2013 |
2015 |
3 |
MU |
CAROLINE N MD TRUONG |
1679579809 |
38250 |
8500 |
34.0625758653 |
-118.072698111 |
-122.231195302121 |
37.7991749638535 |
17306 |
Pierce, Lasha |
1679583231 |
Physician |
OBSTETRICS/GYNECOLOGY |
1411 E 31st Street, Oak Care Medical Grp |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
17309 |
Roux, Joan |
1679602163 |
Physician |
UNKNOWN |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.751099499642 |
34.0750530000959 |
17318 |
Chen, Elaine |
1679622096 |
Physician |
UNKNOWN |
160 E artesia, room 235 |
pomona |
Los Angeles |
91767 |
California |
2012 |
2013 |
2 |
MU |
CHING-CHIH D MD INC HUANG |
1033139647 |
29750 |
8500 |
34.075053 |
-117.7510995 |
-122.094351973864 |
37.6584567257973 |
17324 |
Hollister, Nancy |
1679629018 |
Nurse Practitioner |
UNKNOWN |
24100 Amador St |
Hayward |
Alameda |
94544 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.6584567258 |
-122.094351974 |
-122.335848000285 |
37.570598999944 |
17326 |
Ogawa, Thomas |
1679626451 |
Dentist |
UNKNOWN |
430 North El Camino Real |
San Mateo |
San Mateo |
94401 |
California |
2016 |
2016 |
1 |
AIU |
COASTSIDE MEDICAL DENTAL THE |
1205215795 |
21250 |
21250 |
37.570599 |
-122.335848 |
-118.43748018856 |
34.0404355863333 |
17327 |
Zuker, Tara |
1679631972 |
Physician |
PSYCHIATRY |
11080 W Olympic Blvd |
Los Angeles |
Los Angeles |
90064 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0404355856 |
-118.437480189 |
-117.352773353707 |
34.071932436233 |
17342 |
Leach, Carolyn |
1679650261 |
Physician |
UNKNOWN |
400 N Pepper Ave |
Colton |
San Bernardino |
92324 |
California |
2012 |
2013 |
1 |
AIU |
Carolyn Suzanne Leach |
1679650261 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-117.152023500284 |
32.7983220001602 |
17345 |
NEWFIELD, RON |
1679644421 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.352773353707 |
34.071932436233 |
17348 |
Raphael, Lawrence |
1679654164 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
400 N Pepper Ave |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
CARDIOLOGY MED ARROWHEAD |
1437230067 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-122.279482327348 |
38.1061310762882 |
17355 |
Darling, Meisha |
1679657316 |
Nurse Practitioner |
NURSE PRACTITIONER |
665 Walnut Ave |
Vallejo |
Solano |
94592 |
California |
2012 |
2013 |
1 |
AIU |
CITY UNIFIED SCHOOL VALLEJO |
1447386925 |
21250 |
21250 |
38.106131076 |
-122.279482327 |
-118.329556815295 |
34.0979414719214 |
17366 |
CHOI, PAUL |
1679666713 |
Physician |
ORTHOPEDIC SURGERY |
6420 W Sunset Blvd |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.097941472 |
-118.329556815 |
-119.783164500341 |
36.7465230001364 |
17367 |
MANSOUR, JOSEPH |
1679668420 |
Physician |
UNKNOWN |
290 N Wayte Ln |
Fresno |
Fresno |
93701 |
California |
2014 |
2015 |
1 |
AIU |
CALIFORNIA CENTRAL |
1992742852 |
21250 |
21250 |
36.746523 |
-119.7831645 |
-122.730009116028 |
38.4800536013926 |
17371 |
Lossy, Panna |
1679670673 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2019 |
2020 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.476397288904 |
34.2356750525617 |
17373 |
khaledy sultan, abdulrahman |
1679682652 |
Physician |
UNKNOWN |
9119 Haskell Ave |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
21250 |
21250 |
34.2356750533 |
-118.476397289 |
-122.132916000373 |
38.0065680004129 |
17385 |
Bergman, Kevin |
1679699300 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-117.228721500197 |
33.2096760004471 |
17386 |
CLARK, CYNTHIA |
1679698849 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-119.251855838176 |
34.2762568924417 |
17388 |
Butaud, Wade |
1679703094 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.231195302121 |
37.7991749638535 |
17390 |
valentine, cord |
1679708499 |
Physician |
UNKNOWN |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.256769000189 |
34.0030619996116 |
17396 |
Syeda, Sirajunnisa |
1679710404 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S Central Avenue |
Los Angeles |
Los Angeles |
90011 |
California |
2014 |
2016 |
1 |
AIU |
CENTRAL FAMILY SOUTH |
1396891909 |
21250 |
21250 |
34.003062 |
-118.256769 |
-117.228721500197 |
33.2096760004471 |
17397 |
Ochoa, Angel |
1679715122 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2013 |
2014 |
1 |
MU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.231195302121 |
37.7991749638535 |
17398 |
Moreno, Ismael |
1679716278 |
Physician |
UNKNOWN |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-119.251855838176 |
34.2762568924417 |
17410 |
Gruber, Christopher |
1679743405 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-121.931844043068 |
37.3128740632874 |
17416 |
Smeal, Mary |
1679754584 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.351150999719 |
36.3288240004273 |
17417 |
BINESH, BITA |
1679755607 |
Dentist |
UNKNOWN |
5435 W Hillsdale Ave |
Visalia |
Tulare |
93291 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
36.328824 |
-119.351151 |
-118.184624999844 |
33.8077440000856 |
17423 |
Serna, Alma |
1679765093 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
3 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
38250 |
8500 |
33.807744 |
-118.184625 |
-121.931844043068 |
37.3128740632874 |
17425 |
Hwang, Elizabeth |
1679765838 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.748589048346 |
38.4279142321561 |
17441 |
Walsh, Kathleen |
1679792485 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.748589048346 |
38.4279142321561 |
17442 |
Shah, Paulomi |
1679795793 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2020 |
2020 |
4 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
46750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.132916000373 |
38.0065680004129 |
17448 |
Sam, Michel |
1679801161 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-121.931761542861 |
37.3141238808125 |
17450 |
Nangare, Trupti |
1679805089 |
Physician |
UNKNOWN |
750 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.314123881 |
-121.931761543 |
-122.224776035785 |
37.7798441425932 |
17459 |
Tang, Puiman |
1679823298 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
17473 |
Block, Alison |
1679863609 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.398478499783 |
34.1866995081758 |
17482 |
Neagos, Negoita |
1679896674 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
12157 Victory Blvd |
North Hollywood |
Los Angeles |
91606 |
California |
2016 |
2017 |
5 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
55250 |
8500 |
34.1866995076 |
-118.3984785 |
-122.385354438756 |
40.5834973198455 |
17485 |
Cuff, William |
1679913735 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2014 |
2015 |
1 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-117.152023500284 |
32.7983220001602 |
17488 |
Fields, Kathryn |
1679867782 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-117.228721500197 |
33.2096760004471 |
17517 |
Werner, Marion |
1689007031 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace, Suite 730 |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
2 |
MU |
COMM CLINIC VISTA |
1295822658 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-122.224776035785 |
37.7798441425932 |
17518 |
Smith-Heimer, Alana |
1689022022 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
17527 |
Truong, Linda |
1689056780 |
Doctor of Optometry |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.499895500277 |
37.96045199976 |
17531 |
Jackson, Dana |
1689060063 |
Physician |
UNKNOWN |
3260 Kerner Blvd |
San Rafael |
Marin |
94901 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
37.960452 |
-122.4998955 |
-121.931844043068 |
37.3128740632874 |
17533 |
Scott, Jo Ann |
1689064479 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-116.239932000262 |
33.7065389995752 |
17540 |
Tannahill, Donna |
1689081390 |
Nurse Practitioner |
UNKNOWN |
81709 Dr Carreon Blvd Ste C3 |
Indio |
Riverside |
92201 |
California |
2015 |
2017 |
1 |
AIU |
COACHELLA VALLEY CARE MEDICAL ASSOCIATES INC |
1811319890 |
21250 |
21250 |
33.706539 |
-116.239932 |
-117.304475274015 |
34.5211773330675 |
17554 |
Telgt-McKinney, Yvonne |
1689607053 |
Physician |
FAMILY PRACTICE |
16519 Victor St., Suite 307 |
Victorville |
San Bernardino |
92395 |
California |
2014 |
2015 |
2 |
MU |
CHOICE FAMILY PRACTICE I CAL |
1164448593 |
29750 |
8500 |
34.5211773333 |
-117.304475274 |
-117.968426310826 |
33.7449987191156 |
17562 |
Nguyen, Cuong |
1689625451 |
Physician |
INTERNAL MEDICINE |
9211 Bolsa Ave, Ste 220 |
Westminster |
Orange |
92683 |
California |
2012 |
2013 |
1 |
AIU |
CUONG V MD NGUYEN |
1689625451 |
21250 |
21250 |
33.7449987186 |
-117.968426311 |
-122.743877948009 |
38.4400615036355 |
17579 |
Berg, Roberta |
1689643884 |
Physician |
UNKNOWN |
144 Stony Point Road, Sonoma County Indian Health Project |
Santa Rosa |
Sonoma |
95401 |
California |
2016 |
2017 |
4 |
MU |
CO INDIAN HEALTH SONOMA |
1265457980 |
46750 |
8500 |
38.4400615041 |
-122.743877948 |
-122.81837400016 |
38.3967809997434 |
17584 |
Bromer, Steven |
1689671968 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
6800 Palm Avenue, Suite C-1 |
Sebastopol |
Sonoma |
95472 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH CENTER WEST |
1538334065 |
63750 |
8500 |
38.396781 |
-122.818374 |
-118.303879499939 |
33.7978474870719 |
17587 |
Kuo, Cheng |
1689673840 |
Physician |
UNKNOWN |
1533 West Lomita Blvd |
Harbor City |
Los Angeles |
90710 |
California |
2012 |
2013 |
2 |
MU |
CHENG-LONG MD KUO |
1689673840 |
29750 |
8500 |
33.7978474874 |
-118.3038795 |
-122.231195302121 |
37.7991749638535 |
17595 |
Seevak, Evan |
1689684250 |
Physician |
INTERNAL MEDICINE |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-117.885446682219 |
33.7111736116729 |
17606 |
ESTRADA, JUAN |
1689699183 |
Physician |
UNKNOWN |
2650 S Bristol St, STE. 101-103 |
Santa Ana |
Orange |
92704 |
California |
2016 |
2017 |
4 |
MU |
COAST PEDIATRICS SOUTH |
1568495364 |
46750 |
8500 |
33.7111736123 |
-117.885446682 |
-119.564159055096 |
36.0997594969033 |
17607 |
Valdez, Florentino |
1689701567 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1310 Hanna Ave |
Corcoran |
Kings |
93212 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1679819742 |
38250 |
8500 |
36.0997594971 |
-119.564159055 |
-118.022159053897 |
34.1084790963333 |
17618 |
Khashayar, Shahin |
1689720575 |
Physician |
PSYCHIATRY |
330 E Live Oak Ave |
Arcadia |
Los Angeles |
91006 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1084790963 |
-118.022159054 |
-118.256769000189 |
34.0030619996116 |
17621 |
Noya, David |
1689721284 |
Physician |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
6 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
63750 |
8500 |
34.003062 |
-118.256769 |
-118.262725564433 |
33.7831557169628 |
17626 |
Kraft, Judith |
1689732646 |
Physician |
FAMILY PRACTICE |
1009 N Avalon Blvd |
Wilmington |
Los Angeles |
90744 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY CLN WILMINGTON |
1932194586 |
29750 |
8500 |
33.7831557172 |
-118.262725564 |
-118.256769000189 |
34.0030619996116 |
17634 |
devine-kyerematen, elizabeth |
1689735979 |
Nurse Practitioner |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
6 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
63750 |
8500 |
34.003062 |
-118.256769 |
-122.132916000373 |
38.0065680004129 |
17637 |
Chou, Cinnie |
1689741043 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1568540763 |
38250 |
8500 |
38.006568 |
-122.132916 |
-118.256769000189 |
34.0030619996116 |
17643 |
Lebovich, Vadim |
1689740664 |
Dentist |
UNKNOWN |
4425 S. Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2013 |
2014 |
1 |
AIU |
CENTRAL FAMILY SOUTH |
1396891909 |
21250 |
21250 |
34.003062 |
-118.256769 |
-122.231195302121 |
37.7991749638535 |
17647 |
Maus, Mark |
1689744518 |
Physician |
FAMILY PRACTICE |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.122650002795 |
32.812365973311 |
17648 |
GLEESON, JOSEPH |
1689745440 |
Physician |
UNKNOWN |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2013 |
2014 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.8123659731 |
-117.122650003 |
-119.800377524303 |
36.8843745979094 |
17649 |
Robbins, Cora |
1689745887 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Children's Place |
Madera |
Madera |
93636 |
California |
2018 |
2019 |
2 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
29750 |
8500 |
36.8843745978 |
-119.800377524 |
-121.63151699981 |
36.7040969996768 |
17655 |
Saisho, Kenji |
1689760175 |
Dentist |
UNKNOWN |
633 E Alvin Drive, Suite B |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Central Coast Pediatric Dental Group |
1205922705 |
21250 |
21250 |
36.704097 |
-121.631517 |
-117.0685633747 |
33.1327181189461 |
17660 |
RATNIEWSKI, ALFREDO |
1689768459 |
Physician |
INTERNAL MEDICINE |
1151 E Washington Ave, STE C |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH FOUNDATION BORREGO |
1023349883 |
21250 |
21250 |
33.1327181185 |
-117.068563375 |
-117.228721500197 |
33.2096760004471 |
17662 |
PETERSEN, ELLEN |
1689771354 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.562698424193 |
38.095736927917 |
17665 |
Leavitt, Lisa |
1689774234 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
3 |
MU |
COMM CLINIC MARIN |
1912091018 |
38250 |
8500 |
38.0957369279 |
-122.562698424 |
-120.436789165288 |
34.9632654601329 |
17666 |
Juretic, Mark |
1689778029 |
Physician |
UNKNOWN |
117 W Bunny Ave |
Santa Maria |
Santa Barbara |
93458 |
California |
2016 |
2016 |
1 |
AIU |
COMMUNITY CLINIC MARIAN |
1063496651 |
21250 |
21250 |
34.9632654605 |
-120.436789165 |
-118.329789269359 |
34.0979749635737 |
17669 |
KUNG, GRACE |
1689777872 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
17670 |
BEN-ISAAC, EYAL |
1689779597 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931844043068 |
37.3128740632874 |
17674 |
Krishnamurthy, Padmapriya |
1689787061 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
17677 |
RANDHAWA, RAWEL |
1689781361 |
Physician |
UNKNOWN |
Merrithew Memorial Medical Group, 2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
34000 |
8500 |
38.006568 |
-122.132916 |
-118.97078849959 |
35.3824379999138 |
17681 |
trieu, thanh |
1689791576 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-115.56148168693 |
32.7942179997609 |
17684 |
Mishra, Gaurav |
1689804866 |
Physician |
UNKNOWN |
202 N 8th St |
El Centro |
Imperial |
92243 |
California |
2017 |
2018 |
2 |
MU |
COUNTY BEHAVIORAL IMPERIAL |
1225258841 |
29750 |
8500 |
32.794218 |
-115.561481687 |
-118.349731509102 |
33.954067100916 |
17686 |
France, Gary |
1689825804 |
Dentist |
UNKNOWN |
300 E. Buckthorn St. |
Inglewood |
Los Angeles |
90301 |
California |
2016 |
2016 |
1 |
AIU |
CHILDREN'S DENTAL CENTER THE |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-122.132916000373 |
38.0065680004129 |
17690 |
Chaudhry, Nusrat |
1689829004 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.204834500112 |
34.121214000126 |
17691 |
Cayago, Rachelle |
1689826463 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
5059 York Blvd |
Los Angeles |
Los Angeles |
90042 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.121214 |
-118.2048345 |
-120.982856782315 |
37.6471734770744 |
17700 |
Saini, Sunita |
1689839854 |
Physician |
UNKNOWN |
830 Scenic Dr |
Modesto |
Stanislaus |
95353 |
California |
2017 |
2018 |
2 |
MU |
CO HLTH SVS STANISLAUS |
1396941464 |
29750 |
8500 |
37.647173477 |
-120.982856782 |
-118.97078849959 |
35.3824379999138 |
17703 |
Tran, Jane |
1689847881 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.207190097045 |
34.0304959229485 |
17706 |
Jahangiri, Gregory |
1689854986 |
Physician |
UNKNOWN |
3004 Whittier Blvd |
Los Angeles |
Los Angeles |
90023 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA INC NUESTRA |
1588808547 |
21250 |
21250 |
34.0304959233 |
-118.207190097 |
-116.542844999997 |
33.8372639998338 |
17709 |
Oandasan, Dulce |
1689856734 |
Physician |
UNKNOWN |
555 E Tachevah Dr, Suite 2E, #107 |
Palm Springs |
Riverside |
92262 |
California |
2016 |
2017 |
2 |
MU |
CHOICE PHYSICIAN FIRST |
1558797118 |
29750 |
8500 |
33.837264 |
-116.542845 |
-122.224776035785 |
37.7798441425932 |
17715 |
Lee, Jina |
1689862146 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
17716 |
Saste, Micah |
1689862401 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.133636000301 |
37.4709959995658 |
17727 |
Czaja, Jaclyn |
1689865719 |
Physician |
UNKNOWN |
1798 Bay Rd Ste A |
East Palo Alto |
UNKNOWN |
94303 |
California |
2018 |
2019 |
2 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
29750 |
8500 |
37.470996 |
-122.133636 |
-122.730009116028 |
38.4800536013926 |
17729 |
Beck Holder, Kambria |
1689873184 |
Physician |
FAMILY PRACTICE |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2012 |
2013 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-119.56287150022 |
36.0997495234218 |
17734 |
Cruz, Danilo |
1689889016 |
Physician |
UNKNOWN |
1212 Hanna Ave |
Corcoran |
Kings |
93212 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1881677292 |
38250 |
8500 |
36.0997495226 |
-119.5628715 |
-117.354487945362 |
33.9755642666776 |
17738 |
Martin, Robert |
1689896326 |
Dentist |
UNKNOWN |
1970 University Ave |
Riverside |
Riverside |
92507 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.975564267 |
-117.354487945 |
-122.532927443447 |
38.0685794121102 |
17741 |
Agard, Noah |
1689901134 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-122.132916000373 |
38.0065680004129 |
17742 |
Tang, Joyce |
1689903171 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-118.309486500402 |
33.8162850000527 |
17760 |
OSTADAGHAI, HAMID |
1689948531 |
Dentist |
UNKNOWN |
1730 Sepulveda Blvd Ste 1, #1 |
Torrance |
Los Angeles |
90501 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.816285 |
-118.3094865 |
-122.730009116028 |
38.4800536013926 |
17765 |
DICKINSON, CYNTHIA |
1689966152 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.224776035785 |
37.7798441425932 |
17766 |
Barot, Dipti |
1689972184 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.028876790931 |
36.9749133592642 |
17777 |
Stevens, Julia |
1699006130 |
Nurse Practitioner |
UNKNOWN |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2017 |
2018 |
2 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
29750 |
8500 |
36.9749133589 |
-122.028876791 |
-121.931844043068 |
37.3128740632874 |
17778 |
Jolly, Yen |
1699000976 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
17779 |
Radosevich, Jeana |
1699015750 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-118.256769000189 |
34.0030619996116 |
17781 |
Castilla Yataco, Victor |
1689993743 |
Physician |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2014 |
2015 |
2 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
29750 |
8500 |
34.003062 |
-118.256769 |
-117.228721500197 |
33.2096760004471 |
17790 |
Ketchel, Clint |
1699038125 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
4 |
MU |
COMM CLINIC-WEST VISTA |
1649363375 |
25500 |
8500 |
33.209676 |
-117.2287215 |
-123.211126833337 |
39.1278118681233 |
17797 |
Johnston, Casey |
1699055293 |
Physician |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-122.132916000373 |
38.0065680004129 |
17809 |
Tsang, Jennifer |
1699080085 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.349731509102 |
33.954067100916 |
17811 |
Warda, Sherif |
1699082370 |
Dentist |
UNKNOWN |
300 E Buckthorn St |
Inglewood |
Los Angeles |
90301 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN'S DENTAL CENTER THE |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-116.32904549985 |
33.1939799996773 |
17816 |
Kuehn, Alan |
1699089938 |
Dentist |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-122.730009116028 |
38.4800536013926 |
17822 |
Thomason, Bentley |
1699112482 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2016 |
2017 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-118.253136594378 |
34.025821040109 |
17835 |
Cadena Rendon, Sandy |
1699167999 |
Physician |
UNKNOWN |
1005 E. Washington Blvd, Suite A |
Los Angeles |
Los Angeles |
90021 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HEALTH UNIVERSAL |
1093023277 |
38250 |
8500 |
34.0258210403 |
-118.253136594 |
-122.132916000373 |
38.0065680004129 |
17839 |
Schiff, Teresa |
1699180299 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-117.15612921659 |
33.1407478633233 |
17849 |
prieto, alejandra |
1699222620 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.228721500197 |
33.2096760004471 |
17851 |
Meadow, Martha |
1699227223 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY CLINIC VISTA |
1689760100 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-117.885446682219 |
33.7111736116729 |
17861 |
WOLSZTEJN, JACOB |
1699708487 |
Physician |
UNKNOWN |
2650 S Bristol St, STE. 101-103 |
Santa Ana |
Orange |
92704 |
California |
2020 |
2020 |
4 |
MU |
COAST PEDIATRICS SOUTH |
1568495364 |
46750 |
8500 |
33.7111736123 |
-117.885446682 |
-118.393975957624 |
34.2395150830547 |
17865 |
KRISHNAKUMAR, TAMISELVI |
1699710533 |
Physician |
UNKNOWN |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
5 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
55250 |
8500 |
34.2395150827 |
-118.393975958 |
-121.931844043068 |
37.3128740632874 |
17866 |
Tan, Leon |
1699715672 |
Physician |
UNKNOWN |
751 S.Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
17869 |
Chavez, Ronaldo |
1699718676 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.659945408554 |
38.2688718730386 |
17883 |
Tully, Donna |
1699756809 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1179 N McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2014 |
2016 |
2 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
29750 |
8500 |
38.2688718726 |
-122.659945409 |
-117.15612921659 |
33.1407478633233 |
17887 |
Romney, Richard |
1699758219 |
Dentist |
UNKNOWN |
150 VALPREDA ROAD |
SAN MARCOS |
San Diego |
92069 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.228721500197 |
33.2096760004471 |
17899 |
YAMASAKI, KRISTEN |
1699786467 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
5 |
MU |
COMM CLINIC VISTA |
1295822658 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-118.155398834688 |
34.0268212301157 |
17904 |
Moran, Jorge |
1699790667 |
Physician |
UNKNOWN |
507 S Atlantic Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN CENTER BIENVENIDOS |
1497001226 |
21250 |
21250 |
34.02682123 |
-118.155398835 |
-118.97078849959 |
35.3824379999138 |
17910 |
Molla, Mohammed |
1699796870 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-119.646007366247 |
36.3359516654371 |
17911 |
Tidwell, Brenda |
1699800383 |
Nurse Practitioner |
UNKNOWN |
1025 N Douty St |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
38250 |
8500 |
36.3359516647 |
-119.646007366 |
-117.152023500284 |
32.7983220001602 |
17915 |
WELCH, MICHAEL |
1699794222 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-122.028876790931 |
36.9749133592642 |
17921 |
Mead, Maria |
1699812842 |
Physician |
FAMILY PRACTICE |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2012 |
2013 |
2 |
MU |
CRUZ WOMEN'S SANTA |
1902923329 |
29750 |
8500 |
36.9749133589 |
-122.028876791 |
-122.132916000373 |
38.0065680004129 |
17922 |
Linn, Lizabeth |
1699813329 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-116.962770468382 |
32.7949220969772 |
17929 |
Holder, William |
1699816256 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
133 W Main St Ste 100 |
El Cajon |
San Diego |
92020 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
32.7949220971 |
-116.962770468 |
-121.931844043068 |
37.3128740632874 |
17938 |
Granberry, Laurie |
1699832725 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
17939 |
Stinson, Celest |
1699833558 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-116.962897500319 |
32.799050999604 |
17954 |
Mohamed, Karim |
1699846352 |
Physician |
UNKNOWN |
396 North Magnolia Ave. |
El Cajon |
San Diego |
92020 |
California |
2014 |
2014 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
32.799051 |
-116.9628975 |
-118.256769000189 |
34.0030619996116 |
17963 |
Martinez, Evelin |
1699840694 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S. Central |
Los Angeles |
Los Angeles |
90011 |
California |
2018 |
2019 |
6 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
63750 |
8500 |
34.003062 |
-118.256769 |
-122.257336500379 |
37.8247500002124 |
17965 |
Hoffman, Robert |
1699854398 |
Physician |
ORTHOPEDIC SURGERY |
280 W MacArthur Blvd |
Oakland |
Alameda |
94611 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.82475 |
-122.2573365 |
-118.045836668228 |
34.0764334702285 |
17966 |
RICO, CRISTIAN |
1699856625 |
Physician |
UNKNOWN |
10418 Valley Blvd, Suite B |
El Monte |
UNKNOWN |
91731 |
California |
2018 |
2019 |
6 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
63750 |
8500 |
34.0764334701 |
-118.045836668 |
-119.800377524303 |
36.8843745979094 |
17969 |
Battad, Lawrence |
1699857268 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Children's Place |
Madera |
Madera |
93636 |
California |
2018 |
2019 |
5 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
46750 |
0 |
36.8843745978 |
-119.800377524 |
-118.329789269359 |
34.0979749635737 |
17974 |
MITCHELL, WENDY |
1699859652 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.251382500002 |
34.1338320001468 |
17986 |
Sabounjian, George |
1699882779 |
Physician |
PSYCHIATRY |
1030 S Glendale Ave Ste 401 |
Glendale |
Los Angeles |
91205 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.133832 |
-118.2513825 |
-118.413825981784 |
34.1944379999138 |
17996 |
Feldman, Erwin |
1699888792 |
Physician |
PEDIATRIC MEDICINE |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2012 |
2013 |
2 |
MU |
COMMUNITY CLINIC VALLEY |
1588740989 |
29750 |
8500 |
34.194438 |
-118.413825982 |
-122.224776035785 |
37.7798441425932 |
18002 |
Artiga, Francesca |
1699904144 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-120.723421943068 |
37.3798552940866 |
18012 |
OLABODE, JULIANAH |
1699929042 |
Nurse Practitioner |
NURSE PRACTITIONER |
1140 Main St |
Livingston |
Merced |
95334 |
California |
2014 |
2015 |
3 |
MU |
COMM HLTH SVS LIVINGSTON |
1427110329 |
38250 |
8500 |
37.3798552945 |
-120.723421943 |
-122.730009116028 |
38.4800536013926 |
18027 |
Yebra, Christina |
1699950618 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-118.216909193604 |
34.0508500000275 |
18028 |
Sharma, Tamara |
1699926766 |
Certified Nurse - Midwife |
UNKNOWN |
1720 E. Cesar Chavez Ave |
Los Angeles |
Los Angeles |
90033 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
29750 |
8500 |
34.0508499997 |
-118.216909194 |
-118.463696418155 |
34.2281841459816 |
18035 |
JACKSON, JOY |
1699964908 |
Physician |
FAMILY PRACTICE |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2011 |
2012 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-118.97078849959 |
35.3824379999138 |
18037 |
Chen, Phillip |
1699965004 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-124.192888726833 |
41.7727692741827 |
18039 |
Elkhoury, Nabil |
1699965228 |
Physician |
UNKNOWN |
780 E. Washington Blvd., #101 |
Crescent City |
Del Norte |
95531 |
California |
2018 |
2019 |
4 |
MU |
COAST COMM CLINIC SUTTER |
1700960267 |
25500 |
8500 |
41.7727692742 |
-124.192888727 |
-118.01442600036 |
33.7437899997088 |
18048 |
Tu, Thuc |
1699979229 |
Physician |
INTERNAL MEDICINE |
6552 Bolsa Avenue, Suite N |
Huntington Beach |
Orange |
92647 |
California |
2011 |
2012 |
1 |
AIU |
CARE 7 DAYS MEDICAL HUMANE |
1235368267 |
21250 |
21250 |
33.74379 |
-118.014426 |
-119.337547068442 |
36.2234687042174 |
18050 |
Olise, Patricia |
1699984534 |
Physician |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
4 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
46750 |
8500 |
36.2234687039 |
-119.337547068 |
-117.15612921659 |
33.1407478633233 |
18062 |
Arenas, Cecily |
1700031507 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
4 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
46750 |
8500 |
33.1407478629 |
-117.156129217 |
-118.329789269359 |
34.0979749635737 |
18069 |
Ramanathan, Anusha |
1700043361 |
Physician |
RHEUMATOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.152023500284 |
32.7983220001602 |
18073 |
Choo, Sun |
1700047628 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-122.730009116028 |
38.4800536013926 |
18074 |
BROWN, LAURENCE |
1700050200 |
Nurse Practitioner |
NURSE PRACTITIONER |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.256769000189 |
34.0030619996116 |
18075 |
Roldan, Gustavo |
1699985705 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
4425 S. Central |
Los Angeles |
Los Angeles |
90011 |
California |
2014 |
2015 |
4 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
46750 |
8500 |
34.003062 |
-118.256769 |
-121.931844043068 |
37.3128740632874 |
18086 |
Abbi, Gaurav |
1700074853 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-115.56148168693 |
32.7942179997609 |
18088 |
Chauhan, Smit |
1700083391 |
Physician |
UNKNOWN |
202 N 8th St |
El Centro |
Imperial |
92243 |
California |
2017 |
2018 |
2 |
MU |
COUNTY BEHAVIORAL IMPERIAL |
1225258841 |
29750 |
8500 |
32.794218 |
-115.561481687 |
-118.075851000124 |
34.0629929997272 |
18091 |
Tzou, Jerry |
1700089364 |
Dentist |
UNKNOWN |
8841 Garvey Ave |
Rosemead |
Los Angeles |
91770 |
California |
2020 |
2020 |
5 |
MU |
CHRISTIAN HEALTH HERALD |
1386000248 |
55250 |
8500 |
34.062993 |
-118.075851 |
-117.152023500284 |
32.7983220001602 |
18100 |
Barba, Laura |
1700099645 |
Nurse Practitioner |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-118.256769000189 |
34.0030619996116 |
18124 |
Wu, Lisa |
1700191202 |
Dentist |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2018 |
2 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
29750 |
8500 |
34.003062 |
-118.256769 |
-122.730009116028 |
38.4800536013926 |
18129 |
Prieto, Edna |
1700203171 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2016 |
2017 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-121.939887305155 |
40.8041224683773 |
18136 |
Sorrick, Daniel |
1700218096 |
Dentist |
UNKNOWN |
29632 Hwy 299 East |
round mountain |
Shasta |
96084 |
California |
2014 |
2015 |
1 |
AIU |
COUNTRY COMM CLINIC HILL |
1407914260 |
21250 |
21250 |
40.8041224681 |
-121.939887305 |
-122.730009116028 |
38.4800536013926 |
18141 |
Pfender, Sara |
1700256054 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2016 |
2014 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.730009116028 |
38.4800536013926 |
18145 |
Kumar, Dwijavanthi |
1700271731 |
Physician |
UNKNOWN |
3569 Round Barn Cir, Suite 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2019 |
2020 |
4 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
46750 |
8500 |
38.4800536014 |
-122.730009116 |
-117.122650002795 |
32.812365973311 |
18154 |
Haas, Richard |
1700801867 |
Physician |
NEUROLOGY |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2013 |
2014 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.8123659731 |
-117.122650003 |
-118.2899025002 |
33.7385069997982 |
18166 |
CROWLEY, JOANNE |
1700825460 |
Physician |
UNKNOWN |
593 W. 6th Street |
San Pedro |
Los Angeles |
90731 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY CLINIC HARBOR |
1467490425 |
29750 |
8500 |
33.738507 |
-118.2899025 |
-121.931844043068 |
37.3128740632874 |
18170 |
Patel, Mahesh |
1700842556 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.230907611597 |
34.0592654861134 |
18176 |
Guy, Kim |
1700812930 |
Physician |
UNKNOWN |
450 Bauchet St Dept Of, Jail Mental Health |
Los Angeles |
Los Angeles |
90012 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0592654859 |
-118.230907612 |
-122.947541034691 |
38.4087507018834 |
18186 |
Ly, Uyen |
1700889128 |
Physician |
FAMILY PRACTICE |
3802 Main Street |
Occidental |
Sonoma |
95465 |
California |
2014 |
2015 |
4 |
MU |
COUNTY HEALTH CTRS WEST |
1598768962 |
46750 |
8500 |
38.4087507017 |
-122.947541035 |
-122.231195302121 |
37.7991749638535 |
18193 |
Freedman, Sheira |
1700896396 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.228721500197 |
33.2096760004471 |
18196 |
Cohen, Trudy |
1700897626 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace, Vista Community Clinic |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC-WEST VISTA |
1649363375 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.224776035785 |
37.7798441425932 |
18201 |
Gorchoff, Catherine |
1700911062 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.231195302121 |
37.7991749638535 |
18208 |
Yasumoto, Eric |
1700914116 |
Physician |
DIAGNOSTIC RADIOLOGY |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
18216 |
Slauson, Dana |
1700930658 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
18241 |
HORNER, ANTHONY |
1700957560 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
4 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.385354438756 |
40.5834973198455 |
18244 |
Jamm, Lily |
1700971769 |
Physician |
INTERNAL MEDICINE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-122.224776035785 |
37.7798441425932 |
18254 |
Rhodes, Katherine |
1700986056 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
3 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
38250 |
8500 |
37.7798441429 |
-122.224776036 |
-118.329789269359 |
34.0979749635737 |
18259 |
Geller, Kenneth |
1700988680 |
Physician |
OTOLARYNGOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.122650002795 |
32.812365973311 |
18262 |
Dietz, Andrew |
1700992443 |
Physician |
PEDIATRIC MEDICINE |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2013 |
2014 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.8123659731 |
-117.122650003 |
-122.748589048346 |
38.4279142321561 |
18273 |
Harris, Alice |
1710013289 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-117.352773353707 |
34.071932436233 |
18274 |
Miulli, Dan |
1700993573 |
Physician |
NEUROSURGERY |
400 N Pepper Ave, General Surgery MOB Ste#308 |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-122.338322546948 |
37.9532997526815 |
18291 |
McLaughlin, Ina |
1710026216 |
Nurse Practitioner |
PHYSICIAN ASSISTANT |
Brookside Community Health Center, 2023 Vale Road, Suite 107 |
San Pablo |
Contra Costa |
94806 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
37.953299753 |
-122.338322547 |
-122.132916000373 |
38.0065680004129 |
18309 |
Ghori, Imtiaz |
1710055215 |
Physician |
UNKNOWN |
2500 Alhambra Ave. |
martinez |
Solano |
94533 |
California |
2020 |
2020 |
5 |
MU |
COSTA COUNTY CONTRA |
1962587071 |
55250 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
18310 |
NYHAN, WILLIAM |
1710041462 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.455500281313 |
37.7870755192199 |
18316 |
Ramer, Cyril |
1710067236 |
Physician |
PEDIATRIC MEDICINE |
3801 Sacramento St, Suite 432 |
San Francisco |
San Francisco |
94118 |
California |
2017 |
2018 |
5 |
MU |
CYRIL MD INC RAMER |
1932332418 |
55250 |
8500 |
37.7870755193 |
-122.455500281 |
-121.931844043068 |
37.3128740632874 |
18319 |
Wang, Mary |
1710069794 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.939887305155 |
40.8041224683773 |
18320 |
Doyle, Evelyn |
1710070966 |
Nurse Practitioner |
NURSE PRACTITIONER |
29632 Hwy. 299 East, PO Box 228 |
Round Mountain |
Shasta |
96084 |
California |
2011 |
2012 |
1 |
AIU |
COUNTRY COMM CLINIC HILL |
1407914260 |
21250 |
21250 |
40.8041224681 |
-121.939887305 |
-118.329789269359 |
34.0979749635737 |
18323 |
Wood, Jamie |
1710070123 |
Physician |
ENDOCRINOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.017646291043 |
36.9915277342176 |
18328 |
Litwiler, Helen |
1710082490 |
Nurse Practitioner |
NURSE PRACTITIONER |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2013 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-118.97078849959 |
35.3824379999138 |
18329 |
SRIVASTAVA, SHAKTI |
1710081781 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.224776035785 |
37.7798441425932 |
18331 |
Dosanjh, Thea |
1710085394 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.017646291043 |
36.9915277342176 |
18352 |
Maxwell, Edward |
1710119425 |
Physician |
PSYCHIATRY |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2012 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-118.97078849959 |
35.3824379999138 |
18354 |
Chao, Tom |
1710117163 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.253136594378 |
34.025821040109 |
18363 |
Mookini, Leilani |
1710135058 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1005 E Washington BLVD, suite A |
Los Angeles |
Los Angeles |
90021 |
California |
2020 |
2020 |
4 |
MU |
COMMUNITY HEALTH UNIVERSAL |
1093023277 |
46750 |
8500 |
34.0258210403 |
-118.253136594 |
-117.102322508777 |
32.7514272099978 |
18364 |
Gleason-Rohrer, Gwen |
1710140462 |
Physician |
UNKNOWN |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2014 |
2015 |
2 |
MU |
COMM CLINIC MID-CITY |
1306827332 |
29750 |
8500 |
32.7514272104 |
-117.102322509 |
-118.345307082056 |
34.0477765993107 |
18367 |
ULM, CYNTHIA |
1710143078 |
Nurse Practitioner |
UNKNOWN |
4972 W Pico Blvd Ste 201 |
Los Angeles |
Los Angeles |
90019 |
California |
2012 |
2014 |
2 |
MU |
CYNTHIA ULM |
1710143078 |
21250 |
0 |
34.0477765995 |
-118.345307082 |
-122.748589048346 |
38.4279142321561 |
18369 |
Hurley, Catherine |
1710153598 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2014 |
2015 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4279142323 |
-122.748589048 |
-122.385354438756 |
40.5834973198455 |
18370 |
Canton, David |
1710151543 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2014 |
2015 |
1 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-122.748589048346 |
38.4279142321561 |
18373 |
Sanchez Mendez, Enrique |
1710164371 |
Physician |
UNKNOWN |
751 Lombardi Ct |
Santa Rosa |
Sonoma |
95407 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.489281175386 |
37.753414020041 |
18379 |
Foley, Bing |
1710175211 |
Nurse Practitioner |
NURSE PRACTITIONER |
1800 31st Avenue |
San Francisco |
San Francisco |
94122 |
California |
2014 |
2015 |
4 |
MU |
COMMUNITY HEALTH CHINESE |
