-121.376389500375 |
38.5562970003064 |
1 |
Choti, Supak |
1003003781 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-121.805014500319 |
37.9836540004318 |
3 |
vontela, rekha |
1003009440 |
Dentist |
UNKNOWN |
3737 Lone Tree Way, suite F |
Antioch |
Contra Costa |
94509 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1427388875 |
21250 |
21250 |
37.983654 |
-121.8050145 |
-117.867477936358 |
33.7790861138332 |
5 |
Lim, kyung A |
1003010372 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
11 |
Patel, Kinjal |
1003018789 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.885694500301 |
33.7483169998297 |
13 |
wang, james |
1003022880 |
Dentist |
UNKNOWN |
410 N Bristol St, Suite C |
Santa Ana |
Orange |
92703 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1396140273 |
21250 |
21250 |
33.748317 |
-117.8856945 |
-117.815207464853 |
33.7448317797629 |
16 |
nguyen, dave |
1003031972 |
Dentist |
UNKNOWN |
13400 Newport Ave, Suite B |
Tustin |
Orange |
92780 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1811295934 |
21250 |
21250 |
33.7448317802 |
-117.815207465 |
-117.070103661555 |
33.1269234740391 |
17 |
Lee, Charles |
1003032061 |
Dentist |
UNKNOWN |
901 E Ohio Ave |
Escondido |
San Diego |
92025 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1124491121 |
21250 |
21250 |
33.126923474 |
-117.070103662 |
-118.217727000201 |
34.0504919997061 |
22 |
Trenkle, Geoffrey |
1003044876 |
Physician |
UNKNOWN |
1700 E Cesar E Chavez Ave Ste 2500 |
Los Angeles |
Los Angeles |
90033 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1003044876 |
21250 |
21250 |
34.050492 |
-118.217727 |
-118.159954038448 |
33.8827229998666 |
25 |
Mangune, Edwin |
1003047978 |
Physician |
UNKNOWN |
16660 Paramount Blvd., #110 |
Paramount |
Los Angeles |
90723 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1003047978 |
21250 |
21250 |
33.882723 |
-118.159954038 |
-114.622921844068 |
34.8304528096495 |
45 |
Paget, Edward |
1003087891 |
Physician |
UNKNOWN |
2005 Carty Way |
Needles |
San Bernardino |
92363 |
California |
2013 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1003087891 |
29750 |
8500 |
34.8304528099 |
-114.622921844 |
-120.977018999627 |
37.6800480002151 |
47 |
Shelat, Bhavini |
1003091232 |
Dentist |
UNKNOWN |
2801 Coffee Rd, Building B |
Modesto |
Stanislaus |
95355 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1609254143 |
21250 |
21250 |
37.680048 |
-120.977019 |
-117.867477936358 |
33.7790861138332 |
50 |
Nguyen, Huong |
1003099730 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
51 |
Rivera, Obianuju |
1003104167 |
Nurse Practitioner |
NURSE PRACTITIONER |
200 S Wells Rd Ste 100 |
Ventura |
Ventura |
93004 |
California |
2012 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.160178460667 |
33.8902829995608 |
57 |
Dao, Phuong-Thao |
1003124264 |
Dentist |
UNKNOWN |
15717 Paramount Blvd, Suite C |
Paramount |
Los Angeles |
90723 |
California |
2016 |
2017 |
1 |
AIU |
DANG DDS INC HUNG |
1477894236 |
21250 |
21250 |
33.890283 |
-118.160178461 |
-118.156796445 |
34.0203284397058 |
61 |
Pillai, Bindu |
1003074923 |
Dentist |
UNKNOWN |
5207 East Whittier Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1639229099 |
21250 |
21250 |
34.0203284402 |
-118.156796445 |
-121.436858879634 |
36.5138098193677 |
109 |
Han, Sang Hoon |
1003256314 |
Dentist |
UNKNOWN |
851 5th St. STE H |
Gonzales |
Monterey |
93926 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1427465236 |
21250 |
21250 |
36.5138098193 |
-121.43685888 |
-122.412514499644 |
37.7799390003846 |
112 |
Smith, Erin |
1003275330 |
Nurse Practitioner |
UNKNOWN |
1111 Market St |
San Francisco |
San Francisco |
94103 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1487904678 |
21250 |
21250 |
37.779939 |
-122.4125145 |
-117.163974713262 |
32.7328816281847 |
117 |
Devine, Jaimie |
1003350943 |
Nurse Practitioner |
UNKNOWN |
2630 1st Ave |
San Diego |
San Diego |
92103 |
California |
2017 |
2018 |
2 |
MU |
DIEGO AMERICAN SAN |
1003902917 |
29750 |
8500 |
32.7328816275 |
-117.163974713 |
-115.528558499675 |
32.9786155433727 |
147 |
Klockmann, Mary |
1003840174 |
Nurse Practitioner |
UNKNOWN |
900 Main St |
Brawley |
Imperial |
92227 |
California |
2012 |
2013 |
2 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
29750 |
8500 |
32.9786155434 |
-115.5285585 |
-117.956083499754 |
33.7374270003558 |
150 |
Le, Kha |
1003847955 |
Dentist |
UNKNOWN |
9900 McFadden Ave, #101 |
Westminster |
Orange |
92683 |
California |
2019 |
2020 |
2 |
MU |
D LE DENTAL CORP KHA |
1275911216 |
29750 |
8500 |
33.737427 |
-117.9560835 |
-117.568968062326 |
33.869406078228 |
155 |
Hasnain, Imran |
1003850553 |
Physician |
GASTROENTEROLOGY |
1157 W Grand Blvd |
Corona |
Riverside |
92882 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1225145816 |
21250 |
21250 |
33.869406078 |
-117.568968062 |
-119.563544968326 |
36.0995400002708 |
158 |
KUMAR, RAVI |
1003859414 |
Physician |
UNKNOWN |
1001 Van Dorsten Ave |
Corcoran |
Kings |
93212 |
California |