1487684452 |
46750 |
8500 |
37.7534140197 |
-122.489281175 |
-122.064683750555 |
37.3769635726109 |
18383 |
McCall, David |
1710174750 |
Physician |
UNKNOWN |
701 E. El Camino Real |
Mountain View |
Santa Clara |
94040 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.3769635734 |
-122.064683751 |
-118.329789269359 |
34.0979749635737 |
18385 |
Panossian, Andre |
1710177845 |
Physician |
PLASTIC AND RECONSTRUCTIVE SURGERY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931844043068 |
37.3128740632874 |
18386 |
Perla, Renuka |
1710183074 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
18387 |
Swaminathan, Meena Ammani |
1710184288 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.045836668228 |
34.0764334702285 |
18391 |
Cabrera, Judith |
1710202734 |
Physician |
UNKNOWN |
10418 Valley Blvd, Suite B |
El Monte |
UNKNOWN |
91731 |
California |
2016 |
2017 |
2 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
29750 |
8500 |
34.0764334701 |
-118.045836668 |
-120.723421943068 |
37.3798552940866 |
18400 |
CASTANEDA, MYRIAM |
1710217799 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1140 Main St |
Livingston |
Merced |
95334 |
California |
2014 |
2015 |
3 |
MU |
COMM HLTH SVS LIVINGSTON |
1427110329 |
38250 |
8500 |
37.3798552945 |
-120.723421943 |
-122.231195302121 |
37.7991749638535 |
18434 |
PAULINO, MARJA |
1710304845 |
Physician |
UNKNOWN |
1411 E 31st St, A2 Room 18 |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.262725564433 |
33.7831557169628 |
18442 |
Marcus, Alison |
1710325816 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1009 N Avalon Blvd |
Wilmington |
Los Angeles |
90744 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY CLN WILMINGTON |
1932194586 |
21250 |
21250 |
33.7831557172 |
-118.262725564 |
-118.155398834688 |
34.0268212301157 |
18451 |
Adams, Micah |
1710369509 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
507 S Atlantic Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN CENTER BIENVENIDOS |
1497001226 |
21250 |
21250 |
34.02682123 |
-118.155398835 |
-122.224776035785 |
37.7798441425932 |
18453 |
Lomeli-Loibl, Cadelba |
1710386693 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.730009116028 |
38.4800536013926 |
18456 |
Rezai, Tania |
1710397153 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2016 |
2017 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-117.960722999667 |
33.7877909999547 |
18461 |
Nguyen, Vo Lananh |
1710436464 |
Nurse Practitioner |
UNKNOWN |
9862 Chapman Ave Ste B |
Garden Grove |
Orange |
92841 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY OF VIETNAMESE |
1285708818 |
21250 |
21250 |
33.787791 |
-117.960723 |
-122.132916000373 |
38.0065680004129 |
18468 |
Hsu, Carl |
1710909726 |
Physician |
INTERNAL MEDICINE |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2013 |
2014 |
1 |
AIU |
CARL K MD HSU |
1710909726 |
21250 |
21250 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
18470 |
Madrigal, Maria |
1710915871 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-123.801499006874 |
39.4322470387699 |
18472 |
Hunter, Sharon |
1710919857 |
Nurse Practitioner |
NURSE PRACTITIONER |
721 River Drive, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2014 |
2015 |
3 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
38250 |
8500 |
39.4322470385 |
-123.801499007 |
-118.125938222571 |
34.0918717765613 |
18479 |
Liu, Xiushi |
1710925904 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
220 S 1st St |
Alhambra |
Los Angeles |
91801 |
California |
2014 |
2015 |
2 |
MU |
CARDIOVASCULAR COMPREHENSIVE |
1407889637 |
29750 |
8500 |
34.0918717774 |
-118.125938223 |
-121.931844043068 |
37.3128740632874 |
18480 |
Rao, Suchitra |
1710932231 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
18489 |
Miller, Earl |
1710942099 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC-WEST VISTA |
1649363375 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-122.132916000373 |
38.0065680004129 |
18492 |
Zuniga, Zoraya |
1710946934 |
Physician |
UNKNOWN |
2500 Alhambra Ave. |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
18493 |
Moyce, Andrew |
1710949896 |
Physician |
OTOLARYNGOLOGY |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
18494 |
McDonald, Thomas |
1710948427 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
18497 |
Billings, William |
1710954649 |
Physician |
ORTHOPEDIC SURGERY |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.370506570622 |
40.6811490872606 |
18498 |
Lode, George |
1710958285 |
Physician |
FAMILY PRACTICE |
4215 Front St |
Shasta Lake |
Shasta |
96019 |
California |
2016 |
2017 |
6 |
MU |
COMMUNITY HLTH CT SHASTA |
1013932797 |
63750 |
8500 |
40.6811490871 |
-122.370506571 |
-121.931844043068 |
37.3128740632874 |
18500 |
Couser, Sondramae |
1710956610 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.340812658977 |
34.0723880777476 |
18517 |
MOSKOWITZ, ANDREA |
1710998919 |
Physician |
UNKNOWN |
139 S Mansfield Ave |
Los Angeles |
Los Angeles |
90036 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.072388078 |
-118.340812659 |
-122.231195302121 |
37.7991749638535 |
18519 |
Feeney, Colin |
1710997366 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St, OakCare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
18520 |
Chen, Angela |
1720003791 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
18521 |
Engelstad, Linda |
1710997374 |
Physician |
INTERNAL MEDICINE |
1411 East 31st Street, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.866488500444 |
33.7823624951331 |
18544 |
STARR, JOANNE |
1720055163 |
Physician |
CARDIAC SURGERY |
1310 W Stewart Dr, SUITE #503 |
Orange |
Orange |
92868 |
California |
2015 |
2016 |
4 |
MU |
COUNTY THORACIC and ORANGE |
1154336949 |
46750 |
8500 |
33.7823624951 |
-117.8664885 |
-119.59623900023 |
36.5687914986288 |
18550 |
White, Dorothea |
1720062854 |
Nurse Practitioner |
UNKNOWN |
1041 Rose Ave |
Selma |
Fresno |
93662 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1265530018 |
55250 |
8500 |
36.5687914987 |
-119.596239 |
-118.145935171671 |
33.7882749053626 |
18553 |
Chao, Cynthia |
1720077274 |
Physician |
OBSTETRICS/GYNECOLOGY |
1703 Termino Ave, Suite 203 |
Long Beach |
Los Angeles |
90804 |
California |
2011 |
2013 |
1 |
AIU |
CYNTHIA W DO CHAO |
1720077274 |
21250 |
21250 |
33.7882749045 |
-118.145935172 |
-117.15612921659 |
33.1407478633233 |
18567 |
POSADAS, EMERITO |
1720093198 |
Physician |
PEDIATRIC MEDICINE |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.29368569284 |
33.0374764437829 |
18574 |
KARVER-CHRISTENSON, ELYSE |
1720098155 |
Certified Nurse - Midwife |
UNKNOWN |
1130 2nd St |
Encinitas |
San Diego |
92024 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.0374764438 |
-117.293685693 |
-115.492931999812 |
32.6791344716786 |
18575 |
Harper, John |
1720098205 |
Physician |
GENERAL PRACTICE |
495 E Birch St, Suite A |
Calexico |
Imperial |
92231 |
California |
2012 |
2013 |
1 |
AIU |
CENTRO COMMUNITY HOSP EL |
1861409823 |
21250 |
21250 |
32.6791344722 |
-115.492932 |
-118.097980794878 |
34.1497971437233 |
18576 |
Hernandez-Lopez, Maria |
1720102056 |
Physician |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.149797144 |
-118.097980795 |
-122.231195302121 |
37.7991749638535 |
18579 |
Barbant, Sophie |
1720099526 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.370506570622 |
40.6811490872606 |
18589 |
Botcharnikova, Larissa |
1720122054 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
4215 Front St |
Shasta Lake |
Shasta |
96019 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HLTH CT SHASTA |
1013932797 |
55250 |
8500 |
40.6811490871 |
-122.370506571 |
-118.097980794878 |
34.1497971437233 |
18591 |
Anicete, Luisita |
1720123623 |
Physician |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.149797144 |
-118.097980795 |
-122.132916000373 |
38.0065680004129 |
18615 |
Holmes, Michelle |
1720145626 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
6 |
MU |
COSTA COUNTY CONTRA |
1437237690 |
63750 |
8500 |
38.006568 |
-122.132916 |
-123.211126833337 |
39.1278118681233 |
18619 |
Rasmussen, Bryan |
1720158629 |
Dentist |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-121.98018152206 |
36.9883873259144 |
18620 |
Kemerling, Mark |
1720161714 |
Dentist |
UNKNOWN |
1830 Commercial Way |
Santa Cruz |
Santa Cruz |
95065 |
California |
2016 |
2016 |
1 |
AIU |
COMMUNITY DENTAL DIENTES |
1437213279 |
21250 |
21250 |
36.9883873258 |
-121.980181522 |
-122.224776035785 |
37.7798441425932 |
18624 |
Araica, Alida |
1720164999 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-122.231195302121 |
37.7991749638535 |
18627 |
Driscoll, Helen |
1720168230 |
Physician |
INTERNAL MEDICINE |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.352773353707 |
34.071932436233 |
18628 |
Menoni, Rosalinda |
1720164940 |
Physician |
UNKNOWN |
400 N. Pepper Ave, General Surgery MOB Ste#308 |
Colton |
San Bernardino |
92324 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-121.931844043068 |
37.3128740632874 |
18637 |
Adams, Gregg |
1720175268 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.562698424193 |
38.095736927917 |
18638 |
Ernst, David |
1720178411 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC MARIN |
1912091018 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-121.931844043068 |
37.3128740632874 |
18645 |
Shepard, Kimberly |
1720183395 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
18648 |
DAVIS, JENNIFER |
1720175862 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
18649 |
Roehrig, Ginger |
1720183833 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.730009116028 |
38.4800536013926 |
18652 |
GARRETT, CAROLE |
1720189962 |
Certified Nurse - Midwife |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
46750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.329789269359 |
34.0979749635737 |
18654 |
Jeandron, Debra |
1720188469 |
Physician |
ENDOCRINOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.947541034691 |
38.4087507018834 |
18658 |
Wiley, Wendy |
1720192487 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3802 Main St |
Occidental |
Sonoma |
95465 |
California |
2018 |
2019 |
6 |
MU |
COUNTY HEALTH CTRS WEST |
1598768962 |
63750 |
8500 |
38.4087507017 |
-122.947541035 |
-118.97078849959 |
35.3824379999138 |
18659 |
Naheedy, Mohammad |
1720191737 |
Physician |
UNKNOWN |
1700 Mount Vernon ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.017646291043 |
36.9915277342176 |
18675 |
Riday, Maribeth |
1720241474 |
Nurse Practitioner |
UNKNOWN |
1080 Emeline |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-122.730705722791 |
38.4794050139303 |
18682 |
Bacon, Allison |
1720254584 |
Physician |
UNKNOWN |
3562 Round Barn Circle, Suite 216 |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
4 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
17000 |
8500 |
38.4794050143 |
-122.730705723 |
-121.931844043068 |
37.3128740632874 |
18690 |
Watson, Leslyn |
1720267396 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.242828694688 |
37.7817946444073 |
18695 |
lustman, lilian |
1720275100 |
Physician |
UNKNOWN |
2000 Embarcadero, Suite 101 |
Oakland |
Alameda |
94606 |
California |
2016 |
2017 |
1 |
AIU |
CNTY BEHAV HLTH CARE ALAMEDA |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
-121.931844043068 |
37.3128740632874 |
18702 |
Vostrejs, Daniel |
1720286636 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.193363999949 |
33.8000489995617 |
18724 |
Rahman, Akbar |
1720314933 |
Physician |
UNKNOWN |
2360 Pacific Avenue |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
2 |
MU |
CHILDREN'S CLINIC THE |
1134425804 |
29750 |
8500 |
33.800049 |
-118.193364 |
-122.132916000373 |
38.0065680004129 |
18726 |
Weiss, Karen |
1720328487 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-123.211126833337 |
39.1278118681233 |
18728 |
Bryner, Teresa |
1720339484 |
Nurse Practitioner |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2014 |
2015 |
2 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
29750 |
8500 |
39.1278118679 |
-123.211126833 |
-119.646007366247 |
36.3359516654371 |
18731 |
Suarez, Martha |
1720342538 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1025 N Douty St |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
46750 |
8500 |
36.3359516647 |
-119.646007366 |
-119.251855838176 |
34.2762568924417 |
18739 |
ADKINS, CHRISTOPHER |
1720373459 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-118.97078849959 |
35.3824379999138 |
18747 |
Nicholls, Diane |
1720386055 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.224776035785 |
37.7798441425932 |
18750 |
Uribe, Santiago |
1720389604 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland, |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
18760 |
Wondolowski, Lauren |
1720414550 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
18768 |
Magallanes, Adelaida |
1720460173 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.39119316843 |
40.5850415673145 |
18769 |
Westbrook, Jessica |
1720446503 |
Dentist |
UNKNOWN |
1400 Market St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH SHASTA |
1538181557 |
21250 |
21250 |
40.5850415667 |
-122.391193168 |
-122.525146456044 |
37.9715220318164 |
18776 |
Bertolozzi, Alia |
1720493661 |
Nurse Practitioner |
UNKNOWN |
16 Ritter St |
San Rafael |
Marin |
94901 |
California |
2015 |
2016 |
1 |
AIU |
CENTER RITTER |
1417370032 |
21250 |
21250 |
37.9715220325 |
-122.525146456 |
-117.228721500197 |
33.2096760004471 |
18792 |
Weissman, William |
1730114992 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.132916000373 |
38.0065680004129 |
18793 |
McMillan, Monica |
1730117979 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2014 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-122.922413167334 |
39.0377221787356 |
18795 |
LEPLEY, ROSALYN |
1730119959 |
Physician |
FAMILY PRACTICE |
925 Bevins Court |
Lakeport |
Lake |
95453 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY TRIBAL HLTH LAKE |
1881697381 |
21250 |
21250 |
39.0377221789 |
-122.922413167 |
-116.32904549985 |
33.1939799996773 |
18797 |
Blackstead, Elizabeth |
1730119793 |
Nurse Practitioner |
UNKNOWN |
4343 Yaqui Pass Rd, PO BOX 2369 |
BORREGO SPRINGS |
San Diego |
92004 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-121.395694500301 |
38.5976790002857 |
18808 |
Chang, Chee |
1730154394 |
Dentist |
UNKNOWN |
1820 Avondale Ave, Suite 4 |
Sacramento |
Sacramento |
95825 |
California |
2016 |
2016 |
1 |
AIU |
Chee Chiang Chang |
1730154394 |
21250 |
21250 |
38.597679 |
-121.3956945 |
-121.931844043068 |
37.3128740632874 |
18810 |
Chen, David |
1730155441 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.354280499645 |
33.1962209995995 |
18814 |
Murphy, Karen |
1730160961 |
Nurse Practitioner |
NURSE PRACTITIONER |
605 Crouch St., Bldg. C |
Oceanside |
San Diego |
92054 |
California |
2015 |
2016 |
3 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
38250 |
8500 |
33.196221 |
-117.3542805 |
-119.800377524303 |
36.8843745979094 |
18815 |
Curtis, Linne |
1730157793 |
Physician |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93638 |
California |
2016 |
2017 |
1 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1205253374 |
21250 |
21250 |
36.8843745978 |
-119.800377524 |
-121.873719412221 |
37.6614078555881 |
18823 |
Cutler, Corey |
1730189374 |
Nurse Practitioner |
NURSE PRACTITIONER |
4361 Railroad Ave |
Pleasanton |
Alameda |
94566 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY HEALTH AXIS |
1669403390 |
38250 |
8500 |
37.6614078563 |
-121.873719412 |
-118.073565291305 |
34.0887489356149 |
18824 |
McNeel, Wakelin |
1730192931 |
Physician |
UNKNOWN |
4619 Rosemead Blvd |
Rosemead |
Los Angeles |
91770 |
California |
2015 |
2016 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.0887489359 |
-118.073565291 |
-118.213846022676 |
33.9441374011202 |
18830 |
CHAN, CONSTANT |
1730195645 |
Physician |
GENERAL PRACTICE |
10007 State St |
Lynwood |
Los Angeles |
90262 |
California |
2013 |
2013 |
2 |
MU |
CONSTANT K S MD INC CHAN |
1225347438 |
29750 |
8500 |
33.9441374012 |
-118.213846023 |
-123.803844077242 |
39.43025401611 |
18834 |
McLeer, Tara |
1730203258 |
Physician |
FAMILY PRACTICE |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2018 |
2019 |
6 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
63750 |
8500 |
39.4302540158 |
-123.803844077 |
-121.330669499997 |
38.5757279997474 |
18840 |
Chae, Christopher |
1730211772 |
Dentist |
UNKNOWN |
9837 Folsom Blvd, SUITE J |
Sacramento |
Sacramento |
95827 |
California |
2015 |
2016 |
1 |
AIU |
Christopher Pyungbae Chae |
1730211772 |
21250 |
21250 |
38.575728 |
-121.3306695 |
-122.175882289236 |
37.4330948192705 |
18843 |
ludwick, christine |
1730214016 |
Certified Nurse - Midwife |
UNKNOWN |
300 Pasteur Dr |
Stanford |
Santa Clara |
94305 |
California |
2016 |
2017 |
4 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
46750 |
8500 |
37.4330948191 |
-122.175882289 |
-118.43748018856 |
34.0404355863333 |
18850 |
Kharit, Tatyana |
1730221730 |
Physician |
PSYCHIATRY |
11080 W Olympic Blvd |
Los Angeles |
Los Angeles |
90064 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0404355856 |
-118.437480189 |
-122.231195302121 |
37.7991749638535 |
18852 |
HUNT, THURMAN |
1730226663 |
Physician |
ANESTHESIOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
18853 |
Tornabene, Felicia |
1730233511 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.413825981784 |
34.1944379999138 |
18859 |
Summers, Shawn |
1730235607 |
Dentist |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-122.132916000373 |
38.0065680004129 |
18867 |
Forman, Stuart |
1730250309 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.242830597554 |
33.9245590162856 |
18871 |
Ferrara-Guthrie, Patrizia |
1730252875 |
Physician |
PREVENTATIVE MEDICINE |
1720 E 120th St |
Los Angeles |
Los Angeles |
90059 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.9245590158 |
-118.242830598 |
-117.152023500284 |
32.7983220001602 |
18874 |
Bui, Jonathan |
1730247974 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-117.357922269197 |
33.2078401756836 |
18880 |
Perlman, Tamara |
1730274374 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
2210 Mesa Dr Ste 5 |
Oceanside |
San Diego |
92054 |
California |
2012 |
2012 |
1 |
AIU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.2078401763 |
-117.357922269 |
-118.329789269359 |
34.0979749635737 |
18885 |
SZMUSZKOVICZ, JACQUELINE |
1730275587 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931844043068 |
37.3128740632874 |
18887 |
Reese, Jeffrey |
1730284290 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
18888 |
Pramanik, Sharmila |
1730284936 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-120.723421943068 |
37.3798552940866 |
18890 |
Clos, Autumn |
1730285123 |
Physician |
UNKNOWN |
1140 Main Street |
Livingston |
Merced |
95334 |
California |
2014 |
2015 |
1 |
AIU |
COMM HLTH SVS LIVINGSTON |
1427110329 |
21250 |
21250 |
37.3798552945 |
-120.723421943 |
-118.329789269359 |
34.0979749635737 |
18897 |
TISHLER, DAVID |
1730287400 |
Physician |
UNKNOWN |
6430 Sunset Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.184624999844 |
33.8077440000856 |
18923 |
Ashrafzadeh, Tina |
1730341835 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2012 |
2013 |
2 |
MU |
CLINIC, THE CHILDREN'S |
1639233935 |
29750 |
8500 |
33.807744 |
-118.184625 |
-122.224776035785 |
37.7798441425932 |
18927 |
Clark, Stephanie |
1730346172 |
Doctor of Optometry |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.329789269359 |
34.0979749635737 |
18928 |
MERRITT, RUSSELL |
1730348962 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.230907611597 |
34.0592654861134 |
18930 |
Trufasiu, Voichita |
1730332818 |
Physician |
UNKNOWN |
450 Bauchet Street, Twin Towers CF |
Los Angeles |
Los Angeles |
90012 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0592654859 |
-118.230907612 |
-121.931844043068 |
37.3128740632874 |
18938 |
Pereira, Clifford |
1730373366 |
Physician |
UNKNOWN |
751 S.Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
18939 |
Follette, Julia |
1730364480 |
Physician |
UNKNOWN |
1411 E 31st St, Emergency Medicine |
Oakland |
Alameda |
94602 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
18940 |
Ghafourpour, kourosh |
1730382987 |
Physician |
UNKNOWN |
1411 East 31st Street, Suite 202 |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-116.854405072036 |
33.0511306390678 |
18943 |
YUNG, DORIS |
1730386863 |
Physician |
INTERNAL MEDICINE |
217 Earlham St |
Ramona |
San Diego |
92065 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.0511306394 |
-116.854405072 |
-122.700766499574 |
38.4683850003675 |
18945 |
Lau, Cindy |
1730388729 |
Physician |
FAMILY PRACTICE |
3324 Chanate Rd |
Santa Rosa |
Sonoma |
95404 |
California |
2013 |
2014 |
1 |
AIU |
CINDY W MD SU |
1730388729 |
21250 |
21250 |
38.468385 |
-122.7007665 |
-118.125938222571 |
34.0918717765613 |
18946 |
Yabumoto, Keith |
1730383522 |
Physician |
INTERNAL MEDICINE |
220 S 1st St |
Alhambra |
Los Angeles |
91801 |
California |
2012 |
2013 |
1 |
AIU |
CARDIOVASCULAR COMPREHENSIVE |
1407889637 |
21250 |
21250 |
34.0918717774 |
-118.125938223 |
-117.228721500197 |
33.2096760004471 |
18950 |
Normil-Smith, Sherloune |
1730392135 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2013 |
2013 |
2 |
MU |
COMMUNITY CLINIC VISTA |
1689760100 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-117.15612921659 |
33.1407478633233 |
18958 |
Parry, Dana |
1730412941 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2012 |
2012 |
1 |
AIU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-119.251855838176 |
34.2762568924417 |
18959 |
SLATER, MACKENZIE |
1730409418 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2015 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.730009116028 |
38.4800536013926 |
18977 |
Clark, Hana |
1730479569 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.224776035785 |
37.7798441425932 |
18985 |
Shah, Poonam |
1730496407 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
18994 |
McBride, Tamara |
1730518382 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2015 |
2016 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-122.385354438756 |
40.5834973198455 |
18996 |
Natarajan, Nandhini |
1730520610 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2018 |
2019 |
3 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
38250 |
8500 |
40.5834973202 |
-122.385354439 |
-122.51450250029 |
37.8729540000271 |
18997 |
Spake, Colin |
1730522475 |
Nurse Practitioner |
UNKNOWN |
630 Drake Avenue |
Marin City |
Marin |
94965 |
California |
2016 |
2017 |
3 |
MU |
CITY HEALTH AND MARIN |
1285804948 |
38250 |
8500 |
37.872954 |
-122.5145025 |
-122.132916000373 |
38.0065680004129 |
19004 |
pulvers, evan |
1730561184 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-120.982856782315 |
37.6471734770744 |
19005 |
Li, Zhiguo |
1730553884 |
Nurse Practitioner |
UNKNOWN |
830 Scenic Dr |
Modesto |
UNKNOWN |
95353 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HLTH STANISLAUS |
1093910275 |
29750 |
8500 |
37.647173477 |
-120.982856782 |
-122.224776035785 |
37.7798441425932 |
19006 |
mar, gregory |
1730572447 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.075851000124 |
34.0629929997272 |
19014 |
Tan, Debra |
1730597071 |
Dentist |
UNKNOWN |
8841 Garvey Ave. |
Rosemead |
Los Angeles |
91770 |
California |
2020 |
2020 |
5 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
55250 |
8500 |
34.062993 |
-118.075851 |
-122.224776035785 |
37.7798441425932 |
19015 |
Chi, Jacob |
1730598434 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.947541034691 |
38.4087507018834 |
19018 |
look, adair |
1740207521 |
Physician |
UNKNOWN |
3802 Main Street |
Occidental |
Sonoma |
95465 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HEALTH CTRS WEST |
1598768962 |
21250 |
21250 |
38.4087507017 |
-122.947541035 |
-122.385354438756 |
40.5834973198455 |
19022 |
Vovakes, Michael |
1740209402 |
Physician |
PEDIATRIC MEDICINE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2013 |
2014 |
2 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
29750 |
8500 |
40.5834973202 |
-122.385354439 |
-118.97078849959 |
35.3824379999138 |
19024 |
Carter, Courtney |
1740212372 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.620135641347 |
39.1559550570803 |
19028 |
Odom, Joan |
1740216803 |
Physician |
UNKNOWN |
1965 Live Oak Blvd. |
Yuba City |
Sutter |
95991 |
California |
2016 |
2017 |
1 |
AIU |
County of Sutter |
1487872263 |
21250 |
21250 |
39.1559550572 |
-121.620135641 |
-122.028876790931 |
36.9749133592642 |
19030 |
Chapin, Erica |
1740220979 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2013 |
2014 |
2 |
MU |
CRUZ WOMEN'S SANTA |
1902923329 |
29750 |
8500 |
36.9749133589 |
-122.028876791 |
-118.286401499729 |
34.0671780002646 |
19032 |
Tyerman, Gayle |
1740225978 |
Physician |
UNKNOWN |
3160 Geneva St |
Los Angeles |
Los Angeles |
90020 |
California |
2020 |
2020 |
4 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
46750 |
8500 |
34.067178 |
-118.2864015 |
-119.681564789184 |
36.8375775631541 |
19033 |
Fritz, Robert |
1740231208 |
Dentist |
UNKNOWN |
1865 Herndon Ave Ste K |
Clovis |
Fresno |
93611 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
36.8375775632 |
-119.681564789 |
-121.541296500433 |
39.5069669996274 |
19035 |
Conley, Milton |
1740229871 |
Physician |
VASCULAR SURGERY |
2767 Olive Highway, Suite 220 |
Oroville |
Butte |
95966 |
California |
2014 |
2015 |
2 |
MU |
CORPORATION OROHEALTH |
1013933167 |
29750 |
8500 |
39.506967 |
-121.5412965 |
-117.152023500284 |
32.7983220001602 |
19043 |
Quizon, Annabelle |
1740237445 |
Physician |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2018 |
2019 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
17000 |
8500 |
32.798322 |
-117.1520235 |
-118.97078849959 |
35.3824379999138 |
19046 |
Sohal, Ravinder |
1740244466 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-120.369868359937 |
37.976814685949 |
19050 |
Carlson, Brian |
1740255462 |
Physician |
UNKNOWN |
680 Guzzi Lane, Suite 206 |
Sonora |
Tuolumne |
95370 |
California |
2015 |
2016 |
2 |
MU |
COMM HOSP SONORA |
1003014952 |
29750 |
8500 |
37.9768146862 |
-120.36986836 |
-119.668940915691 |
36.3281574526044 |
19055 |
Beddoe, Randy |
1740267426 |
Physician |
UNKNOWN |
1524 W Lacey Blvd, Suite 206 |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1467678342 |
38250 |
8500 |
36.3281574533 |
-119.668940916 |
-117.885446682219 |
33.7111736116729 |
19056 |
Islas, Robert |
1740271709 |
Physician |
PEDIATRIC MEDICINE |
2650 S Bristol St, 101- 103 |
Santa Ana |
Orange |
92704 |
California |
2013 |
2014 |
2 |
MU |
COAST PEDIATRICS SOUTH |
1568495364 |
29750 |
8500 |
33.7111736123 |
-117.885446682 |
-122.231195302121 |
37.7991749638535 |
19068 |
Green-Yeh, Robbin |
1740290329 |
Physician |
EMERGENCY MEDICINE |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.15612921659 |
33.1407478633233 |
19074 |
SEBIANE, MARIA |
1740295229 |
Physician |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-119.59623900023 |
36.5687914986288 |
19078 |
Neves, George |
1740296649 |
Physician |
UNKNOWN |
1041 Rose Ave |
Selma |
Fresno |
93662 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1265530018 |
38250 |
8500 |
36.5687914987 |
-119.596239 |
-117.152023500284 |
32.7983220001602 |
19089 |
Mak, Robert |
1740295252 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
19090 |
Shah, Nimeesh |
1740308592 |
Physician |
UNKNOWN |
751 S. Bascom Avenue |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
19093 |
Sharnoff, Meera |
1740318195 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
19095 |
PATEL, ATUL |
1740321884 |
Physician |
NEUROLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.152023500284 |
32.7983220001602 |
19098 |
Fagan, Brian |
1740308550 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-117.352773353707 |
34.071932436233 |
19109 |
Suthar, Mukesh |
1740338607 |
Physician |
UNKNOWN |
400 N Pepper Ave, MOB Suite 308 |
Colton |
San Bernardino |
92324 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-117.152023500284 |
32.7983220001602 |
19118 |
HILFIKER, MARY |
1740351402 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
19119 |
BRADLEY, JOHN |
1740351592 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-122.092582500182 |
37.6849889996427 |
19124 |
Kaminski, Kristof |
1740370584 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
21297 Foothill Blvd Ste 201 |
Hayward |
Alameda |
94541 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
37.684989 |
-122.0925825 |
-122.231195302121 |
37.7991749638535 |
19125 |
Coleman, Dione |
1740369271 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.132916000373 |
38.0065680004129 |
19126 |
CONCEPCION, YEILLIE |
1740372622 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
19135 |
Ratnayaka, Kanishka |
1740368687 |
Physician |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
25500 |
8500 |
32.798322 |
-117.1520235 |
-118.030855499881 |
34.1311139998113 |
19137 |
Pegolo, Giovanna |
1740390293 |
Physician |
UNKNOWN |
800 S. Santa Anita Ave. |
Arcadia |
Los Angeles |
91006 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.131114 |
-118.0308555 |
-122.730009116028 |
38.4800536013926 |
19146 |
Hegarty, Elizabeth |
1740405026 |
Physician |
PSYCHIATRY |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-121.989067233966 |
37.7747264425713 |
19150 |
Dang, Cheri |
1740404110 |
Dentist |
UNKNOWN |
111 deerwood road suite 170 |
san ramon |
Contra Costa |
94583 |
California |
2017 |
2018 |
2 |
MU |
CHERI AMANDA DMD DANG |
1740404110 |
29750 |
8500 |
37.7747264432 |
-121.989067234 |
-121.931844043068 |
37.3128740632874 |
19158 |
Que, Chi-Ling |
1740436039 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.532927443447 |
38.0685794121102 |
19166 |
SHAW, ELIZABETH |
1740443555 |
Physician |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
6 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
63750 |
8500 |
38.0685794125 |
-122.532927443 |
-115.56148168693 |
32.7942179997609 |
19169 |
Bhansali, Rakesh Kumar |
1740444777 |
Physician |
UNKNOWN |
202 N 8th St |
El Centro |
Imperial |
92243 |
California |
2017 |
2018 |
2 |
MU |
COUNTY BEHAVIORAL IMPERIAL |
1225258841 |
29750 |
8500 |
32.794218 |
-115.561481687 |
-121.931844043068 |
37.3128740632874 |
19184 |
Friedenberg, Allison |
1740471044 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931761542861 |
37.3141238808125 |
19191 |
Ngo, Tin |
1740478775 |
Physician |
UNKNOWN |
750 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.314123881 |
-121.931761543 |
-118.329789269359 |
34.0979749635737 |
19195 |
Venkatramani, Rajkumar |
1740481233 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.730009116028 |
38.4800536013926 |
19223 |
Baltrushes Hughes, Nicole |
1740546589 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-121.324336975971 |
36.4329200614118 |
19229 |
GARCIA, LUZ |
1740575687 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
600 MAIN ST |
SOLEDAD |
Monterey |
93960 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY HEALTH SOLEDAD |
1003822453 |
29750 |
8500 |
36.4329200611 |
-121.324336976 |
-122.310458360965 |
41.3051665101264 |
19248 |
Fadness, Julie |
1740625516 |
Nurse Practitioner |
UNKNOWN |
101 Old McCloud Rd |
Mount Shasta |
Siskiyou |
96067 |
California |
2016 |
2016 |
1 |
AIU |
CLOUD HEALTHCARE CLIN MC |
1164428488 |
21250 |
21250 |
41.3051665101 |
-122.310458361 |
-124.149759157059 |
40.8006381521291 |
19252 |
Moreno, Lourdes |
1740660505 |
Dentist |
UNKNOWN |
959 Myrtle Ave |
Eureka |
Humboldt |
95501 |
California |
2016 |
2017 |
1 |
AIU |
COMM HEALTH CTR EUREKA |
1851486989 |
21250 |
21250 |
40.8006381515 |
-124.149759157 |
-122.224776035785 |
37.7798441425932 |
19255 |
Wyrobek, Sonya |
1740670256 |
Certified Nurse - Midwife |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.240379999837 |
34.1367570001355 |
19267 |
Ibarra, Elizabeth |
1740726850 |
Nurse Practitioner |
UNKNOWN |
801 S. Chevy Chase Dr, Ste. 200 |
Glendale |
Los Angeles |
91205 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
29750 |
8500 |
34.136757 |
-118.24038 |
-117.885488708437 |
33.6847806931745 |
19268 |
BLURTON, DOMINIC |
1750301230 |
Physician |
UNKNOWN |
3080 Bristol Street, Suite 600 |
Costa Mesa |
Orange |
92626 |
California |
2019 |
2020 |
5 |
MU |
CARDIOVASCULAR PACIFIC |
1700821691 |
55250 |
8500 |
33.6847806931 |
-117.885488708 |
-122.433384088805 |
37.7865488663372 |
19274 |
Steinfield, Elizabeth |
1750308920 |
Certified Nurse - Midwife |
UNKNOWN |
1833 Fillmore Street, 3rd Floor |
San Francisco |
San Francisco |
94115 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY CLINIC WOMENS |
1629498118 |
38250 |
8500 |
37.7865488665 |
-122.433384089 |
-117.228721500197 |
33.2096760004471 |
19279 |
Garza, Paloma |
1750316238 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-121.45538700021 |
38.552040000046 |
19286 |
Van Gundy, Jeff |
1750318390 |
Physician |
UNKNOWN |
2521 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2018 |
2019 |
4 |
MU |
CARDI REGENTS/UCDPBG/PED |
1144213166 |
46750 |
8500 |
38.55204 |
-121.455387 |
-119.668940915691 |
36.3281574526044 |
19290 |
Gavini, John |
1750328803 |
Physician |
UNKNOWN |
1524 W. Lacey Blvd, Suite 103 |
Hanford |
Kings |
93230 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
38250 |
8500 |
36.3281574533 |
-119.668940916 |
-123.185974556581 |
40.5538843805598 |
19296 |
Breese, Maureen |
1750329645 |
Nurse Practitioner |
UNKNOWN |
6961 State highway 3 |
Hayfork |
Trinity |
96041 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITIES MOUNTAIN |
1750462271 |
29750 |
8500 |
40.5538843805 |
-123.185974557 |
-121.931844043068 |
37.3128740632874 |
19301 |
Jobalia, Amul |
1750344479 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
19302 |
Mannan, Jana |
1750348710 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
19303 |
Low, Dennis |
1750347837 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-120.060353194245 |
36.7271851227952 |
19305 |
Araya, Monica |
1750349718 |
Physician |
UNKNOWN |
517 S Madera Ave, Ste 201 |
Kerman |
Fresno |
93630 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1871839027 |
46750 |
8500 |
36.7271851231 |
-120.060353194 |
-119.768243692692 |
36.8089083103703 |
19310 |
alvarado, rudolph |
1750353314 |
Physician |
UNKNOWN |
1180 E Shaw Ave |
Fresno |
Fresno |
93710 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1417972282 |
21250 |
21250 |
36.8089083096 |
-119.768243693 |
-122.132916000373 |
38.0065680004129 |
19318 |
STROMBERG, LYNETTE |
1750367462 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.017646291043 |
36.9915277342176 |
19321 |
Loughlin, Kathleen |
1750381687 |
Physician |
PREVENTATIVE MEDICINE |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2013 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-117.346819408289 |
33.2144327206935 |
19327 |
Brebrick, Laurie |
1750386330 |
Nurse Practitioner |
NURSE PRACTITIONER |
3220 Mission Ave Ste 1 |
Oceanside |
San Diego |
92058 |
California |
2013 |
2014 |
3 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
38250 |
8500 |
33.2144327214 |
-117.346819408 |
-118.463696418155 |
34.2281841459816 |
19337 |
Mittal, Krishan |
1750414462 |
Physician |
UNKNOWN |
15206 Parthenia Street |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-117.152023500284 |
32.7983220001602 |
19338 |
Cheng, Eulalia |
1750394862 |
Physician |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
17000 |
8500 |
32.798322 |
-117.1520235 |
-120.723421943068 |
37.3798552940866 |
19339 |
Esparza, Samuel |
1750416038 |
Physician |
UNKNOWN |
1140 Main St |
Livingston |
Merced |
95334 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH LIVINGSTON |
1427110329 |
21250 |
21250 |
37.3798552945 |
-120.723421943 |
-117.152023500284 |
32.7983220001602 |
19342 |
Sattar, Shifteh |
1750407300 |
Physician |
UNKNOWN |
3020 Childrens Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-117.470784041051 |
33.8966342870428 |
19351 |
Peterson, Robert |
1750420865 |
Dentist |
UNKNOWN |
3380 La Sierra Ave, Suite 108 |
Riverside |
UNKNOWN |
92503 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.8966342869 |
-117.470784041 |
-118.193650506865 |
33.8542320071015 |
19354 |
Morris, Felicitacion |
1750428496 |
Physician |
GENERAL PRACTICE |
100 E Market St |
Long Beach |
Los Angeles |
90805 |
California |
2012 |
2013 |
2 |
MU |
COUNTY MEDICAL WEST |
1245442904 |
29750 |
8500 |
33.854232007 |
-118.193650507 |
-122.231195302121 |
37.7991749638535 |
19359 |
Sapir, Marc |
1750429569 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-119.251855838176 |
34.2762568924417 |
19367 |
LARSEN, FRAN |
1750434445 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-123.211126833337 |
39.1278118681233 |
19374 |
Feiertag, Thomas |
1750450110 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2017 |
2018 |
5 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
55250 |
8500 |
39.1278118679 |
-123.211126833 |
-120.381227294704 |
37.9840996306934 |
19376 |
Naude, Gideon |
1750450540 |
Physician |
UNKNOWN |
137 South Shepherd Street |
Sonora |
Tuolumne |
95370 |
California |
2015 |
2017 |
2 |
MU |
COMM HOSP SONORA |
1003014952 |
29750 |
8500 |
37.9840996306 |
-120.381227295 |
-122.132916000373 |
38.0065680004129 |
19379 |
Dosanjh, Sandeep |
1750451688 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1467522284 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.122650002795 |
32.812365973311 |
19380 |
PIAN, MARK |
1750452413 |
Physician |
PEDIATRIC MEDICINE |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2013 |
2014 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.8123659731 |
-117.122650003 |
-117.122650002795 |
32.812365973311 |
19381 |
KEARNS, DONALD |
1750452512 |
Physician |
OTOLARYNGOLOGY |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2013 |
2014 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.8123659731 |
-117.122650003 |
-117.15612921659 |
33.1407478633233 |
19393 |
Blakespear, Jeremy |
1750474177 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
5 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
55250 |
8500 |
33.1407478629 |
-117.156129217 |
-118.329789269359 |
34.0979749635737 |
19396 |
MOUSTAFA, MARWA |
1750477089 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.499895500277 |
37.96045199976 |
19400 |
Wice, Melanie |
1750484929 |
Certified Nurse - Midwife |
UNKNOWN |
3260 Kerner Blvd, Suite A |
San Rafael |
Marin |
94901 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1922303437 |
21250 |
21250 |
37.960452 |
-122.4998955 |
-121.931844043068 |
37.3128740632874 |
19402 |
Pan, Cheryl |
1750486239 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.413825981784 |
34.1944379999138 |
19404 |
Taylor, Randy |
1750490702 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
21250 |
21250 |
34.194438 |
-118.413825982 |
-119.337611703617 |
36.2207304412569 |
19410 |
Nguyen, Chi |
1750495933 |
Physician |
UNKNOWN |
922 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
5 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
55250 |
8500 |
36.220730441 |
-119.337611704 |
-122.017646291043 |
36.9915277342176 |
19411 |
Weber, Miryam |
1750496774 |
Physician |
PSYCHIATRY |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2012 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-117.152023500284 |
32.7983220001602 |
19414 |
Kuo, Dennis |
1750492146 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
25500 |
8500 |
32.798322 |
-117.1520235 |
-116.514480558031 |
33.9638247028478 |
19423 |
Janzen, Bruce |
1750512174 |
Dentist |
UNKNOWN |
11750 Cholla Dr Ste B |
Desert Hot Springs |
UNKNOWN |
92240 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.9638247028 |
-116.514480558 |
-122.191812000423 |
39.7473525278969 |
19431 |
Riccomini, Monica |
1750524914 |
Nurse Practitioner |
UNKNOWN |
203 Walker St Ste 3 |
Orland |
UNKNOWN |
95963 |
California |
2014 |
2014 |
2 |
MU |
CHILDREN'S CENTER ORLANDS |
1457500217 |
29750 |
8500 |
39.7473525284 |
-122.191812 |
-117.870673500082 |
33.6125160002133 |
19434 |
Sheppard, Valerie |
1750524237 |
Physician |
UNKNOWN |
1401 Avocado St #802 |
Newport Beach |
UNKNOWN |
92660 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS MEDICAL NEWPORT |
1356328330 |
63750 |
8500 |
33.612516 |
-117.8706735 |
-121.931761542861 |
37.3141238808125 |
19442 |
Szumowski, John |
1750558615 |
Physician |
UNKNOWN |
750 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.314123881 |
-121.931761543 |
-122.224776035785 |
37.7798441425932 |
19447 |
Wempe, Robin |
1750568721 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
19454 |
AZADFAR, ZOHREH |
1750574034 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
UNKNOWN |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
19456 |
Agredano de Moreno, Yolanda |
1750575874 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
19458 |
Bader, Semon |
1750581278 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
19479 |
Pham, John |
1750639993 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.783164500341 |
36.7465230001364 |
19487 |
Delsman, Erica |
1750657177 |
Physician |
UNKNOWN |
290 N Wayte Ln |
Fresno |
Fresno |
93701 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1265530018 |
21250 |
21250 |
36.746523 |
-119.7831645 |
-123.211126833337 |
39.1278118681233 |
19488 |
Espindola, Mario |
1750657565 |
Physician |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
46750 |
8500 |
39.1278118679 |
-123.211126833 |
-118.443115245172 |
34.0491885313257 |
19492 |
Yamini Soomekh, Chantal |
1750661930 |
Dentist |
UNKNOWN |
1639 Camden Ave, #202 |
Los Angeles |
Los Angeles |
90025 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.0491885309 |
-118.443115245 |
-117.885446682219 |
33.7111736116729 |
19498 |
Jasuja, Mona |
1750685780 |
Physician |
UNKNOWN |
2650 S Bristol St Ste 101 |
Santa Ana |
Orange |
92704 |
California |
2014 |
2015 |
2 |
MU |
COAST PEDIATRICS SOUTH |
1568495364 |
29750 |
8500 |
33.7111736123 |
-117.885446682 |
-117.228721500197 |
33.2096760004471 |
19500 |
Dejoras, Sasha |
1750706263 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-118.275726399554 |
34.0240252010023 |
19504 |
Lim, Lizbeth Tracy |
1750706925 |
Nurse Practitioner |
UNKNOWN |
400 W 30th St |
Los Angeles |
Los Angeles |
90007 |
California |
2015 |
2016 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.0240252009 |
-118.2757264 |
-122.132916000373 |
38.0065680004129 |
19506 |
Porteous, Ashley |
1750716924 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1467522284 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
19529 |
redfern, james |
1760403935 |
Dentist |
UNKNOWN |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.413825981784 |
34.1944379999138 |
19532 |
Cheung, Karen |
1760409247 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave., Suite 1B |
North Hollywood |
Los Angeles |
91605 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-118.338883710315 |
34.0060370468723 |
19541 |
Folsome, Cynthia |
1760417307 |
Physician |
UNKNOWN |
3751 Stocker St |
Los Angeles |
Los Angeles |
90008 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0060370469 |
-118.33888371 |
-118.398478499783 |
34.1866995081758 |
19551 |
Alaev, Victoria |
1760434005 |
Physician |
PEDIATRIC MEDICINE |
12157 Victory Blvd. |
North Hollywood |
UNKNOWN |
91606 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.1866995076 |
-118.3984785 |
-118.463696418155 |
34.2281841459816 |
19557 |
Boyle, Evelyn |
1760443634 |
Physician |
UNKNOWN |
15206 PARTHENIA ST |
North Hills |
Los Angeles |
91343 |
California |
2014 |
2015 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-121.540554000367 |
39.5047619995667 |
19559 |
Fine, Matthew |
1760437446 |
Physician |
INTERNAL MEDICINE |
2809 Olive Highway, Suite #350 |
Oroville |
Butte |
95966 |
California |
2014 |
2015 |
2 |
MU |
CORPORATION OROHEALTH |
1013933167 |
29750 |
8500 |
39.504762 |
-121.540554 |
-121.931844043068 |
37.3128740632874 |
19560 |
Jiao, Maria |
1760445480 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-120.369868359937 |
37.976814685949 |
19561 |
Teel, Donovan |
1760449755 |
Physician |
UNKNOWN |
680 Guzzi Ln, Suite 106 |
Sonora |
Tuolumne |
95370 |
California |
2016 |
2017 |
3 |
MU |
COMM HOSP SONORA |
1003014952 |
38250 |
8500 |
37.9768146862 |
-120.36986836 |
-123.211126833337 |
39.1278118681233 |
19562 |
Lam, Ling |
1760463368 |
Dentist |
UNKNOWN |
333 Laws Ave |
UkIAH |
Mendocino |
95482 |
California |
2014 |
2015 |
2 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
29750 |
8500 |
39.1278118679 |
-123.211126833 |
-118.97078849959 |
35.3824379999138 |
19565 |
Pendarvis, Ranie |
1760467005 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.868140000161 |
33.755175000426 |
19579 |
Ngo, Huong |
1760491427 |
Physician |
UNKNOWN |
1200 N Main St Ste 200 |
Santa Ana |
Orange |
92701 |
California |
2015 |
2016 |
1 |
AIU |
County of Orange |
1104963347 |
21250 |
21250 |
33.755175 |
-117.86814 |
-118.090917554601 |
34.090742927744 |
19582 |
TRUONG, THERESA |
1760498919 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
923 S San Gabriel Blvd |
San Gabriel |
Los Angeles |
91776 |
California |
2018 |
2019 |
4 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
46750 |
8500 |
34.0907429285 |
-118.090917555 |
-118.045836668228 |
34.0764334702285 |
19592 |
Than, Huy |
1760519805 |
Dentist |
UNKNOWN |
10418 Valley Blvd Ste B |
El Monte |
UNKNOWN |
91731 |
California |
2020 |
2020 |
3 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
38250 |
8500 |
34.0764334701 |
-118.045836668 |
-118.349731509102 |
33.954067100916 |
19600 |
Libuser, Lawrence |
1760534002 |
Dentist |
UNKNOWN |
300 E Buckthorn St |
Inglewood |
Los Angeles |
90301 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN'S DENTAL CENTER THE |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-121.931844043068 |
37.3128740632874 |
19606 |
Martinez, Asuncion |
1760541189 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.276321717273 |
35.5025648648767 |
19608 |
MOON, JONG |
1760545925 |
Physician |
UNKNOWN |
406 James St |
Shafter |
Kern |
93263 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1689037533 |
38250 |
8500 |
35.5025648649 |
-119.276321717 |
-118.256769000189 |
34.0030619996116 |
19616 |
Matthews-Mondragon, cynthia |
1760546873 |
Nurse Practitioner |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2018 |
6 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
63750 |
8500 |
34.003062 |
-118.256769 |
-117.152023500284 |
32.7983220001602 |
19622 |
KLEIN, KAREN |
1760553515 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.204014805039 |
37.7966404971613 |
19630 |
Glann, Carol |
1760568117 |
Physician |
UNKNOWN |
3055 MacArthur Blvd |
Oakland |
Alameda |
94602 |
California |
2013 |
2013 |
2 |
MU |
CAROL MD GLANN |
1760568117 |
29750 |
8500 |
37.7966404968 |
-122.204014805 |
-121.931844043068 |
37.3128740632874 |
19635 |
Tabrizi, Payam |
1760576706 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.304046000423 |
33.7980510000536 |
19636 |
Romano, Claudia |
1760580724 |
Dentist |
UNKNOWN |
1537 Lomita Blvd |
Harbor City |
Los Angeles |
90710 |
California |
2019 |
2020 |
3 |
MU |
CLAUDIA DDS ROMANO |
1760580724 |
38250 |
8500 |
33.798051 |
-118.304046 |
-123.802383017063 |
39.4300974549337 |
19638 |
Velazquez, Kei |
1760581631 |
Certified Nurse - Midwife |
NURSE PRACTITIONER |
855 Sequoia Cir |
Fort Bragg |
Mendocino |
95437 |
California |
2019 |
2020 |
6 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
63750 |
8500 |
39.4300974549 |
-123.802383017 |
-121.012460176196 |
37.6274263704307 |
19639 |
Gorman, Michael |
1760585897 |
Physician |
UNKNOWN |
401 Paradise Rd |
Modesto |
Stanislaus |
95351 |
California |
2017 |
2018 |
2 |
MU |
CO HLTH SVS STANISLAUS |
1396941464 |
29750 |
8500 |
37.6274263697 |
-121.012460176 |
-118.329789269359 |
34.0979749635737 |
19641 |
PLATZKER, ARNOLD |
1760580062 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.15612921659 |
33.1407478633233 |
19648 |
SCHALCK, KRISTEN |
1760587919 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
1 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-118.329789269359 |
34.0979749635737 |
19651 |
CHEN, ALEX |
1760589139 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.748589048346 |
38.4279142321561 |
19667 |
Harris, Kari |
1760626618 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-122.132916000373 |
38.0065680004129 |
19669 |
Kray, Margaret |
1760630941 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
19671 |
Gohil, Amit |
1760634141 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
42500 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
19675 |
Goldberg, Olga |
1760638662 |
Physician |
NEUROLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.77044549976 |
36.9377279997474 |
19685 |
Truong, Tim |
1760660625 |
Physician |
UNKNOWN |
252 Green Valley Rd |
Freedom |
Santa Cruz |
95019 |
California |
2014 |
2015 |
4 |
MU |
COAST PEDIATRIC PACIFIC |
1619152402 |
46750 |
8500 |
36.937728 |
-121.7704455 |
-117.152023500284 |
32.7983220001602 |
19686 |
Weber, Akilah |
1760652713 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
42500 |
8500 |
32.798322 |
-117.1520235 |
-117.885446682219 |
33.7111736116729 |
19688 |
Ajmal, Lubna |
1760661516 |
Physician |
UNKNOWN |
2650 S Bristol St, 101- 103 |
Santa Ana |
Orange |
92704 |
California |
2020 |
2020 |
4 |
MU |
COAST PEDIATRICS SOUTH |
1568495364 |
46750 |
8500 |
33.7111736123 |
-117.885446682 |
-117.15612921659 |
33.1407478633233 |
19701 |
Walker, Shayna |
1760688295 |
Physician |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2015 |
2016 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.228721500197 |
33.2096760004471 |
19706 |
Reppenhagen, Denise |
1760703136 |
Nurse Practitioner |
NURSE PRACTITIONER |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.017646291043 |
36.9915277342176 |
19707 |
Bacos, Dimitri |
1760712814 |
Physician |
UNKNOWN |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-122.730009116028 |
38.4800536013926 |
19708 |
Weigel, Janelle |
1760716765 |
Nurse Practitioner |
NURSE PRACTITIONER |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-117.152023500284 |
32.7983220001602 |
19710 |
DAVIS, CHRISTOPHER |
1760691950 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.532927443447 |
38.0685794121102 |
19717 |
Nikhinson, Anna |
1760739544 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
4 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
46750 |
8500 |
38.0685794125 |
-122.532927443 |
-122.224776035785 |
37.7798441425932 |
19718 |
Chen, Benjamin |
1760744874 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.256769000189 |
34.0030619996116 |
19720 |
Urbina, Rene |
1760735245 |
Nurse Practitioner |
UNKNOWN |
4425 S. Central Avenue |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2018 |
1 |
AIU |
CENTRAL FAMILY SOUTH |
1396891909 |
21250 |
21250 |
34.003062 |
-118.256769 |
-119.251855838176 |
34.2762568924417 |
19725 |
BRATSPIS, RENEE |
1760758734 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-118.256434514441 |
33.9855840003014 |
19729 |
Pham, Hung |
1760765085 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
5970 S Central Ave. |
Los Angeles |
Los Angeles |
90001 |
California |
2020 |
2020 |
4 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
46750 |
8500 |
33.985584 |
-118.256434514 |
-118.090917554601 |
34.090742927744 |
19740 |
Shan, Allen |
1760794226 |
Dentist |
UNKNOWN |
923 S San Gabriel Blvd |
San Gabriel |
Los Angeles |
91776 |
California |
2016 |
2017 |
1 |
AIU |
CHRISTIAN HEALTH HERALD |
1033390273 |
21250 |
21250 |
34.0907429285 |
-118.090917555 |
-122.132916000373 |
38.0065680004129 |
19746 |
Kompaniez, Kari |
1760805576 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.265307950601 |
34.0072110002875 |
19769 |
Neupane, Sanju |
1760933881 |
Nurse Practitioner |
UNKNOWN |
4211 Avalon Blvd, Ste A |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH KEDREN |
1417378597 |
21250 |
21250 |
34.007211 |
-118.265307951 |
-122.385354438756 |
40.5834973198455 |
19776 |
Villalobos, Joe |
1770502445 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2018 |
2019 |
5 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
55250 |
8500 |
40.5834973202 |
-122.385354439 |
-122.433384088805 |
37.7865488663372 |
19785 |
Mihaly, Lisa |
1770508186 |
Nurse Practitioner |
UNKNOWN |
1833 Fillmore St 3rd Floor |
San Francisco |
San Francisco |
94115 |
California |
2017 |
2018 |
4 |
MU |
COMMUNITY CLINIC WOMENS |
1629498118 |
46750 |
8500 |
37.7865488665 |
-122.433384089 |
-118.290635999851 |
34.0981185349425 |
19789 |
Herrington, Cynthia |
1770517245 |
Physician |
GENERAL SURGERY |
4650 W Sunset Blvd, MS # 66 |
Los Angeles |
Los Angeles |
90027 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.0981185351 |
-118.290636 |
-118.203927427709 |
34.1392982378235 |
19799 |
Vega, Ana |
1770533747 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1704 Colorado Blvd |
Los Angeles |
Los Angeles |
90041 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.1392982381 |
-118.203927428 |
-122.285312999995 |
37.8343440001755 |
19809 |
Saxena, Ranjana |
1770552721 |
Physician |
UNKNOWN |
1250 45th St, Ste 355 |
Emeryville |
Alameda |
94608 |
California |
2015 |
2016 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
37.834344 |
-122.285313 |
-118.443346549004 |
34.0637399640282 |
19814 |
Nugent, Diane |
1770528663 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2020 |
2020 |
5 |
MU |
CENTER FOR COMPREHENSIVE THE |
1679875942 |
48167 |
8500 |
34.0637399643 |
-118.443346549 |
-122.231195302121 |
37.7991749638535 |
19816 |
Matecki, Amy |
1770571077 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.228721500197 |
33.2096760004471 |
19818 |
edson, debra |
1770575888 |
Dentist |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2019 |
2020 |
5 |
MU |
COMM CLINIC VISTA |
1295822658 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-119.646007366247 |
36.3359516654371 |
19819 |
Yates, Julianna |
1770582181 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1025 N Douty St |
Hanford |
Kings |
93230 |
California |
2017 |
2018 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
46750 |
8500 |
36.3359516647 |
-119.646007366 |
-122.748589048346 |
38.4279142321561 |
19831 |
Stewart, Chris |
1770612905 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Ct Ste B |
Santa Rosa |
Sonoma |
95407 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-123.803844077242 |
39.43025401611 |
19832 |
Bush, Jayne |
1770607202 |
Nurse Practitioner |
NURSE PRACTITIONER |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2011 |
2012 |
1 |
AIU |
COAST CLINICS MENDOCINO |
1083783757 |
21250 |
21250 |
39.4302540158 |
-123.803844077 |
-119.7140130004 |
36.8081280001072 |
19842 |
javid, nikzad |
1770622912 |
Dentist |
UNKNOWN |
200 W Shaw Ave Ste 110 |
Clovis |
Fresno |
93612 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
36.808128 |
-119.714013 |
-119.251855838176 |
34.2762568924417 |
19853 |
Donahue, Timothy |
1770650608 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
3 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
-122.132916000373 |
38.0065680004129 |
19854 |
Kaji, Troy |
1770652422 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.122650002795 |
32.812365973311 |
19859 |
REZNIK, VIVIAN |
1770654535 |
Physician |
PEDIATRIC MEDICINE |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-118.25256397175 |
34.1292367711601 |
19862 |
Gold, Marina |
1770653974 |
Physician |
GENERAL PRACTICE |
1330 S Glendale Ave |
Glendale |
Los Angeles |
91205 |
California |
2011 |
2013 |
1 |
AIU |
C MEDICAL CLINIC P |
1093814113 |
21250 |
21250 |
34.1292367708 |
-118.252563972 |
-122.532927443447 |
38.0685794121102 |
19868 |
Schwartz, Mark |
1770661563 |
Physician |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Alameda |
94545 |
California |
2015 |
2017 |
3 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
38250 |
8500 |
38.0685794125 |
-122.532927443 |
-122.017646291043 |
36.9915277342176 |
19870 |
Medenwald, Janet |
1770664286 |
Physician |
PSYCHIATRY |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2012 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-122.132916000373 |
38.0065680004129 |
19878 |
Watanabe, Takenori |
1770670556 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
34000 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
19879 |
Hearst, David |
1770670531 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA COUNTY CONTRA |
1437237690 |
63750 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
19881 |
Bossen, Ingrid |
1770671992 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
19883 |
Farnitano, Christopher |
1770673832 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1568540763 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
19892 |
KAY, ROBERT |
1770677429 |
Physician |
ORTHOPEDIC SURGERY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-120.84840000026 |
37.4038470002389 |
19896 |
SPALDING, JOANNE |
1770693137 |
Physician |
UNKNOWN |
7970 Lander Ave, Suite A |
Hilmar |
UNKNOWN |
95324 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH LIVINGSTON |
1124300207 |
21250 |
21250 |
37.403847 |
-120.8484 |
-122.532927443447 |
38.0685794121102 |
19901 |
Renz, Heather |
1770695967 |
Certified Nurse - Midwife |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Alameda |
94545 |
California |
2015 |
2017 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-122.224776035785 |
37.7798441425932 |
19908 |
Arafiles-Reyes, Mildred |
1770707036 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.51450250029 |
37.8729540000271 |
19912 |
Jackson, Danielle |
1770711459 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
630 Drake Ave |
Sausalito |
Marin |
94965 |
California |
2016 |
2017 |
4 |
MU |
CITY HEALTH AND MARIN |
1285804948 |
46750 |
8500 |
37.872954 |
-122.5145025 |
-122.238282975179 |
38.1026505569777 |
19923 |
McCloud, Fawn |
1770737009 |
Nurse Practitioner |
NURSE PRACTITIONER |
365 Tuolumne Street |
Vallejo |
Solano |
94590 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY HEALTH SOLANO |
1730391053 |
21250 |
21250 |
38.1026505569 |
-122.238282975 |
-117.152023500284 |
32.7983220001602 |
19926 |
Singh, Rakesh |
1770723520 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
25500 |
8500 |
32.798322 |
-117.1520235 |
-121.931761542861 |
37.3141238808125 |
19927 |
Salamone, Louis |
1770744468 |
Physician |
UNKNOWN |
750 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.314123881 |
-121.931761543 |
-122.231195302121 |
37.7991749638535 |
19930 |
Bower, Megan |
1770748360 |
Certified Nurse - Midwife |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.380561494617 |
34.0768104957079 |
19931 |
Shaywitz, Jonathan |
1770754202 |
Physician |
PSYCHIATRY |
8700 Beverly Blvd |
West Hollywood |
Los Angeles |
90048 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
34.0768104957 |
-118.380561495 |
-118.256434514441 |
33.9855840003014 |
19933 |
Hool, Fernando |
1770750788 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
5970 S Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2020 |
2020 |
2 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
29750 |
8500 |
33.985584 |
-118.256434514 |
-117.866853000166 |
33.7811759997726 |
19943 |
Hsieh, Loan |
1770774341 |
Physician |
HEMATOLOGY/ONCOLOGY |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
2 |
MU |
CENTER FOR COMPREHENSIVE THE |
1679875942 |
29750 |
8500 |
33.781176 |
-117.866853 |
-121.931844043068 |
37.3128740632874 |
19947 |
Hauser, Amy |
1770778029 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
19950 |
Sutherland, Sonia |
1770785867 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
19954 |
Lobo, Kristin |
1770789364 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-116.32904549985 |
33.1939799996773 |
19959 |
Olivera, Armando |
1770800179 |
Physician |
FAMILY PRACTICE |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2014 |
2016 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
33.19398 |
-116.3290455 |
-122.224776035785 |
37.7798441425932 |
19960 |
Rivera, Luis |
1770801458 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.152023500284 |
32.7983220001602 |
19961 |
Yaszay, Burt |
1770798647 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-121.98973500037 |
36.963917999716 |
19973 |
Salazar, Angelica |
1770824823 |
Physician |
UNKNOWN |
21507 E Cliff Dr |
Santa Cruz |
Santa Cruz |
95062 |
California |
2014 |
2015 |
1 |
AIU |
CRUZ WOMEN'S SANTA |
1902923329 |
21250 |
21250 |
36.963918 |
-121.989735 |
-122.743877948009 |
38.4400615036355 |
19974 |
Herchold, Kiri |
1770821555 |
Dentist |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2013 |
2014 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-118.247823118242 |
34.0439514687853 |
19979 |
Chodakiewitz, Esther |
1770798902 |
Physician |
UNKNOWN |
646 S MAPLE AVENUE |
LOS ANGELES |
UNKNOWN |
90013 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0439514693 |
-118.247823118 |
-122.224776035785 |
37.7798441425932 |
19989 |
Del Rio, Paulina |
1770862518 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.730009116028 |
38.4800536013926 |
19995 |
Mills, Benjamin |
1770877177 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-122.231195302121 |
37.7991749638535 |
19997 |
Thapa, Nisha |
1770896615 |
Nurse Practitioner |
NURSE PRACTITIONER |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-121.939887305155 |
40.8041224683773 |
20010 |
Zane, Linda |
1770906067 |
Nurse Practitioner |
UNKNOWN |
29632 Highway 299 East |
Round Mountain |
Shasta |
96084 |
California |
2017 |
2018 |
3 |
MU |
COUNTRY COMM CLINIC HILL |
1407914260 |
38250 |
8500 |
40.8041224681 |
-121.939887305 |
-121.931844043068 |
37.3128740632874 |
20015 |
Lam, Carson |
1770926479 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
20016 |
Wong, Miguel |
1770928822 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.730009116028 |
38.4800536013926 |
20022 |
Padilla, Guillermo |
1770977696 |
Physician |
UNKNOWN |
3569 Round Barn Cir Ste 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2018 |
2019 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.730009116028 |
38.4800536013926 |
20029 |
Dehesa Rosillo, Carolina |
1770990491 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2020 |
2020 |
4 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
46750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.224776035785 |
37.7798441425932 |
20031 |
Huang, Rita |
1770996548 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
20033 |
Francis, Deidra |
1770998965 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-116.500868999605 |
33.9575580002016 |
20036 |
NOSOVITSKY, GENNADY |
1780007708 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
12520 Palm Dr |
Desert Hot Springs |
Riverside |
92240 |
California |
2020 |
2020 |
3 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
38250 |
8500 |
33.957558 |
-116.500869 |
-122.132916000373 |
38.0065680004129 |
20039 |
Martinez, Christy |
1780013532 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2015 |
2016 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-122.51450250029 |
37.8729540000271 |
20040 |
Campbell, Clay |
1780015693 |
Dentist |
UNKNOWN |
630 Drake Ave |
Sausalito |
Marin |
94965 |
California |
2017 |
2018 |
4 |
MU |
CITY HEALTH AND MARIN |
1285804948 |
46750 |
8500 |
37.872954 |
-122.5145025 |
-116.32904549985 |
33.1939799996773 |
20047 |
Wasimi, Fazela |
1780024588 |
Nurse Practitioner |
UNKNOWN |
4343 Yaqui Pass Rd, PO BOX 2369 |
Palm Springs |
UNKNOWN |
92004 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-121.98018152206 |
36.9883873259144 |
20051 |
HALDIPUR, SHWETA |
1780067488 |
Dentist |
UNKNOWN |
1830 Commercial Way |
Santa Cruz |
Santa Cruz |
95065 |
California |
2016 |
2016 |
1 |
AIU |
COMMUNITY DENTAL DIENTES |
1437213279 |
21250 |
21250 |
36.9883873258 |
-121.980181522 |
-118.184503499637 |
33.8084730004287 |
20056 |
Flaming, Susan |
1780093237 |
Nurse Practitioner |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
4 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
46750 |
8500 |
33.808473 |
-118.1845035 |
-118.97078849959 |
35.3824379999138 |
20058 |
Mandviwala, Lulua |
1780094300 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-119.77449203478 |
36.850751999805 |
20059 |
Chiu, Christopher |
1780095216 |
Dentist |
UNKNOWN |
7726 N 1st St, # 268 |
Fresno |
Fresno |
93720 |
California |
2016 |
2017 |
1 |
AIU |
Christopher T Chiu |
1780095216 |
21250 |
21250 |
36.850752 |
-119.774492035 |
-121.931844043068 |
37.3128740632874 |
20060 |
nguyen, my linh |
1780095711 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
UNKNOWN |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.748589048346 |
38.4279142321561 |
20066 |
Sanderson, Robin |
1780139634 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi |
Santa Rosa |
Sonoma |
95407 |
California |
2019 |
2020 |
4 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
46750 |
8500 |
38.4279142323 |
-122.748589048 |
-117.228721500197 |
33.2096760004471 |
20068 |
Hallinan, Karen |
1780605980 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2014 |
2015 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-123.803844077242 |
39.43025401611 |
20069 |
Goldyn, Lawrence |
1780605097 |
Physician |
INTERNAL MEDICINE |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2018 |
2019 |
6 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
63750 |
8500 |
39.4302540158 |
-123.803844077 |
-117.122650002795 |
32.812365973311 |
20089 |
Ellis, Linda |
1780630913 |
Physician |
PATHOLOGY |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-117.698225063236 |
34.0800811816013 |
20090 |
Abdel-Rahman, Jamal |
1780628842 |
Physician |
GENERAL PRACTICE |
9645 Monte Vista Ave, Suite 302 |
Montclair |
San Bernardino |
91763 |
California |
2014 |
2015 |
2 |
MU |
CHOICE MEDICAL PATIENTS |
1528194818 |
29750 |
8500 |
34.0800811815 |
-117.698225063 |
-121.456646999859 |
38.5524089999754 |
20092 |
Choy, Michael |
1780635029 |
Physician |
PEDIATRIC MEDICINE |
2516 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2014 |
2015 |
3 |
MU |
CARDI REGENTS/UCDPBG/PED |
1144213166 |
38250 |
8500 |
38.552409 |
-121.456647 |
-118.97078849959 |
35.3824379999138 |
20094 |
Nalesnik, Sally |
1780636092 |
Physician |
UNKNOWN |
1700 Mount Vernon ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.122650002795 |
32.812365973311 |
20098 |
PETERSON, KARIN |
1780651828 |
Physician |
ALLERGY/IMMUNOLOGY |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2013 |
2014 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.8123659731 |
-117.122650003 |
-122.268916812261 |
37.8637921117166 |
20111 |
Irwin, David |
1780672048 |
Physician |
UNKNOWN |
2001 Dwight Way |
Berkeley |
Alameda |
94704 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.8637921119 |
-122.268916812 |
-121.885863516288 |
37.6882558157533 |
20120 |
Shah, Yatin |
1780680546 |
Physician |
UNKNOWN |
5725 W Las Positas Blvd, Suite 110 |
Pleasanton |
Alameda |
94588 |
California |
2013 |
2014 |
3 |
MU |
CARE MEDICAL VALLEY |
1356598825 |
32583.34 |
5666.67 |
37.6882558161 |
-121.885863516 |
-117.294551908144 |
33.04413104741 |
20125 |
CHEN, BRIDGET |
1780690297 |
Physician |
UNKNOWN |
629 2nd St |
Encinitas |
San Diego |
92024 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.0441310475 |
-117.294551908 |
-122.132916000373 |
38.0065680004129 |
20127 |
Su, Gigi |
1780692830 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
UNKNOWN |
94553 |
California |
2018 |
2019 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
8500 |
8500 |
38.006568 |
-122.132916 |
-122.385354438756 |
40.5834973198455 |
20129 |
Lupeika, Debra |
1780697607 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2017 |
2018 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.5834973202 |
-122.385354439 |
-122.224776035785 |
37.7798441425932 |
20131 |
Halio, Amy |
1780699538 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
3 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
38250 |
8500 |
37.7798441429 |
-122.224776036 |
-122.730009116028 |
38.4800536013926 |
20133 |
Purohit, Anita |
1780701292 |
Dentist |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2019 |
2020 |
4 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
46750 |
8500 |
38.4800536014 |
-122.730009116 |
-117.152023500284 |
32.7983220001602 |
20137 |
MATEO, NOEL |
1780694240 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-119.337547068442 |
36.2234687042174 |
20142 |
PASION, ALICE |
1780730051 |
Dentist |
UNKNOWN |
1101 Cherry Street |
Tulare |
Tulare |
93274 |
California |
2017 |
2018 |
2 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
29750 |
8500 |
36.2234687039 |
-119.337547068 |
-122.748589048346 |
38.4279142321561 |
20152 |
Pierce, Jeffrey |
1780746107 |
Physician |
FAMILY PRACTICE |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-118.124154000007 |
33.8611230002263 |
20158 |
HARIRI, ABBAS |
1780753954 |
Dentist |
UNKNOWN |
5819 Adenmoor ave |
Lakewood |
Los Angeles |
90713 |
California |
2018 |
2019 |
3 |
MU |
CERRITOS DENTAL LAKEWOOD |
1407124290 |
38250 |
8500 |
33.861123 |
-118.124154 |
-121.931844043068 |
37.3128740632874 |
20159 |
Staunton, Joanna |
1780750745 |
Physician |
ANESTHESIOLOGY |
751 S Bascom Ave, Anesthesiology Dept |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-122.532927443447 |
38.0685794121102 |
20160 |
Stahl, Julie |
1780754275 |
Physician |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
4 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
46750 |
8500 |
38.0685794125 |
-122.532927443 |
-122.231195302121 |
37.7991749638535 |
20165 |
Sherard, Phillip |
1780762278 |
Physician |
PEDIATRIC MEDICINE |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.155398834688 |
34.0268212301157 |
20174 |
Cho, Austina |
1780770453 |
Physician |
UNKNOWN |
507 S. Atlantic Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN CENTER BIENVENIDOS |
1497001226 |
21250 |
21250 |
34.02682123 |
-118.155398835 |
-122.562698424193 |
38.095736927917 |
20175 |
Hessel, Tracey |
1780776039 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
3 |
MU |
COMMUNITY CLINIC MARIN |
1003900101 |
38250 |
8500 |
38.0957369279 |
-122.562698424 |
-121.931844043068 |
37.3128740632874 |
20176 |
STERN, ERLINDA |
1780775783 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-123.531180493085 |
38.7693186219569 |
20178 |
Rams, Roberta |
1780776682 |
Dentist |
UNKNOWN |
46900 Ocean Dr, PO BOX 1100 |
Gualala |
Mendocino |
95445 |
California |
2011 |
2013 |
1 |
AIU |
COAST MED SVS REDWOOD |
1962530725 |
21250 |
21250 |
38.7693186224 |
-123.531180493 |
-118.329789269359 |
34.0979749635737 |
20184 |
Grikscheit, Tracy |
1780777425 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
20192 |
Jensen, Marianne |
1780788315 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.748589048346 |
38.4279142321561 |
20205 |
Rice, Kyla |
1780800615 |
Physician |
UNKNOWN |
751 Lombardi Ct #B |
Santa Rosa |
Sonoma |
95407 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-117.102322508777 |
32.7514272099978 |
20211 |
Polheber, Amelia |
1780816082 |
Nurse Practitioner |
UNKNOWN |
4290 Polk Avenue |
San Diego |
San Diego |
92105 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC MID-CITY |
1306827332 |
21250 |
21250 |
32.7514272104 |
-117.102322509 |
-121.92590349575 |
37.5099310386865 |
20222 |
Krishan, Rachna |
1780844290 |
Physician |
UNKNOWN |
1450 Washo Dr |
Fremont |
Alameda |
94539 |
California |
2013 |
2014 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.5099310388 |
-121.925903496 |
-123.211126833337 |
39.1278118681233 |
20226 |
Timme, Rebecca |
1780848325 |
Physician |
PSYCHIATRY |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
38250 |
8500 |
39.1278118679 |
-123.211126833 |
-121.931844043068 |
37.3128740632874 |
20227 |
Trinh, Long |
1780844340 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
20235 |
Owens, Nancy |
1780865402 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-118.184624999844 |
33.8077440000856 |
20240 |
EPSTEIN, STACEY |
1780879239 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-122.134456012035 |
37.4720028130794 |
20264 |
Cordero, Franklin |
1780917278 |
Dentist |
UNKNOWN |
1807 Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.4720028128 |
-122.134456012 |
-122.730009116028 |
38.4800536013926 |
20278 |
Griego, Ann-Elizabeth |
1780974527 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2013 |
2014 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-119.251855838176 |
34.2762568924417 |
20281 |
Lima, ANN |
1780978320 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.730009116028 |
38.4800536013926 |
20285 |
WILLBURN, NICOLE |
1780988923 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2012 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-118.184503499637 |
33.8084730004287 |
20290 |
Wada, Jonathan |
1780995068 |
Physician |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.808473 |
-118.1845035 |
-123.801499006874 |
39.4322470387699 |
20295 |
Fleming, Sandra |
1790004091 |
Physician |
UNKNOWN |
721 River Drive, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2018 |
2019 |
3 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
8500 |
8500 |
39.4322470385 |
-123.801499007 |
-117.228721500197 |
33.2096760004471 |
20298 |
Jardina, Shannon |
1790019958 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
5 |
MU |
COMM CLINIC VISTA |
1295822658 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-117.06948449991 |
32.7604950004439 |
20315 |
Davis-Arnold, Twanna |
1790056232 |
Nurse Practitioner |
UNKNOWN |
5952 El Cajon Blvd |
San Diego |
San Diego |
92115 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
38250 |
8500 |
32.760495 |
-117.0694845 |
-122.132916000373 |
38.0065680004129 |
20317 |
Carey, David |
1790060457 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
20323 |
Lougee, Mariel |
1790070522 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.730009116028 |
38.4800536013926 |
20332 |
Van Cleave, Shana |
1790098937 |
Dentist |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2016 |
2017 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.224776035785 |
37.7798441425932 |
20363 |
Chen, Josephine |
1790175214 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.349731509102 |
33.954067100916 |
20370 |
Inouye, Allison |
1790191559 |
Dentist |
UNKNOWN |
300 E Buckthorn St |
Inglewood |
Los Angeles |
90301 |
California |
2015 |
2015 |
1 |
AIU |
Children's Dental Center of Greater LA |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-122.132916000373 |
38.0065680004129 |
20371 |
Gomez, Miguel |
1790197721 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-118.240379999837 |
34.1367570001355 |
20372 |
Scott, Jazmine |
1790216836 |
Nurse Practitioner |
UNKNOWN |
801 S. Chevy Chase Dr, Ste. 200 |
Glendale |
Los Angeles |
91205 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
38250 |
8500 |
34.136757 |
-118.24038 |
-121.931844043068 |
37.3128740632874 |
20375 |
Cortes, Maria |
1790237881 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.240379999837 |
34.1367570001355 |
20377 |
Segura, Danny |
1790221398 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
801 S Chevy Chase Dr, Suite 20 |
Glendale |
Los Angeles |
91205 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
29750 |
8500 |
34.136757 |
-118.24038 |
-118.393975957624 |
34.2395150830547 |
20385 |
MARTORELLA, FRANK |
1790711554 |
Physician |
GENERAL PRACTICE |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY MEDICAL SERRA |
1275545725 |
21250 |
21250 |
34.2395150827 |
-118.393975958 |
-122.132916000373 |
38.0065680004129 |
20396 |
Etwaru, Gupta |
1790733913 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
46750 |
8500 |
38.006568 |
-122.132916 |
-119.521534499617 |
36.6049529997812 |
20403 |
Fernandez, Robert |
1790743151 |
Physician |
UNKNOWN |
650 S Zediker Ave |
Parlier |
Fresno |
93648 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1083647036 |