2014 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1780612846 |
29750 |
8500 |
36.09954 |
-119.563544968 |
-117.810246619186 |
34.0022639951873 |
166 |
Ogbechie, Lawrence |
1003868217 |
Physician |
PSYCHIATRY |
1142 South Diamond Bar Blvd, Suite 406 |
Diamond Bar |
Los Angeles |
91765 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1003868217 |
21250 |
21250 |
34.0022639951 |
-117.810246619 |
-123.209747254432 |
39.1369791676545 |
177 |
Cortina, Pablo |
1003903626 |
Physician |
UNKNOWN |
1101 S Dora St |
Ukiah |
Mendocino |
95482 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1003903626 |
21250 |
21250 |
39.1369791685 |
-123.209747254 |
-117.70440240115 |
33.6175464219299 |
182 |
Nguyen, Duy |
1003905068 |
Dentist |
UNKNOWN |
23731 El Toro Rd, Ste D |
Lake Forest |
Orange |
92630 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831356575 |
21250 |
21250 |
33.6175464224 |
-117.704402401 |
-121.252093962966 |
38.7423554478457 |
187 |
Benbrahim, Aicha |
1003918756 |
Dentist |
UNKNOWN |
2110 Professional Dr, Suite 115 |
Roseville |
Placer |
95661 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
38.7423554482 |
-121.252093963 |
-117.568331999722 |
33.8737770001085 |
199 |
Rao, Narakanti |
1003919655 |
Physician |
UNKNOWN |
760 S Washburn Ave Suite 7 |
Corona |
Riverside |
92882 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1003919655 |
21250 |
21250 |
33.873777 |
-117.568332 |
-117.867477936358 |
33.7790861138332 |
200 |
Cadalso, Robert |
1003934761 |
Dentist |
UNKNOWN |
530 South Main St., Suite 110 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.356412499737 |
33.9758999997852 |
203 |
Mattison, Charles |
1003948563 |
Dentist |
UNKNOWN |
933 Centinela Ave |
Inglewood |
Los Angeles |
90302 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1003948563 |
21250 |
21250 |
33.9759 |
-118.3564125 |
-117.953668984636 |
33.7450471907753 |
204 |
Ngo, Thanh |
1003944638 |
Dentist |
UNKNOWN |
10051 Bolsa Ave, Suite A1 |
Westminster |
Orange |
92683 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1457778680 |
21250 |
21250 |
33.7450471907 |
-117.953668985 |
-118.082534035817 |
33.9033732218967 |
205 |
binafard, behzad |
1003953282 |
Dentist |
UNKNOWN |
14034 Pioneer Blvd |
Norwalk |
Los Angeles |
90650 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1003953282 |
21250 |
21250 |
33.9033732223 |
-118.082534036 |
-119.546365499868 |
36.6043410003369 |
207 |
Panoff, Daniel |
1003953860 |
Dentist |
UNKNOWN |
13669 E Manning Ave, Suite 104 |
Parlier |
Fresno |
93648 |
California |
2012 |
2013 |
1 |
AIU |
Daniel O Panoff |
1003953860 |
21250 |
21250 |
36.604341 |
-119.5463655 |
-118.249757999732 |
33.9747784543623 |
210 |
Gopalan, Shanti |
1003953936 |
Dentist |
UNKNOWN |
1357 E Florence Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1841503646 |
21250 |
21250 |
33.9747784544 |
-118.249758 |
-117.419773499947 |
34.0704545299527 |
221 |
patel, alpesh |
1003964107 |
Dentist |
UNKNOWN |
17644 Valley Blvd, Unit # 1 |
Bloomington |
San Bernardino |
92316 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1003964107 |
21250 |
21250 |
34.0704545299 |
-117.4197735 |
-117.867477936358 |
33.7790861138332 |
222 |
Amendola, Louis |
1003963406 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.184365999991 |
33.6893399996413 |
228 |
TRAN, CINDY |
1003967548 |
Dentist |
UNKNOWN |
49271 Grapefruit Blvd, Ste 1 |
Coachella |
Riverside |
92236 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1598881781 |
21250 |
21250 |
33.68934 |
-116.184366 |
-122.223626999886 |
37.4664329995833 |
231 |
EBRAHIMI, SOHAIL |
1003974494 |
Dentist |
UNKNOWN |
801 Woodside Rd |
Suite 3 |
San Mateo |
94061 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1508268558 |
21250 |
21250 |
37.466433 |
-122.223627 |
-117.867477936358 |
33.7790861138332 |
237 |
Choy, Maria Jesusa |
1003982075 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.438262707558 |
34.2854786180438 |
240 |
Shieh, Marilyn |
1003990227 |
Physician |
UNKNOWN |
220 N Maclay Ave, Ste 2 |
San Fernando |
Los Angeles |
91340 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1003990227 |
21250 |
21250 |
34.2854786175 |
-118.438262708 |
-118.186147884817 |
33.9838409280165 |
241 |
AHN, TERRY |
1003991910 |
Dentist |
UNKNOWN |
6059 Atlantic Blvd |
Maywood |
Los Angeles |
90270 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1003991910 |
21250 |
21250 |
33.983840928 |
-118.186147885 |
-118.129563021017 |
34.0623421567652 |
243 |
Do, Dat-Minh |
1003992454 |
Dentist |
UNKNOWN |
516 W Garvey Ave |
Monterey Park |
Los Angeles |
91754 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1346371820 |
21250 |
21250 |
34.0623421565 |
-118.129563021 |
-117.956395363955 |
33.7016155926855 |
260 |
Prepas, Robereta |
1013019934 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
9930 Talbert Ave |
Fountain Valley |
Orange |
92708 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.7016155931 |
-117.956395364 |
-118.184606999913 |
33.7771619999264 |
270 |
Scott, Charlene |
1013035377 |
Nurse Practitioner |
UNKNOWN |
830 Atlantic Ave |
Long Beach |
Los Angeles |
90813 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1104942044 |
21250 |
21250 |
33.777162 |
-118.184607 |
-122.324250128241 |
37.5656429143891 |
272 |
Dee, Genevieve |
1013035930 |
Dentist |
UNKNOWN |
181 2nd Ave, Suite 575 |
San Mateo |
San Mateo |
94401 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1013035930 |
21250 |
21250 |
37.5656429144 |
-122.324250128 |
-118.296373500037 |
34.1020260001998 |
274 |
Popescu, Dorina |
1013041029 |
Dentist |
UNKNOWN |
4905 Hollywood Blvd |
Los Angeles |
Los Angeles |
90027 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1629148895 |
21250 |
21250 |
34.102026 |
-118.2963735 |
-118.561859999639 |
34.2316710001166 |
276 |
Hackman, Frank |
1013042894 |
Dentist |
UNKNOWN |
frank hackman DDS Inc, 8864 corbin ave |
Northridge |
Los Angeles |
91324 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1013042894 |
21250 |
21250 |
34.231671 |
-118.56186 |
-118.446236463742 |
34.0652250001337 |
279 |
Weiss, Irwin |
1013013317 |
Physician |
UNKNOWN |
200 Medical Plaza, Suite 265 |
Los Angeles |
UNKNOWN |
90095 |
California |
2014 |
2015 |
1 |
AIU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.065225 |
-118.446236464 |
-117.867477936358 |
33.7790861138332 |
284 |
Rivera, Jose |
1013058346 |
Dentist |
UNKNOWN |
530 South Main St., Ste E |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
285 |
Takaki, Kazu |
1013057272 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.437428094431 |
34.2861731437756 |
291 |
Irani, Zarin |
1013067446 |
Dentist |
UNKNOWN |
321 N. Maclay Ave #A |
San Fernando |
Los Angeles |
91340 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1730367004 |
21250 |
21250 |
34.2861731441 |
-118.437428094 |
-119.19534835834 |
34.1803181824382 |
293 |
Assatourians, gustavo |
1013064625 |
Dentist |
UNKNOWN |
2601 N Ventura Rd |
Port Hueneme |
Ventura |
93041 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1063600898 |
21250 |
21250 |
34.1803181817 |
-119.195348358 |
-120.672991021319 |
35.6282178371835 |
296 |
FORESTER, JAMES |
1013075159 |
Dentist |
UNKNOWN |
717 Walnut Dr. |
Paso Robles |
San Luis Obispo |
93446 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1033214283 |
21250 |
21250 |
35.6282178368 |
-120.672991021 |
-118.438964042057 |
34.2993044489412 |
297 |
CHIN, ALVIN |
1013072073 |
Physician |
UNKNOWN |
12610 Glenoaks Blvd |
Sylmar |
Los Angeles |
91342 |
California |
2012 |
2013 |
2 |
MU |
DE SALUD CLINICA |
1427113463 |
29750 |
8500 |
34.2993044485 |
-118.438964042 |
-118.138170108564 |
34.0508517312225 |
311 |
Latt, Tin |
1013092998 |
Dentist |
UNKNOWN |
871 S Atlantic Blvd |
Monterey Park |
Los Angeles |
91754 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1962533240 |
21250 |
21250 |
34.0508517315 |
-118.138170109 |
-117.867477936358 |
33.7790861138332 |
336 |
jhawar, vibha |
1013126622 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.837368950017 |
37.9986392229218 |
337 |
GHANNAM, SALAM |
1013129618 |
Dentist |
UNKNOWN |
2225 BUCHANAN RD, Suite A |
ANTIOCH |
Contra Costa |
94509 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1699987149 |
21250 |
21250 |
37.9986392234 |
-121.83736895 |
-118.353087000165 |
33.9457230003163 |
339 |
KANG, MIKE |
1013130970 |
Dentist |
UNKNOWN |
1295 S La Brea Ave, # 101 |
Inglewood |
Los Angeles |
90301 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1295947968 |
21250 |
21250 |
33.945723 |
-118.353087 |
-118.396491247173 |
34.2077081073433 |
345 |
Arango, Dora |
1013136936 |
Dentist |
UNKNOWN |
7554 Laurel Canyon Blvd |
North Hollywood |
Los Angeles |
91605 |
California |
2016 |
2017 |
1 |
AIU |
Dora Elida Arango |
1013136936 |
21250 |
21250 |
34.2077081071 |
-118.396491247 |
-117.163974713262 |
32.7328816281847 |
346 |
NGUYEN, KIM ANH |
1013143429 |
Dentist |
UNKNOWN |
2630 1st Ave |
San Diego |
San Diego |
92103 |
California |
2014 |
2015 |
3 |
MU |
DIEGO AMERICAN SAN |
1003902917 |
38250 |
8500 |
32.7328816275 |
-117.163974713 |
-122.018919927113 |
36.9803689435719 |
361 |
Cortes, Steven |
1013176122 |
Physician |
FAMILY PRACTICE |
550 Water St, Suite A |
Santa Cruz |
Santa Cruz |
95060 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1013176122 |
29750 |
8500 |
36.9803689445 |
-122.018919927 |
-121.977720000278 |
38.3540220001153 |
363 |
Choi, Chunkeun |
1013180520 |
Dentist |
UNKNOWN |
72 Peabody Rd |
Vacaville |
Solano |
95687 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1821414095 |
21250 |
21250 |
38.354022 |
-121.97772 |
-116.958715795797 |
33.7528766336497 |
372 |
Rodrigues, Rodrigo |
1013193259 |
Physician |
INTERNAL MEDICINE |
391 N San Jacinto st |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1013193259 |
21250 |
21250 |
33.7528766338 |
-116.958715796 |
-117.696870052011 |
34.077683277861 |
389 |
Pourrabbani, Shahin |
1013226877 |
Physician |
UNKNOWN |
4950 San Bernardino St, Suite 200 |
Montclair |
San Bernardino |