46750 |
8500 |
36.604953 |
-119.5215345 |
-122.748589048346 |
38.4279142321561 |
20411 |
Ward, Lisa |
1790768869 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2014 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-117.152023500284 |
32.7983220001602 |
20415 |
PRINTZ, BETH |
1790756518 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.329789269359 |
34.0979749635737 |
20416 |
PRUETZ, JAY |
1790771053 |
Physician |
EMERGENCY MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
20417 |
Cao-Chan, Linh |
1790775310 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.97078849959 |
35.3824379999138 |
20419 |
Tipler, Bradley |
1790775989 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.443452228637 |
36.5077410862822 |
20424 |
Ponzio, Christine |
1790782191 |
Physician |
UNKNOWN |
133 fourth street |
gonzales |
Monterey |
93926 |
California |
2017 |
2018 |
6 |
MU |
C PONZIO MD CHRISTINE |
1851509392 |
63750 |
8500 |
36.5077410863 |
-121.443452229 |
-122.132916000373 |
38.0065680004129 |
20442 |
Brogan, Donna |
1790799641 |
Dentist |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
20444 |
Yamashita, Dennis-Duke |
1790797868 |
Dentist |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-123.803844077242 |
39.43025401611 |
20445 |
Nash, Mark |
1790809259 |
Dentist |
UNKNOWN |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2017 |
2018 |
3 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
38250 |
8500 |
39.4302540158 |
-123.803844077 |
-123.803844077242 |
39.43025401611 |
20446 |
Hofberg, Dawn |
1790809762 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2020 |
2020 |
6 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
63750 |
8500 |
39.4302540158 |
-123.803844077 |
-117.179509499764 |
33.1360199996233 |
20466 |
Alvarez-Martinez, Liliana |
1790833119 |
Physician |
FAMILY PRACTICE |
727 W San Marcos Blvd Ste 112 |
San Marcos |
San Diego |
92078 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.13602 |
-117.1795095 |
-122.385354438756 |
40.5834973198455 |
20478 |
McClean, Jill |
1790839355 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2017 |
2018 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.5834973202 |
-122.385354439 |
-121.324336975971 |
36.4329200614118 |
20479 |
Reiss, Diana |
1790844116 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
600 Main St |
Soledad |
Monterey |
93960 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY HEALTH SOLEDAD |
1003822453 |
29750 |
8500 |
36.4329200611 |
-121.324336976 |
-119.251855838176 |
34.2762568924417 |
20485 |
Gonzalez, Robert |
1790849230 |
Physician |
RHEUMATOLOGY |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
3 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
-118.97078849959 |
35.3824379999138 |
20488 |
Patel, Sudhir |
1790851921 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.122650002795 |
32.812365973311 |
20490 |
LOVEJOY, AMY |
1790856557 |
Physician |
UNKNOWN |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.8123659731 |
-117.122650003 |
-117.152023500284 |
32.7983220001602 |
20496 |
SPECTOR, STEPHEN |
1790857316 |
Physician |
UNKNOWN |
3020 Childrens Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2014 |
2015 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
20498 |
Barnard, Rand |
1790866838 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
20505 |
YAMAZAKI, KIYOMI |
1790870236 |
Dentist |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.142548939082 |
33.8713771331482 |
20506 |
Desai, Ramesh |
1790874337 |
Physician |
UNKNOWN |
17660 Lakewood Boulevard |
Bellflower |
Los Angeles |
90706 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.8713771327 |
-118.142548939 |
-122.748589048346 |
38.4279142321561 |
20509 |
Lunde, Erin |
1790876720 |
Physician |
FAMILY PRACTICE |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2014 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-121.931761542861 |
37.3141238808125 |
20516 |
Suarez, Angela |
1790878247 |
Physician |
UNKNOWN |
750 S Bascom |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.314123881 |
-121.931761543 |
-118.329789269359 |
34.0979749635737 |
20519 |
COATES, THOMAS |
1790885697 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
20521 |
Jardine, Rebecca |
1790888741 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-117.228721500197 |
33.2096760004471 |
20522 |
Golay, Kathryn |
1790889327 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-118.156876795827 |
34.6841322592964 |
20524 |
NGO, JAMES |
1790892354 |
Physician |
OBSTETRICS/GYNECOLOGY |
44105 15th St W Ste 304 |
Lancaster |
Los Angeles |
93534 |
California |
2012 |
2013 |
1 |
AIU |
CLINIC MEDICAL WOMEN'S |
1548226491 |
21250 |
21250 |
34.6841322591 |
-118.156876796 |
-118.277265242997 |
34.0038303938576 |
20532 |
Vicencio, Eduardita |
1790903573 |
Doctor of Optometry |
UNKNOWN |
231 W VERNON AVE STE 104 |
LOS ANGELES |
Los Angeles |
90037 |
California |
2015 |
2017 |
1 |
AIU |
CHERYL MD INC POWELL |
1073922910 |
21250 |
21250 |
34.0038303938 |
-118.277265243 |
-117.228721500197 |
33.2096760004471 |
20540 |
Andera, Susan |
1790914216 |
Nurse Practitioner |
NURSE PRACTITIONER |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-119.800377524303 |
36.8843745979094 |
20542 |
BOWERS, Jeanette |
1790920221 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2018 |
2019 |
5 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
55250 |
8500 |
36.8843745978 |
-119.800377524 |
-122.132916000373 |
38.0065680004129 |
20546 |
Bajpai, Urmila |
1790932457 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
20550 |
Lai, Gordon |
1790947976 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-118.329789269359 |
34.0979749635737 |
20554 |
COLLINS, BRYNIE |
1790958015 |
Physician |
GASTROENTEROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.463696418155 |
34.2281841459816 |
20562 |
Mawas, Isam |
1790971422 |
Physician |
UNKNOWN |
15206 Parthenia Street, |
North Hills |
Los Angeles |
91340 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-117.989037928558 |
33.7030860255996 |
20567 |
Christensen, Jennifer |
1790974632 |
Physician |
UNKNOWN |
17822 Beach Blvd Ste 278 |
Huntington Beach |
Orange |
92647 |
California |
2012 |
2013 |
1 |
AIU |
CARE MED GRP PEDIATRIC |
1851337356 |
21250 |
21250 |
33.7030860261 |
-117.989037929 |
-122.231195302121 |
37.7991749638535 |
20569 |
Clavo, Jacqueline |
1790977312 |
Nurse Practitioner |
CERTIFIED REGISTERED NURSE ANESTHETIST |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-119.251855838176 |
34.2762568924417 |
20573 |
Armin, Bob |
1790960888 |
Physician |
OTOLARYNGOLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-117.152023500284 |
32.7983220001602 |
20587 |
Wang, Sonya |
1790997393 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2016 |
2017 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.730386560591 |
38.4458654097609 |
20590 |
Dobbs, Waltraut |
1801008537 |
Dentist |
UNKNOWN |
1100 North Dutton Ave. |
Santa Rosa |
Sonoma |
95401 |
California |
2019 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4458654096 |
-122.730386561 |
-118.184624999844 |
33.8077440000856 |
20593 |
SAFANI, ELHAM |
1801012760 |
Physician |
PEDIATRIC MEDICINE |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2011 |
2012 |
1 |
AIU |
CLINIC, THE CHILDREN'S |
1639233935 |
21250 |
21250 |
33.807744 |
-118.184625 |
-122.242828694688 |
37.7817946444073 |
20601 |
Dubey, Sandhya |
1801021357 |
Physician |
UNKNOWN |
2000 Embarcadero, Suite 101 |
Oakland |
Alameda |
94606 |
California |
2016 |
2017 |
1 |
AIU |
CNTY BEHAV HLTH CARE ALAMEDA |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
-118.193650506865 |
33.8542320071015 |
20607 |
KWON, EUNHEE |
1801026844 |
Physician |
GENERAL PRACTICE |
100 E. Market St. |
Long Beach |
Los Angeles |
90805 |
California |
2011 |
2013 |
1 |
AIU |
COUNTY MEDICAL WEST |
1245442904 |
21250 |
21250 |
33.854232007 |
-118.193650507 |
-122.231195302121 |
37.7991749638535 |
20616 |
Baqai, Sumbella |
1801045679 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.998568144005 |
38.5025852932767 |
20623 |
Chio, Edward |
1801059811 |
Dentist |
UNKNOWN |
16312 Third Street |
Guerneville |
Sonoma |
95446 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY HEALTH CENTERS WEST |
1598786352 |
21250 |
21250 |
38.5025852925 |
-122.998568144 |
-117.285578999771 |
34.4743740003599 |
20626 |
Lopez, Cecilia |
1801069943 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
17259 jasmine st ste a |
victorville |
San Bernardino |
92395 |
California |
2013 |
2018 |
1 |
MU |
Cecilia Lopez |
1801069943 |
0 |
0 |
34.474374 |
-117.285579 |
-121.931844043068 |
37.3128740632874 |
20628 |
Sahni, Harleen |
1801071303 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.866599617978 |
33.7159741181111 |
20641 |
Kim, Chung |
1801089925 |
Dentist |
UNKNOWN |
204 E Warner Ave Ste 104 |
Santa Ana |
Orange |
92707 |
California |
2016 |
2017 |
1 |
AIU |
Chung Kim |
1801089925 |
21250 |
21250 |
33.7159741183 |
-117.866599618 |
-117.947213582641 |
34.0621575996935 |
20642 |
Beharie, Carlos |
1801094131 |
Physician |
OBSTETRICS/GYNECOLOGY |
1433 W Merced Ave, Suite 103 |
West Covina |
Los Angeles |
91790 |
California |
2013 |
2014 |
2 |
MU |
CARLOS MD BEHARIE |
1538156708 |
29750 |
8500 |
34.0621576001 |
-117.947213583 |
-117.152023500284 |
32.7983220001602 |
20643 |
Nourbakhsh, Noureddin |
1801082003 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-120.121778773172 |
36.0078165287099 |
20645 |
Lee, Sharon |
1801101316 |
Nurse Practitioner |
UNKNOWN |
1000 Skyline Blvd, PO box 700 |
Avenal |
Kings |
93204 |
California |
2016 |
2016 |
1 |
AIU |
COMMUNITY HEALTH AVENAL |
1932169240 |
21250 |
21250 |
36.007816529 |
-120.121778773 |
-122.532927443447 |
38.0685794121102 |
20647 |
Indelicato, Marcello |
1801108907 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2017 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-117.152023500284 |
32.7983220001602 |
20648 |
Marietti Shepherd, Sarah |
1801094115 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.231195302121 |
37.7991749638535 |
20655 |
Berletti, Monica |
1801125406 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
UNKNOWN |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.730009116028 |
38.4800536013926 |
20664 |
Vazquez, Arlene |
1801162227 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.224776035785 |
37.7798441425932 |
20666 |
Mendoza, Tristan |
1801168547 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.385354438756 |
40.5834973198455 |
20669 |
Lannoy, Tessa |
1801170725 |
Nurse Practitioner |
NURSE PRACTITIONER |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2013 |
2013 |
1 |
AIU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-119.452023000161 |
36.6078234837668 |
20672 |
Martinez, Mario |
1801183181 |
Physician |
UNKNOWN |
372 W CYPRESS AVE |
Reedley |
Fresno |
93654 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1326063199 |
38250 |
8500 |
36.6078234835 |
-119.452023 |
-122.730009116028 |
38.4800536013926 |
20674 |
Francis, Adam |
1801186648 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.730009116028 |
38.4800536013926 |
20679 |
Awtry, Alisa |
1801213137 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2016 |
2017 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.132916000373 |
38.0065680004129 |
20686 |
Pirnia, Mana |
1801225610 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-119.337547068442 |
36.2234687042174 |
20687 |
RIAZ, SAMREEN |
1801230453 |
Dentist |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2017 |
2018 |
2 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
29750 |
8500 |
36.2234687039 |
-119.337547068 |
-119.598494562874 |
36.5688689176665 |
20688 |
Sidhu, Pritpal |
1801254719 |
Nurse Practitioner |
UNKNOWN |
1142 Rose Ave Ste C |
Selma |
Fresno |
93662 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1265530018 |
21250 |
21250 |
36.5688689176 |
-119.598494563 |
-122.231195302121 |
37.7991749638535 |
20689 |
Ohri, Anuj |
1801238407 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.532927443447 |
38.0685794121102 |
20691 |
Doerr-Kashani, Pamela |
1801270863 |
Nurse Practitioner |
UNKNOWN |
9 Commercial Blvd, Ste 103 |
Novato |
Marin |
94945 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0685794125 |
-122.532927443 |
-122.132916000373 |
38.0065680004129 |
20693 |
Torres, Marcella |
1801278254 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-117.225553499794 |
33.8024879996215 |
20700 |
Arda, Carmencita |
1801289939 |
Nurse Practitioner |
UNKNOWN |
1675 N PERRIS BLVD |
PERRIS |
UNKNOWN |
92571 |
California |
2016 |
2018 |
1 |
AIU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.802488 |
-117.2255535 |
-117.721502999963 |
34.0619039998697 |
20702 |
Hartman, Kaitlin |
1801338645 |
Nurse Practitioner |
UNKNOWN |
1450 E Holt Ave |
Pomona |
Los Angeles |
91767 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH POMONA |
1417211426 |
21250 |
21250 |
34.061904 |
-117.721503 |
-117.228721500197 |
33.2096760004471 |
20727 |
Motadel, Kelly |
1801827340 |
Physician |
PEDIATRIC MEDICINE |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2016 |
2017 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-120.368999489835 |
37.9756806183659 |
20729 |
Freeman, Kimberly |
1801830070 |
Physician |
UNKNOWN |
1000 Greenley Rd |
Sonora |
Tuolumne |
95370 |
California |
2015 |
2016 |
2 |
MU |
COMM HOSP SONORA |
1003014952 |
29750 |
8500 |
37.9756806184 |
-120.36899949 |
-121.931844043068 |
37.3128740632874 |
20741 |
Gonzalez, Maritza |
1801850144 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
20744 |
Lan, Yueh-Tze |
1801851035 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
20748 |
Mendoza-Levy, Elizabeth |
1801853759 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
20751 |
Duterte, Brendan |
1801858873 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.658119110908 |
36.329612871337 |
20762 |
Black, Colleen |
1801879879 |
Nurse Practitioner |
UNKNOWN |
470 Greenfield Ave Ste 303 |
Hanford |
Kings |
93230 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1326384579 |
21250 |
21250 |
36.3296128713 |
-119.658119111 |
-121.931844043068 |
37.3128740632874 |
20795 |
Qureshi, Huma |
1801933981 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.468015071438 |
34.0436787053081 |
20805 |
COHEN, soleyman |
1801939715 |
Dentist |
UNKNOWN |
12121 Wilshire Blvd, SUITE 1111 |
Los Angeles |
Los Angeles |
90025 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.0436787053 |
-118.468015071 |
-117.122650002795 |
32.812365973311 |
20811 |
MADIGAN, CATHERINE |
1801950555 |
Physician |
PEDIATRIC MEDICINE |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2012 |
2013 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.8123659731 |
-117.122650003 |
-119.337439499633 |
35.5942594825891 |
20819 |
ALOMARI, ELIZABETH |
1801961958 |
Nurse Practitioner |
UNKNOWN |
AHCC Wasco, 1040 7th St. |
Wasco |
Tulare |
93260 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1245694306 |
29750 |
8500 |
35.5942594827 |
-119.3374395 |
-122.034028540185 |
38.2746144454004 |
20830 |
Salib, Nader |
1801975594 |
Dentist |
UNKNOWN |
2440 N Texas St |
Fairfield |
Solano |
94533 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
38.2746144446 |
-122.03402854 |
-122.132490074257 |
38.0066599453003 |
20835 |
Lively, Daniel |
1801966718 |
Physician |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006659945 |
-122.132490074 |
-122.132490074257 |
38.0066599453003 |
20838 |
Buoncristiani, Amy |
1801978432 |
Physician |
UNKNOWN |
2500 Alhambra Ave, Contra Costa Regional Med Center, Med Staff Office |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006659945 |
-122.132490074 |
-118.329789269359 |
34.0979749635737 |
20839 |
LERNER, GARY |
1801982301 |
Physician |
NEPHROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.132916000373 |
38.0065680004129 |
20843 |
Chun, Kwan |
1801986955 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.532927443447 |
38.0685794121102 |
20844 |
eigner, danielle |
1801989280 |
Physician |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2017 |
3 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
38250 |
8500 |
38.0685794125 |
-122.532927443 |
-122.134456012035 |
37.4720028130794 |
20850 |
Oak, Sara |
1801994892 |
Dentist |
UNKNOWN |
1807 Bay Rd |
East Palo Alto |
Santa Clara |
94303 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY COMM HEALTH CTR SOUTH |
1184957771 |
21250 |
21250 |
37.4720028128 |
-122.134456012 |
-122.135176589328 |
37.47163190299 |
20860 |
Thadani, Reshma |
1811000656 |
Physician |
PEDIATRIC MEDICINE |
1798A Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2015 |
2016 |
3 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
38250 |
8500 |
37.4716319031 |
-122.135176589 |
-118.393975957624 |
34.2395150830547 |
20866 |
Delicona, Cornelia |
1811003718 |
Physician |
DERMATOLOGY |
9375 San Fernando Road |
Sun Valley |
Los Angeles |
91352 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY MEDICAL SERRA |
1275545725 |
21250 |
21250 |
34.2395150827 |
-118.393975958 |
-121.931844043068 |
37.3128740632874 |
20874 |
Pence, Benjamin |
1811013386 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE, suite 5285 |
San Jose |
UNKNOWN |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
20879 |
Kuri, Mauricio |
1811025471 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
25500 |
8500 |
38.006568 |
-122.132916 |
-122.385354438756 |
40.5834973198455 |
20886 |
Grover, Rhett |
1811041445 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.5834973202 |
-122.385354439 |
-117.960869306773 |
33.8178381049447 |
20887 |
MCCREADIE, EMMAJEAN |
1811034507 |
Nurse Practitioner |
UNKNOWN |
2237 W. Ball Road |
Anaheim |
Orange |
92804 |
California |
2016 |
2017 |
2 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
29750 |
8500 |
33.8178381046 |
-117.960869307 |
-117.228721500197 |
33.2096760004471 |
20890 |
Montis, Emmett |
1811045693 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2013 |
2014 |
2 |
MU |
COMM CLINIC VISTA |
1295822658 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
20891 |
Ngo, Nancy |
1811044662 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-122.385354438756 |
40.5834973198455 |
20904 |
McGlynn, Barbara |
1811061385 |
Nurse Practitioner |
NURSE PRACTITIONER |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2013 |
2014 |
3 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
38250 |
8500 |
40.5834973202 |
-122.385354439 |
-117.949621500332 |
33.7454550000483 |
20907 |
Bui, Christopher |
1811061468 |
Physician |
INTERNAL MEDICINE |
10301 Bolsa Ave, 101 |
Westminster |
Orange |
92683 |
California |
2013 |
2015 |
2 |
MU |
CHRISTOPHER D MD BUI |
1811061468 |
29750 |
8500 |
33.745455 |
-117.9496215 |
-122.562671472411 |
38.0957045424307 |
20916 |
Spera, Marcella |
1811079593 |
Physician |
UNKNOWN |
6100 Redwood Blvd |
Novato |
Marin |
94945 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1003900101 |
21250 |
21250 |
38.0957045424 |
-122.562671472 |
-121.931844043068 |
37.3128740632874 |
20920 |
Wainscoat, Tonia |
1811082696 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
20933 |
Shelton-Pryor, Ruth |
1811098007 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
20935 |
ABIDARI, JENNIFER |
1811098197 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931761542861 |
37.3141238808125 |
20939 |
Chou, Thomas |
1811102817 |
Physician |
UNKNOWN |
750 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.314123881 |
-121.931761543 |
-118.329789269359 |
34.0979749635737 |
20940 |
Koempel, Jeffrey |
1811099633 |
Physician |
OTOLARYNGOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.15612921659 |
33.1407478633233 |
20942 |
RAYMUNDO, Michele |
1811109465 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.224776035785 |
37.7798441425932 |
20943 |
Johnson, Sara |
1811125016 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.939818285585 |
40.7376560239064 |
20947 |
JANSON, LAURIE |
1811130198 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
31 Easter Ave. |
Weaverville |
Trinity |
96093 |
California |
2013 |
2014 |
1 |
AIU |
COMMUNITIES MOUNTAIN |
1356422307 |
21250 |
21250 |
40.7376560241 |
-122.939818286 |
-119.337547068442 |
36.2234687042174 |
20953 |
Cruz, Bryan |
1811147069 |
Physician |
UNKNOWN |
1101 Cherry Street |
Altura |
Tulare |
93274 |
California |
2018 |
2019 |
5 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
55250 |
8500 |
36.2234687039 |
-119.337547068 |
-118.045836668228 |
34.0764334702285 |
20956 |
Liao, Kevin |
1811148620 |
Physician |
UNKNOWN |
10418 Valley Blvd Ste B |
El Monte |
UNKNOWN |
91731 |
California |
2014 |
2015 |
3 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
38250 |
8500 |
34.0764334701 |
-118.045836668 |
-118.329789269359 |
34.0979749635737 |
20959 |
LaGuardia, Elizabeth |
1811156714 |
Physician |
PULMONARY DISEASE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.39119316843 |
40.5850415673145 |
20960 |
Wise, Andrew |
1811157373 |
Dentist |
UNKNOWN |
1400 Market St, 8103 |
Redding |
Shasta |
96001 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HEALTH SHASTA |
1538181557 |
21250 |
21250 |
40.5850415667 |
-122.391193168 |
-117.152023500284 |
32.7983220001602 |
20961 |
Grabowski, Julia |
1811150345 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.798322 |
-117.1520235 |
-118.972130000299 |
35.3825800001669 |
20962 |
Jahan, Sharmin |
1811130909 |
Physician |
UNKNOWN |
1700 Mt. Vernon Ave, Kern Medical Center |
Bakersfield |
Kern |
93305 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
35.38258 |
-118.97213 |
-117.152023500284 |
32.7983220001602 |
20975 |
Sun, Heather |
1811173883 |
Physician |
UNKNOWN |
3020 Childrens Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.81837400016 |
38.3967809997434 |
20979 |
Earl, Constance |
1811193246 |
Physician |
UNKNOWN |
6800 Palm Avenue |
Sebastopol |
Sonoma |
95472 |
California |
2018 |
2019 |
4 |
MU |
COUNTY HEALTH CENTER WEST |
1538334065 |
46750 |
8500 |
38.396781 |
-122.818374 |
-122.231195302121 |
37.7991749638535 |
20982 |
Unemori, Patrick |
1811194814 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
20983 |
Phan, Peter |
1811195563 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.097980794878 |
34.1497971437233 |
20986 |
Vargas, Moises |
1811196470 |
Physician |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.149797144 |
-118.097980795 |
-122.39119316843 |
40.5850415673145 |
20987 |
Estep, Erin |
1811204233 |
Dentist |
UNKNOWN |
1400 Market St Rm 8103 |
Redding |
Shasta |
96001 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HEALTH SHASTA |
1538181557 |
21250 |
21250 |
40.5850415667 |
-122.391193168 |
-118.184624999844 |
33.8077440000856 |
20988 |
Schumer, Jessica |
1811210982 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-117.15612921659 |
33.1407478633233 |
20990 |
Lister, Crystal |
1811207756 |
Certified Nurse - Midwife |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
5 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
55250 |
8500 |
33.1407478629 |
-117.156129217 |
-117.228721500197 |
33.2096760004471 |
21003 |
Kousari, Jhaleh |
1811262405 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2019 |
2020 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
21008 |
Pare, Rebecca |
1811270549 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
21018 |
Prince, Jennifer |
1811296288 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-117.885446682219 |
33.7111736116729 |
21027 |
Aldalur, Maydole |
1811317001 |
Nurse Practitioner |
UNKNOWN |
2650 S Bristol St, Ste 101 |
Santa Ana |
Orange |
92704 |
California |
2016 |
2017 |
1 |
AIU |
COAST PEDIATRICS SOUTH |
1568495364 |
21250 |
21250 |
33.7111736123 |
-117.885446682 |
-118.155398834688 |
34.0268212301157 |
21045 |
Pejman-Gonzalez, Natasha |
1811355134 |
Dentist |
UNKNOWN |
507 South Atlantic Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN CENTER BIENVENIDOS |
1497001226 |
21250 |
21250 |
34.02682123 |
-118.155398835 |
-122.132916000373 |
38.0065680004129 |
21047 |
Lu, Tiffany |
1811379266 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-118.007464500386 |
33.8581620003761 |
21048 |
Fernandez, Gabriel |
1811380322 |
Nurse Practitioner |
UNKNOWN |
7212 Orangethorpe Ave, Suite 9A |
Buena Park |
Orange |
90621 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY SERVICES KOREAN |
1861525602 |
21250 |
21250 |
33.858162 |
-118.0074645 |
-117.15612921659 |
33.1407478633233 |
21049 |
Venor, Kristen |
1811391261 |
Certified Nurse - Midwife |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
4 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
46750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.231195302121 |
37.7991749638535 |
21062 |
Savio, Robert |
1811907488 |
Physician |
UNKNOWN |
1411 E 31st St, OakCare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.743877948009 |
38.4400615036355 |
21069 |
Judson, Leona |
1811922255 |
Nurse Practitioner |
UNKNOWN |
144 Stony Point Rd. |
Santa Rosa |
Sonoma |
95401 |
California |
2012 |
2013 |
2 |
MU |
CO INDIAN HEALTH SONOMA |
1265457980 |
29750 |
8500 |
38.4400615041 |
-122.743877948 |
-117.152023500284 |
32.7983220001602 |
21074 |
Ingulli, Elizabeth |
1811919244 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-118.240379999837 |
34.1367570001355 |
21086 |
Manoukian, Arthur |
1811948540 |
Physician |
UNKNOWN |
801 South Chevy Chase Drive |
Glendale |
Los Angeles |
91205 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.136757 |
-118.24038 |
-116.230237454295 |
33.7074334293094 |
21087 |
Cashatt, Troy |
1811948508 |
Physician |
UNKNOWN |
81-709 Dr Carreon Blvd, Suite C-3 |
Indio |
Riverside |
92201 |
California |
2015 |
2017 |
1 |
AIU |
COACHELLA VALLEY CARE MEDICAL ASSOCIATES INC |
1811319890 |
21250 |
21250 |
33.707433429 |
-116.230237454 |
-121.456646999859 |
38.5524089999754 |
21097 |
PELECH, ANDREW |
1811949597 |
Physician |
UNKNOWN |
Ticon 2, 2516 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2018 |
2019 |
6 |
MU |
CARDI REGENTS/UCDPBG/PED |
1144213166 |
25500 |
8500 |
38.552409 |
-121.456647 |
-121.931844043068 |
37.3128740632874 |
21098 |
Mazonson, Peter |
1811953391 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95134 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
21103 |
Dai Biller, Jenny |
1811970973 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.409720000278 |
37.7957700001854 |
21108 |
Lo, Charles |
1811978604 |
Physician |
GENERAL SURGERY |
890 Jackson St, Suite 302 |
San Francisco |
San Francisco |
94133 |
California |
2016 |
2017 |
4 |
MU |
CHARLES Y MD LO |
1811978604 |
46750 |
8500 |
37.79577 |
-122.40972 |
-118.463696418155 |
34.2281841459816 |
21111 |
Ibraheem, Laja |
1811983232 |
Physician |
UNKNOWN |
15206 Parthenia Street, Suite 228 |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-122.81837400016 |
38.3967809997434 |
21115 |
Cunningham, Jason |
1811990237 |
Physician |
FAMILY PRACTICE |
6800 Palm Avenue, Suite C |
Sebastopol |
Sonoma |
95472 |
California |
2016 |
2017 |
5 |
MU |
COUNTY HEALTH CENTER WEST |
1538334065 |
55250 |
8500 |
38.396781 |
-122.818374 |
-118.256434514441 |
33.9855840003014 |
21122 |
ali, mohsin |
1811990708 |
Physician |
UNKNOWN |
5970 South Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2016 |
2017 |
2 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
29750 |
8500 |
33.985584 |
-118.256434514 |
-117.228721500197 |
33.2096760004471 |
21134 |
Marks, William |
1821023086 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2013 |
2013 |
2 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-122.489281175386 |
37.753414020041 |
21137 |
Zhang, Jian |
1821017807 |
Nurse Practitioner |
NURSE PRACTITIONER |
1800 31st Avenue |
San Francisco |
San Francisco |
94112 |
California |
2014 |
2015 |
4 |
MU |
COMMUNITY HEALTH CHINESE |
1487684452 |
46750 |
8500 |
37.7534140197 |
-122.489281175 |
-118.075851000124 |
34.0629929997272 |
21141 |
Mak, Pattie |
1821032889 |
Nurse Practitioner |
UNKNOWN |
8841 Garvey Ave |
Rosemead |
Los Angeles |
91770 |
California |
2020 |
2020 |
6 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
63750 |
8500 |
34.062993 |
-118.075851 |
-121.931844043068 |
37.3128740632874 |
21156 |
Medina, Nubia |
1821055427 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
21161 |
Bush, Thomas |
1821061334 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
21182 |
Mousa, Hayat |
1821083338 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
25500 |
8500 |
32.798322 |
-117.1520235 |
-117.352773353707 |
34.071932436233 |
21189 |
Culhane, John |
1821105628 |
Physician |
GENERAL SURGERY |
400 N Pepper Ave, General Surgery MOB Ste#308 |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-122.132916000373 |
38.0065680004129 |
21191 |
Adona, Lolita |
1821110925 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
21209 |
Ly, Dominique |
1821151143 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
21212 |
FRIEDMAN, JENNIFER |
1821144478 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.034034512583 |
38.2749465227639 |
21227 |
Choi, Mark |
1821175514 |
Dentist |
UNKNOWN |
2500 N Texas St, Suite C |
Fairfield |
Solano |
94533 |
California |
2016 |
2017 |
2 |
MU |
CHOI DDS INC MARK |
1457592958 |
29750 |
8500 |
38.2749465226 |
-122.034034513 |
-122.132490074257 |
38.0066599453003 |
21232 |
Berger, Christina |
1821157959 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006659945 |
-122.132490074 |
-122.338322546948 |
37.9532997526815 |
21249 |
Jones, Sharon |
1821199845 |
Physician |
UNKNOWN |
2023 Vale Road, #3 |
San Pablo |
Contra Costa |
94806 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.953299753 |
-122.338322547 |
-122.132916000373 |
38.0065680004129 |
21250 |
White, Keith |
1821217845 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-117.122650002795 |
32.812365973311 |
21251 |
DELA VINA, JANELLE |
1821232778 |
Nurse Practitioner |
UNKNOWN |
3860 CALLE FORTUNADA, STE# 210 |
SAN DIEGO |
San Diego |
92123 |
California |
2013 |
2014 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.8123659731 |
-117.122650003 |
-122.224776035785 |
37.7798441425932 |
21257 |
Kane, Stephen |
1821236787 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.15612921659 |
33.1407478633233 |
21258 |
Bernardo, Rachelle |
1821237678 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda |
San Marcos |
San Diego |
92079 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.092192618994 |
32.7574284615543 |
21260 |
Le, Charles |
1821243759 |
Physician |
UNKNOWN |
4440 Euclid Ave, Suit A |
San Diego |
San Diego |
92115 |
California |
2015 |
2017 |
2 |
MU |
CHARLES N MD LE |
1821243759 |
29750 |
8500 |
32.7574284621 |
-117.092192619 |
-117.752330965602 |
33.8331620238084 |
21261 |
HEYRANI, NAHAL |
1821247347 |
Dentist |
UNKNOWN |
6792 E Leafwood Dr |
Anaheim |
Orange |
92807 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.8331620236 |
-117.752330966 |
-117.152023500284 |
32.7983220001602 |
21266 |
Chang, Johanna |
1821242199 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.476397288904 |
34.2356750525617 |
21268 |
Poole, Renee |
1821268434 |
Physician |
UNKNOWN |
9119 Haskell Ave |
North Hills |
Los Angeles |
91343 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
8500 |
8500 |
34.2356750533 |
-118.476397289 |
-118.262725564433 |
33.7831557169628 |
21271 |
Lee, Angela |
1821269135 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1009 N. Avalon Blvd |
Wilmington |
Los Angeles |
90744 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY CLN WILMINGTON |
1932194586 |
21250 |
21250 |
33.7831557172 |
-118.262725564 |
-122.231195302121 |
37.7991749638535 |
21281 |
fitzgerald, bruce |
1821289513 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.873719412221 |
37.6614078555881 |
21283 |
Zafer, Sadaf |
1821295882 |
Physician |
UNKNOWN |
4361 Railroad |
Pleasanton |
Alameda |
94566 |
California |
2014 |
2016 |
1 |
AIU |
COMMUNITY HEALTH AXIS |
1669403390 |
21250 |
21250 |
37.6614078563 |
-121.873719412 |
-122.134456012035 |
37.4720028130794 |
21288 |
Thakur, Yogita |
1821300138 |
Dentist |
UNKNOWN |
1807 Bay Rd. |
E Palo Alto |
San Mateo |
94303 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY COMM HEALTH CTR SOUTH |
1184957771 |
21250 |
21250 |
37.4720028128 |
-122.134456012 |
-118.184624999844 |
33.8077440000856 |
21289 |
Navar, Lucia |
1821300286 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-117.651550499956 |
34.0680510000537 |
21294 |
Farr, Rita |
1821310103 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
437 N Euclid Ave |
Ontario |
San Bernardino |
91762 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH UNICARE |
1710309513 |
21250 |
21250 |
34.068051 |
-117.6515505 |
-121.931761542861 |
37.3141238808125 |
21301 |
Clutter, Dana |
1821309717 |
Physician |
UNKNOWN |
750 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.314123881 |
-121.931761543 |
-122.267252075423 |
37.8373378810384 |
21332 |
Cox, Christopher |
1821411299 |
Physician |
UNKNOWN |
747 52nd Street |
Oakland |
Alameda |
94609 |
California |
2016 |
2017 |
1 |
AIU |
Christopher David Cox |
1821411299 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
-123.211126833337 |
39.1278118681233 |
21338 |
Clevenger, Kristen |
1821436627 |
Nurse Practitioner |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
29750 |
8500 |
39.1278118679 |
-123.211126833 |
-118.575004499658 |
34.2087390002047 |
21344 |
Palacios, consuelo |
1821466822 |
Dentist |
UNKNOWN |
20263 Saticoy Street |
Winnetka |
Los Angeles |
91306 |
California |
2017 |
2018 |
2 |
MU |
CONSUELO DDS PALACIOS |
1821466822 |
29750 |
8500 |
34.208739 |
-118.5750045 |
-117.362763094042 |
33.1749169200799 |
21353 |
HAZELBAKER, PAUL |
1831106103 |
Physician |
INTERNAL MEDICINE |
408 Cassidy St |
Oceanside |
San Diego |
92054 |
California |
2012 |
2013 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1749169195 |
-117.362763094 |
-117.228721500197 |
33.2096760004471 |
21362 |
Mills, Donna |
1831115658 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-122.132916000373 |
38.0065680004129 |
21373 |
Moore, Gregory |
1831128156 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
21379 |
Byrne, James |
1831134097 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.764257652369 |
36.9267353723396 |
21403 |
Violich, Michele |
1831191477 |
Physician |
UNKNOWN |
9 Crestview Dr |
Watsonville |
Santa Cruz |
95076 |
California |
2017 |
2018 |
6 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
63750 |
8500 |
36.9267353719 |
-121.764257652 |
-122.562698424193 |
38.095736927917 |
21410 |
Reppun, Ann |
1831200864 |
Nurse Practitioner |
NURSE PRACTITIONER |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
3 |
MU |
COMMUNITY CLINIC MARIN |
1003900101 |
38250 |
8500 |
38.0957369279 |
-122.562698424 |
-122.385354438756 |
40.5834973198455 |
21411 |
Austin, Christine |
1831196492 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2015 |
2016 |
4 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
46750 |
8500 |
40.5834973202 |
-122.385354439 |
-117.152023500284 |
32.7983220001602 |
21424 |
Moore, John |
1831203124 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.097980794878 |
34.1497971437233 |
21427 |
Sherman, Judith |
1831216373 |
Physician |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.149797144 |
-118.097980795 |
-119.646007366247 |
36.3359516654371 |
21428 |
Hosier, Ann |
1831225390 |
Nurse Practitioner |
UNKNOWN |
1025 N Douty St |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1467678342 |
46750 |
8500 |
36.3359516647 |
-119.646007366 |
-117.885446682219 |
33.7111736116729 |
21439 |
MACKEY, KRISTINE |
1831233584 |
Nurse Practitioner |
UNKNOWN |
2650 S Bristol St, STE. 101 |
Santa Ana |
Orange |
92704 |
California |
2020 |
2020 |
5 |
MU |
COAST PEDIATRICS SOUTH |
1568495364 |
55250 |
8500 |
33.7111736123 |
-117.885446682 |
-122.028876790931 |
36.9749133592642 |
21449 |
Breton, Elisa |
1831246776 |
Physician |
UNKNOWN |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2018 |
2019 |
5 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
55250 |
8500 |
36.9749133589 |
-122.028876791 |
-119.396731027815 |
36.5458725074104 |
21450 |
Mimura, Gary |
1831246859 |
Physician |
UNKNOWN |
250 W El Monte Way |
Dinuba |
Tulare |
93618 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1508881376 |
46750 |
8500 |
36.5458725068 |
-119.396731028 |
-122.224776035785 |
37.7798441425932 |
21453 |
Zaphiris, Alex |
1831248442 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132490074257 |
38.0066599453003 |
21466 |
MacDonald, David |
1831257005 |
Physician |
UNKNOWN |
Contra Costa Regional Medical Center, 2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006659945 |
-122.132490074 |
-122.224776035785 |
37.7798441425932 |
21473 |
Fleming, Richard |
1831277722 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.63151699981 |
36.7040969996768 |
21479 |
Chiang, Peter |
1831285329 |
Dentist |
UNKNOWN |
633 E Alvin Drive, Ste B |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Central Coast Pediatric Dental Group |
1205922705 |
21250 |
21250 |
36.704097 |
-121.631517 |
-122.562698424193 |
38.095736927917 |
21482 |
Shore, Carolyn |
1831285444 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2014 |
2015 |
4 |
MU |
COMM CLINIC MARIN |
1912091018 |
46750 |
8500 |
38.0957369279 |
-122.562698424 |
-118.193363999949 |
33.8000489995617 |
21484 |
Nguyen, Ryan |
1831288406 |
Physician |
UNKNOWN |
2360 Pacific Ave |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.800049 |
-118.193364 |
-122.224776035785 |
37.7798441425932 |
21492 |
Schoenberg, Adriana |
1831296201 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
21512 |
Akera Dow, Chika |
1831319789 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-117.721502999963 |
34.0619039998697 |
21513 |
Flores Lazcano, Nallely |
1831327030 |
Physician |
UNKNOWN |
1450 E Holt Avenue |
Pomona |
Los Angeles |
91767 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HEALTH POMONA |
1417211426 |
21250 |
21250 |
34.061904 |
-117.721503 |
-121.931844043068 |