91763 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1013226877 |
21250 |
21250 |
34.0776832782 |
-117.696870052 |
-117.352773353707 |
34.071932436233 |
402 |
Boone, Lynne |
1013258086 |
Physician |
UNKNOWN |
400 N Pepper Ave |
Colton |
San Bernardino |
92324 |
California |
2016 |
2017 |
1 |
AIU |
Department of Behavioral Health |
1164467023 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-118.296553145911 |
33.8922616213768 |
407 |
Yampolsky, Yan |
1013266766 |
Dentist |
UNKNOWN |
1210 W Redondo Beach Blvd |
Gardena |
Los Angeles |
90247 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1649465121 |
21250 |
21250 |
33.8922616211 |
-118.296553146 |
-119.159698864611 |
34.2931563264034 |
409 |
Saghbazarian, Natalie |
1013269109 |
Dentist |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1912123431 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
410 |
Repaka, Mrudula |
1013280189 |
Dentist |
UNKNOWN |
530 South Main St., Apt D |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.193679000086 |
33.9425640003284 |
417 |
Kong, Namie |
1013297795 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-117.867477936358 |
33.7790861138332 |
429 |
Ulasik, Nastassia |
1013316173 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.804208909214 |
37.9845055738732 |
447 |
Jenkins, Vuthy |
1013462654 |
Nurse Practitioner |
UNKNOWN |
3707 Sunset Ln |
Antioch |
Contra Costa |
94509 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1487904678 |
21250 |
21250 |
37.9845055737 |
-121.804208909 |
-117.24400931218 |
33.9551728893175 |
451 |
Priromprintr, Visith |
1013901552 |
Physician |
OBSTETRICS/GYNECOLOGY |
11441 Heacock St, Suite B1 |
Moreno Valley |
Riverside |
92557 |
California |
2013 |
2014 |
3 |
MU |
Designated Payee Name not Found |
1972824118 |
38250 |
8500 |
33.9551728888 |
-117.244009312 |
-119.99625835374 |
38.9123594716124 |
454 |
Smith, Amy |
1013907096 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
NURSE PRACTITIONER |
2201 South Ave, Ste B |
South Lake Tahoe |
El Dorado |
96150 |
California |
2012 |
2014 |
1 |
MU |
Designated Payee Name not Found |
1013907096 |
21250 |
21250 |
38.9123594716 |
-119.996258354 |
-122.47496099975 |
37.6803539999372 |
460 |
Buckley, Daniel |
1013916733 |
Physician |
UNKNOWN |
1800 Sullivan Ave Rm 410 |
Daly City |
San Mateo |
94015 |
California |
2017 |
2018 |
3 |
MU |
DANIEL J MD BUCKLEY |
1013916733 |
38250 |
8500 |
37.680354 |
-122.474961 |
-118.278184029969 |
33.9559020002771 |
465 |
Singleton, Michael |
1013918119 |
Physician |
GENERAL PRACTICE |
8880 S Broadway |
Los Angeles |
Los Angeles |
90003 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1013918119 |
21250 |
21250 |
33.955902 |
-118.27818403 |
-119.658166112176 |
36.3290407541276 |
466 |
nelson, david |
1013923952 |
Physician |
OBSTETRICS/GYNECOLOGY |
440 Greenfield Ave Ste D |
Hanford |
Kings |
93230 |
California |
2015 |
2017 |
4 |
MU |
DAVID W MD NELSON |
1013923952 |
46750 |
8500 |
36.3290407544 |
-119.658166112 |
-120.836627999682 |
37.5102719995532 |
479 |
GOONAWARDENA, PATHMANI |
1013947233 |
Physician |
UNKNOWN |
1000 Delbon Ave, SUITE 1 |
Turlock |
Stanislaus |
95382 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1013947233 |
21250 |
21250 |
37.510272 |
-120.836628 |
-118.443346549004 |
34.0637399640282 |
489 |
Denny, Christopher |
1013930791 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1013930791 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-118.02179275733 |
34.0764558543543 |
494 |
Kolahi, Javad |
1013962398 |
Dentist |
UNKNOWN |
3913 N Peck Road |
El Monte |
Los Angeles |
91732 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1437344280 |
21250 |
21250 |
34.0764558539 |
-118.021792757 |
-118.305603000278 |
33.7388574521098 |
495 |
PETTERSON, GRACE |
1013964980 |
Physician |
UNKNOWN |
1294 W 6th St, STE#102 |
San Pedro |
Los Angeles |
90731 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1013964980 |
21250 |
21250 |
33.7388574522 |
-118.305603 |
-119.13169066839 |
36.2988754701269 |
499 |
Borge, David |
1013980481 |
Physician |
OBSTETRICS/GYNECOLOGY |
1014 San Juan Ave. |
Exeter |
Tulare |
93221 |
California |
2015 |
2017 |
3 |
MU |
DELTA HEALTHCARE KAWEAH |
1043272172 |
38250 |
8500 |
36.2988754701 |
-119.131690668 |
-120.949001999942 |
37.7331029998036 |
500 |
Podolsky, Susan |
1013974815 |
Physician |
OBSTETRICS/GYNECOLOGY |
2603 Patterson Rd, Ste 1 |
Riverbank |
Stanislaus |
95367 |
California |
2014 |
2014 |
3 |
MU |
Designated Payee Name not Found |
1013974815 |
38250 |
8500 |
37.733103 |
-120.949002 |
-117.752987022833 |
34.0787902929377 |
503 |
Kagwa-Nyanzi, Juanita |
1013988914 |
Physician |
UNKNOWN |
117 W Willow St, Ste B |
Pomona |
Los Angeles |
91768 |
California |
2020 |
2020 |
3 |
MU |
Designated Payee Name not Found |
1013988914 |
38250 |
8500 |
34.0787902928 |
-117.752987023 |
-118.952080197143 |
35.3946640888767 |
505 |
Raman, Shankar |
1013988807 |
Physician |
INFECTIOUS DISEASE |
3501 Mall View RD, Suite 115-170 |
Bakersfield |
Kern |
93306 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1013988807 |
29750 |
8500 |
35.3946640893 |
-118.952080197 |
-118.122825951357 |
34.06393481474 |
513 |
Chen, David |
1023016896 |
Physician |
GENERAL PRACTICE |
210 N Garfield Ave Ste 203 |
Monterey Park |
Los Angeles |
91754 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1023016896 |
21250 |
21250 |
34.0639348149 |
-118.122825951 |
-119.018416499822 |
35.3738699996009 |
514 |
Tristan, Bianca |
1023021763 |
Physician |
UNKNOWN |
1430 Truxtun Ave., Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.018416499822 |
35.3738699996009 |
516 |
Gonzalez, Salvador |
1023024932 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-120.826950830416 |
38.7053131228024 |
517 |
han, injoo |
1023022811 |
Dentist |
UNKNOWN |
4355 Golden Center Dr Ste A |
Placerville |
El Dorado |
95667 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1649470519 |
21250 |
21250 |
38.7053131235 |
-120.82695083 |
-122.067686127313 |
38.2373643301997 |
545 |
Iqbal, Javed |
1023060811 |
Physician |
PSYCHIATRY |
2101 Courage Dr |
Fairfield |
Solano |
94533 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1023060811 |
21250 |
21250 |
38.2373643305 |
-122.067686127 |
-117.943190165094 |
34.0642911540136 |
553 |
Tank, Dayalal |
1023077450 |
Physician |
PSYCHIATRY |
933 S Sunset Ave |
West Covina |
Los Angeles |
91790 |
California |
2012 |
2013 |
1 |
AIU |
DAYALAL D MD TANK |
1023077450 |
21250 |
21250 |
34.0642911544 |
-117.943190165 |
-118.883974499923 |
34.2085230001364 |
557 |
Ghausi, David |
1023078342 |
Physician |
UNKNOWN |
2220 Lynn Road, Suite 302 |
Thousand Oaks |
Ventura |
91360 |
California |
2014 |
2014 |
1 |
AIU |
DAVID DO INC GHAUSI |
1396910915 |
21250 |
21250 |
34.208523 |
-118.8839745 |
-117.101447999925 |
32.749584509018 |
560 |
Alva, Wendy |
1023085560 |
Nurse Practitioner |
UNKNOWN |
4305 University Avenue, Suite 150 |
San Diego |
San Diego |
92105 |
California |
2011 |
2012 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1962483040 |
21250 |
21250 |
32.7495845093 |
-117.101448 |
-117.169517934705 |
32.7876688614289 |
567 |
Taylor, Inge |
1023090305 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2011 |
2012 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-119.791332000172 |
36.8311410001571 |
574 |
Rana, Saadia |
1023106549 |
Dentist |
UNKNOWN |
6455 N Blackstone Ave |
Fresno |
Fresno |
93710 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1982922373 |
21250 |
21250 |
36.831141 |
-119.791332 |
-122.153565841091 |
37.7052153019447 |
575 |
Tinkelenberg, Judith |
1023106622 |
Certified Nurse - Midwife |
UNKNOWN |
3081 Teagarden St |
San Leandro |
Alameda |
94577 |
California |
2017 |
2018 |
2 |
MU |
DAVIS STREET COMMUNITY THE |
1215358924 |
29750 |
8500 |
37.7052153025 |
-122.153565841 |
-121.85299349965 |
37.3546529997362 |
588 |
NGO, TUYEN |
1023113123 |
Physician |
PHYSICAL MEDICINE AND REHABILITATION |
1865 Alum Rock Ave, Suite A |
San Jose |
Santa Clara |
95116 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1447418108 |
21250 |
21250 |
37.354653 |
-121.8529935 |
-119.018416499822 |
35.3738699996009 |
598 |
Ruvalcaba, Juan |
1023126547 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.066050445871 |
33.1284634146549 |
609 |
portilla, harold |
1023140688 |
Dentist |
UNKNOWN |
200 N Ash St, Suite 200 |
Escondido |
San Diego |
92027 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1023140688 |
21250 |
21250 |
33.1284634149 |
-117.066050446 |
-118.19920245443 |
33.8960670576486 |
610 |
Guerrero, David |
1023147717 |
Physician |
UNKNOWN |
2210 E Compton Blvd |
Compton |
Los Angeles |
90221 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1134347719 |
21250 |
21250 |
33.8960670577 |
-118.199202454 |
-118.085526000225 |
33.8584795033265 |
614 |
Chow, Norman |
1023141991 |
Dentist |
UNKNOWN |
11635 East South St |
Artesia |
Los Angeles |
90701 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1659591931 |
21250 |
21250 |
33.8584795027 |
-118.085526 |
-118.540291123736 |
34.4233269755595 |
621 |
Zak, Ilya |
1023165255 |
Dentist |
UNKNOWN |
26324 Bouquet Cyn Rd |
Valencia |
Los Angeles |
91355 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1245570043 |
21250 |
21250 |
34.4233269756 |
-118.540291124 |
-118.291545045368 |
34.0514211019024 |
630 |
Yi, Dong |
1023176229 |
Physician |
UNKNOWN |
1058 S Vermont Ave, suite 227 |
Los Angeles |
Los Angeles |
90006 |
California |
2012 |
2013 |
2 |
MU |
DONG J MD YI |
1023176229 |
29750 |
8500 |
34.0514211016 |
-118.291545045 |
-124.146181542444 |
40.8024420806375 |
632 |
Frank, Maureen |
1023183969 |
Nurse Practitioner |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2017 |
2018 |
4 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
46750 |
8500 |
40.802442081 |
-124.146181542 |
-117.083254011663 |
32.638078788905 |
645 |
Mendez, Jesus |
1023202108 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
340 4th Ave |
Chula Vista |
San Diego |
91910 |
California |
2015 |
2017 |
4 |
MU |
DE SALUD DE LA COMUNI CENTRO |