37.3128740632874 |
21516 |
carvalho, carla |
1831331578 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.748589048346 |
38.4279142321561 |
21518 |
Mandell, Joanna |
1831333780 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-119.251855838176 |
34.2762568924417 |
21528 |
Holmes, Galen |
1831352582 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.224776035785 |
37.7798441425932 |
21530 |
Bley, Julia |
1831357177 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.152023500284 |
32.7983220001602 |
21533 |
CHOI, LILLIAN |
1831350453 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.280834826666 |
33.7378414178472 |
21535 |
Varteresian, Taya |
1831359413 |
Physician |
UNKNOWN |
150 W 7TH STREET |
SAN PEDRO |
Los Angeles |
90731 |
California |
2016 |
2018 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.737841418 |
-118.280834827 |
-119.668940915691 |
36.3281574526044 |
21546 |
Cabaluna, Marifi |
1831385665 |
Physician |
UNKNOWN |
1524 W Lacey Blvd, Suite 104 |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
46750 |
8500 |
36.3281574533 |
-119.668940916 |
-118.055867073207 |
34.1347580887149 |
21550 |
Wang, Charles |
1831387307 |
Dentist |
UNKNOWN |
500 S Old Ranch Rd |
Arcadia |
Los Angeles |
91007 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.1347580894 |
-118.055867073 |
-123.211126833337 |
39.1278118681233 |
21559 |
Alvord, Sarah |
1831402619 |
Physician |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
55250 |
8500 |
39.1278118679 |
-123.211126833 |
-118.097980794878 |
34.1497971437233 |
21560 |
Baldrias, Percival |
1831399740 |
Nurse Practitioner |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.149797144 |
-118.097980795 |
-122.743877948009 |
38.4400615036355 |
21561 |
Tamar-Mattis, Suegee |
1831398346 |
Physician |
FAMILY PRACTICE |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2011 |
2012 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-118.184624999844 |
33.8077440000856 |
21562 |
Lee, Jeffrey |
1831402833 |
Physician |
UNKNOWN |
2790 Atlantic Ave |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
3 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
38250 |
8500 |
33.807744 |
-118.184625 |
-120.436789165288 |
34.9632654601329 |
21566 |
Lopez, Melvin |
1831419258 |
Physician |
UNKNOWN |
117 West Bunny Avenue |
Santa Maria |
Santa Barbara |
93458 |
California |
2016 |
2016 |
1 |
AIU |
COMMUNITY CLINIC MARIAN |
1063496651 |
21250 |
21250 |
34.9632654605 |
-120.436789165 |
-117.152023500284 |
32.7983220001602 |
21571 |
Williams, Matthew |
1831423250 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-118.213123500149 |
33.8960484767558 |
21580 |
Morris, Susie |
1831463793 |
Physician |
UNKNOWN |
921 E COMPTON BLVD |
COMPTON |
Los Angeles |
90221 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.8960484774 |
-118.2131235 |
-118.413825981784 |
34.1944379999138 |
21587 |
Elimelech, David |
1831478734 |
Dentist |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2020 |
2020 |
4 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
25500 |
8500 |
34.194438 |
-118.413825982 |
-122.439591000025 |
37.7160389998 |
21609 |
Eng, Anderson |
1831528363 |
Physician |
UNKNOWN |
888 Paris St, Ste 202 |
San Francisco |
San Francisco |
94122 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH CHINESE |
1487684452 |
21250 |
21250 |
37.716039 |
-122.439591 |
-118.075851000124 |
34.0629929997272 |
21627 |
Che, Hualan |
1831644475 |
Nurse Practitioner |
UNKNOWN |
8841 Garvey Ave |
Rosemead |
Los Angeles |
91770 |
California |
2020 |
2020 |
5 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
55250 |
8500 |
34.062993 |
-118.075851 |
-117.15612921659 |
33.1407478633233 |
21634 |
STONNER, PATRICK |
1841207958 |
Dentist |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.221706408624 |
40.1492038237975 |
21661 |
Volquartsen, Dale |
1841250594 |
Physician |
UNKNOWN |
2450 Sister Mary Columba Dr |
Red Bluff |
Tehama |
96080 |
California |
2017 |
2018 |
3 |
MU |
CENTRAL COAST HEALTH PACIFIC |
1063496651 |
38250 |
8500 |
40.1492038235 |
-122.221706409 |
-121.931844043068 |
37.3128740632874 |
21664 |
Lawton, Malcolm |
1841256278 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
21674 |
Chu, Giang |
1841267853 |
Dentist |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
21678 |
Brown, Joy |
1841269461 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.251855838176 |
34.2762568924417 |
21690 |
Schatz, Larry |
1841278827 |
Physician |
ORTHOPEDIC SURGERY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2014 |
2016 |
3 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
-118.184972703827 |
33.8078153406055 |
21698 |
Huckabay, Christina |
1841315389 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
UNKNOWN |
90813 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.8078153409 |
-118.184972704 |
-117.352773353707 |
34.071932436233 |
21704 |
Wong, David |
1841307535 |
Physician |
GENERAL SURGERY |
400 N. Pepper Ave., General Surgery MOB STE#308 |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-122.017646291043 |
36.9915277342176 |
21707 |
Hunt, Robert |
1841327509 |
Nurse Practitioner |
NURSE PRACTITIONER |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2012 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-118.291512266878 |
34.0315089570728 |
21718 |
KYAW, ZAY YA |
1841332384 |
Dentist |
UNKNOWN |
2604 S Vermont Ave, SUITE F |
Los Angeles |
Los Angeles |
90007 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.031508957 |
-118.291512267 |
-118.415025000204 |
34.0041959997457 |
21719 |
Giannini, Carol |
1841337698 |
Nurse Practitioner |
UNKNOWN |
11303 W Washington Blvd, Suite 200 |
Los Angeles |
Los Angeles |
90066 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.004196 |
-118.415025 |
-122.743877948009 |
38.4400615036355 |
21729 |
Hill, Margaret |
1841350709 |
Nurse Practitioner |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2015 |
2016 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-122.132916000373 |
38.0065680004129 |
21732 |
Warne, Thomas |
1841356037 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
21739 |
DON, DEBRA |
1841361607 |
Physician |
OTOLARYNGOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.385354438756 |
40.5834973198455 |
21742 |
SAND, RONALD |
1841372802 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2015 |
2016 |
4 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
46750 |
8500 |
40.5834973202 |
-122.385354439 |
-122.132916000373 |
38.0065680004129 |
21744 |
Mahar, Denis |
1841373891 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
21764 |
Fratino, Christine |
1841398542 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-123.211126833337 |
39.1278118681233 |
21768 |
Zaninovic, Periza |
1841410727 |
Dentist |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
38250 |
8500 |
39.1278118679 |
-123.211126833 |
-122.224776035785 |
37.7798441425932 |
21769 |
Risgalla, Habib |
1841410768 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.142548939082 |
33.8713771331482 |
21782 |
Do, Lily |
1841433653 |
Physician |
UNKNOWN |
17660 Lakewood Blvd |
Bellflower |
Los Angeles |
90706 |
California |
2013 |
2014 |
1 |
AIU |
CLINIC, THE CHILDREN'S |
1639233935 |
21250 |
21250 |
33.8713771327 |
-118.142548939 |
-122.132916000373 |
38.0065680004129 |
21790 |
Setliff, Kristen |
1841452547 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-121.873719412221 |
37.6614078555881 |
21800 |
Garg, Anuja |
1841466471 |
Physician |
UNKNOWN |
4361 Railroad Ave |
Pleasasnton |
Alameda |
94566 |
California |
2014 |
2015 |
3 |
MU |
COMMUNITY HEALTH AXIS |
1669403390 |
8500 |
8500 |
37.6614078563 |
-121.873719412 |
-118.97078849959 |
35.3824379999138 |
21809 |
Hodge, Shawn |
1841482759 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.155398834688 |
34.0268212301157 |
21815 |
Ornelas, Tanya |
1841493079 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
507 S Atlantic Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2020 |
2020 |
2 |
MU |
CARE COMMUNITY HEALTH VIA |
1497001226 |
29750 |
8500 |
34.02682123 |
-118.155398835 |
-121.931844043068 |
37.3128740632874 |
21823 |
Varma, Priya |
1841510740 |
Physician |
UNKNOWN |
751 S. Bascom Ave. |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
17000 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
21826 |
McCullough, Kalyani |
1841525300 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-118.413825981784 |
34.1944379999138 |
21827 |
Rentino, Janette |
1841530078 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-119.564159055096 |
36.0997594969033 |
21848 |
Basit, Jasper |
1841583028 |
Physician |
UNKNOWN |
1310 Hanna Ave |
Corcoran |
Kings |
93212 |
California |
2017 |
2018 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
46750 |
8500 |
36.0997594971 |
-119.564159055 |
-122.224776035785 |
37.7798441425932 |
21857 |
Postma, Sarah |
1841597143 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.532930937313 |
38.0685817908171 |
21861 |
Aggarwal, Khushbu |
1841604048 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 100 |
Novato |
Marin |
94949 |
California |
2018 |
2019 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685817908 |
-122.532930937 |
-122.730386560591 |
38.4458654097609 |
21870 |
Tsang, Linda |
1841615481 |
Dentist |
UNKNOWN |
1100 N Dutton Ave |
San Francisco |
Sonoma |
95401 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4458654096 |
-122.730386561 |
-117.15612921659 |
33.1407478633233 |
21873 |
Shlomo, Daphna |
1841627411 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 VALPREDA RD |
SAN MARCOS |
San Diego |
92069 |
California |
2018 |
2020 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-117.15612921659 |
33.1407478633233 |
21884 |
clapp, ryan |
1841649761 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-120.121778773172 |
36.0078165287099 |
21894 |
Dykstra, Aaron |
1841691003 |
Nurse Practitioner |
UNKNOWN |
1000 Skyline Blvd, PO Box 700 |
Avenal |
Kings |
93204 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
29750 |
8500 |
36.007816529 |
-120.121778773 |
-122.794850935222 |
38.4605630128728 |
21898 |
Marshall, Robert |
1841696515 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3264 Oak Farm Ln |
Santa Rosa |
Sonoma |
95401 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
38.4605630125 |
-122.794850935 |
-117.721502999963 |
34.0619039998697 |
21900 |
Cortez, Juan |
1841737632 |
Nurse Practitioner |
UNKNOWN |
1450 E. Holt Ave. |
Pomona |
Los Angeles |
91767 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH POMONA |
1417211426 |
21250 |
21250 |
34.061904 |
-117.721503 |
-117.15612921659 |
33.1407478633233 |
21901 |
MORRIS, KENNETH |
1851307144 |
Physician |
PEDIATRIC MEDICINE |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-121.322189263624 |
37.9991092967567 |
21918 |
McCormick, Charles |
1851328991 |
Physician |
UNKNOWN |
1240 W Robinhood Dr, Suite G |
Stockton |
San Joaquin |
95207 |
California |
2014 |
2014 |
1 |
AIU |
CHARLES R MD MCCORMICK |
1851328991 |
21250 |
21250 |
37.9991092967 |
-121.322189264 |
-121.931844043068 |
37.3128740632874 |
21927 |
Han, Yuyan |
1851355234 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-119.289589637552 |
36.54474655441 |
21939 |
Arnsberger, Bradley |
1851390264 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
12683 Avenue 416 |
Orosi |
Tulare |
93647 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1427497866 |
38250 |
8500 |
36.544746554 |
-119.289589638 |
-117.228721500197 |
33.2096760004471 |
21941 |
PUDOL, CHRISTOPHER |
1851386080 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-118.2899025002 |
33.7385069997982 |
21969 |
LLOYD, TASONA |
1851432470 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
593 W 6th St |
San Pedro |
Los Angeles |
90731 |
California |
2018 |
2019 |
3 |
MU |
COMMUNITY CLINIC HARBOR |
1467490425 |
38250 |
8500 |
33.738507 |
-118.2899025 |
-123.531180493085 |
38.7693186219569 |
21976 |
HOBSON, MANA |
1851447049 |
Physician |
INTERNAL MEDICINE |
46900 OCEAN DRIVE |
GUALALA |
UNKNOWN |
95445 |
California |
2011 |
2012 |
1 |
AIU |
COAST MED SVS REDWOOD |
1962530725 |
21250 |
21250 |
38.7693186224 |
-123.531180493 |
-118.071316708299 |
34.0809141993309 |
21988 |
Tran, Carol |
1851461081 |
Physician |
GENERAL PRACTICE |
9105 Valley Blvd, SUITE 101 |
Rosemead |
Los Angeles |
91770 |
California |
2013 |
2014 |
2 |
MU |
CAROL TRINH-NGUYEN TRAN |
1851461081 |
29750 |
8500 |
34.0809141987 |
-118.071316708 |
-122.231195302121 |
37.7991749638535 |
21989 |
McKee, Katherine |
1851462584 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.280834826666 |
33.7378414178472 |
21991 |
dsouza, marina |
1851464739 |
Physician |
PSYCHIATRY |
150 W 7th St |
San Pedro |
Los Angeles |
90731 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.737841418 |
-118.280834827 |
-124.137814189873 |
40.7789547799392 |
21996 |
Bhakti, Ginger |
1851469092 |
Certified Nurse - Midwife |
UNKNOWN |
3200 Walford Ave |
Eureka |
Humboldt |
95503 |
California |
2013 |
2014 |
1 |
AIU |
CARE MEDICAL HEALTH |
1679798425 |
21250 |
21250 |
40.7789547799 |
-124.13781419 |
-117.152023500284 |
32.7983220001602 |
21998 |
JONES, KENNETH |
1851462600 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
4 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.224776035785 |
37.7798441425932 |
21999 |
Rustamzadeh, David |
1851469712 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
22011 |
Reyes, Marco |
1851494975 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
22012 |
Akaba, Mimi |
1851472021 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE, Tri City Health Center |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.2899025002 |
33.7385069997982 |
22017 |
Villarreal, Steve |
1851503239 |
Physician |
UNKNOWN |
593 W 6th St |
San Pedro |
Los Angeles |
90731 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY CLINIC HARBOR |
1467490425 |
21250 |
21250 |
33.738507 |
-118.2899025 |
-117.286127794862 |
34.0678170306315 |
22021 |
peeke, sandra |
1851516538 |
Nurse Practitioner |
UNKNOWN |
1873 Commercenter W |
San Bernardino |
San Bernardino |
92408 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HOSP REDBUD |
1316937121 |
21250 |
21250 |
34.0678170314 |
-117.286127795 |
-118.240379999837 |
34.1367570001355 |
22032 |
Nguyen, Lisa |
1851529358 |
Dentist |
UNKNOWN |
801 S Chevy Chase Dr, Suite 250 |
Glendale |
Los Angeles |
91205 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
38250 |
8500 |
34.136757 |
-118.24038 |
-119.251855838176 |
34.2762568924417 |
22043 |
SIMPSON, KAVITHA |
1851554463 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.231195302121 |
37.7991749638535 |
22048 |
Flattery, Davida |
1851559975 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-119.025139499588 |
35.3743165228893 |
22051 |
Singh, Harveen |
1851568356 |
Dentist |
UNKNOWN |
2007 17th St |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
35.3743165234 |
-119.0251395 |
-118.045836668228 |
34.0764334702285 |
22059 |
Casillas, Gustavo |
1851582324 |
Physician |
FAMILY PRACTICE |
10418 Valley Blvd # B |
El Monte |
UNKNOWN |
91731 |
California |
2014 |
2015 |
4 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
46750 |
8500 |
34.0764334701 |
-118.045836668 |
-117.870673500082 |
33.6125160002133 |
22069 |
Tu, Alexander |
1851598544 |
Physician |
UNKNOWN |
1401 Avocado Ave, Suite 802 |
Newport Beach |
Orange |
92660 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS MEDICAL NEWPORT |
1356328330 |
63750 |
8500 |
33.612516 |
-117.8706735 |
-122.748589048346 |
38.4279142321561 |
22075 |
Shaw, Emily |
1851616569 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2012 |
2013 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.132916000373 |
38.0065680004129 |
22076 |
Wong, Michelle |
1851618474 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-117.870673500082 |
33.6125160002133 |
22077 |
Jones, Courtney |
1851617211 |
Physician |
UNKNOWN |
1401 Avocado #802 |
Newport Beach |
Orange |
92660 |
California |
2017 |
2018 |
4 |
MU |
CHILDRENS MEDICAL NEWPORT |
1356328330 |
46750 |
8500 |
33.612516 |
-117.8706735 |
-117.228721500197 |
33.2096760004471 |
22078 |
Hawkins, Melissa |
1851620447 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-117.102322508777 |
32.7514272099978 |
22091 |
Mashayekhi, Pegah |
1851650584 |
Physician |
UNKNOWN |
4290 Polk Avenue |
San Diego |
San Diego |
92105 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC MID-CITY |
1306827332 |
21250 |
21250 |
32.7514272104 |
-117.102322509 |
-120.135618807062 |
36.0034925469436 |
22098 |
Andersen, Dallin |
1851658595 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
216 EAST FRESNO STREET |
AVENAL |
Kings |
93204 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1215110879 |
46750 |
8500 |
36.0034925467 |
-120.135618807 |
-121.931844043068 |
37.3128740632874 |
22106 |
Pitts, Maryann |
1851683288 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.730009116028 |
38.4800536013926 |
22113 |
Edwards, Serena |
1851718340 |
Physician |
UNKNOWN |
3569 Round Barn Cir, Ste. 200 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2017 |
2018 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4800536014 |
-122.730009116 |
-117.313887296162 |
34.0910337037425 |
22114 |
lee, hang |
1851704605 |
Nurse Practitioner |
UNKNOWN |
570 S. Mt Vernon Ave, Suite G |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH UNICARE |
1265854061 |
21250 |
21250 |
34.0910337043 |
-117.313887296 |
-118.463696418155 |
34.2281841459816 |
22115 |
Fabian, Loreta |
1851718530 |
Nurse Practitioner |
UNKNOWN |
15206 Parthenia Street |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-122.132222999892 |
37.4734260001099 |
22118 |
Menchavez, Sonia |
1851721500 |
Doctor of Optometry |
UNKNOWN |
1885 Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2018 |
2019 |
3 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
38250 |
8500 |
37.473426 |
-122.132223 |
-117.960722999667 |
33.7877909999547 |
22128 |
Vo, Kellie |
1851770754 |
Nurse Practitioner |
UNKNOWN |
9862 Chapman Ave Ste B |
Garden Grove |
Orange |
92841 |
California |
2015 |
2017 |
1 |
AIU |
COMMUNITY OF VIETNAMESE |
1285708818 |
21250 |
21250 |
33.787791 |
-117.960723 |
-117.15612921659 |
33.1407478633233 |
22137 |
STRAIN, PHYLISS |
1861404113 |
Dentist |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-121.012460176196 |
37.6274263704307 |
22139 |
Morris, Delbert |
1861409682 |
Physician |
UNKNOWN |
401 Paradise Rd |
Modesto |
Stanislaus |
95351 |
California |
2017 |
2018 |
2 |
MU |
CO HLTH SVS STANISLAUS |
1396941464 |
29750 |
8500 |
37.6274263697 |
-121.012460176 |
-117.228721500197 |
33.2096760004471 |
22141 |
Garretson, Patricia |
1861411597 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2013 |
2013 |
2 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-118.97078849959 |
35.3824379999138 |
22142 |
Bronson, Betsy |
1861406548 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.931844043068 |
37.3128740632874 |
22158 |
Spencer, Roger |
1861423121 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-119.759074820247 |
36.8388534448306 |
22168 |
WALKER, BAIRN |
1861443889 |
Physician |
OPHTHALMOLOGY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2013 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-119.800377524303 |
36.8843745979094 |
22183 |
Arce-Hernandez, Edsel |
1861458002 |
Physician |
UNKNOWN |
9300 Valley Childrens Pl, Suite G270 |
Madera |
Madera |
93638 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1083647036 |
46750 |
8500 |
36.8843745978 |
-119.800377524 |
-117.102322508777 |
32.7514272099978 |
22184 |
Boyd, Jane |
1861473191 |
Physician |
INTERNAL MEDICINE |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2013 |
2014 |
3 |
MU |
COMM CLINIC MID-CITY |
1306827332 |
38250 |
8500 |
32.7514272104 |
-117.102322509 |
-117.152023500284 |
32.7983220001602 |
22195 |
Perry, James |
1861474561 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.017646291043 |
36.9915277342176 |
22197 |
Teverbaugh, Patrick |
1861507733 |
Physician |
PSYCHIATRY |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2012 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-122.385354438756 |
40.5834973198455 |
22204 |
Khan, Imran |
1861514531 |
Physician |
PSYCHIATRY |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.5834973202 |
-122.385354439 |
-120.381835800282 |
37.9840531995956 |
22207 |
Neufeld-Trujillo, Jennifer |
1861482671 |
Physician |
UNKNOWN |
193 South Fairview Lane, Forest Road Health and Wellness Center |
Sonora |
Tuolumne |
95370 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
46750 |
8500 |
37.9840532 |
-120.3818358 |
-117.157435599673 |
32.7912215450383 |
22216 |
Camhi, Robert |
1861530461 |
Dentist |
UNKNOWN |
2780 Cardinal Rd, suite B |
San Diego |
San Diego |
92123 |
California |
2012 |
2013 |
1 |
AIU |
Crown Dental Group |
1538487640 |
21250 |
21250 |
32.7912215445 |
-117.1574356 |
-118.242830597554 |
33.9245590162856 |
22218 |
Pinson, Letitia |
1861532301 |
Physician |
UNKNOWN |
1720 EAST 120TH STREET |
LOS ANGELES |
Los Angeles |
90059 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.9245590158 |
-118.242830598 |
-118.413825981784 |
34.1944379999138 |
22220 |
Halper, Jill |
1861533812 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave, Suite 1B |
North Hollywood |
Los Angeles |
91605 |
California |
2014 |
2015 |
4 |
MU |
COMMUNITY CLINIC VALLEY |
1588740989 |
46750 |
8500 |
34.194438 |
-118.413825982 |
-118.463696418155 |
34.2281841459816 |
22222 |
shenoy, mahamaya |
1861536591 |
Physician |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2015 |
2016 |
3 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
38250 |
8500 |
34.228184146 |
-118.463696418 |
-115.975220000403 |
33.336284999753 |
22224 |
Romero, Mercay |
1861538381 |
Dentist |
UNKNOWN |
55557 Campus Rd |
Thermal |
Riverside |
92274 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.336285 |
-115.97522 |
-117.648818999897 |
33.4583190003216 |
22225 |
Patel, Chunilal |
1861539603 |
Physician |
UNKNOWN |
657 Camino De Los Mares, Suite 243 |
San Clemente |
Orange |
92673 |
California |
2011 |
2012 |
1 |
AIU |
CHUNILAL N MD PATEL |
1861539603 |
21250 |
21250 |
33.458319 |
-117.648819 |
-122.748589048346 |
38.4279142321561 |
22226 |
Toub, Daniel |
1861540486 |
Physician |
FAMILY PRACTICE |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-119.251855838176 |
34.2762568924417 |
22241 |
Bobrow, Andrei |
1861555880 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-122.224776035785 |
37.7798441425932 |
22245 |
Ai, Fangyu |
1861569402 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.759074820247 |
36.8388534448306 |
22258 |
Lopez, Daniel |
1861584765 |
Physician |
OPTOMETRY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2014 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-117.26114600978 |
34.0471260000649 |
22259 |
TEEL, DEVANIE |
1861584823 |
Physician |
UNKNOWN |
11370 Anderson St, STE B-100 |
Loma Linda |
San Bernardino |
92354 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
46750 |
8500 |
34.047126 |
-117.26114601 |
-120.121778773172 |
36.0078165287099 |
22263 |
Sabino, Jeffer |
1861588717 |
Nurse Practitioner |
UNKNOWN |
1000 Skyline Blvd |
Avenal |
Kings |
93204 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY HEALTH AVENAL |
1932169240 |
21250 |
21250 |
36.007816529 |
-120.121778773 |
-118.329789269359 |
34.0979749635737 |
22268 |
TANAKA, DIANE |
1861588626 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.850547804138 |
39.7537258577622 |
22269 |
Kimura, Carolyn |
1861591646 |
Physician |
UNKNOWN |
109 PARMAC RD STE #1 |
CHICO |
Butte |
95926 |
California |
2013 |
2014 |
1 |
AIU |
Carolyn Kimura |
1861591646 |
21250 |
21250 |
39.7537258582 |
-121.850547804 |
-122.457565467372 |
37.7859105761123 |
22273 |
chung, crawford |
1861597932 |
Physician |
PULMONARY DISEASE |
3838 California St, Suite 508 |
San Francisco |
San Francisco |
94118 |
California |
2013 |
2013 |
1 |
AIU |
CRAWFORD MD INC CHUNG |
1851527287 |
21250 |
21250 |
37.7859105765 |
-122.457565467 |
-117.352773353707 |
34.071932436233 |
22278 |
Qureshi, Shahnawaz |
1861603466 |
Physician |
NEUROSURGERY |
400 N Pepper Ave, General Surgery MOB Ste#308 |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-116.638843499628 |
33.5570039997348 |
22279 |
Abbott, Barrie |
1861602575 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
58581 US Highway 371 Ste F, Ste F, G, H |
Anza |
Riverside |
92539 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.557004 |
-116.6388435 |
-122.224776035785 |
37.7798441425932 |
22284 |
ARORA, RUCHI |
1861617581 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-120.366373837283 |
37.9874682626502 |
22286 |
Maynard, Matthew |
1861617417 |
Physician |
UNKNOWN |
20044 Cedar Rd N Ste A |
Sonora |
Tuolumne |
95370 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
55250 |
8500 |
37.9874682631 |
-120.366373837 |
-115.56148168693 |
32.7942179997609 |
22288 |
Parashar, Anushree |
1861622052 |
Physician |
UNKNOWN |
202 North 8th Street |
El Centro |
Imperial |
92243 |
California |
2018 |
2019 |
3 |
MU |
COUNTY BEHAVIORAL IMPERIAL |
1225258841 |
38250 |
8500 |
32.794218 |
-115.561481687 |
-122.132916000373 |
38.0065680004129 |
22290 |
Laimayum, Monica |
1861626798 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.730386560591 |
38.4458654097609 |
22291 |
Moschref, Jasmin |
1861630733 |
Dentist |
UNKNOWN |
1100 North Dutton Ave |
Santa Rosa |
Sonoma |
95401 |
California |
2017 |
2018 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
38250 |
8500 |
38.4458654096 |
-122.730386561 |
-118.261129499827 |
34.166978999881 |
22298 |
Mardirosian, Armen |
1861632010 |
Dentist |
UNKNOWN |
1401 Valley View Rd Apt 123 |
Glendale |
Los Angeles |
91202 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.166979 |
-118.2611295 |
-122.224776035785 |
37.7798441425932 |
22302 |
Jeng, Joanne |
1861646333 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-123.211126833337 |
39.1278118681233 |
22305 |
Mallo, Vanessa |
1861651580 |
Physician |
FAMILY PRACTICE |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
21250 |
21250 |
39.1278118679 |
-123.211126833 |
-117.152023500284 |
32.7983220001602 |
22313 |
MOLL, ANGELA |
1861648602 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
22319 |
Leibel, Sydney |
1861666919 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-117.169517934705 |
32.7876688614289 |
22328 |
Friedman, Elizabeth |
1861703936 |
Physician |
UNKNOWN |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC MID-CITY |
1306827332 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-121.98973500037 |
36.963917999716 |
22329 |
Morrison, Jennifer |
1861704298 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
21507 East Cliff Drive |
Santa Cruz |
Santa Cruz |
95062 |
California |
2016 |
2016 |
1 |
AIU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
21250 |
21250 |
36.963918 |
-121.989735 |
-118.347909872043 |
33.9491334552448 |
22332 |
Daniels, Patrice |
1861707861 |
Nurse Practitioner |
UNKNOWN |
575 E Hardy St, Suite 104 |
Inglewood |
Los Angeles |
90301 |
California |
2015 |
2016 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
33.9491334546 |
-118.347909872 |
-117.228721500197 |
33.2096760004471 |
22353 |
Grim, George |
1861771453 |
Dentist |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
5 |
MU |
COMM CLINIC VISTA |
1295822658 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-119.245010602557 |
35.7720655289011 |
22370 |
Hatton, Kimberly |
1861839425 |
Nurse Practitioner |
UNKNOWN |
1201 Jefferson St |
Delano |
Kern |
93215 |
California |
2016 |
2016 |
1 |
AIU |
CALIFORNIA CENTRAL |
1851429658 |
21250 |
21250 |
35.772065529 |
-119.245010603 |
-122.39119316843 |
40.5850415673145 |
22380 |
Fu, Christine |
1861876724 |
Dentist |
UNKNOWN |
1400 Market St, Suite 8103 |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH SHASTA |
1538181557 |
21250 |
21250 |
40.5850415667 |
-122.391193168 |
-122.335848000285 |
37.570598999944 |
22381 |
Warren, James |
1861877623 |
Dentist |
UNKNOWN |
430 North El Camino Real |
San Mateo |
San Mateo |
94401 |
California |
2016 |
2017 |
1 |
AIU |
COASTSIDE MEDICAL DENTAL THE |
1205215795 |
21250 |
21250 |
37.570599 |
-122.335848 |
-121.931844043068 |
37.3128740632874 |
22399 |
Nelson, Catherine |
1871509018 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.932275688772 |
33.988962584156 |
22401 |
Lu, Chao-Ming |
1871515163 |
Physician |
NEPHROLOGY |
1850 S Azusa Ave, Ste 306 |
Hacienda Heights |
Los Angeles |
91745 |
California |
2013 |
2014 |
1 |
AIU |
CHAO-MING MD LU |
1871515163 |
21250 |
21250 |
33.9889625842 |
-117.932275689 |
-118.125938222571 |
34.0918717765613 |
22408 |
Fung, Peter |
1871519561 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
220 S 1st St |
Alhambra |
Los Angeles |
91801 |
California |
2016 |
2017 |
5 |
MU |
CARDIOVASCULAR COMPREHENSIVE |
1407889637 |
55250 |
8500 |
34.0918717774 |
-118.125938223 |
-117.670154322764 |
34.104767873039 |
22417 |
Kyaw, Soe-Moe |
1871534461 |
Physician |
PSYCHIATRY |
876 N Mountain Ave, Ste.200 |
Upland |
San Bernardino |
91786 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.1047678729 |
-117.670154323 |
-118.393975957624 |
34.2395150830547 |
22421 |
kRISHNAREDDY, DIVAKAR |
1871538710 |
Physician |
ORTHOPEDIC SURGERY |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY MEDICAL SERRA |
1275545725 |
21250 |
21250 |
34.2395150827 |
-118.393975958 |
-117.313887296162 |
34.0910337037425 |
22426 |
Briganti, Reina |
1871543397 |
Nurse Practitioner |
UNKNOWN |
570 S. Mt Vernon Ave, Suite G |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH UNICARE |
1265854061 |
21250 |
21250 |
34.0910337043 |
-117.313887296 |
-121.931761542861 |
37.3141238808125 |
22435 |
Domingo-Mihalko, Jennifer |
1871556431 |
Physician |
UNKNOWN |
750 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.314123881 |
-121.931761543 |
-117.102322508777 |
32.7514272099978 |
22439 |
Burns, Della |
1871577023 |
Nurse Practitioner |
NURSE PRACTITIONER |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2013 |
2014 |
3 |
MU |
COMM CLINIC MID-CITY |
1306827332 |
38250 |
8500 |
32.7514272104 |
-117.102322509 |
-119.631214375643 |
36.3001401930155 |
22442 |
Atkinson, Karen |
1871585968 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
11899 Shaw Place |
Hanford |
Kings |
93230 |
California |
2017 |
2018 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1467678342 |
46750 |
8500 |
36.3001401932 |
-119.631214376 |
-121.931844043068 |
37.3128740632874 |
22445 |
Kerr, Carolyn |
1871557884 |
Physician |
UNKNOWN |
751 S Bascom Ave, OB/GYN Department |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
22464 |
Cutler, Michael |
1871620518 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY CLINIC VISTA |
1851300123 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-122.231195302121 |
37.7991749638535 |
22470 |
Park, Chan |
1871617027 |
Doctor of Optometry |
UNKNOWN |
1411 E 31st St, Highland Hospital |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-120.121778773172 |
36.0078165287099 |
22472 |
Smith, Charles |
1871631895 |
Nurse Practitioner |
NURSE PRACTITIONER |
1000 SKYLINE BLVD., PO BOX 700 |
AVENAL |
Kings |
93204 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
55250 |
8500 |
36.007816529 |
-120.121778773 |
-119.800377524303 |
36.8843745979094 |
22490 |
Giannetta, Terea |
1871654566 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
5 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
55250 |
8500 |
36.8843745978 |
-119.800377524 |
-117.152023500284 |
32.7983220001602 |
22512 |
BANSAL, PREETI |
1871664631 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.022159053897 |
34.1084790963333 |
22516 |
Del Carlo, Diana |
1871676734 |
Physician |
PSYCHIATRY |
330 E Live Oak Ave |
Arcadia |
Los Angeles |
91006 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1084790963 |
-118.022159054 |
-122.730705722791 |
38.4794050139303 |
22521 |
Martin, Christine |
1871685370 |
Physician |
UNKNOWN |
3562 Round Barn Circle, Suite 216 |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
3 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
17000 |
8500 |
38.4794050143 |
-122.730705723 |
-118.329789269359 |
34.0979749635737 |
22531 |
NGUYEN, NAM |
1871689125 |
Physician |
GENERAL SURGERY |
6430 W Sunset Blvd #600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.224776035785 |
37.7798441425932 |
22532 |
Leli, Kimberly |
1871696377 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.329789269359 |
34.0979749635737 |
22533 |
MARACHELIAN, ARAZ |
1871693945 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
22536 |
Rao, Sheela |
1871698357 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.97078849959 |
35.3824379999138 |
22546 |
yegiyants, siranush |
1871712232 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.385354438756 |
40.5834973198455 |
22550 |
Dugan, Sean |
1871721100 |
Physician |
PEDIATRIC MEDICINE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2018 |
2019 |
5 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
55250 |
8500 |
40.5834973202 |
-122.385354439 |
-122.302085033298 |
37.8743801080556 |
22551 |
Ng, Andrew |
1871716910 |
Physician |
INTERNAL MEDICINE |
1510 4th St, Suite 1 |
Berkeley |
Alameda |
94710 |
California |
2013 |
2014 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
37.8743801077 |
-122.302085033 |
-122.224776035785 |
37.7798441425932 |
22552 |
Rikli, Bryan |
1871721951 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.077198666685 |
37.3965772072723 |
22556 |
reddy, rekha |
1871734418 |
Physician |
FAMILY PRACTICE |
100 Moffett Blvd, Suite 101 |
Mountain View |
Santa Clara |
94043 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY HLTH MAYVIEW |
1780796540 |
29750 |
8500 |
37.3965772068 |
-122.077198667 |
-122.39119316843 |
40.5850415673145 |
22557 |
Loewen, Rebecca |
1871732974 |
Dentist |
UNKNOWN |
1400 Market St, Suite 8103 |
Redding |
Shasta |
96001 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH SHASTA |
1538181557 |
21250 |
21250 |
40.5850415667 |
-122.391193168 |
-122.385354438756 |
40.5834973198455 |
22566 |
Wright, Heike |
1871743393 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2014 |
2015 |
1 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
21250 |
21250 |
40.5834973202 |
-122.385354439 |
-118.367701115614 |
34.1535703752726 |
22569 |
Platt, Katrina |
1871749556 |
Physician |
UNKNOWN |
4600 Lankershim Blvd Suite 305 |
North Hollywood |
Los Angeles |
91602 |
California |
2015 |
2017 |
1 |
AIU |
CRITICAL CARE PRIMARY |
1467410134 |
21250 |
21250 |
34.1535703751 |
-118.367701116 |
-122.231195302121 |
37.7991749638535 |
22572 |
Lee, Lan |
1871751065 |
Physician |
OBSTETRICS/GYNECOLOGY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.352773353707 |
34.071932436233 |
22574 |
Rose, Colleen |
1871753566 |
Physician |
UNKNOWN |
400 N Pepper Ave, MOB Suite 308 |
Colton |
San Bernardino |
92324 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-117.152023500284 |
32.7983220001602 |
22576 |
Cernelc-Kohan, Matejka |
1871752451 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-118.443346549004 |
34.0637399640282 |
22578 |
Buchbinder, David |
1871734509 |
Physician |
UNKNOWN |
10833 Le Conte Ave, MDCC A2-410 |
Los Angeles |
Los Angeles |
90095 |
California |
2019 |
2020 |
4 |
MU |
CENTER FOR COMPREHENSIVE THE |
1679875942 |
46750 |
8500 |
34.0637399643 |
-118.443346549 |
-121.541296500433 |
39.5069669996274 |
22584 |
Vincent, Eric |
1871775742 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2767 Olive Highway |
Oroville |
Butte |
95966 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.506967 |
-121.5412965 |
-121.931844043068 |
37.3128740632874 |
22586 |
Ahlbrand, Scott |
1871789354 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.730009116028 |
38.4800536013926 |
22590 |
Matel, Joseph |
1871792382 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
34000 |
8500 |
38.4800536014 |
-122.730009116 |
-122.224776035785 |
37.7798441425932 |
22595 |
BARKHORDAR, JOSHUA |
1871805234 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.344352500268 |
33.9657120003086 |
22598 |
Khurana, Anil |
1871807933 |
Nurse Practitioner |
UNKNOWN |
301 N Prairie Blvd #300 |
Inglewood |
Los Angeles |
90301 |
California |
2016 |
2017 |
3 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
38250 |
8500 |
33.965712 |
-118.3443525 |
-120.121778773172 |
36.0078165287099 |
22605 |
Christensen, Karen |
1871834119 |
Nurse Practitioner |
UNKNOWN |
1000 Skyline Blvd |
Avenal |
Kings |
93204 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
55250 |
8500 |
36.007816529 |
-120.121778773 |
-116.32904549985 |
33.1939799996773 |
22607 |
Andersen, Marcela |
1871832360 |
Nurse Practitioner |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-118.184503499637 |
33.8084730004287 |
22627 |
Arias, Rebeca |
1871884122 |
Physician |
UNKNOWN |
701 E. 28th Street |
Long Beach |
Los Angeles |
90806 |
California |
2017 |
2018 |
3 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
38250 |
8500 |
33.808473 |
-118.1845035 |
-121.481325000249 |
38.5705530003208 |
22629 |
Altschuler, Justin |
1871889675 |
Physician |
UNKNOWN |
1500 21st St |
Sacramento |
Sacramento |
95811 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH CARES |
1447297379 |
21250 |
21250 |
38.570553 |
-121.481325 |
-122.224776035785 |
37.7798441425932 |
22640 |
Coll, Beatriz |
1871920355 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.98973500037 |
36.963917999716 |
22643 |
ENGEL, CAROLINE |
1871927764 |
Physician |
UNKNOWN |
21507 E Cliff Dr |
Santa Cruz |
Santa Cruz |
95062 |
California |
2018 |
2019 |
3 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
38250 |
8500 |
36.963918 |
-121.989735 |
-122.132916000373 |
38.0065680004129 |
22649 |
Danison, Brandy |
1871934109 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
UNKNOWN |
94533 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-121.873719412221 |
37.6614078555881 |
22671 |
Yeoh, Zayda |
1881025971 |
Nurse Practitioner |
UNKNOWN |