1184801433 |
46750 |
8500 |
32.6380787888 |
-117.083254012 |
-117.867477936358 |
33.7790861138332 |
646 |
HUYNH, MY |
1023198652 |
Dentist |
UNKNOWN |
530 South Main St., 3 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
648 |
samra, ed |
1023202264 |
Dentist |
UNKNOWN |
530 South Main St., Suite 200 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
661 |
Logan, Douglas |
1023225471 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.191194999749 |
33.8055210000941 |
663 |
Harutyunyan, Armine |
1023226123 |
Dentist |
UNKNOWN |
141 E. Willow Street, Suite P |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1023226123 |
21250 |
21250 |
33.805521 |
-118.191195 |
-117.867477936358 |
33.7790861138332 |
670 |
Ghahremani, Shiva |
1023247186 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.190594592566 |
33.9784334826192 |
671 |
abaian, michael |
1023263167 |
Dentist |
UNKNOWN |
4327 Gage Avenue |
Bell |
Los Angeles |
90201 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1740424100 |
21250 |
21250 |
33.9784334829 |
-118.190594593 |
-118.444775043833 |
34.0585666742127 |
672 |
Parsi, Sanaz |
1023262516 |
Dentist |
UNKNOWN |
10921 Wilshire Blvd #409 |
Los Angeles |
Los Angeles |
90024 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1023262516 |
21250 |
21250 |
34.0585666736 |
-118.444775044 |
-117.278125573337 |
34.0686575675927 |
673 |
tang, chin |
1023245198 |
Physician |
UNKNOWN |
303 E Vanderbilt Way |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
Department of Behavioral Health |
1164467023 |
21250 |
21250 |
34.0686575683 |
-117.278125573 |
-115.528558499675 |
32.9786155433727 |
678 |
Carlisle, Saune-Elisabet |
1023274040 |
Physician |
UNKNOWN |
900 Main St |
Brawley |
Imperial |
92227 |
California |
2018 |
2019 |
3 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
38250 |
8500 |
32.9786155434 |
-115.5285585 |
-117.867477936358 |
33.7790861138332 |
686 |
oghani sarabi, maryam |
1023284957 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
691 |
Shojaei, Nahideh |
1023326303 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
693 |
Chang, Lisa |
1023334489 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.187343371599 |
33.8090145901513 |
700 |
VALENZUELA, OSCAR |
1023356367 |
Dentist |
UNKNOWN |
455 E. Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
4 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
46750 |
8500 |
33.8090145898 |
-118.187343372 |
-119.018416499822 |
35.3738699996009 |
710 |
Bankhead, Alan |
1023397833 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1430 Truxtun Ave, Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
712 |
KULTHAM, PRERNA |
1023397809 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
715 |
Kim, Jesse |
1023398344 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.35910349523 |
33.872818832723 |
716 |
Romano, Maria |
1023408457 |
Dentist |
UNKNOWN |
2772 Artesia Blvd, Suite 103 |
Redondo Beach |
Los Angeles |
90278 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1417091927 |
21250 |
21250 |
33.8728188334 |
-118.359103495 |
-120.839790394611 |
38.6822133192893 |
754 |
Nakabayashi, Richard |
1033122510 |
Dentist |
UNKNOWN |
6400 Pleasant valley Road |
El Dorado |
El Dorado |
95623 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1033122510 |
21250 |
21250 |
38.6822133194 |
-120.839790395 |
-117.968687876844 |
33.7446966431356 |
756 |
Quach, Thomas |
1033123146 |
Physician |
OBSTETRICS/GYNECOLOGY |
9186 Bolsa Ave |
Westminster |
Orange |
92683 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1750652137 |
21250 |
21250 |
33.7446966425 |
-117.968687877 |
-117.078831000151 |
32.6604510004134 |
757 |
Ishaque, Saleem |
1033124730 |
Physician |
PSYCHIATRY |
1908 Sweetwater Rd |
National City |
San Diego |
91950 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1033124730 |
21250 |
21250 |
32.660451 |
-117.078831 |
-117.650286000099 |
34.0419600001539 |
769 |
Lee, Chong |
1033137773 |
Dentist |
UNKNOWN |
1739 S Euclid Ave, Suite A |
Ontario |
San Bernardino |
91762 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164675195 |
21250 |
21250 |
34.04196 |
-117.650286 |
-121.376389500375 |
38.5562970003064 |
789 |
Mallari, Hermes |
1033177407 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-117.867477936358 |
33.7790861138332 |
791 |
PATEL, TRUSHYAP |
1033177860 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.749060035093 |
34.0302726977268 |
794 |
Mustafa, Abrahim |
1033199112 |
Dentist |
UNKNOWN |
2280 S Garey Ave |
Pomona |
Los Angeles |
91766 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1770601502 |
21250 |
21250 |
34.0302726983 |
-117.749060035 |
-117.962440523112 |
33.7450397138118 |
801 |
Tran, Duc |
1033204011 |
Physician |
OSTEOPATHIC MANIPULATIVE MEDICINE |
9559 Bolsa Ave, Suite A |
Westminster |
Orange |
92683 |
California |
2018 |
2019 |
4 |
MU |
DUC NGOC DO TRAN |
1033204011 |
46750 |
8500 |
33.7450397139 |
-117.962440523 |
-118.372297500229 |
34.0730640001036 |
804 |
Gallik, Donna |
1033100045 |
Physician |
INTERNAL MEDICINE |
8361 W 3rd St Street, Suite 1017E |
Los Angeles |
Los Angeles |
90048 |
California |
2016 |
2017 |
4 |
MU |
DONNA M MD GALLIK |
1033100045 |
46750 |
8500 |
34.073064 |
-118.3722975 |
-121.613430264695 |
39.1443745680319 |
805 |
Jain, Nidhi |
1033206420 |
Physician |
FAMILY PRACTICE |
1000 Sutter St |
Yuba City |
Sutter |
95991 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.1443745679 |
-121.613430265 |
-118.368946456314 |
34.1867284753389 |
809 |
Boudaie, Daniel |
1033210489 |
Dentist |
UNKNOWN |
10933 Victory Blvd |
North Hollywood |
Los Angeles |
91606 |
California |
2016 |
2016 |
1 |
AIU |
Daniel Boudaie |
1033210489 |
21250 |
21250 |
34.1867284749 |
-118.368946456 |
-118.136748864968 |
34.053143991602 |
810 |
Lin, Thomas |
1033210901 |
Physician |
UNKNOWN |
725 S Atlantic Blvd Ste H |
Monterey Park |
Los Angeles |
91754 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1033210901 |
21250 |
21250 |
34.0531439922 |
-118.136748865 |
-121.6322074687 |
36.7036735826698 |
814 |
Patel, Harshita |
1033216056 |
Dentist |
UNKNOWN |
640 E Alvin Dr, SUITE A |
Salinas |
Monterey |
93906 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1639355852 |
21250 |
21250 |
36.7036735825 |
-121.632207469 |
-117.867477936358 |
33.7790861138332 |
816 |
Bongat, Adelina |
1033216957 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
817 |
Cataquiz, Rebecca Pilar |
1033215470 |
Dentist |
UNKNOWN |
530 South Main St., Ste. B |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.187343371599 |
33.8090145901513 |
819 |
Polk, Howard |
1033222914 |
Dentist |
UNKNOWN |
455 E. Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
4 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
46750 |
8500 |
33.8090145898 |
-118.187343372 |
-122.529922944288 |
37.9953912080379 |
822 |
Burgess, Marne |
1033223755 |
Nurse Practitioner |
NURSE PRACTITIONER |
10 N San Pedro Rd, Suite 1020 |
San Rafael |
Marin |
94903 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1326258856 |
21250 |
21250 |
37.9953912081 |
-122.529922944 |
-117.897021000119 |
33.7599405043508 |
826 |
Amini, Mohammad |
1033229828 |
Dentist |
UNKNOWN |
2001 W 17TH ST |
SANTA ANA |
Orange |
92706 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1033229828 |
21250 |
21250 |
33.759940504 |
-117.897021 |
-117.867477936358 |
33.7790861138332 |
829 |
liu, kenny |
1033241161 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.287381966704 |
34.1058330003927 |
833 |
Sarkissian, Grigor |
1033244819 |
Dentist |
UNKNOWN |
1912 Hillhurst Ave, Suite A |
Los Angeles |
Los Angeles |
90027 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1033244819 |
21250 |
21250 |
34.105833 |
-118.287381967 |
-116.961791977218 |
33.2771591455781 |
835 |
Murdock, Shayna |
1033254586 |
Physician |
FAMILY PRACTICE |
50100 Golsch Rd |
Valley Center |
San Diego |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1033254586 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-117.867477936358 |
33.7790861138332 |
838 |
Reid, Roger |
1033254735 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
843 |
Vaughn, Lorenia |
1033261730 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.918297500229 |
37.3180679997384 |
847 |
Kamiak, Sandra |
1033267240 |
Physician |
UNKNOWN |
1555 Parkmoor avenue |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1861445306 |
21250 |
21250 |
37.318068 |
-121.9182975 |
-122.067686127313 |
38.2373643301997 |
851 |
Aquino, Jocelyn |
1033270400 |
Physician |
PSYCHIATRY |
2101 Courage Dr |
Fairfield |
Solano |
94533 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1033270400 |
21250 |
21250 |
38.2373643305 |
-122.067686127 |
-117.867477936358 |
33.7790861138332 |
852 |
Tran, Tam |
1033270319 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.800377524303 |
36.8843745979094 |
854 |
Cielnicky, Jill |
1033271796 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93638 |
California |
2017 |
2018 |
4 |
MU |
Designated Payee Name not Found |
1033271796 |
46750 |
8500 |
36.8843745978 |
-119.800377524 |
-117.867477936358 |
33.7790861138332 |
857 |
Dehestani, Fatemeh |
1033274782 |
Dentist |
UNKNOWN |
530 South Main St., #F |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.201614232911 |
34.0280427216943 |
860 |
Sam, John |
1033278031 |
Physician |
UNKNOWN |
3342 Whittier Blvd |
Los Angeles |
Los Angeles |
90023 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1033278031 |
8500 |
8500 |
34.0280427219 |
-118.201614233 |
-117.942686115772 |
34.0515951773756 |
861 |
YNCHAUSTI, RAQUEL |
1033279609 |
Physician |
UNKNOWN |
1840 N Hacienda Blvd Ste 4 |
LA Puente |
Los Angeles |
91744 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1033279609 |
21250 |
21250 |
34.0515951768 |
-117.942686116 |
-121.82545459935 |
37.3200836727233 |
871 |
HUYNH, DAT |
1033298963 |
Physician |
INTERNAL MEDICINE |
1661 Burdette Dr, Suite N |
San Jose |
Santa Clara |
95121 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1033298963 |
21250 |
21250 |