4361 Railroad Ave |
Pleasanton |
Alameda |
94566 |
California |
2014 |
2016 |
1 |
AIU |
COMMUNITY HEALTH AXIS |
1669403390 |
21250 |
21250 |
37.6614078563 |
-121.873719412 |
-122.132916000373 |
38.0065680004129 |
22675 |
Radhakrishna, Rohan |
1881035681 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.46382130341 |
34.2281966546519 |
22678 |
Babayans, Elma |
1881037380 |
Nurse Practitioner |
UNKNOWN |
15210 Parthenia st. |
North Hills |
Los Angeles |
91343 |
California |
2015 |
2016 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.228196655 |
-118.463821303 |
-122.335848000285 |
37.570598999944 |
22692 |
jue, laurie |
1881087765 |
Dentist |
UNKNOWN |
430 North El Camino Real |
San Mateo |
San Mateo |
94401 |
California |
2016 |
2016 |
1 |
AIU |
COASTSIDE MEDICAL DENTAL THE |
1205215795 |
21250 |
21250 |
37.570599 |
-122.335848 |
-119.59623900023 |
36.5687914986288 |
22695 |
Garcia, Martha |
1881600781 |
Physician |
UNKNOWN |
1041 Rose Ave |
Selma |
Fresno |
93662 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1093980823 |
38250 |
8500 |
36.5687914987 |
-119.596239 |
-121.564627868581 |
39.5000182070747 |
22696 |
YANG, JA |
1881603629 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
900 Oro Dam Blvd. |
Oroville |
Butte |
95965 |
California |
2014 |
2015 |
2 |
MU |
CORPORATION OROHEALTH |
1013933167 |
29750 |
8500 |
39.5000182074 |
-121.564627869 |
-117.15612921659 |
33.1407478633233 |
22697 |
vega, beatriz |
1881600674 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
1 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-122.489281175386 |
37.753414020041 |
22702 |
Chow, Edward |
1881608826 |
Physician |
INTERNAL MEDICINE |
1800 31st Ave |
San Francisco |
San Francisco |
94122 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH CHINESE |
1487684452 |
21250 |
21250 |
37.7534140197 |
-122.489281175 |
-118.97078849959 |
35.3824379999138 |
22703 |
Dalzell, David |
1881608271 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-121.443452228637 |
36.5077410862822 |
22714 |
Montoya, Albert |
1881625796 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
133 Fourth Street, PO Box 646 |
Gonzales |
Monterey |
93926 |
California |
2013 |
2013 |
2 |
MU |
C PONZIO MD CHRISTINE |
1851509392 |
29750 |
8500 |
36.5077410863 |
-121.443452229 |
-123.803844077242 |
39.43025401611 |
22717 |
Bouwmeester, Daniel |
1881628576 |
Physician |
UNKNOWN |
205 South Street |
Fort Bragg |
Mendocino |
95437 |
California |
2017 |
2018 |
2 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
29750 |
8500 |
39.4302540158 |
-123.803844077 |
-118.406551499752 |
37.3625504934106 |
22729 |
Helvie, Charlotte |
1881651248 |
Physician |
UNKNOWN |
152 Pioneer Lane, Suite H |
Bishop |
Inyo |
93514 |
California |
2013 |
2014 |
1 |
AIU |
CHARLOTTE MD HELVIE |
1881651248 |
21250 |
21250 |
37.3625504932 |
-118.4065515 |
-121.931844043068 |
37.3128740632874 |
22736 |
Kuang, Audrey |
1881658151 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
22737 |
Beadles, Kevin |
1881663714 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
22743 |
Maldonado, Ana |
1881676849 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.385354438756 |
40.5834973198455 |
22749 |
Monie, Herbert |
1881679991 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.5834973202 |
-122.385354439 |
-119.650845440065 |
37.3318652196043 |
22754 |
Rico, Pamela |
1881683928 |
Nurse Practitioner |
UNKNOWN |
49063 Road 426, SUITE C AND D |
Oakhurst |
Madera |
93644 |
California |
2017 |
2018 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1730550526 |
46750 |
8500 |
37.3318652201 |
-119.65084544 |
-117.15612921659 |
33.1407478633233 |
22758 |
Park, Ronald |
1881695914 |
Physician |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-118.344352500268 |
33.9657120003086 |
22763 |
Chard, John |
1881706026 |
Physician |
UNKNOWN |
301 N Prairie Blvd #300 |
Inglewood |
Los Angeles |
90301 |
California |
2016 |
2017 |
3 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
38250 |
8500 |
33.965712 |
-118.3443525 |
-121.992107480276 |
37.5607581981324 |
22772 |
Barakzoy, Mostafa |
1881736684 |
Dentist |
UNKNOWN |
38056 Martha Ave |
Fremont |
Alameda |
94536 |
California |
2011 |
2012 |
1 |
AIU |
COMM HEALTH CT BROOKSIDE |
1487696191 |
21250 |
21250 |
37.5607581982 |
-121.99210748 |
-117.637216267017 |
34.0460598285983 |
22773 |
Ponce, Lisa |
1881735728 |
Physician |
PEDIATRIC MEDICINE |
1501A S Bon View Ave |
Ontario |
San Bernardino |
91761 |
California |
2012 |
2013 |
2 |
MU |
COME FIRST KIDS |
1154547065 |
29750 |
8500 |
34.0460598295 |
-117.637216267 |
-118.184624999844 |
33.8077440000856 |
22779 |
Hsu-Moon, Marjorie |
1881742856 |
Physician |
UNKNOWN |
2790 Atlantic Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2017 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.807744 |
-118.184625 |
-122.132916000373 |
38.0065680004129 |
22781 |
Lehman, Tara |
1881750081 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
22800 |
Pepper, David |
1881776896 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-118.329789269359 |
34.0979749635737 |
22804 |
ADLER, ROBERT |
1881785368 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.532927443447 |
38.0685794121102 |
22805 |
Hollman, Jessica |
1881787786 |
Physician |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2017 |
3 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
38250 |
8500 |
38.0685794125 |
-122.532927443 |
-117.885446682219 |
33.7111736116729 |
22806 |
SOSA, ERROL |
1881786051 |
Physician |
UNKNOWN |
2650 S Bristol St, STE. 101-103 |
Santa Ana |
Orange |
92704 |
California |
2020 |
2020 |
5 |
MU |
COAST PEDIATRICS SOUTH |
1568495364 |
55250 |
8500 |
33.7111736123 |
-117.885446682 |
-122.132490074257 |
38.0066599453003 |
22809 |
Strych, Deborah |
1881754752 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006659945 |
-122.132490074 |
-119.251855838176 |
34.2762568924417 |
22823 |
BYUN, JAEHYUN |
1881824225 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
3 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
-119.286903234896 |
36.5280929995923 |
22829 |
Jaime, Lisa |
1881830859 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
40657 Road 128 |
Cutler |
Tulare |
93615 |
California |
2014 |
2016 |
2 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1235154006 |
29750 |
8500 |
36.528093 |
-119.286903235 |
-117.941448371645 |
33.8158419877176 |
22830 |
Kim, Stephen |
1881832806 |
Dentist |
UNKNOWN |
1307 S. Euclid Street |
Anaheim |
Orange |
92802 |
California |
2016 |
2017 |
1 |
AIU |
C MAI DDS INC CHAULINH |
1598979775 |
21250 |
21250 |
33.8158419883 |
-117.941448372 |
-121.931844043068 |
37.3128740632874 |
22833 |
Lee, Marc |
1881836104 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.226238477424 |
33.8030100003113 |
22834 |
Liu, Joseph |
1881836211 |
Physician |
UNKNOWN |
1688 N Perris Blvd, Ste. L6-L11 |
Perris |
Riverside |
92571 |
California |
2016 |
2018 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.80301 |
-117.226238477 |
-117.352773353707 |
34.071932436233 |
22836 |
Sweiss, Raed |
1881858553 |
Physician |
UNKNOWN |
400 N Pepper Ave |
Colton |
San Bernardino |
92324 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY ARROWHEAD |
1316054737 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-122.748589048346 |
38.4279142321561 |
22838 |
Lozares-Lewis, Eleanore |
1881860666 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.299474500148 |
40.4472959996107 |
22843 |
Bratton-Sandoval, Dorothy |
1881873206 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
2801 Silver St |
Anderson |
Shasta |
96007 |
California |
2016 |
2017 |
6 |
MU |
COMMUNITY HEALTH SHASTA |
1942225719 |
63750 |
8500 |
40.447296 |
-122.2994745 |
-121.931844043068 |
37.3128740632874 |
22844 |
Tran, Tanya |
1881867455 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.02641646155 |
33.7590766812439 |
22845 |
NGUYEN, CUONG |
1881874212 |
Dentist |
UNKNOWN |
5871 WESTMINSTER BLVD, STE G |
WESTMINSTER |
Orange |
92683 |
California |
2016 |
2017 |
1 |
AIU |
CUONG NGUYEN |
1881874212 |
21250 |
21250 |
33.7590766814 |
-118.026416462 |
-118.329789269359 |
34.0979749635737 |
22849 |
FAZILAT, GOLAREH |
1881880896 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.230907611597 |
34.0592654861134 |
22851 |
Castelo, Catherine |
1881891638 |
Physician |
UNKNOWN |
430 Bauchet st, Ste 108 |
Los Angeles |
Los Angeles |
90012 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0592654859 |
-118.230907612 |
-117.748901865029 |
34.077042683573 |
22854 |
WANTLAND, WILLIAM |
1881894848 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1818 N. Orange Grove Ave #205 |
Pomona |
Los Angeles |
91767 |
California |
2016 |
2017 |
3 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
38250 |
8500 |
34.0770426836 |
-117.748901865 |
-122.231195302121 |
37.7991749638535 |
22860 |
Gregory, Blake |
1881912129 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.748589048346 |
38.4279142321561 |
22861 |
Lim, Anthony |
1881919587 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2012 |
2013 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4279142323 |
-122.748589048 |
-116.32904549985 |
33.1939799996773 |
22868 |
Soto, Alejandro |
1881936268 |
Physician |
UNKNOWN |
4343 Yaqui Pass Road |
Borrego Springs |
San Diego |
92004 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-117.228721500197 |
33.2096760004471 |
22872 |
Wasemiller, Tara |
1881949642 |
Dentist |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-121.481325000249 |
38.5705530003208 |
22874 |
Asher, Ava |
1881950632 |
Physician |
UNKNOWN |
1500 21st St |
Sacramento |
Sacramento |
95811 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH CARES |
1447297379 |
21250 |
21250 |
38.570553 |
-121.481325 |
-118.413825981784 |
34.1944379999138 |
22880 |
Khajehgian, Saro |
1881964112 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY CLINIC VALLEY |
1588740989 |
21250 |
21250 |
34.194438 |
-118.413825982 |
-118.391531244172 |
33.7429857090233 |
22889 |
Akhavan, Parham |
1881985216 |
Dentist |
UNKNOWN |
6515 Beachview Dr |
Rancho Palos Verdes |
Los Angeles |
90275 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
33.7429857089 |
-118.391531244 |
-117.152023500284 |
32.7983220001602 |
22899 |
Vaughn, Gabrielle |
1891004461 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.02631550016 |
36.9775800002169 |
22904 |
Talkovic, Journey |
1891038253 |
Nurse Practitioner |
UNKNOWN |
125 Water St |
SANTA CRUZ |
Santa Cruz |
95060 |
California |
2017 |
2018 |
2 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
29750 |
8500 |
36.97758 |
-122.0263155 |
-117.152023500284 |
32.7983220001602 |
22909 |
lopez, michelle |
1891036448 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
3 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-122.439591000025 |
37.7160389998 |
22911 |
Dofeliz, Francisco |
1891043832 |
Physician |
UNKNOWN |
888 Paris St, Ste 202 |
San Francisco |
San Francisco |
94112 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HEALTH CHINESE |
1487684452 |
8500 |
8500 |
37.716039 |
-122.439591 |
-122.224776035785 |
37.7798441425932 |
22915 |
duell, elizabeth |
1891063574 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
22916 |
Moring-Parris, Daniel |
1891067609 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
UNKNOWN |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-118.256769000189 |
34.0030619996116 |
22931 |
Khajavi, Suzan |
1891048500 |
Dentist |
UNKNOWN |
4425 S Central |
Los Angeles |
Los Angeles |
90011 |
California |
2018 |
2019 |
2 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
29750 |
8500 |
34.003062 |
-118.256769 |
-122.370506570622 |
40.6811490872606 |
22944 |
Freeberg, Adam |
1891137998 |
Physician |
UNKNOWN |
4215 Front Street |
Shasta Lake |
Shasta |
96019 |
California |
2018 |
2019 |
3 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
38250 |
8500 |
40.6811490871 |
-122.370506571 |
-119.337547068442 |
36.2234687042174 |
22947 |
Duque-Gomez, Yenifer |
1891147286 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
2 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
29750 |
8500 |
36.2234687039 |
-119.337547068 |
-122.500401958883 |
37.9578750436984 |
22949 |
Temnitzer, Radka |
1891161113 |
Dentist |
UNKNOWN |
3110 Kerner Blvd |
San Rafael |
Marin |
94901 |
California |
2018 |
2019 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
37.9578750436 |
-122.500401959 |
-118.240379999837 |
34.1367570001355 |
22961 |
Kiriazes, Colleen |
1891244422 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
801 S. Chevy Chase Dr., Suite 250 |
Glendale |
Los Angeles |
91205 |
California |
2020 |
2020 |
4 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
46750 |
8500 |
34.136757 |
-118.24038 |
-122.231195302121 |
37.7991749638535 |
22968 |
Hubbard, Frazier |
1891705489 |
Physician |
OBSTETRICS/GYNECOLOGY |
1411 East 31st St, OakCare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.045836668228 |
34.0764334702285 |
22970 |
moy, jaime |
1891703989 |
Physician |
PEDIATRIC MEDICINE |
10418 E. Valley Blvd, Suite B |
El Monte |
Los Angeles |
91731 |
California |
2020 |
2020 |
6 |
MU |
COMM HEALTH CLIN ALTAMED |
1982814745 |
63750 |
8500 |
34.0764334701 |
-118.045836668 |
-118.393975957624 |
34.2395150830547 |
22982 |
JIMENEZ, CARLOS |
1891722054 |
Physician |
UNKNOWN |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
5 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
55250 |
8500 |
34.2395150827 |
-118.393975958 |
-121.931844043068 |
37.3128740632874 |
22987 |
Kafi, Reza |
1891737201 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.202964062242 |
34.0627993693954 |
22989 |
HANKS, SUE |
1891731048 |
Physician |
DIAGNOSTIC RADIOLOGY |
1520 San Pablo St, LOWER LEVEL, STE 1600 |
Los Angeles |
Los Angeles |
90033 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.0627993694 |
-118.202964062 |
-117.143758378147 |
32.9138358907138 |
22995 |
Tajran, Deena |
1891757217 |
Physician |
OBSTETRICS/GYNECOLOGY |
10737 Camino Ruiz, Suite 114 |
San Diego |
San Diego |
92126 |
California |
2012 |
2013 |
1 |
AIU |
CALIFORNIA MEDICAL ADVANCED |
1962597807 |
21250 |
21250 |
32.9138358909 |
-117.143758378 |
-117.228721500197 |
33.2096760004471 |
22997 |
Boquin, Enrique |
1891759403 |
Physician |
INTERNAL MEDICINE |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
23002 |
Cuan, Nancy |
1891764791 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.32936749991 |
34.1567280001971 |
23016 |
Incerpi, Marc |
1891790705 |
Physician |
OBSTETRICS/GYNECOLOGY |
501 S Buena Vista, 1st Floor |
Burbank |
Los Angeles |
91505 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.156728 |
-118.3293675 |
-122.231195302121 |
37.7991749638535 |
23029 |
Alston, Pamela |
1891823209 |
Dentist |
UNKNOWN |
1411 E 31st St. |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.097980794878 |
34.1497971437233 |
23036 |
Balbas-go, Rachel |
1891833216 |
Nurse Practitioner |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.149797144 |
-118.097980795 |
-122.231195302121 |
37.7991749638535 |
23048 |
Sadjadi, Javid |
1891852109 |
Physician |
GENERAL SURGERY |
1411 E 31st St, Dept of Surgery |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.326141000407 |
33.9608865322877 |
23056 |
Brooks, Carol |
1891858106 |
Dentist |
UNKNOWN |
3015 W 85th St |
Inglewood |
Los Angeles |
90305 |
California |
2016 |
2016 |
1 |
AIU |
Carol J Brooks |
1891858106 |
21250 |
21250 |
33.9608865323 |
-118.326141 |
-118.265307950601 |
34.0072110002875 |
23057 |
GILL, CADRIN |
1891851861 |
Physician |
UNKNOWN |
4211 S. Avalon Blvd. |
Los Angeles |
Los Angeles |
90011 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY HEALTH KEDREN |
1417378597 |
29750 |
8500 |
34.007211 |
-118.265307951 |
-122.132916000373 |
38.0065680004129 |
23060 |
Hiner, Sharon |
1891861464 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
23061 |
Paige, Thomas |
1891864559 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
23064 |
MAGIT, ANTHONY |
1891858379 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
23066 |
BICKLER, STEPHEN |
1891866653 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
23067 |
DANESHMAND, SHAHRAM |
1891867412 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
5 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
55250 |
8500 |
32.798322 |
-117.1520235 |
-117.278079930944 |
34.1340376094482 |
23071 |
Damirchi, Cyrus |
1891883401 |
Physician |
FAMILY PRACTICE |
355 E. 21st St. #F |
San Bernardino |
San Bernardino |
92404 |
California |
2013 |
2013 |
2 |
MU |
C. MD, INC. DAMIRCHI |
1639267644 |
29750 |
8500 |
34.1340376086 |
-117.278079931 |
-122.224776035785 |
37.7798441425932 |
23081 |
Harwood, Suzanne |
1891898102 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
23082 |
Siopack, Jorge |
1891899423 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132490074257 |
38.0066599453003 |
23086 |
Caballero, Ruben |
1891870879 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006659945 |
-122.132490074 |
-117.228721500197 |
33.2096760004471 |
23091 |
Leefers, Viki |
1891904892 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
UNKNOWN |
92084 |
California |
2015 |
2016 |
1 |
AIU |
COMM CLINIC VISTA |
1295822658 |
21250 |
21250 |
33.209676 |
-117.2287215 |
-118.2899025002 |
33.7385069997982 |
23094 |
Delbakhsh, Parvaneh |
1891908869 |
Physician |
UNKNOWN |
593 W. 6th St |
San Pedro |
Los Angeles |
90731 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY CLINIC HARBOR |
1467490425 |
38250 |
8500 |
33.738507 |
-118.2899025 |
-117.868140000161 |
33.755175000426 |
23098 |
Huffman, Charles |
1891923173 |
Physician |
UNKNOWN |
1200 N Main St, Ste 200 |
Santa Ana |
Orange |
92701 |
California |
2015 |
2016 |
1 |
AIU |
County of Orange |
1104963347 |
21250 |
21250 |
33.755175 |
-117.86814 |
-121.931844043068 |
37.3128740632874 |
23099 |
Harrison, Bridget |
1891923686 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.992764203805 |
33.7863069423116 |
23104 |
Hoang, Adrian |
1891927828 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
12116 Beach Blvd |
Stanton |
Orange |
90680 |
California |
2020 |
2020 |
3 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
38250 |
8500 |
33.7863069425 |
-117.992764204 |
-117.309267000372 |
33.2458559997546 |
23107 |
Miller, Sarah |
1891933578 |
Nurse Practitioner |
UNKNOWN |
4700 N River Rd, Suite B |
Oceanside |
San Diego |
92057 |
California |
2020 |
2020 |
4 |
MU |
COMMUNITY CLINIC VISTA |
1689760100 |
46750 |
8500 |
33.245856 |
-117.309267 |
-118.230057441098 |
34.1193863421061 |
23108 |
Karapetyan, Arman |
1891928263 |
Physician |
INTERNAL MEDICINE |
3920 Eagle Rock Blvd., Suite A |
Los Angeles |
Los Angeles |
90065 |
California |
2014 |
2014 |
2 |
MU |
COMPREHENSIVE ANGELES |
1457470684 |
29750 |
8500 |
34.1193863425 |
-118.230057441 |
-118.467314221674 |
34.2557162033402 |
23117 |
Hormozian, Hooman |
1891967030 |
Physician |
UNKNOWN |
10200 Sepulveda Blvd. #300B |
Mission Hill |
Los Angeles |
91345 |
California |
2015 |
2016 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
34.2557162026 |
-118.467314222 |
-118.329789269359 |
34.0979749635737 |
23135 |
ARKADER, ALEXANDRE |
1891993473 |
Physician |
ORTHOPEDIC SURGERY |
6430 W Sunset Blvd 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.132916000373 |
38.0065680004129 |
23138 |
Wright, Lara |
1891998910 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-120.121778773172 |
36.0078165287099 |
23147 |
Smith, Douglas |
1902016611 |
Nurse Practitioner |
UNKNOWN |
1000 Skyiine Blvd |
Avenal |
Kings |
93204 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH AVENAL |
1932169240 |
21250 |
21250 |
36.007816529 |
-120.121778773 |
-118.463696418155 |
34.2281841459816 |
23150 |
Fridman, Alex |
1902018385 |
Physician |
UNKNOWN |
15206 Parthenia Street, |
North Hills |
Los Angeles |
91340 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-117.122650002795 |
32.812365973311 |
23162 |
NIGAM, VISHAL |
1902038771 |
Physician |
PEDIATRIC MEDICINE |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2013 |
2014 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.8123659731 |
-117.122650003 |
-122.231195302121 |
37.7991749638535 |
23176 |
Singler, Jennifer |
1902064017 |
Physician |
PEDIATRIC MEDICINE |
1411 E 31st St, K6 Pediatric Clinic |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.931844043068 |
37.3128740632874 |
23177 |
Frankenberg, Tamara |
1902066822 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.960722999667 |
33.7877909999547 |
23196 |
Doan, Lan |
1902126964 |
Physician |
UNKNOWN |
9862 Chapman Avenue, Suite B |
Garden Grove |
Orange |
92841 |
California |
2011 |
2012 |
1 |
AIU |
COMM OF ORNG VIETNAMESE |
1285708818 |
21250 |
21250 |
33.787791 |
-117.960723 |
-117.228721500197 |
33.2096760004471 |
23197 |
Ayele, Mahogany |
1902120421 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.224776035785 |
37.7798441425932 |
23199 |
Miranda, Kristen |
1902131048 |
Physician |
UNKNOWN |
1601 Fruitvale Avenue |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.247823118242 |
34.0439514687853 |
23204 |
Hassan, Imran |
1902092695 |
Physician |
UNKNOWN |
646 S MAPLE AVENUE |
LOS ANGELES |
Los Angeles |
90013 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.0439514693 |
-118.247823118 |
-117.152023500284 |
32.7983220001602 |
23217 |
FEIGENBAUM, ANNETTE |
1902187859 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.439591000025 |
37.7160389998 |
23225 |
Luo Lim, Alicia |
1902215999 |
Nurse Practitioner |
UNKNOWN |
888 Paris St, Suite 202 |
San Francisco |
San Francisco |
94112 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HEALTH CHINESE |
1487684452 |
21250 |
21250 |
37.716039 |
-122.439591 |
-122.132916000373 |
38.0065680004129 |
23241 |
Ottman, Ashley |
1902288350 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-117.179509499764 |
33.1360199996233 |
23247 |
LEON, FLOR |
1902358237 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
727 W San Marcos Blvd, Suite 112 |
San Marcos |
San Diego |
92078 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.13602 |
-117.1795095 |
-122.385354438756 |
40.5834973198455 |
23257 |
Oppenheim, Kathlene |
1902817661 |
Nurse Practitioner |
NURSE PRACTITIONER |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2017 |
2018 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.5834973202 |
-122.385354439 |
-121.931844043068 |
37.3128740632874 |
23259 |
Rivas, Debra |
1902819261 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
23263 |
Majid, Abid |
1902828486 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
23264 |
Tsuchimoto, Erin |
1902816572 |
Physician |
UNKNOWN |
1411 East 31st Street, OakCare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
23281 |
Hicks, Kathleen |
1902850209 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.324336975971 |
36.4329200614118 |
23287 |
Hensel, Tyler |
1902866072 |
Physician |
FAMILY PRACTICE |
600 Main St |
Soledad |
Monterey |
93960 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY HEALTH SOLEDAD |
1003822453 |
29750 |
8500 |
36.4329200611 |
-121.324336976 |
-122.231195302121 |
37.7991749638535 |
23294 |
Chong, Deborah |
1902880297 |
Physician |
OBSTETRICS/GYNECOLOGY |
1411 E. 31st St |
Oakland |
Alameda |
94602 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.228721500197 |
33.2096760004471 |
23306 |
Peck, Merin |
1902903669 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-118.329789269359 |
34.0979749635737 |
23307 |
KORSCH, BARBARA |
1902902562 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
23311 |
ERDREICH EPSTEIN, ANAT |
1902905961 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
23313 |
DHALL, GIRISH |
1902906050 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.357922269197 |
33.2078401756836 |
23316 |
MATEO, MARIE |
1902910060 |
Certified Nurse - Midwife |
UNKNOWN |
2210 Mesa Dr, Suite 5 |
Oceanside |
San Diego |
92054 |
California |
2016 |
2017 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.2078401763 |
-117.357922269 |
-121.931844043068 |
37.3128740632874 |
23318 |
Vaishnav, Darshana |
1902915622 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.413825981784 |
34.1944379999138 |
23329 |
Colby, Margaret |
1902922156 |
Certified Nurse - Midwife |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
29750 |
8500 |
34.194438 |
-118.413825982 |
-118.413825981784 |
34.1944379999138 |
23336 |
Chapa, Lazaro |
1902943558 |
Physician |
UNKNOWN |
6801 Coldwater Canyon Ave, Suite 1B |
North Hollywood |
Los Angeles |
91605 |
California |
2018 |
2019 |
6 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
63750 |
8500 |
34.194438 |
-118.413825982 |
-119.337547068442 |
36.2234687042174 |
23353 |
Lucio, Julita |
1902967904 |
Dentist |
UNKNOWN |
1101 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
5 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
55250 |
8500 |
36.2234687039 |
-119.337547068 |
-117.852587999736 |
33.6841739997304 |
23354 |
Tran, The-Hao |
1902973290 |
Dentist |
UNKNOWN |
1920 Main St #970 |
Irvine |
UNKNOWN |
92614 |
California |
2015 |
2016 |
1 |
AIU |
CARE DENTAL UNIVERSAL |
1407972219 |
21250 |
21250 |
33.684174 |
-117.852588 |
-121.931844043068 |
37.3128740632874 |
23355 |
Matin, Farhan |
1902974785 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.163074078906 |
33.9342665538584 |
23371 |
marquez, Joseph |
1902989528 |
Physician |
UNKNOWN |
7285 Quill Dr |
Downey |
Los Angeles |
90242 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.9342665537 |
-118.163074079 |
-116.32904549985 |
33.1939799996773 |
23376 |
Jones, Janice |
1902994593 |
Nurse Practitioner |
NURSE PRACTITIONER |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2018 |
2020 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
33.19398 |
-116.3290455 |
-119.251855838176 |
34.2762568924417 |
23377 |
Russell, Paul |
1902991342 |
Physician |
PEDIATRIC MEDICINE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-118.329789269359 |
34.0979749635737 |
23384 |
BOLES, RICHARD |
1902998511 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.152023500284 |
32.7983220001602 |
23394 |
Zage, Peter |
1912003161 |
Physician |
UNKNOWN |
3020 Children's Way, MC5003 |
San Diego |
San Diego |
92123 |
California |
2018 |
2019 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
17000 |
8500 |
32.798322 |
-117.1520235 |
-122.132222999892 |
37.4734260001099 |
23410 |
Wu, Justin |
1912034463 |
Physician |
UNKNOWN |
1885 Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2018 |
2019 |
6 |
MU |
COUNTY COMMUNITY SOUTH |
1073640918 |
63750 |
8500 |
37.473426 |
-122.132223 |
-119.337547068442 |
36.2234687042174 |
23418 |
Ting, Peggy |
1912045113 |
Dentist |
UNKNOWN |
1101 Cherry Street |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
3 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
38250 |
8500 |
36.2234687039 |
-119.337547068 |
-117.152023500284 |
32.7983220001602 |
23423 |
TAYLOR, SHARON |
1912053562 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
4 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-118.202390999845 |
34.0616699998707 |
23437 |
Reiser, Bibiana |
1912071663 |
Physician |
OPHTHALMOLOGY |
1450 SAN PABLO ST SUITE 370 |
Los Angeles |
Los Angeles |
90033 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.06167 |
-118.202391 |
-117.152023500284 |
32.7983220001602 |
23440 |
Newton, Kimberly |
1912071655 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-123.801499006874 |
39.4322470387699 |
23442 |
Devaskar, Prakash |
1912079294 |
Physician |
PEDIATRIC MEDICINE |
721 River Dr, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2013 |
2014 |
2 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
29750 |
8500 |
39.4322470385 |
-123.801499007 |
-117.354280499645 |
33.1962209995995 |
23447 |
Pruitt, Molly |
1912089905 |
Nurse Practitioner |
NURSE PRACTITIONER |
605 Crouch St Bldg C |
Oceanside |
San Diego |
92054 |
California |
2012 |
2012 |
1 |
AIU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.196221 |
-117.3542805 |
-121.931844043068 |
37.3128740632874 |
23448 |
Eliason, Joseph |
1912095167 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.897956417355 |
34.0725451614301 |
23461 |
Manouchehri, Ali |
1912114059 |
Dentist |
UNKNOWN |
2233 E Garvey Ave N |
West Covina |
Los Angeles |
91791 |
California |
2012 |
2013 |
1 |
AIU |
Crown Dental Group |
1538487640 |
21250 |
21250 |
34.0725451614 |
-117.897956417 |
-122.231195302121 |
37.7991749638535 |
23467 |
alley, theresa |
1912124702 |
Nurse Practitioner |
NURSE PRACTITIONER |
1411 E. 31st St. |
Oakland |
Alameda |
94602 |
California |
2013 |
2014 |
2 |
MU |
COUNTY MED CTR ALAMEDA |
1104959089 |
29750 |
8500 |
37.799174964 |
-122.231195302 |
-122.562698424193 |
38.095736927917 |
23472 |
vonDornum, Miranda |
1912139007 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1003900101 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-118.252399500137 |
33.8968710002965 |
23477 |
saint-victor, bergerette |
1912151192 |
Nurse Practitioner |
UNKNOWN |
201 N Central Ave |
Compton |
Los Angeles |
90220 |
California |
2011 |
2012 |
1 |
AIU |
CENTRAL HLTH CLN COMPTON |
1518036565 |
21250 |
21250 |
33.896871 |
-118.2523995 |
-117.228721500197 |
33.2096760004471 |
23484 |
McKinney, Cynthia |
1912157819 |
Physician |
FAMILY PRACTICE |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2014 |
2015 |
3 |
MU |
COMM CLINIC-WEST VISTA |
1649363375 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-122.743877948009 |
38.4400615036355 |
23491 |
Gebreslassie, Selamawit |
1912175787 |
Nurse Practitioner |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2016 |
2017 |
2 |
MU |
CO INDIAN HEALTH SONOMA |
1265457980 |
29750 |
8500 |
38.4400615041 |
-122.743877948 |
-118.97078849959 |
35.3824379999138 |
23493 |
Dhillon, Rajesh |
1912185075 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.152023500284 |
32.7983220001602 |
23497 |
Akong, Kathryn |
1912169061 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-119.554207795853 |
36.6959824564253 |
23507 |
Wijesinghe, Sampath |
1912216581 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1393 Academy Ave |
Sanger |
Fresno |
93657 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1093980823 |
38250 |
8500 |
36.6959824563 |
-119.554207796 |
-122.224776035785 |
37.7798441425932 |
23511 |
Stanger, Jennifer |
1912216763 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2017 |
3 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
38250 |
8500 |
37.7798441429 |
-122.224776036 |
-122.748589048346 |
38.4279142321561 |
23512 |
McIver, Marina |
1912232539 |
Nurse Practitioner |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2012 |
2013 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4279142323 |
-122.748589048 |
-118.256769000189 |
34.0030619996116 |
23514 |
Cancinos, Monica |
1912219023 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2018 |
2019 |
6 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
63750 |
8500 |
34.003062 |
-118.256769 |
-118.338883710315 |
34.0060370468723 |
23527 |
Chukwu, Ijeoma |
1912265422 |
Physician |
UNKNOWN |
3751 STOCKER STREET |
LOS ANGELES |
Los Angeles |
90008 |
California |
2016 |
2017 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0060370469 |
-118.33888371 |
-122.224776035785 |
37.7798441425932 |
23530 |
Leung, Charles |
1912290412 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2014 |
2015 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.651550499956 |
34.0680510000537 |
23532 |
Vaughan Magee, Sheimeka |
1912293556 |
Physician |
UNKNOWN |
437 N. Euclid Ave. |
Ontario |
San Bernardino |
91762 |
California |
2016 |
2017 |
2 |
MU |
COMMUNITY HEALTH UNICARE |
1710309513 |
29750 |
8500 |
34.068051 |
-117.6515505 |
-117.228721500197 |
33.2096760004471 |
23533 |
Ochi, Steven |
1912290982 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
5 |
MU |
COMM CLINIC VISTA |
1295822658 |
55250 |
8500 |
33.209676 |
-117.2287215 |
-117.228721500197 |
33.2096760004471 |
23545 |
Vu, Jane |
1912334665 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
3 |
MU |
COMM CLINIC VISTA |
1295822658 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-117.354280499645 |
33.1962209995995 |
23554 |
Felkins, Taera |
1912378332 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
605 Crouch St |
Oceanside |
San Diego |
92054 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.196221 |
-117.3542805 |
-116.32904549985 |
33.1939799996773 |
23559 |
Eschweiler, Eric |
1912396201 |
Nurse Practitioner |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2018 |
2020 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
33.19398 |
-116.3290455 |
-122.562698424193 |
38.095736927917 |
23563 |
Walhof, Debra |
1912900499 |
Physician |
PEDIATRIC MEDICINE |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC MARIN |
1912091018 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-118.182572999644 |
33.8040359999615 |
23568 |
Tan, Christopher |
1912902602 |
Physician |
UNKNOWN |
790 East Willow Street, Suite 150 |
Long Beach |
Los Angeles |
90806 |
California |
2019 |
2020 |
5 |
MU |
CARDIOVASCULAR PACIFIC |
1700821691 |
55250 |
8500 |
33.804036 |
-118.182573 |
-121.012460176196 |
37.6274263704307 |
23574 |
Gaines, Peter |
1912915380 |
Physician |
UNKNOWN |
401 Paradise Rd |
Modesto |
Stanislaus |
95351 |
California |
2017 |
2018 |
2 |
MU |
CO HLTH SVS STANISLAUS |
1396941464 |
29750 |
8500 |
37.6274263697 |
-121.012460176 |
-117.920158796391 |
33.7379432957466 |
23576 |
Bui, Uyen |
1912921164 |
Physician |
UNKNOWN |
714 S Harbor Blvd |
Santa Ana |
Orange |
92704 |
California |
2017 |
2018 |
6 |
MU |
COUNTY PEDIATRICS ORANGE |
1568622884 |
63750 |
8500 |
33.7379432957 |
-117.920158796 |
-122.385354438756 |
40.5834973198455 |
23578 |
Friesen, Jill |
1912926742 |
Physician |
FAMILY PRACTICE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2014 |
2015 |
4 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
46750 |
8500 |
40.5834973202 |
-122.385354439 |
-121.931844043068 |
37.3128740632874 |
23598 |
Lau, John |
1912963638 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.231195302121 |
37.7991749638535 |
23600 |
Antoine, Jill |
1912963679 |
Physician |
UNKNOWN |
1411 East 31st Street |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-119.668940915691 |
36.3281574526044 |
23604 |
Kerr, Jay |
1912984600 |
Physician |
UNKNOWN |
1524 W Lacey Blvd, Suite 203 |
Hanford |
Kings |
93230 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
38250 |
8500 |
36.3281574533 |
-119.668940916 |
-118.141398455274 |
33.9592401739949 |
23611 |
Rodriguez, Martha |
1912993973 |
Physician |
FAMILY PRACTICE |
7340 Florence Ave, Suite 109 |
Downey |
Los Angeles |
90240 |
California |
2016 |
2017 |
5 |
MU |
CLINICAL and MEDICAL MLS |
1912146887 |
55250 |
8500 |
33.9592401737 |
-118.141398455 |
-123.801499006874 |
39.4322470387699 |
23616 |
Kreger, Jennifer |
1922005586 |
Physician |
FAMILY PRACTICE |
721-A River Drive |
Fort Bragg |
Mendocino |
95437 |
California |
2017 |
2018 |
6 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
63750 |
8500 |
39.4322470385 |
-123.801499007 |
-118.329789269359 |
34.0979749635737 |
23619 |
Craig, Kevan |
1912975632 |
Physician |
PHYSICAL MEDICINE AND REHABILITATION |
6430 sunset, 600 |
los angeles |
Orange |
92868 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.132916000373 |
38.0065680004129 |
23622 |
Shah, Samir |
1922014851 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-120.937563000332 |
37.5947865316732 |
23624 |
Villanueva, Glen |
1922018647 |
Doctor of Optometry |
UNKNOWN |
3109 Whitmore Ave |
Ceres |
Stanislaus |
95307 |
California |
2016 |
2016 |
1 |
AIU |
COUNTY HEALTH STANISLAUS |
1952506123 |
21250 |
21250 |
37.5947865321 |
-120.937563 |
-118.265094000088 |
34.0367310000357 |
23639 |
Lee, Richard |
1922030204 |
Physician |
UNKNOWN |
1400 S Grand Ave, Suite 805 |
Los Angeles |
Los Angeles |
90015 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.036731 |
-118.265094 |
-117.352773353707 |
34.071932436233 |
23643 |
Finley, John |
1922042076 |
Physician |
RHEUMATOLOGY |
400 N Pepper Ave |
Colton |
San Bernardino |
92324 |
California |
2012 |
2012 |
1 |
AIU |
CARDIOLOGY MED ARROWHEAD |
1437230067 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-118.393975957624 |
34.2395150830547 |
23651 |
HONG, JEFFREY |
1922049055 |
Physician |
OPHTHALMOLOGY |
9375 San Fernando Road |
Sun Valley |
Los Angeles |
91352 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY MEDICAL SERRA |
1275545725 |
21250 |
21250 |
34.2395150827 |
-118.393975958 |
-119.042168222785 |
36.0512835430011 |
23654 |
Murphy, Melanie |
1922053032 |
Dentist |
UNKNOWN |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
36.0512835428 |
-119.042168223 |
-117.746317517439 |
34.0775589097159 |
23655 |
Costello, Lloyd |
1922059831 |
Physician |
FAMILY PRACTICE |
1900 Royalty Dr, Suite 250 |
Pomona |
Los Angeles |
91767 |
California |
2013 |
2014 |
2 |
MU |
COSTELLO MD APC LLOYD |
1922059831 |
29750 |
8500 |
34.0775589098 |
-117.746317517 |
-121.931844043068 |
37.3128740632874 |
23660 |
Azzi, Raymond |
1922070440 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2017 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.748589048346 |
38.4279142321561 |
23661 |
Lowitz, Robin |
1922074038 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-122.242828694688 |
37.7817946444073 |
23675 |
Johns, Jeffrey |
1922096932 |
Physician |
UNKNOWN |
2000 Embarcadero, Suite 101 |
Oakland |
Alameda |
94606 |
California |
2016 |
2017 |
1 |
AIU |
CNTY BEHAV HLTH CARE ALAMEDA |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
-122.224776035785 |
37.7798441425932 |
23680 |
Bayard, Paul |
1922101237 |
Physician |
FAMILY PRACTICE |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.224776035785 |
37.7798441425932 |
23685 |
O Meany, Juan |
1922108273 |
Physician |
PHYSICIAN ASSISTANT |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.329789269359 |
34.0979749635737 |
23688 |
STEIN, JAMES |
1922108059 |
Physician |
GENERAL SURGERY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.687942000023 |
33.5524500001674 |
23690 |
Simpson, Joseph |
1922112200 |
Physician |
UNKNOWN |
28281 Crown Valley Pkwy, Suite 140 |
Laguna Niguel |
Orange |
92677 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.55245 |
-117.687942 |
-118.264633268411 |
34.0534702431572 |
23696 |
Archie, Carol |
1922118041 |
Physician |
OBSTETRICS/GYNECOLOGY |
637 Lucas Ave, Suite 205 |
Los Angeles |
Los Angeles |
90017 |
California |
2012 |
2013 |
1 |
AIU |
CAROL L ARCHIE |
1922118041 |
21250 |
21250 |
34.0534702434 |
-118.264633268 |
-116.32904549985 |
33.1939799996773 |
23702 |
Parkins, Arthur |
1922132687 |
Dentist |
UNKNOWN |
4343 Yaqui Pass Rd, PO BOX 2369 |
Palm Springs |
UNKNOWN |
92004 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-118.095489546006 |
34.1690918913777 |
23706 |
Sioson-Ayala, Maria Virginia |
1922137173 |
Physician |
FAMILY PRACTICE |
2661 E Washington Blvd |
Pasadena |
Los Angeles |
91107 |
California |
2011 |
2014 |
1 |
AIU |
CITY MEDICAL GROUP CROWN |
1073512836 |
0 |
0 |
34.169091891 |
-118.095489546 |
-122.231195302121 |
37.7991749638535 |
23717 |
BULLARD, MIRIAM |
1922150978 |
Physician |
GENERAL SURGERY |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.152023500284 |
32.7983220001602 |
23724 |
MANHEIM, LYNN |
1922151661 |
Nurse Practitioner |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.562698424193 |
38.095736927917 |
23738 |
Gonzalez, Renee |
1922174994 |
Dentist |
UNKNOWN |
6090 Redwood Blvd, suite G |
Novato |
Marin |
94945 |
California |
2014 |
2015 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-119.396731027815 |
36.5458725074104 |
23743 |
Askren, Karen |
1922180835 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
250 W El Monte Way |
Dinuba |
Tulare |
93618 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1083647036 |
55250 |
8500 |
36.5458725068 |
-119.396731028 |
-116.230237454295 |
33.7074334293094 |
23744 |
Bautista, Alejandro |
1922182211 |
Physician |
UNKNOWN |
81-719Dr. Carreon Blvd, Ste E |
Indio |
Riverside |
92201 |
California |
2014 |
2015 |
2 |
MU |
COMPREHENSIVE MED VALLEY |
1164506358 |
29750 |
8500 |
33.707433429 |
-116.230237454 |
-122.224776035785 |
37.7798441425932 |
23748 |
Williams, David |
1922186816 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.152023500284 |
32.7983220001602 |
23752 |
SCHIFF, DEBORAH |
1922179779 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.329789269359 |
34.0979749635737 |
23759 |
BAR-COHEN, YANIV |
1922190693 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
23761 |
BRYANT, MICHAEL |
1922191253 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.329789269359 |
34.0979749635737 |
23763 |
SINATRA, FRANK |
1922191493 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
LOS ANGELES |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.293532020986 |
33.8315565468972 |
23772 |
Jordan-Manzano, Carlos |
1922203157 |
Physician |
UNKNOWN |
1000 W Carson St., D 5.5 |
Torrance |
Los Angeles |
90509 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.8315565466 |
-118.293532021 |
-122.132490074257 |
38.0066599453003 |
23778 |
Yasul, Jose |
1922198084 |
Physician |
UNKNOWN |
Contra Costa Regional Medical Center, 2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006659945 |
-122.132490074 |
-117.102322508777 |
32.7514272099978 |
23781 |
Johnson, Shawna |
1922237809 |
Nurse Practitioner |
UNKNOWN |
4290 Polk Avenue |
San Diego |
San Diego |
92105 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC MID-CITY |
1306827332 |
21250 |
21250 |
32.7514272104 |
-117.102322509 |
-117.152023500284 |
32.7983220001602 |
23783 |
Tom, Wynnis |
1922215045 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.367701115614 |
34.1535703752726 |
23787 |
Lavelle, Lan |
1922245596 |
Nurse Practitioner |
UNKNOWN |
4600 Lankershim blvd, suite 305 |
North Hollywood |
Los Angeles |
91602 |
California |
2015 |
2017 |
1 |
AIU |
CRITICAL CARE PRIMARY |
1467410134 |
21250 |
21250 |
34.1535703751 |
-118.367701116 |
-118.450542745951 |
34.189683727622 |
23789 |
Yermian, Neda |
1922253095 |
Dentist |
UNKNOWN |
14550 Haynes Street |
Van Nuys |
Los Angeles |
91411 |
California |
2016 |
2018 |
1 |
AIU |
CALIFORNIA MED CTR SOUTHERN |
1225357114 |
21250 |
21250 |
34.1896837277 |
-118.450542746 |
-118.230907611597 |
34.0592654861134 |
23790 |
Khajuria, Kavita |
1922253616 |
Physician |
UNKNOWN |
450 Bauchet St |
Los Angeles |
Los Angeles |
90012 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0592654859 |
-118.230907612 |
-122.743877948009 |
38.4400615036355 |
23791 |
BREADON, JANNE |
1922253228 |
Physician |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2014 |
2015 |
1 |
AIU |
CO INDIAN HEALTH SONOMA |
1265457980 |
21250 |
21250 |
38.4400615041 |
-122.743877948 |
-121.931844043068 |
37.3128740632874 |
23795 |
Egge, Melissa |
1922261957 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.224776035785 |
37.7798441425932 |
23802 |
Cooksey, Marcus |
1922279272 |
Nurse Practitioner |
NURSE PRACTITIONER |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.231195302121 |
37.7991749638535 |
23812 |
Brown-Lechner, Mindy |
1922294891 |
Nurse Practitioner |
NURSE PRACTITIONER |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.413825981784 |
34.1944379999138 |
23815 |
Moradi, Hermineh |
1922298314 |
Physician |
OPTOMETRY |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY CLINIC VALLEY |
1588740989 |
21250 |
21250 |
34.194438 |
-118.413825982 |
-116.602782265689 |
33.0781628667229 |
23819 |
Wylie, Blake |
1922314145 |
Physician |
FAMILY PRACTICE |
2721 Washington Street |
Julian |
San Diego |
92036 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.078162867 |
-116.602782266 |
-118.099141577722 |
33.8701286160428 |
23824 |
Shrubb, Mildred |
1922317544 |
Nurse Practitioner |
UNKNOWN |
17707 Studebaker Rd |
Cerritos |
Los Angeles |
90703 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.8701286164 |
-118.099141578 |
-118.329789269359 |
34.0979749635737 |
23827 |
Mahadeo, Kris |
1922324672 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931844043068 |
37.3128740632874 |
23829 |
Mafnas, Chrisy |
1922328541 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
UNKNOWN |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.256769000189 |
34.0030619996116 |
23830 |
Yacomotti, Luciana |
1922328517 |
Physician |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2015 |
2016 |
3 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
38250 |
8500 |
34.003062 |
-118.256769 |
-117.152023500284 |
32.7983220001602 |
23836 |
Perens, Elliot |
1922328947 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-119.251855838176 |
34.2762568924417 |
23844 |
GORIT, GIDEON |
1922374990 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.132916000373 |
38.0065680004129 |
23846 |
Rodelo, Lisa |
1922376037 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
55250 |
8500 |
38.006568 |
-122.132916 |
-121.931844043068 |
37.3128740632874 |
23851 |
Wong, Yuetin |
1922399021 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.15612921659 |
33.1407478633233 |
23856 |
Zachry, Alison |
1922402858 |
Physician |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.231195302121 |
37.7991749638535 |
23861 |
Randlemon, Julianne |
1922409416 |
Nurse Practitioner |
UNKNOWN |
1411 East 31st Street |
Oakland |
UNKNOWN |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
23865 |
Ajuria, Michael |
1922425057 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.15612921659 |
33.1407478633233 |
23874 |
Russo, Krista |
1922471192 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2017 |
2018 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.1407478629 |
-117.156129217 |
-118.240379999837 |
34.1367570001355 |
23878 |
Yoo, Alice |
1922493741 |
Dentist |
UNKNOWN |
801 S Chevy Chase Dr, Suite 20 |
Glendale |
Los Angeles |
91205 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
29750 |
8500 |
34.136757 |
-118.24038 |
-118.329789269359 |
34.0979749635737 |
23893 |
Bliss, David |
1932117462 |
Physician |
GENERAL SURGERY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.017646291043 |
36.9915277342176 |
23896 |
Reggio, James |
1932120557 |
Physician |
UNKNOWN |
1080 Emeline |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-118.326603468675 |
34.0932599997493 |
23897 |
Sabshin, Alisa |
1932120060 |
Physician |
PSYCHIATRY |
1224 Vine St |
Los Angeles |
Los Angeles |
90038 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.09326 |
-118.326603469 |
-122.231195302121 |
37.7991749638535 |
23902 |
Lee, Chung |
1932124518 |
Physician |
DIAGNOSTIC RADIOLOGY |
1411 E. 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-116.456049000261 |
33.8135669997173 |
23907 |
Grayman, Glen |
1932142007 |
Physician |
UNKNOWN |
69175 Ramon Rd Bldg A |
Cathedral City |
Riverside |
92234 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.813567 |
-116.456049 |
-118.972130000299 |
35.3825800001669 |
23908 |
STULL, WILLIAM |
1932124039 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave, Kern Medical Center |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.38258 |
-118.97213 |
-123.803844077242 |
39.43025401611 |
23924 |
Robshaw, Christopher |
1932178449 |
Physician |
UNKNOWN |
205 South Street |
Fort Bragg |
Mendocino |
95437 |
California |
2020 |
2020 |
5 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
17000 |
8500 |
39.4302540158 |
-123.803844077 |
-121.931844043068 |
37.3128740632874 |
23932 |
Shem, Kazuko |
1932204641 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.357922269197 |
33.2078401756836 |
23936 |
ALSTON, VICKIE |
1932209905 |
Certified Nurse - Midwife |
UNKNOWN |
2210 Mesa Dr Ste 5 |
Oceanside |
San Diego |
92054 |
California |
2017 |
2018 |
5 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
55250 |
8500 |
33.2078401763 |
-117.357922269 |
-117.696870052011 |
34.077683277861 |
23937 |
Soriano-Casaclang, Cecilia |
1932206067 |
Physician |
UNKNOWN |
4950 San Bernandino Street Suite#105 |
Montclair |
San Bernardino |
91763 |
California |
2015 |
2016 |
1 |
AIU |
CECILIA N SORIANO-CASACLANG |
1518264290 |
21250 |
21250 |
34.0776832782 |
-117.696870052 |
-118.463696418155 |
34.2281841459816 |
23950 |
Guinn, Jacqueline |
1932234887 |
Physician |
PEDIATRIC MEDICINE |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2011 |
2012 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-117.952483500113 |
34.037990999685 |
23957 |
Patel, Kantilal |
1932244183 |
Physician |
ADDICTION MEDICINE |
15229 Amar Rd |
LA Puente |
Los Angeles |
91744 |
California |
2012 |
2013 |
1 |
AIU |
COMM HEALTHCARE BAART |
1982781159 |
21250 |
21250 |
34.037991 |
-117.9524835 |
-123.803844077242 |
39.43025401611 |
23959 |
Housel, Frank |
1932249844 |
Physician |
EMERGENCY MEDICINE |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2020 |
2020 |
6 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
63750 |
8500 |
39.4302540158 |
-123.803844077 |
-118.97078849959 |
35.3824379999138 |
23960 |
Sincoff, Robert |
1932249927 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-122.500401958883 |
37.9578750436984 |
23977 |
Olmezova, Irina |
1932265923 |
Dentist |
UNKNOWN |
3110 Kerner Blvd, Suite 1800 |
San Rafael |
Marin |
94901 |
California |
2018 |
2019 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
37.9578750436 |
-122.500401959 |
-119.245010602557 |
35.7720655289011 |
23981 |
DENNIS, DEBBIE |
1932272382 |
Physician |
UNKNOWN |
1201 Jefferson St |
Delano |
Kern |
93215 |
California |
2016 |
2016 |
1 |
AIU |
CALIFORNIA CENTRAL |
1851429658 |
21250 |
21250 |
35.772065529 |
-119.245010603 |
-117.152023500284 |
32.7983220001602 |
23983 |
KUELBS, CYNTHIA |
1932270691 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
3 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
23984 |
WENGER, DENNIS |
1932270790 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
23985 |
SCHWIMMER, JEFFREY |
1932270782 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.97078849959 |
35.3824379999138 |
23994 |
WEINSTEIN, DAVID |
1932291341 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-119.759074820247 |
36.8388534448306 |
23995 |
Borba, Karisa |
1932292901 |
Physician |
OPTOMETRY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2014 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-117.228721500197 |
33.2096760004471 |
24004 |
Gunta, Sujana |
1932304342 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
6 |
MU |
COMMUNITY CLINIC VISTA |
1689760100 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.02631550016 |
36.9775800002169 |
24011 |
Kutcher, Mark |
1932317476 |
Physician |
UNKNOWN |
125 Water St, Suite A2 |
SANTA CRUZ |
Santa Cruz |
95060 |
California |
2017 |
2018 |
2 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
29750 |
8500 |
36.97758 |
-122.0263155 |
-119.800377524303 |
36.8843745979094 |
24017 |
Chin, Tracy |
1932325131 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2018 |
2019 |
6 |
MU |
CHILDRENS HOSPITAL VALLEY |
1275694184 |
63750 |
8500 |
36.8843745978 |
-119.800377524 |
-117.152023500284 |
32.7983220001602 |
24020 |
Sivagnanam, Mamata |
1932328747 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.224776035785 |
37.7798441425932 |
24024 |
Valdez, Viviene |
1932335320 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.436084932074 |
36.5142114565935 |
24025 |
fragoso, anita |
1932335775 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
850 Fifth Street |
Gonzales |
UNKNOWN |
93926 |
California |
2016 |
2017 |
6 |
MU |
C PONZIO MD CHRISTINE |
1851509392 |
63750 |
8500 |
36.514211457 |
-121.436084932 |
-117.15612921659 |
33.1407478633233 |
24030 |
D'Souza, Lydia |
1932343746 |
Physician |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
6 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
63750 |
8500 |
33.1407478629 |
-117.156129217 |
-122.028876790931 |
36.9749133592642 |
24041 |
Feldman, Fern |
1932363900 |
Nurse Practitioner |
UNKNOWN |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2012 |
2013 |
2 |
MU |
CRUZ WOMEN'S SANTA |
1902923329 |
29750 |
8500 |
36.9749133589 |
-122.028876791 |
-122.132222999892 |
37.4734260001099 |
24048 |
nalamati, sailaja |
1932364510 |
Dentist |
UNKNOWN |
1885 Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.473426 |
-122.132223 |
-118.090917554601 |
34.090742927744 |
24051 |
Yuen, Selene |
1932379443 |
Physician |
UNKNOWN |
923 South San Gabriel Boulevard |
San Gabriel |
Los Angeles |
91776 |
California |
2019 |
2020 |
6 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
63750 |
8500 |
34.0907429285 |
-118.090917555 |
-117.960869306773 |
33.8178381049447 |
24069 |
Flores, Debbie |
1932422698 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2237 W. Ball Road |
Anaheim |
Orange |
92804 |
California |
2013 |
2014 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.8178381046 |
-117.960869307 |
-118.329789269359 |
34.0979749635737 |
24073 |
Keilani, Louay |
1932428513 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.132916000373 |
38.0065680004129 |
24084 |
Hamilton, Christina |
1932457421 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2017 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
24088 |
Sombredero Sanchez, Alisson |
1932470978 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-115.56148168693 |
32.7942179997609 |
24097 |
PARASHAR, ADITI |
1932487006 |
Physician |
UNKNOWN |
202 North 8th St |
El Centro |
Imperial |
92243 |
California |
2018 |
2019 |
3 |
MU |
COUNTY BEHAVIORAL IMPERIAL |
1225258841 |
38250 |
8500 |
32.794218 |
-115.561481687 |
-119.783164500341 |
36.7465230001364 |
24101 |
Joseph, Shruti |
1932498276 |
Physician |
UNKNOWN |
290 N Wayte Ln |
Fresno |
Fresno |
93701 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1265530018 |
38250 |
8500 |
36.746523 |
-119.7831645 |
-117.721502999963 |
34.0619039998697 |
24108 |
Van, Helen |
1932506201 |
Nurse Practitioner |
UNKNOWN |
1450 E Holt AVE |
Pomona |
Los Angeles |
91767 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY HEALTH POMONA |
1417211426 |
38250 |
8500 |
34.061904 |
-117.721503 |
-123.803844077242 |
39.43025401611 |
24117 |
Mulcahy, Svetlana |
1932532272 |
Nurse Practitioner |
UNKNOWN |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2014 |
2015 |
1 |
AIU |
COAST CLINICS MENDOCINO |
1083783757 |
21250 |
21250 |
39.4302540158 |
-123.803844077 |
-122.231195302121 |
37.7991749638535 |
24123 |
Hayfron, kweku |
1932541448 |
Physician |
UNKNOWN |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-121.481325000249 |
38.5705530003208 |
24124 |
Caviness, Pamela |
1932541604 |
Dentist |
UNKNOWN |
1500 21st St |
Sacramento |
Sacramento |
95811 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH CARES |
1447297379 |
21250 |
21250 |
38.570553 |
-121.481325 |
-117.900700385614 |
34.0862123231403 |
24126 |
Cho, Minyoung |
1932552726 |
Dentist |
UNKNOWN |
556 W Badillo St |
Covina |
Los Angeles |
91722 |
California |
2016 |
2017 |
1 |
AIU |
CHUN DDS INC JIHEE |
1124160452 |
21250 |
21250 |
34.0862123233 |
-117.900700386 |
-118.413825981784 |
34.1944379999138 |
24132 |
Moiseyev, Sabrina |
1932568284 |
Nurse Practitioner |
UNKNOWN |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2020 |
2020 |
3 |
MU |
COMMUNITY HEALTHCARE VALLEY |
1588740989 |
38250 |
8500 |
34.194438 |
-118.413825982 |
-122.730009116028 |
38.4800536013926 |
24164 |
OWENS, KAMEREN |
1942225156 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-118.202964062242 |
34.0627993693954 |
24170 |
Wells, Winfield |
1942229604 |
Physician |
UNKNOWN |
1520 San Pablo St, Suitue 4300 |
Los Angeles |
Los Angeles |
90033 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.0627993694 |
-118.202964062 |
-122.273802167036 |
37.8966929112489 |
24174 |
Gwynn, Robert |
1942236401 |
Physician |
UNKNOWN |
132 Southampton Ave |
Berkeley |
Alameda |
94707 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.8966929106 |
-122.273802167 |
-121.931844043068 |
37.3128740632874 |
24176 |
STIRLING, JOHN |
1942243456 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.053684550801 |
34.1262274453404 |
24179 |
Li, Siqing |
1942243910 |
Physician |
PSYCHIATRY |
650 W Duarte Rd, #206 |
Arcadia |
Los Angeles |
91007 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1262274446 |
-118.053684551 |
-122.224776035785 |
37.7798441425932 |
24181 |
Pineda, Lady Fatima |
1942244728 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2011 |
2012 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-121.931844043068 |
37.3128740632874 |
24190 |
Kumar, Abha |
1942264858 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.764257652369 |
36.9267353723396 |
24196 |
CRISTOBAL, CARMELITA |
1942283072 |
Physician |
UNKNOWN |
9 Crestview Dr |
Watsonville |
Santa Cruz |
95076 |
California |
2013 |
2014 |
3 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
38250 |
8500 |
36.9267353719 |
-121.764257652 |
-122.242828694688 |
37.7817946444073 |
24206 |
MacMorran, William |
1942301452 |
Physician |
UNKNOWN |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2016 |
2017 |
1 |
AIU |
CNTY BEHAV HLTH CARE ALAMEDA |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
-118.329789269359 |
34.0979749635737 |
24211 |
LEW, CHERYL |
1942308192 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.383839645084 |
33.9776814047731 |
24216 |
Mullican, Christina |
1942314018 |
Nurse Practitioner |
UNKNOWN |
4440 Brockton Ave, Suite 420 |
Riverside |
Riverside |
92501 |
California |
2013 |
2013 |
1 |
AIU |
Christina Marie Mullican |
1942314018 |
21250 |
21250 |
33.9776814046 |
-117.383839645 |
-117.953215235295 |
33.7594170827322 |
24220 |
Tran, Cam Huong |
1942328174 |
Physician |
FAMILY PRACTICE |
10090 Westminster Ave |
Garden Grove |
Orange |
92843 |
California |
2013 |
2014 |
3 |
MU |
CAM HUONG Q MD TRAN |
1942328174 |
38250 |
8500 |
33.7594170834 |
-117.953215235 |
-117.852587999736 |
33.6841739997304 |
24226 |
Wong, Johnny |
1942340583 |
Dentist |
UNKNOWN |
1920 Main St #970 |
Irvine |
UNKNOWN |
92614 |
California |
2015 |
2016 |
1 |
AIU |
CARE DENTAL UNIVERSAL |
1407972219 |
21250 |
21250 |
33.684174 |
-117.852588 |
-119.251855838176 |
34.2762568924417 |
24237 |
Fankhauser, John |
1942363882 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2011 |
2012 |
1 |
AIU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-122.224776035785 |
37.7798441425932 |
24241 |
Kinney, Ashley |
1942366141 |
Nurse Practitioner |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.960722999667 |
33.7877909999547 |
24246 |
VO, HANH |
1942376975 |
Dentist |
UNKNOWN |
9862 Chapman Ave, Suite B |
Garden Grove |
Orange |
92841 |
California |
2018 |
2019 |
2 |
MU |
COMMUNITY OF VIETNAMESE |
1285708818 |
29750 |
8500 |
33.787791 |
-117.960723 |
-119.251855838176 |
34.2762568924417 |
24247 |
Johnson, Susan |
1942364427 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-123.211126833337 |
39.1278118681233 |
24250 |
Ebert, Justin |
1942379391 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
63750 |
8500 |
39.1278118679 |
-123.211126833 |
-122.231195302121 |
37.7991749638535 |
24251 |
Jordan, Delores |
1942378609 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1411 E 31st St |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.152023500284 |
32.7983220001602 |
24256 |
NESPECA, MARK |
1942371703 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.132916000373 |
38.0065680004129 |
24258 |
Meyer, George |
1942389655 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-118.326603468675 |
34.0932599997493 |
24260 |
Park, Kwang |
1942385471 |
Physician |
PSYCHIATRY |
1224 Vine St |
Los Angeles |
Los Angeles |
90038 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.09326 |
-118.326603469 |
-118.329789269359 |
34.0979749635737 |
24270 |
CHURCH, JOSEPH |
1942393095 |
Physician |
ALLERGY/IMMUNOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-123.211126833337 |
39.1278118681233 |
24271 |
Holasek, Silvina |
1942404512 |
Physician |
PSYCHIATRY |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2013 |
2014 |
3 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
38250 |
8500 |
39.1278118679 |
-123.211126833 |
-118.184972703827 |
33.8078153406055 |
24278 |
Vescovo, Gina |
1942411178 |
Physician |
FAMILY PRACTICE |
2790 Atlantic Ave. |
Long Beach |
UNKNOWN |
90813 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.8078153409 |
-118.184972704 |
-122.224776035785 |
37.7798441425932 |
24288 |
Doss, Jerrilee |
1942448642 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland, |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
24291 |
Boudreau, Jamie |
1942450499 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-122.562698424193 |
38.095736927917 |
24304 |
Axline, Briana |
1942474283 |
Nurse Practitioner |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2014 |
2015 |
4 |
MU |
COMM CLINIC MARIN |
1912091018 |
46750 |
8500 |
38.0957369279 |
-122.562698424 |
-122.132916000373 |
38.0065680004129 |
24311 |
wang, lili |
1942486246 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
63750 |
8500 |
38.006568 |
-122.132916 |
-123.185974556581 |
40.5538843805598 |
24325 |
Greco, Caren |
1942510771 |
Nurse Practitioner |
UNKNOWN |
6961 Highway 3 |
Hayfork |
Trinity |
96041 |
California |
2014 |
2015 |
1 |
AIU |
COMMUNITY HOSP REDBUD |
1316937121 |
21250 |
21250 |
40.5538843805 |
-123.185974557 |
-122.271215649383 |
37.78316432987 |
24327 |
DiStefano, James |
1942513882 |
Physician |
UNKNOWN |
947 Marina Village Pkwy |
Alameda |
Alameda |
94501 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.7831643298 |
-122.271215649 |
-121.931844043068 |
37.3128740632874 |
24334 |
Rios, Eon |
1942526389 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.29522600018 |
34.0692840002565 |
24346 |
Hsieh, Christina |
1942558614 |
Dentist |
UNKNOWN |
3631 West 3rd Street |
Los Angeles |
Los Angeles |
90020 |
California |
2016 |
2016 |
1 |
AIU |
Christina Hsieh |
1942558614 |
21250 |
21250 |
34.069284 |
-118.295226 |
-117.152023500284 |
32.7983220001602 |
24350 |
ADAMS, MONA |
1942564521 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.224776035785 |
37.7798441425932 |
24359 |
Lane, Leslie |
1942595624 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-119.251855838176 |
34.2762568924417 |
24362 |
TRENT, ANDREW |
1942595806 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-121.931761542861 |
37.3141238808125 |
24368 |
Hailemicael, Semhar |
1942605282 |
Nurse Practitioner |
UNKNOWN |
750 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.314123881 |
-121.931761543 |
-118.256434514441 |
33.9855840003014 |
24369 |
Mekonnen, Assefa |
1942605126 |
Nurse Practitioner |
UNKNOWN |
5970 S. Central Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY CENTRAL |
1235283094 |
21250 |
21250 |
33.985584 |
-118.256434514 |
-122.947541034691 |
38.4087507018834 |
24379 |
JAMESON, CAROLYN |
1942632815 |
Nurse Practitioner |
UNKNOWN |
3802 Main Stree |
Occidental |
UNKNOWN |
95465 |
California |
2016 |
2017 |
2 |
MU |
COUNTY HEALTH CTRS WEST |
1598768962 |
29750 |
8500 |
38.4087507017 |
-122.947541035 |
-118.256769000189 |
34.0030619996116 |
24387 |
Mamaliger, Michael |
1942677687 |
Dentist |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2018 |
2 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
29750 |
8500 |
34.003062 |
-118.256769 |
-122.335848000285 |
37.570598999944 |
24395 |
Jue, Bonnie |
1942693833 |
Dentist |
UNKNOWN |
430 North El Camino Real |
San Mateo |
San Mateo |
94401 |
California |
2016 |
2017 |
1 |
AIU |
COASTSIDE MEDICAL DENTAL THE |
1205215795 |
21250 |
21250 |
37.570599 |
-122.335848 |
-118.132092000046 |
34.1793720003176 |
24398 |
GOHAR, KAYHAN |
1952303349 |
Dentist |
UNKNOWN |
1955 LAKE AVE. |
ALTADENA |
Los Angeles |
91001 |
California |
2016 |
2017 |
1 |
AIU |
CAMPBELL DDS INC DR |
1194724070 |
21250 |
21250 |
34.179372 |
-118.132092 |
-115.492931999812 |
32.6791344716786 |
24400 |
Esquer, Edna |
1952310898 |
Nurse Practitioner |
UNKNOWN |
495 Birch St Ste A |
Calexico |
Imperial |
92231 |
California |
2012 |
2013 |
1 |
AIU |
CENTRO COMMUNITY HOSP EL |
1861409823 |
21250 |
21250 |
32.6791344722 |
-115.492932 |
-118.97078849959 |
35.3824379999138 |
24407 |
Acacio, Brian |
1952313140 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-118.576628999928 |
34.4408670002119 |
24410 |
Slaven, Joel |
1952314445 |
Dentist |
UNKNOWN |
28237 Newhall Ranch Rd |
Valencia |
Los Angeles |
91355 |
California |
2012 |
2013 |
1 |
AIU |
Cohen, Sedgh, Manavi and Pakravan Dental Corp. |
1528363207 |
21250 |
21250 |
34.440867 |
-118.576629 |
-122.224776035785 |
37.7798441425932 |
24413 |
Magana, Tomas |
1952325292 |
Physician |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2016 |
2018 |
2 |
MU |
CLINICA DE LA RAZA LA |
1144336181 |
29750 |
8500 |
37.7798441429 |
-122.224776036 |
-122.132916000373 |
38.0065680004129 |
24423 |
Marchand, Paul |
1952344186 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2014 |
1 |
AIU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
21250 |
21250 |
38.006568 |
-122.132916 |
-117.972349068155 |
33.7583779242019 |
24426 |
VO, CAU |
1952350647 |
Physician |
OBSTETRICS/GYNECOLOGY |
14024 Magnolia St, 104 |
Westminster |
Orange |
92683 |
California |
2012 |
2012 |
1 |
AIU |
CAU V MD VO |
1952350647 |
21250 |
21250 |
33.7583779243 |
-117.972349068 |
-119.319628500255 |
36.6267149996975 |
24433 |
Haworth, Loren |
1952369407 |
Physician |
UNKNOWN |
445 11th Street |
Orange Cove |
Fresno |
93646 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1235154006 |
55250 |
8500 |
36.626715 |
-119.3196285 |
-121.931844043068 |
37.3128740632874 |
24435 |
Lee, Lisa |
1952374936 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
42500 |
8500 |
37.3128740633 |
-121.931844043 |
-118.97078849959 |
35.3824379999138 |
24454 |
Heidari, Arash |
1952407983 |
Physician |
UNKNOWN |
1700 Mount Vernon Ave |
Bakersfield |
Kern |
93306 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HOSPITAL KERN |
1427176569 |
21250 |
21250 |
35.382438 |
-118.9707885 |
-117.152023500284 |
32.7983220001602 |
24455 |
Mo, Jun |
1952402786 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2015 |
2016 |
1 |
AIU |
CHILDRENS HOSPITAL RADY |
1669617197 |
21250 |
21250 |
32.798322 |
-117.1520235 |
-117.357922269197 |
33.2078401756836 |
24467 |
Ikemoto, Jennifer |
1952427601 |
Certified Nurse - Midwife |
UNKNOWN |
2210 Mesa Dr Ste 5 |
Oceanside |
San Diego |
92054 |
California |
2012 |
2013 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
33.2078401763 |
-117.357922269 |
-117.958981500296 |
33.7810860001189 |
24468 |
Mojica, Chester |
1952416604 |
Physician |
UNKNOWN |
12511 Brookhurst St, Second Floor |
Garden Grove |
Orange |
92840 |
California |
2020 |
2020 |
4 |
MU |
CITY COMMUNITY CENTRAL |
1235283094 |
46750 |
8500 |
33.781086 |
-117.9589815 |
-122.133636000301 |
37.4709959995658 |
24476 |
Wolfe, Amy |
1952424533 |
Nurse Practitioner |
UNKNOWN |
Ravenswood Family Health Center, 1798 A Bay Road |
East Palo Alto |
San Mateo |
94303 |
California |
2018 |
2019 |
5 |
MU |
COUNTY COMMUNITY SOUTH |
1821170044 |
55250 |
8500 |
37.470996 |
-122.133636 |
-122.475855644422 |
37.7453365360523 |
24478 |
Rikleen, Daniel |
1952440042 |
Physician |
UNKNOWN |
2275 19th Ave Apt 6 |
San Francisco |
San Francisco |
94116 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.7453365357 |
-122.475855644 |
-119.782384343862 |
36.3010942855729 |
24485 |
Smith, Dennis |
1952447955 |
Physician |
UNKNOWN |
140 C St |
Lemoore |
Kings |
93245 |
California |
2015 |
2017 |
2 |
MU |
COMMUNITY HEALTH AVENAL |
1932169240 |
29750 |
8500 |
36.3010942856 |
-119.782384344 |
-121.939887305155 |
40.8041224683773 |
24487 |
Husome, Darra |
1952444986 |
Nurse Practitioner |
UNKNOWN |
29632 Highway 299 East, PO Box 228 |
Round Mountain |
Shasta |
96084 |
California |
2017 |
2018 |
6 |
MU |
COUNTRY COMM CLINIC HILL |
1407914260 |
63750 |
8500 |
40.8041224681 |
-121.939887305 |
-116.32904549985 |
33.1939799996773 |
24501 |
Malekshamran, Keyvan |
1952466112 |
Physician |
UNKNOWN |
4343 Yaqui Pass Rd, PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2014 |
2015 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
33.19398 |
-116.3290455 |
-123.211126833337 |
39.1278118681233 |
24503 |
Marty, Talitha |
1952469108 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
46750 |
8500 |
39.1278118679 |
-123.211126833 |
-121.931844043068 |
37.3128740632874 |
24519 |
Karanas, Yvonne |
1952485120 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-120.369868359937 |
37.976814685949 |
24521 |
Nelligan, John |
1952491151 |
Physician |
UNKNOWN |
680 Guzzi Ln Ste 102 |
Sonora |
Tuolumne |
95370 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
55250 |
8500 |
37.9768146862 |
-120.36986836 |
-119.759074820247 |
36.8388534448306 |
24525 |
Hinton, Samuel |
1952492621 |
Physician |
OPHTHALMOLOGY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2013 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-121.63151699981 |
36.7040969996768 |
24529 |
Murillo, Marielena |
1952497448 |
Dentist |
UNKNOWN |
633 E Alvin Drive, Suite B |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Central Coast Pediatric Dental Group |
1205922705 |
21250 |
21250 |
36.704097 |
-121.631517 |
-117.152023500284 |
32.7983220001602 |
24531 |
Brigger, Matthew |
1952490807 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.231195302121 |
37.7991749638535 |
24534 |
Mun, Sandra |
1952505539 |
Physician |
DIAGNOSTIC RADIOLOGY |
1411 E. 31st St., Suite 276 |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.535437309984 |
34.1723679866933 |
24535 |
Ourfalian, Garo |
1952506503 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
18455 Burbank Blvd, Suite 401 |
Tarzana |
Los Angeles |
91356 |
California |
2011 |
2013 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.1723679867 |
-118.53543731 |
-118.329789269359 |
34.0979749635737 |
24536 |
MITTELMAN, STEVEN |
1952497661 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.743877948009 |
38.4400615036355 |
24546 |
Coble, Meredith |
1952524803 |
Physician |
UNKNOWN |
144 Stony Point Rd |
Santa Rosa |
Sonoma |
95401 |
California |
2016 |
2017 |
3 |
MU |
CO INDIAN HEALTH SONOMA |
1265457980 |
38250 |
8500 |
38.4400615041 |
-122.743877948 |
-119.769500862175 |
36.3007032837296 |
24554 |
Combs, Linda |
1952544298 |
Nurse Practitioner |
UNKNOWN |
810 E D St |
Lemoore |
Kings |
93245 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1528041779 |
38250 |
8500 |
36.3007032839 |
-119.769500862 |
-117.152023500284 |
32.7983220001602 |
24557 |
Vargas Trujillo, Marcela |
1952534091 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
3 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
38250 |
8500 |
32.798322 |
-117.1520235 |
-118.329789269359 |
34.0979749635737 |
24581 |
MAGEE, WILLIAM |
1952594632 |
Physician |
UNKNOWN |
6430 Sunset Blvd, 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.86806920463 |
33.7726888763906 |
24587 |
Salinas, Vanessa |
1952597858 |
Physician |
UNKNOWN |
2670 N. Main St.#100 |
Santa Ana |
Orange |
92705 |
California |
2020 |
2020 |
3 |
MU |
CENTER FOR COMPREHENSIVE THE |
1679875942 |
38250 |
8500 |
33.7726888762 |
-117.868069205 |
-122.455449000171 |
37.786832999943 |
24594 |
Wong, Robert |
1952625147 |
Physician |
UNKNOWN |
3801 Sacramento St Fl 3 |
San Francisco |
San Francisco |
94118 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.786833 |
-122.455449 |
-122.224776035785 |
37.7798441425932 |
24602 |
Fotadar, Maxine |
1952660326 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2015 |
2016 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-117.15612921659 |
33.1407478633233 |
24605 |
Macias, Alissa |
1952658445 |
Nurse Practitioner |
UNKNOWN |
150 Valpreda Road |
San Marcos |
San Diego |
92069 |
California |
2018 |
2020 |
4 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
46750 |
8500 |
33.1407478629 |
-117.156129217 |
-118.240379999837 |
34.1367570001355 |
24607 |
Tek, Rotana |
1952665036 |
Physician |
UNKNOWN |
801 S Chevy Chase Dr Ste 20 |
Glendale |
Los Angeles |
91205 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
29750 |
8500 |
34.136757 |
-118.24038 |
-117.15612921659 |
33.1407478633233 |
24609 |
Rubeck, Leslie |
1952688459 |
Certified Nurse - Midwife |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
8500 |
8500 |
33.1407478629 |
-117.156129217 |
-122.132916000373 |
38.0065680004129 |
24623 |
Stratta, Erin |
1952735581 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
3 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
38250 |
8500 |
38.006568 |
-122.132916 |
-117.467397476612 |
33.9464784380295 |
24625 |
Chapin, Denise |
1952737033 |
Nurse Practitioner |
UNKNOWN |
8856 Arlington Ave |
Riverside |
Riverside |
92503 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.9464784376 |
-117.467397477 |
-117.228721500197 |
33.2096760004471 |
24633 |
Bjornson, Michele |
1952792780 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2019 |
2020 |
4 |
MU |
COMM CLINIC VISTA |
1295822658 |
46750 |
8500 |
33.209676 |
-117.2287215 |
-122.730009116028 |
38.4800536013926 |
24636 |
Shreibman, Barbara |
1952794406 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-122.385354438756 |
40.5834973198455 |
24652 |
Relyea, Sandra |
1962413633 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2017 |
2018 |
4 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
46750 |
8500 |
40.5834973202 |
-122.385354439 |
-118.090917554601 |
34.090742927744 |
24653 |
jung, susan |
1962415588 |
Physician |
FAMILY PRACTICE |
923 S. San Gabriel Blvd. |
San Gabriel |
Los Angeles |
91776 |
California |
2019 |
2020 |
6 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
63750 |
8500 |
34.0907429285 |
-118.090917555 |
-122.231195302121 |
37.7991749638535 |
24654 |
Sackrin, Steven |
1962412528 |
Physician |
INTERNAL MEDICINE |
1411 E 31st St, OakCare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-122.231195302121 |
37.7991749638535 |
24656 |
Mistry, Sunita |
1962412551 |
Physician |
INTERNAL MEDICINE |
1411 East 31st Street, Oakcare Medical Group |
Oakland |
Alameda |
94602 |
California |
2011 |
2012 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-118.022159053897 |
34.1084790963333 |
24662 |
XIAO, ANNA |
1962424861 |
Physician |
UNKNOWN |
330 EAST LIVE OAK AVENUE |
ARCADIA |
Los Angeles |
91006 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
34.1084790963 |
-118.022159054 |
-117.228721500197 |
33.2096760004471 |
24663 |
Klausen, Jack |
1962429696 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-122.142199500407 |
37.4270039997348 |
24670 |
Sheikholeslami, Haleh |
1962442731 |
Physician |
FAMILY PRACTICE |
270 Grant Ave |
Palo Alto |
Santa Clara |
94306 |
California |
2013 |
2014 |
2 |
MU |
COMMUNITY HLTH MAYVIEW |
1780796540 |
29750 |
8500 |
37.427004 |
-122.1421995 |
-118.203022217801 |
34.0626159023021 |
24671 |
Liebler, Janice |
1962438622 |
Physician |
INTERNAL MEDICINE |
1520 San Pablo St, SUITE 1000 |
Los Angeles |
Los Angeles |
90033 |
California |
2011 |
2012 |
1 |
AIU |
CARE MEDICAL GROUP USC |
1902846306 |
21250 |
21250 |
34.062615902 |
-118.203022218 |
-122.748589048346 |
38.4279142321561 |
24672 |
Jackson, Jerilyn |
1962446575 |
Physician |
FAMILY PRACTICE |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2016 |
2017 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4279142323 |
-122.748589048 |
-121.931844043068 |
37.3128740632874 |
24683 |
Le, Dan |
1962468314 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
24685 |
BOTHWELL, MARCELLA |
1962459982 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
4 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
46750 |
8500 |
32.798322 |
-117.1520235 |
-122.532927443447 |
38.0685794121102 |
24686 |
krolikowski, jeanette |
1962471920 |
Physician |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
38250 |
8500 |
38.0685794125 |
-122.532927443 |
-117.954788518275 |
33.7354719398782 |
24690 |
Nguyen, Chau |
1962473181 |
Doctor of Optometry |
UNKNOWN |
15627 Brookhurst St |
Westminster |
Orange |
92683 |
California |
2016 |
2017 |
1 |
AIU |
CHAU P OD NGUYEN |
1962473181 |
21250 |
21250 |
33.7354719404 |
-117.954788518 |
-121.931844043068 |
37.3128740632874 |
24699 |
cheung, yuk fan |
1962495754 |
Nurse Practitioner |
UNKNOWN |
751 S BASCOM AVENUE, 100 |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
CLARA MED CTR SANTA |
1063406551 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
24705 |
Cornille, Rebecca |
1962505438 |
Dentist |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2020 |
2020 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-118.262641500305 |
34.0198290003082 |
24707 |
Park, Kerry |
1962497149 |
Physician |
UNKNOWN |
2801 S San Pedro St |
Los Angeles |
Los Angeles |
90011 |
California |
2020 |
2020 |
4 |
MU |
COMMUNITY HEALTH UNIVERSAL |
1093023277 |
46750 |
8500 |
34.019829 |
-118.2626415 |
-119.769500862175 |
36.3007032837296 |
24712 |
Zweifler, John |
1962510420 |
Physician |
UNKNOWN |
810 E D St |
Lemoore |
Kings |
93245 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1699758003 |
46750 |
8500 |
36.3007032839 |
-119.769500862 |
-122.39119316843 |
40.5850415673145 |
24725 |
Pierce, Franklin |
1962525972 |
Dentist |
UNKNOWN |
1400 Market Street Room 8103 |
Redding |
Shasta |
96001 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY HEALTH SHASTA |
1538181557 |
21250 |
21250 |
40.5850415667 |
-122.391193168 |
-122.221706408624 |
40.1492038237975 |
24732 |
QUINTAL, PATRICK |
1962537555 |
Physician |
UNKNOWN |
2450 Sister Mary Columba Dr |
Red Bluff |
Tehama |
96080 |
California |
2017 |
2018 |
6 |
MU |
CENTRAL COAST HEALTH PACIFIC |
1063496651 |
63750 |
8500 |
40.1492038235 |
-122.221706409 |
-121.931844043068 |
37.3128740632874 |
24733 |
Pham, Duyen |
1962532341 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
24743 |
Lestz, Rachel |
1962553321 |
Physician |
NEPHROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-118.256769000189 |
34.0030619996116 |
24745 |
Mull, John |
1962553651 |
Physician |
UNKNOWN |
4425 South Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
6 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
63750 |
8500 |
34.003062 |
-118.256769 |
-117.152023500284 |
32.7983220001602 |
24748 |
JONES, KENNETH |
1962550673 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
24759 |
Mahari, Sofia |
1962571430 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-119.783164500341 |
36.7465230001364 |
24760 |
Sayaseng, Kammi |
1962573063 |
Nurse Practitioner |
UNKNOWN |
290 N Wayte Ln |
Fresno |
Fresno |
93701 |
California |
2014 |
2015 |
1 |
AIU |
CALIFORNIA CENTRAL |
1992742852 |
21250 |
21250 |
36.746523 |
-119.7831645 |
-117.877621047973 |
33.6762981599322 |
24765 |
Tretiakova, Tatiana |
1962583336 |
Physician |
UNKNOWN |
3115 Redhill Ave |
Costa Mesa |
Orange |
92626 |
California |
2015 |
2016 |
1 |
AIU |
County of Orange |
1104963347 |
21250 |
21250 |
33.6762981602 |
-117.877621048 |
-122.730009116028 |
38.4800536013926 |
24768 |
Cory, Thomas |
1962586941 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2020 |
2020 |
5 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
55250 |
8500 |
38.4800536014 |
-122.730009116 |
-118.329789269359 |
34.0979749635737 |
24772 |
QUINN, JOHN |
1962594465 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.132490074257 |
38.0066599453003 |
24776 |
Mbanugo, Ogo |
1962572867 |
Physician |
UNKNOWN |
2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006659945 |
-122.132490074 |
-118.099141577722 |
33.8701286160428 |
24777 |
panguluri, sandhya |
1962599522 |
Physician |
PSYCHIATRY |
17707 Studebaker Rd |
Cerritos |
Los Angeles |
90703 |
California |
2016 |
2017 |
2 |
MU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
29750 |
8500 |
33.8701286164 |
-118.099141578 |
-118.329789269359 |
34.0979749635737 |
24778 |
ROLAND, MICHELE |
1962598938 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.730009116028 |
38.4800536013926 |
24779 |
Nicolette, JoDean |
1962599720 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2018 |
2019 |
2 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
29750 |
8500 |
38.4800536014 |
-122.730009116 |
-118.18459350019 |
33.8084730004287 |
24781 |
Cheng, Pamela |
1962601583 |
Physician |
UNKNOWN |
701 E. 28th Street, Suite 200 |
Long Beach |
Los Angeles |
90806 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.808473 |
-118.1845935 |
-118.147942203969 |
34.6862667039453 |
24782 |
GREEN-SMITH, LATOYA |
1962601500 |
Physician |
UNKNOWN |
44216 N. 10 Street West |
Lancaster |
Los Angeles |
93534 |
California |
2015 |
2016 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.6862667043 |
-118.147942204 |
-117.885446682219 |
33.7111736116729 |
24783 |
LUNA, JAIME |
1962615369 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2650 S Bristol St, SUITE 101 |
Santa Ana |
Orange |
92704 |
California |
2011 |
2012 |
1 |
AIU |
COAST PEDIATRICS SOUTH |
1568495364 |
21250 |
21250 |
33.7111736123 |
-117.885446682 |
-123.211126833337 |
39.1278118681233 |
24785 |
Dotson, James |
1962617795 |
Physician |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2018 |
2019 |
4 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
46750 |
8500 |
39.1278118679 |
-123.211126833 |
-121.931844043068 |
37.3128740632874 |
24791 |
Ly, Kim-Oanh |
1962627349 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.152023500284 |
32.7983220001602 |
24799 |
Krakowski, Andrew |
1962651679 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2014 |
2015 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.798322 |
-117.1520235 |
-121.931844043068 |
37.3128740632874 |
24810 |
Buttar, Amanpreet |
1962679753 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
34000 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
24814 |
Ballesteros, Karla |
1962689455 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.132916000373 |
38.0065680004129 |
24817 |
D'Avanzo, Alessandra |
1962694208 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
UNKNOWN |
94553 |
California |
2014 |
2015 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-122.224776035785 |
37.7798441425932 |
24821 |
Boychuk, Darrell |
1962698340 |
Dentist |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.385354438756 |
40.5834973198455 |
24826 |
Mooneyham, Amanda |
1962709568 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2018 |
2019 |
4 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
46750 |
8500 |
40.5834973202 |
-122.385354439 |
-121.540590000228 |
39.5044739997753 |
24831 |
Nagubandi, Ravi |
1962722850 |
Physician |
GENERAL SURGERY |
2809 Olive Hwy |
Oroville |
Butte |
95966 |
California |
2014 |
2015 |
3 |
MU |
CORPORATION OROHEALTH |
1013933167 |
38250 |
8500 |
39.504474 |
-121.54059 |
-118.445487306894 |
34.0632208906317 |
24837 |
FitzPatrick, Michael |
1962736439 |
Physician |
UNKNOWN |
941 Westwood Blvd, Suite 205 |
Los Angeles |
Los Angeles |
90024 |
California |
2014 |
2015 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
34.0632208911 |
-118.445487307 |
-118.329789269359 |
34.0979749635737 |
24852 |
Goldfinger, Jonathan |
1962775957 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.228721500197 |
33.2096760004471 |
24858 |
Cowles, Regina |
1962785733 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2013 |
2014 |
2 |
MU |
COMM CLINIC-WEST VISTA |
1649363375 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-121.931844043068 |
37.3128740632874 |
24859 |
Kriegsman, Ari |
1962781021 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-119.251855838176 |
34.2762568924417 |
24862 |
UNO, ELIZABETH |
1962796508 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
1 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
-119.564159055096 |
36.0997594969033 |
24865 |
randall, jovan |
1962805952 |
Nurse Practitioner |
UNKNOWN |
1310 Hanna Ave |
Corcoran |
Kings |
93212 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1235475484 |
21250 |
21250 |
36.0997594971 |
-119.564159055 |
-122.132916000373 |
38.0065680004129 |
24867 |
Dorfman, Erica |
1962817569 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2017 |
2018 |
2 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
29750 |
8500 |
38.006568 |
-122.132916 |
-118.090917554601 |
34.090742927744 |
24872 |
Chu, Alvin |
1962823906 |
Dentist |
UNKNOWN |
923 S San Gabriel Blvd |
San Gabriel |
Los Angeles |
91776 |
California |
2016 |
2017 |
2 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
29750 |
8500 |
34.0907429285 |
-118.090917555 |
-122.385354438756 |
40.5834973198455 |
24890 |
Anderson, Kristen |
1962891036 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1035 PLACER ST |
REDDING |
Shasta |
96001 |
California |
2018 |
2019 |
3 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
38250 |
8500 |
40.5834973202 |
-122.385354439 |
-117.721502999963 |
34.0619039998697 |
24892 |
Fernandez, Alexandro |
1962946418 |
Nurse Practitioner |
UNKNOWN |
1450 E. Holt Ave. |
Pomona |
Los Angeles |
91767 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HEALTH POMONA |
1417211426 |
21250 |
21250 |
34.061904 |
-117.721503 |
-117.228721500197 |
33.2096760004471 |
24903 |
Lucero, David |
1972511186 |
Physician |
UNKNOWN |
1000 Vale Terrace |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
2 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
29750 |
8500 |
33.209676 |
-117.2287215 |
-116.32904549985 |
33.1939799996773 |
24908 |
Thompson, Cathlene |
1972516821 |
Nurse Practitioner |
UNKNOWN |
4343 Yaqui Pass Rd., PO Box 2369 |
Borrego Springs |
San Diego |
92004 |
California |
2018 |
2020 |
2 |
MU |
COMMUNITY HEALTH BORREGO |
1134144165 |
29750 |
8500 |
33.19398 |
-116.3290455 |
-122.370506570622 |
40.6811490872606 |
24909 |
Porter, Elaine |
1972522613 |
Physician |
FAMILY PRACTICE |
4215 Front St |
Shasta Lake |
Shasta |
96019 |
California |
2016 |
2017 |
6 |
MU |
COMMUNITY HLTH CT SHASTA |
1013932797 |
63750 |
8500 |
40.6811490871 |
-122.370506571 |
-123.801499006874 |
39.4322470387699 |
24921 |
Miller, Pamela |
1972532463 |
Nurse Practitioner |
NURSE PRACTITIONER |
721 River Dr, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2012 |
2013 |
1 |
AIU |
COAST HEALTH MENDOCINO |
1124220249 |
21250 |
21250 |
39.4322470385 |
-123.801499007 |
-122.730705722791 |
38.4794050139303 |
24928 |
Longchamp, Carla |
1972544948 |
Physician |
UNKNOWN |
3562 Round Barn Circle, Suite 216 |
Santa Rosa |
UNKNOWN |
95403 |
California |
2018 |
2019 |
6 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
63750 |
8500 |
38.4794050143 |
-122.730705723 |
-118.398478499783 |
34.1866995081758 |
24935 |
Gilad, Oded |
1972555209 |
Physician |
OTOLARYNGOLOGY |
12157 Victory Blvd. |
North Hollywood |
Los Angeles |
91606 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY COMPREHENSIVE |
1871573360 |
21250 |
21250 |
34.1866995076 |
-118.3984785 |
-117.228721500197 |
33.2096760004471 |
24950 |
Ong, Donald |
1972579910 |
Physician |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2016 |
2017 |
6 |
MU |
COMM CLINIC VISTA |
1295822658 |
63750 |
8500 |
33.209676 |
-117.2287215 |
-118.329789269359 |
34.0979749635737 |
24961 |
Van Hirtum-Das, Michele |
1972605772 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931844043068 |
37.3128740632874 |
24964 |
Pramanik, Sulochana |
1972608172 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
24965 |
Phan, John |
1972608214 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
24977 |
Agnost, Victoria |
1972630804 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
UNKNOWN |
94553 |
California |
2019 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-123.211126833337 |
39.1278118681233 |
25011 |
Vinyard, Renee |
1972673895 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2012 |
2013 |
2 |
MU |
COMMUNITY HEALTH MENDOCINO |
1811958952 |
29750 |
8500 |
39.1278118679 |
-123.211126833 |
-119.759074820247 |
36.8388534448306 |
25030 |
Recalde, Margarette |
1972695500 |
Physician |
OPTOMETRY |
7075 N Sharon Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2014 |
1 |
AIU |
CARE CENTER MED VISION |
1194802868 |
21250 |
21250 |
36.8388534446 |
-119.75907482 |
-118.463696418155 |
34.2281841459816 |
25035 |
Byrne, Edward |
1972699148 |
Nurse Practitioner |
UNKNOWN |
15206 Parthenia St |
North Hills |
Los Angeles |
91343 |
California |
2017 |
2018 |
5 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
55250 |
8500 |
34.228184146 |
-118.463696418 |
-121.931844043068 |
37.3128740632874 |
25036 |
Barlics, Brian |
1972700060 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2016 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
25044 |
Graham, Oliver |
1972705424 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1568540763 |
55250 |
8500 |
38.006568 |
-122.132916 |
-123.801499006874 |
39.4322470387699 |
25046 |
Miller, Kevin |
1972707552 |
Physician |
UNKNOWN |
721 River Drive |
Fort Bragg |
Mendocino |
95437 |
California |
2018 |
2019 |
4 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
46750 |
8500 |
39.4322470385 |
-123.801499007 |
-121.931844043068 |
37.3128740632874 |
25051 |
Weissenfluh, Gary |
1972706422 |
Physician |
UNKNOWN |
751 S. Bascom |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-118.256769000189 |
34.0030619996116 |
25074 |
Pignone, Mariah |
1972768844 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4425 S. Central Avenue |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
4 |
MU |
CENTRAL FAMILY SOUTH |
1396891909 |
46750 |
8500 |
34.003062 |
-118.256769 |
-122.132916000373 |
38.0065680004129 |
25094 |
Humphrey, Kimberly |
1972829521 |
Nurse Practitioner |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-122.231195302121 |
37.7991749638535 |
25100 |
Babaria, Palav |
1972839561 |
Physician |
UNKNOWN |
1411 E 31st St, A2 |
Oakland |
Alameda |
94602 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.799174964 |
-122.231195302 |
-117.15612921659 |
33.1407478633233 |
25107 |
Nace, Sarah |
1972858397 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Valpreda Rd |
San Marcos |
San Diego |
92069 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-121.931844043068 |
37.3128740632874 |
25109 |
Galario, Judith |
1972864882 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
5 |
MU |
CLARA MED CTR SANTA |
1063406551 |
55250 |
8500 |
37.3128740633 |
-121.931844043 |
-117.228721500197 |
33.2096760004471 |
25114 |
NARASIMALU, MEERABAI |
1972881563 |
Nurse Practitioner |
UNKNOWN |
1000 Vale Terrace Dr |
Vista |
San Diego |
92084 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY CLINIC VISTA |
1851300123 |
38250 |
8500 |
33.209676 |
-117.2287215 |
-118.463696418155 |
34.2281841459816 |
25120 |
Richardson, Janayia |
1972904605 |
Physician |
UNKNOWN |
15206 Parthenia Street |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
CITY COMMUNITY MISSION |
1760409791 |
21250 |
21250 |
34.228184146 |
-118.463696418 |
-121.98973500037 |
36.963917999716 |
25130 |
Lott, Claudine |
1972938801 |
Physician |
UNKNOWN |
21507 East Cliff Drive |
Santa Cruz |
Santa Cruz |
95062 |
California |
2017 |
2018 |
2 |
MU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
29750 |
8500 |
36.963918 |
-121.989735 |
-120.060166500384 |
36.7205355023116 |
25144 |
Luna, Shawn |
1982002739 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1000 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HOSPITAL REEDLEY |
1902823461 |
21250 |
21250 |
36.7205355017 |
-120.0601665 |
-116.456049000261 |
33.8135669997173 |
25147 |
Abon, Marlyne |
1982003604 |
Nurse Practitioner |
UNKNOWN |
69175 Ramon Rd Bldg A |
Cathedral City |
Riverside |
92234 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.813567 |
-116.456049 |
-122.088681000128 |
37.3871880000262 |
25151 |
Parsotam, Sima |
1982010062 |
Nurse Practitioner |
UNKNOWN |
900, Miramonte Ave |
Mountain View |
Santa Clara |
94040 |
California |
2016 |
2017 |
1 |
AIU |
COMMUNITY HLTH MAYVIEW |
1780796540 |
21250 |
21250 |
37.387188 |
-122.088681 |
-118.349731509102 |
33.954067100916 |
25154 |
Alarcon, Danielle |
1982013074 |
Dentist |
UNKNOWN |
300 E Buckthorn St |
Inglewood |
Los Angeles |
90301 |
California |
2016 |
2016 |
1 |
AIU |
CHILDREN'S DENTAL CENTER THE |
1740392216 |
21250 |
21250 |
33.954067101 |
-118.349731509 |
-121.931844043068 |
37.3128740632874 |
25162 |
Baldonado, Analiza |
1982060174 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
CLARA MED CTR SANTA |
1063406551 |
46750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.017646291043 |
36.9915277342176 |
25172 |
Young, Jeffrey |
1982604047 |
Physician |
INTERNAL MEDICINE |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2012 |
2013 |
2 |
MU |
CRUZ HEALTH CTR SANTA |
1659315430 |
29750 |
8500 |
36.9915277341 |
-122.017646291 |
-122.532927443447 |
38.0685794121102 |
25185 |
Hammerman, Marc |
1982622676 |
Physician |
UNKNOWN |
9 COMMERCIAL BLVD, SUITE 103 |
NOVATO |
UNKNOWN |
94945 |
California |
2016 |
2017 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0685794125 |
-122.532927443 |
-122.069360181127 |
38.2372400007255 |
25186 |
Cody, Christopher |
1982624516 |
Physician |
FAMILY PRACTICE |
2201 Courage Drive |
Fairfield |
Solano |
94533 |
California |
2012 |
2013 |
1 |
AIU |
COUNTY HLTH and SOCIAL SOLANO |
1083845275 |
21250 |
21250 |
38.237240001 |
-122.069360181 |
-119.658153640378 |
36.3293078311915 |
25205 |
Oberst, David |
1982642351 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
450 Greenfield Ave, emergency dept. |
Hanford |
Kings |
93230 |
California |
2016 |
2017 |
3 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1417930892 |
38250 |
8500 |
36.329307831 |
-119.65815364 |
-118.393975957624 |
34.2395150830547 |
25209 |
FALAKASSA, BAHMAN |
1982649331 |
Physician |
GASTROENTEROLOGY |
9375 San Fernando Rd |
Sun Valley |
Los Angeles |
91352 |
California |
2015 |
2016 |
4 |
MU |
COMMUNITY MEDICAL SERRA |
1275545725 |
46750 |
8500 |
34.2395150827 |
-118.393975958 |
-122.562698424193 |
38.095736927917 |
25216 |
Bookoff, Charles |
1982664496 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-121.931844043068 |
37.3128740632874 |
25218 |
Hsiao, Eric |
1982667606 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.329789269359 |
34.0979749635737 |
25226 |
Ryan, Deirdre |
1982678025 |
Physician |
ORTHOPEDIC SURGERY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.730009116028 |
38.4800536013926 |
25227 |
milam miller, susan |
1982678280 |
Physician |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2019 |
2020 |
6 |
MU |
COMMUNITY HLTH SOUTHWEST |
1386712065 |
63750 |
8500 |
38.4800536014 |
-122.730009116 |
-122.385354438756 |
40.5834973198455 |
25237 |
BRANNON, DANIEL |
1982700696 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2018 |
2019 |
5 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
55250 |
8500 |
40.5834973202 |
-122.385354439 |
-122.549448440893 |
37.9059784896157 |
25240 |
Kornfeld, Howard |
1982702130 |
Physician |
UNKNOWN |
3 Madrona St |
Mill Valley |
Unknown |
94944 |
California |
2016 |
2017 |
1 |
AIU |
CO MEDICAL CTR ALAMEDA |
1083815872 |
21250 |
21250 |
37.9059784896 |
-122.549448441 |
-118.329789269359 |
34.0979749635737 |
25254 |
WOOD, JOHN |
1982707097 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-121.931844043068 |
37.3128740632874 |
25256 |
Graber, Jennifer |
1982718946 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.062209585304 |
32.980065934895 |
25262 |
Beavers, Robert |
1982722930 |
Dentist |
UNKNOWN |
14761 Pomerado Rd |
Poway |
San Diego |
92064 |
California |
2014 |
2015 |
2 |
MU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
29750 |
8500 |
32.9800659353 |
-117.062209585 |
-123.803844077242 |
39.43025401611 |
25267 |
Ulatowski, Tadeus |
1982728440 |
Dentist |
UNKNOWN |
205 South St |
Fort Bragg |
Mendocino |
95437 |
California |
2020 |
2020 |
6 |
MU |
COAST CLINICS MENDOCINO |
1083783757 |
63750 |
8500 |
39.4302540158 |
-123.803844077 |
-118.256769000189 |
34.0030619996116 |
25271 |
Chavez, Briana |
1982725388 |
Dentist |
UNKNOWN |
4425 S Central Ave |
Los Angeles |
Los Angeles |
90011 |
California |
2015 |
2016 |
1 |
AIU |
CENTRAL FAMILY SOUTH |
1396891909 |
21250 |
21250 |
34.003062 |
-118.256769 |
-118.329789269359 |
34.0979749635737 |
25275 |
Torres, Manuel |
1982739058 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-117.72818924174 |
33.8767078996499 |
25276 |
Alonzo, Cristina |
1982745683 |
Physician |
UNKNOWN |
5600 Avenida Del Tren |
Yorba Linda |
Orange |
92887 |
California |
2015 |
2016 |
1 |
AIU |
CNTY DEPT MENTAL HEALTH LA |
1699703827 |
21250 |
21250 |
33.8767079003 |
-117.728189242 |
-117.102322508777 |
32.7514272099978 |
25277 |
Tran, Tonnia |
1982746657 |
Physician |
FAMILY PRACTICE |
4290 Polk Ave |
San Diego |
San Diego |
92105 |
California |
2014 |
2015 |
2 |
MU |
COMM CLINIC MID-CITY |
1306827332 |
29750 |
8500 |
32.7514272104 |
-117.102322509 |
-115.538048026295 |
32.9786034960546 |
25290 |
BARNISKE, DONALD |
1982760310 |
Doctor of Optometry |
UNKNOWN |
260 Main St |
Brawley |
Imperial |
92227 |
California |
2016 |
2016 |
1 |
AIU |
CARE CENTER OF VISION |
1548465222 |
21250 |
21250 |
32.9786034957 |
-115.538048026 |
-117.122650002795 |
32.812365973311 |
25304 |
CLARK, PATRICIA |
1982776506 |
Physician |
UNKNOWN |
3860 CALLE FORTUNADA, STE #210 |
SAN DIEGO |
San Diego |
92123 |
California |
2012 |
2013 |
2 |
MU |
CHILDREN'S HOSPITAL RADY |
1669617197 |
29750 |
8500 |
32.8123659731 |
-117.122650003 |
-118.215649533899 |
34.050301261594 |
25306 |
Amos, Ilana |
1982776837 |
Physician |
PEDIATRIC MEDICINE |
1828 E Cesar E Chavez Ave, C-225 |
Los Angeles |
Los Angeles |
90033 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY COMPREHENSIVE |
1245210749 |
21250 |
21250 |
34.050301262 |
-118.215649534 |
-117.152023500284 |
32.7983220001602 |
25307 |
Kling, Karen |
1982775144 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-117.152023500284 |
32.7983220001602 |
25309 |
HOM, XENIA |
1982775748 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-122.132916000373 |
38.0065680004129 |
25312 |
Feierabend, Susan |
1982781548 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
6 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
63750 |
8500 |
38.006568 |
-122.132916 |
-117.152023500284 |
32.7983220001602 |
25322 |
Crawford, John |
1982790259 |
Physician |
UNKNOWN |
3020 CHILDREN'S WAY, MC5003 |
SAN DIEGO |
San Diego |
92123 |
California |
2019 |
2020 |
6 |
MU |
CHILDRENS HOSPITAL RADY |
1669617197 |
63750 |
8500 |
32.798322 |
-117.1520235 |
-118.329789269359 |
34.0979749635737 |
25323 |
FU, CECILIA |
1982793907 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2012 |
2013 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-120.045810184592 |
36.94541455204 |
25340 |
Dhah, Manjit |
1982823027 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2016 |
2017 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1326063199 |
46750 |
8500 |
36.9454145522 |
-120.045810185 |
-121.931844043068 |
37.3128740632874 |
25342 |
Kulkarni, Shubhada |
1982823936 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
2 |
MU |
CLARA MED CTR SANTA |
1063406551 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.097980794878 |
34.1497971437233 |
25347 |
Juarez, Thaddeus |
1982829248 |
Physician |
UNKNOWN |
2550 Foothill Blvd. |
Pasadena |
Los Angeles |
91107 |
California |
2017 |
2018 |
2 |
MU |
CLINICS PACIFIC |
1932244985 |
29750 |
8500 |
34.149797144 |
-118.097980795 |
-122.224776035785 |
37.7798441425932 |
25349 |
elliott, robert |
1982832531 |
Physician |
PEDIATRIC MEDICINE |
1601 Fruitvale Ave |
Oakland |
Alameda |
94601 |
California |
2013 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-122.488180935801 |
37.6828724074357 |
25353 |
Tran, Henrietta |
1982833620 |
Nurse Practitioner |
NURSE PRACTITIONER |
93 Skyline Plz |
Daly City |
San Mateo |
94015 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HEALTH CHINESE |
1487684452 |
21250 |
21250 |
37.6828724072 |
-122.488180936 |
-122.439591000025 |
37.7160389998 |
25354 |
Tan, Ivy |
1982833281 |
Nurse Practitioner |
NURSE PRACTITIONER |
888 Paris St Ste 202 |
San Francisco |
San Francisco |
94112 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HEALTH CHINESE |
1487684452 |
21250 |
21250 |
37.716039 |
-122.439591 |
-122.489281175386 |
37.753414020041 |
25358 |
Chu, Yvette |
1982837068 |
Nurse Practitioner |
UNKNOWN |
1800 31st Avenue, Suite 202 |
South San Francisco |
San Francisco |
94122 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HEALTH CHINESE |
1487684452 |
21250 |
21250 |
37.7534140197 |
-122.489281175 |
-122.532927443447 |
38.0685794121102 |
25364 |
GUTTERMAN, CARA |
1982853487 |
Nurse Practitioner |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2017 |
3 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
38250 |
8500 |
38.0685794125 |
-122.532927443 |
-122.562698424193 |
38.095736927917 |
25366 |
Kamras, Samantha |
1982861746 |
Physician |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2013 |
2014 |
3 |
MU |
COMM CLINIC MARIN |
1912091018 |
38250 |
8500 |
38.0957369279 |
-122.562698424 |
-122.119197822821 |
37.7070746286912 |
25368 |
KIM, JORGE |
1982863759 |
Physician |
UNKNOWN |
15400 Foothill Blvd |
San Leandro |
Alameda |
94578 |
California |
2015 |
2016 |
1 |
AIU |
COUNTY MED CTR ALAMEDA |
1104959089 |
21250 |
21250 |
37.7070746288 |
-122.119197823 |
-122.017646291043 |
36.9915277342176 |
25370 |
SHREIBA, MOHAMMED |
1982866067 |
Physician |
UNKNOWN |
1080 Emeline |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
1 |
AIU |
CRUZ HEALTH CTR SANTA |
1659315430 |
21250 |
21250 |
36.9915277341 |
-122.017646291 |
-122.142199500407 |
37.4270039997348 |
25380 |
Purcell, Carolyn |
1982886602 |
Nurse Practitioner |
UNKNOWN |
270 Grant Ave |
Palo Alto |
Santa Clara |
94306 |
California |
2013 |
2013 |
1 |
AIU |
COMMUNITY HLTH MAYVIEW |
1780796540 |
21250 |
21250 |
37.427004 |
-122.1421995 |
-122.133636000301 |
37.4709959995658 |
25400 |
DiPierro, Sharon |
1982925541 |
Physician |
UNKNOWN |
1798 Bay Rd Ste A |
East Palo Alto |
UNKNOWN |
94303 |
California |
2014 |
2015 |
1 |
AIU |
COUNTY COMMUNITY SOUTH |
1821170044 |
21250 |
21250 |
37.470996 |
-122.133636 |
-118.18459350019 |
33.8084730004287 |
25401 |
O'KEEFE, LEONA |
1982924692 |
Physician |
UNKNOWN |
701 E. 28th Street, Suite 200 |
Long Beach |
Los Angeles |
90806 |
California |
2017 |
2018 |
2 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
29750 |
8500 |
33.808473 |
-118.1845935 |
-122.385354438756 |
40.5834973198455 |
25417 |
Venglarcik, Carey |
1982963583 |
Physician |
UNKNOWN |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2018 |
2019 |
3 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
38250 |
8500 |
40.5834973202 |
-122.385354439 |
-121.931844043068 |
37.3128740632874 |
25418 |
HTWE, YINN |
1982967493 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
3 |
MU |
CLARA MED CTR SANTA |
1063406551 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.730009116028 |
38.4800536013926 |
25422 |
Romero, Ronald |
1982970380 |
Physician |
UNKNOWN |
3569 Round Barn Cir |
Santa Rosa |
UNKNOWN |
95403 |
California |
2013 |
2013 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-119.251855838176 |
34.2762568924417 |
25430 |
PETERS, KATHERINE |
1982998522 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2014 |
2015 |
2 |
MU |
CO MEDICAL CTR VENTURA |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
-121.939887305155 |
40.8041224683773 |
25432 |
Foster, Susan |
1982986170 |
Nurse Practitioner |
NURSE PRACTITIONER |
29632 Highway 299 East |
Round Mountain |
Shasta |
96084 |
California |
2018 |
2019 |
6 |
MU |
COUNTRY COMM CLINIC HILL |
1407914260 |
63750 |
8500 |
40.8041224681 |
-121.939887305 |
-122.748589048346 |
38.4279142321561 |
25441 |
Puttmann, Mary |
1992020697 |
Physician |
UNKNOWN |
751 Lombardi Court |
Santa Rosa |
Sonoma |
95407 |
California |
2011 |
2012 |
1 |
AIU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
21250 |
21250 |
38.4279142323 |
-122.748589048 |
-122.224776035785 |
37.7798441425932 |
25447 |
Dandekar, Aparna |
1992031942 |
Physician |
UNKNOWN |
1601 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2012 |
2013 |
1 |
AIU |
CLINICA DE LA RAZA LA |
1144336181 |
21250 |
21250 |
37.7798441429 |
-122.224776036 |
-118.240379999837 |
34.1367570001355 |
25449 |
Kartounian, Ani |
1992030415 |
Dentist |
UNKNOWN |
801 S Chevy Chase Dr, Suite #250 |
Glendale |
Los Angeles |
91205 |
California |
2017 |
2018 |
3 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
38250 |
8500 |
34.136757 |
-118.24038 |
-118.2899025002 |
33.7385069997982 |
25451 |
Armstrong, Lynn |
1992032940 |
Nurse Practitioner |
NURSE PRACTITIONER |
593 W 6th St |
San Pedro |
Los Angeles |
90731 |
California |
2015 |
2017 |
3 |
MU |
COMMUNITY CLINIC HARBOR |
1467490425 |
38250 |
8500 |
33.738507 |
-118.2899025 |
-122.189192732159 |
37.7730592919528 |
25459 |
Jacob, Geetha |
1992089627 |
Nurse Practitioner |
UNKNOWN |
5835 Morse Dr |
Oakland |
Alameda |
94605 |
California |
2015 |
2015 |
1 |
AIU |
CONSULTANTS OF INPATIENT |
1831134253 |
21250 |
21250 |
37.773059292 |
-122.189192732 |
-122.730009116028 |
38.4800536013926 |
25463 |
Smith, Melissa |
1992096093 |
Nurse Practitioner |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2012 |
2013 |
1 |
AIU |
COMMUNITY HEALTH SOUTHWEST |
1558512624 |
21250 |
21250 |
38.4800536014 |
-122.730009116 |
-122.730009116028 |
38.4800536013926 |
25479 |
Decker, Dana |
1992146211 |
Dentist |
UNKNOWN |
3569 Round Barn Circle |
Santa Rosa |
Sonoma |
95403 |
California |
2019 |
2020 |
4 |
MU |
COMM HLTH CTR SOUTHWEST |
1578631172 |
46750 |
8500 |
38.4800536014 |
-122.730009116 |
-121.98973500037 |
36.963917999716 |
25484 |
couch, heather |
1992166839 |
Nurse Practitioner |
UNKNOWN |
21507 East Cliff Dr. |
SANTA CRUZ |
Santa Cruz |
95060 |
California |
2016 |
2017 |
1 |
AIU |
CRUZ COMMUNITY HEALTH SANTA |
1902923329 |
21250 |
21250 |
36.963918 |
-121.989735 |
-120.536684824845 |
38.075029828264 |
25500 |
krpan, john |
1992700876 |
Doctor of Optometry |
UNKNOWN |
1300 kurt drive, suite 105 |
angels camp |
Calaveras |
95222 |
California |
2014 |
2015 |
1 |
AIU |
COMM HOSP SONORA |
1003014952 |
21250 |
21250 |
38.0750298276 |
-120.536684825 |
-122.532927443447 |
38.0685794121102 |
25507 |
boland, john |
1992717284 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2015 |
2017 |
2 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
29750 |
8500 |
38.0685794125 |
-122.532927443 |
-118.329789269359 |
34.0979749635737 |
25508 |
Cucchiaro, Giovanni |
1992716500 |
Physician |
ANESTHESIOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-122.385354438756 |
40.5834973198455 |
25515 |
Sand, Patricia |
1992725873 |
Physician |
PEDIATRIC MEDICINE |
1035 Placer St |
Redding |
Shasta |
96001 |
California |
2016 |
2017 |
6 |
MU |
COMM HEALTH CTR SHASTA |
1891710638 |
63750 |
8500 |
40.5834973202 |
-122.385354439 |
-116.456049000261 |
33.8135669997173 |
25517 |
Melot, KAREN |
1992729586 |
Nurse Practitioner |
UNKNOWN |
69175 Ramon Rd Bldg A |
Cathedral City |
Riverside |
92234 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.813567 |
-116.456049 |
-119.678223039761 |
36.6299082800431 |
25536 |
Sanchez, David |
1992750004 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
119 S 6th St |
Fowler |
Fresno |
93625 |
California |
2017 |
2018 |
4 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1093732554 |
46750 |
8500 |
36.6299082803 |
-119.67822304 |
-118.090917554601 |
34.090742927744 |
25537 |
CHEUNG, TUNG |
1992746010 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
923 S San Gabriel |
San Gabriel |
Los Angeles |
91776 |
California |
2019 |
2020 |
6 |
MU |
CHRISTIAN HEALTH HERALD |
1033390273 |
63750 |
8500 |
34.0907429285 |
-118.090917555 |
-121.540554000367 |
39.5047619995667 |
25548 |
DALAL, LOVE |
1992768360 |
Physician |
UNKNOWN |
2809 Olive Hwy, SUITE 350 |
Oroville |
Butte |
95966 |
California |
2016 |
2017 |
1 |
AIU |
CORPORATION OROHEALTH |
1013933167 |
21250 |
21250 |
39.504762 |
-121.540554 |
-121.931844043068 |
37.3128740632874 |
25549 |
Adodra, Snehal |
1992771307 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.15612921659 |
33.1407478633233 |
25567 |
Rao, Charmi |
1992809180 |
Physician |
UNKNOWN |
150 Valpreda |
San Marcos |
UNKNOWN |
92079 |
California |
2016 |
2017 |
1 |
AIU |
COUNTY HEALTH PROJECT NORTH |
1245246917 |
21250 |
21250 |
33.1407478629 |
-117.156129217 |
-118.329789269359 |
34.0979749635737 |
25570 |
HOFSTRA, THOMAS |
1992805246 |
Physician |
HEMATOLOGY/ONCOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2011 |
2012 |
1 |
AIU |
CHILDRENS MED UNIVERSITY |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
-123.801499006874 |
39.4322470387699 |
25574 |
Graham, Benjamin |
1992818041 |
Physician |
INTERNAL MEDICINE |
721 River Dr, Suite A |
Fort Bragg |
Mendocino |
95437 |
California |
2014 |
2015 |
3 |
MU |
COAST HEALTH MENDOCINO |
1124220249 |
38250 |
8500 |
39.4322470385 |
-123.801499007 |
-121.931844043068 |
37.3128740632874 |
25580 |
Krygier, Jeffrey |
1992825954 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
CLARA MED CTR SANTA |
1063406551 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.562698424193 |
38.095736927917 |
25581 |
Lewis, Denise |
1992830228 |
Nurse Practitioner |
UNKNOWN |
6090 Redwood Blvd, Suite G |
Novato |
Marin |
94945 |
California |
2011 |
2012 |
1 |
AIU |
COMMUNITY CLINIC MARIN |
1003900101 |
21250 |
21250 |
38.0957369279 |
-122.562698424 |
-116.32904549985 |
33.1939799996773 |
25590 |
Naranjo, Jorge |
1992838684 |
Physician |
UNKNOWN |
4343 Yaqui Pass Rd, PO BOX 2369 |
Palm Springs |
San Diego |
92004 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-122.532927443447 |
38.0685794121102 |
25592 |
Montejo-Kadera, Constanza |
1992846430 |
Dentist |
UNKNOWN |
9 Commercial Blvd, Suite 103 |
Novato |
Marin |
94945 |
California |
2018 |
2019 |
3 |
MU |
COMM CLINIC SAN RAFAEL MARIN |
1154503399 |
38250 |
8500 |
38.0685794125 |
-122.532927443 |
-122.028876790931 |
36.9749133592642 |
25594 |
Meehan, Patrick |
1992851471 |
Physician |
UNKNOWN |
250 Locust St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2012 |
2013 |
2 |
MU |
CRUZ WOMEN'S SANTA |
1902923329 |
29750 |
8500 |
36.9749133589 |
-122.028876791 |
-122.132916000373 |
38.0065680004129 |
25597 |
Cheng, Siri sunderi |
1992853600 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2020 |
2020 |
5 |
MU |
COSTA CO HLTH SVS CONTRA |
1942370762 |
55250 |
8500 |
38.006568 |
-122.132916 |
-119.336979694257 |
36.2246418923095 |
25610 |
Pang, Kin |
1992867964 |
Physician |
OBSTETRICS/GYNECOLOGY |
1201 N Cherry St |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
5 |
MU |
CENTERS FOR HEALTH ALTURA |
1023011632 |
55250 |
8500 |
36.2246418916 |
-119.336979694 |
-122.132916000373 |
38.0065680004129 |
25615 |
DSouza, Preeti |
1992873913 |
Dentist |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2018 |
2019 |
4 |
MU |
COSTA CO HLTH SVS CONTRA |
1902975394 |
46750 |
8500 |
38.006568 |
-122.132916 |
-117.868140000161 |
33.755175000426 |
25632 |
Sejourne-Daitch, Chantal |
1992894422 |
Physician |
UNKNOWN |
1200 N Main St, Ste. 200 |
Santa Ana |
Orange |
92701 |
California |
2015 |
2016 |
1 |
AIU |
County of Orange |
1104963347 |
21250 |
21250 |
33.755175 |
-117.86814 |
-117.651550499956 |
34.0680510000537 |
25635 |
CHUNG, SAMUEL |
1992897458 |
Physician |
UNKNOWN |
437 N. Euclid Ave. |
Ontario |
San Bernardino |
91762 |
California |
2015 |
2017 |
1 |
AIU |
COMMUNITY HEALTH UNICARE |
1710309513 |
21250 |
21250 |
34.068051 |
-117.6515505 |
-120.366373837283 |
37.9874682626502 |
25637 |
Mills, Christopher |
1992897292 |
Physician |
UNKNOWN |
20044 Cedar Rd N, Suite A |
Sonora |
Tuolumne |
95370 |
California |
2017 |
2018 |
4 |
MU |
COMMUNITY HOSPITAL SONORA |
1003014952 |
46750 |
8500 |
37.9874682631 |
-120.366373837 |
-122.489281175386 |
37.753414020041 |
25654 |
Goh, Winston |
1992930242 |
Physician |
FAMILY PRACTICE |
1800 31st Ave |
San Francisco |
San Francisco |
94122 |
California |
2014 |
2015 |
4 |
MU |
COMMUNITY HEALTH CHINESE |
1487684452 |
46750 |
8500 |
37.7534140197 |
-122.489281175 |
-119.614063079348 |
36.5705924162071 |
25661 |
Sophamixay-Essegian, Sy |
1992936157 |
Physician |
UNKNOWN |
2141 High St |
Selma |
Fresno |
93662 |
California |
2018 |
2019 |
5 |
MU |
COMMUNITY HOSPITAL REEDLEY |
1427025691 |
55250 |
8500 |
36.5705924163 |
-119.614063079 |
-118.203927427709 |
34.1392982378235 |
25673 |
Foust, Scott |
1992958524 |
Physician |
UNKNOWN |
1704 Colorado Blvd |
Los Angeles |
Los Angeles |
90041 |
California |
2017 |
2018 |
6 |
MU |
COMMUNITY COMPREHENSIVE |
1245210749 |
63750 |
8500 |
34.1392982381 |
-118.203927428 |
-118.413825981784 |
34.1944379999138 |
25677 |
Banayan, Shahab |
1992962534 |
Physician |
FAMILY PRACTICE |
6801 Coldwater Canyon Ave |
North Hollywood |
Los Angeles |
91605 |
California |
2013 |
2013 |
2 |
MU |
COMMUNITY CLINIC VALLEY |
1588740989 |
29750 |
8500 |
34.194438 |
-118.413825982 |
-118.18459350019 |
33.8084730004287 |
25678 |
BRINKMAN, ALICE |
1992965545 |
Physician |
UNKNOWN |
701 E. 28th Street, Suite 200 |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
6 |
MU |
CHILDRENS CLINIC THE |
1639233935 |
63750 |
8500 |
33.808473 |
-118.1845935 |
-116.115338321406 |
33.4988880797212 |
25682 |
Tabarez, Joe |
1992980270 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
88775 Avenue 76, Ste. 1 |
Thermal |
Riverside |
92274 |
California |
2015 |
2016 |
1 |
AIU |
COMMUNITY HEALTH BORREGO |
1134144165 |
21250 |
21250 |
33.4988880804 |
-116.115338321 |
-118.155398834688 |
34.0268212301157 |
25684 |
toscano, margherita |
1992983670 |
Nurse Practitioner |
UNKNOWN |
507 S Atlantic Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
1 |
AIU |
CHILDREN CENTER BIENVENIDOS |
1497001226 |
21250 |
21250 |
34.02682123 |
-118.155398835 |
-118.284093419376 |
33.9600357772294 |
25687 |
Anakwenze, Vicki |
1992986947 |
Physician |
GENERAL PRACTICE |
600 W MANCHESTER AVE STE 3 |
Los Angeles |
Los Angeles |
90044 |
California |
2011 |
2012 |
1 |
AIU |
CARE MED GROUP VICTORIAN |
1821172008 |
21250 |
21250 |
33.9600357774 |
-118.284093419 |
-118.344352500268 |
33.9657120003086 |
25688 |
Kushnirenko, Tatyana |
1992989305 |
Nurse Practitioner |
UNKNOWN |
301 N Prairie Blvd #300 |
Inglewood |
Los Angeles |
90301 |
California |
2015 |
2016 |
2 |
MU |
CITY COMMUNITY MISSION |
1760409791 |
29750 |
8500 |
33.965712 |
-118.3443525 |