37.3200836734 |
-121.825454599 |
-121.376389500375 |
38.5562970003064 |
883 |
choe, steeve |
1033320460 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-119.240838328326 |
35.7556956850079 |
886 |
Dimailig-David, Anna |
1033340252 |
Physician |
UNKNOWN |
325 S Lexington St |
Delano |
Kern |
93215 |
California |
2014 |
2015 |
2 |
MU |
DILBAGH MD INC GEHLAWAT |
1285837021 |
29750 |
8500 |
35.7556956854 |
-119.240838328 |
-119.159698864611 |
34.2931563264034 |
909 |
Gonzalez, Pedro |
1033377544 |
Dentist |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2013 |
2013 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.445313619928 |
34.0660881190715 |
914 |
de Oliveira, Satiro |
1033360771 |
Physician |
UNKNOWN |
Mattel Childrens Hospital 757 Westwood Plz |
Los Angeles |
UNKNOWN |
90095 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0660881191 |
-118.44531362 |
-116.956336499929 |
33.7841549995537 |
920 |
Chuy, Elizabeth |
1033415773 |
Physician |
INTERNAL MEDICINE |
341 E Main St Ste 100 |
San Jacinto |
Riverside |
92583 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1033415773 |
21250 |
21250 |
33.784155 |
-116.9563365 |
-118.164635999852 |
34.0406294756698 |
937 |
McIlroy, Margaret |
1033444161 |
Nurse Practitioner |
UNKNOWN |
4701 E Cesar E Chavez Ave Fl 2 |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1104942044 |
21250 |
21250 |
34.0406294763 |
-118.164636 |
-117.205592118881 |
34.0378938108507 |
951 |
Hiday, Laura |
1033496351 |
Nurse Practitioner |
UNKNOWN |
255 Terracina Blvd, Suite #205 A,B |
Redlands |
San Bernardino |
92373 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1033496351 |
21250 |
21250 |
34.037893811 |
-117.205592119 |
-122.132916000373 |
38.0065680004129 |
952 |
Longstroth, David |
1033497367 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2013 |
2013 |
1 |
AIU |
David E Longstroth |
1033497367 |
21250 |
21250 |
38.006568 |
-122.132916 |
-118.450293714683 |
34.228127461713 |
953 |
Martinez, Mayra |
1033499108 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
8727 Van Nuys Blvd |
Panorama City |
Los Angeles |
91402 |
California |
2016 |
2017 |
1 |
MU |
Designated Payee Name not Found |
1033499108 |
21250 |
21250 |
34.2281274621 |
-118.450293715 |
-119.018416499822 |
35.3738699996009 |
954 |
Davis-Phillips, BenEece |
1033505797 |
Nurse Practitioner |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.941448371645 |
33.8158419877176 |
959 |
pham, jefferey |
1033510771 |
Dentist |
UNKNOWN |
1307 S. Euclid Street |
Anaheim |
Orange |
92802 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598979775 |
21250 |
21250 |
33.8158419883 |
-117.941448372 |
-121.376389500375 |
38.5562970003064 |
964 |
Chung, Aimee |
1033524509 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
UNKNOWN |
95826 |
California |
2016 |
2017 |
1 |
AIU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
21250 |
21250 |
38.556297 |
-121.3763895 |
-119.725216668115 |
34.4290967092458 |
988 |
Greenfield, Daniel |
1043203946 |
Physician |
UNKNOWN |
2329 Oak Park Ln |
Santa Barbara |
Santa Barbara |
93105 |
California |
2016 |
2018 |
2 |
MU |
Daniel J Greenfield |
1043203946 |
29750 |
8500 |
34.4290967088 |
-119.725216668 |
-118.099280409663 |
34.5797255895644 |
996 |
TRAN, QUAN |
1043220700 |
Dentist |
UNKNOWN |
1647 E Palmdale Blvd, Suite K |
Palmdale |
Los Angeles |
93550 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1831318575 |
21250 |
21250 |
34.5797255895 |
-118.09928041 |
-120.491170050657 |
37.3251986936648 |
1002 |
PENA, CARLA |
1043229297 |
Dentist |
UNKNOWN |
1208 Paseo Verded Drive |
Merced |
Merced |
95348 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1184674582 |
21250 |
21250 |
37.325198694 |
-120.491170051 |
-118.330355254092 |
33.7900891931618 |
1003 |
Monzon, Mary Fe |
1043225808 |
Dentist |
UNKNOWN |
2543 Pacific Coast Hwy, Suite F |
Torrance |
Los Angeles |
90505 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043225808 |
21250 |
21250 |
33.7900891932 |
-118.330355254 |
-121.885406999733 |
37.3364549995986 |
1017 |
ALKORAISHI, ALI |
1043235849 |
Physician |
PSYCHIATRY |
195 E San Fernando St, second floor |
San Jose |
Santa Clara |
95112 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043235849 |
21250 |
21250 |
37.336455 |
-121.885407 |
-117.278125573337 |
34.0686575675927 |
1018 |
Payne, Dennis |
1043242696 |
Physician |
UNKNOWN |
303 E. Vanderbilt Way |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
Department of Behavioral Health |
1164467023 |
21250 |
21250 |
34.0686575683 |
-117.278125573 |
-117.610379999837 |
34.0784280001521 |
1020 |
Min, Michael |
1043249436 |
Dentist |
UNKNOWN |
1921 E 4th St |
Ontario |
San Bernardino |
91764 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245390244 |
21250 |
21250 |
34.078428 |
-117.61038 |
-121.376389500375 |
38.5562970003064 |
1022 |
Shafieha, Ebrahim |
1043257322 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2015 |
2016 |
1 |
AIU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
21250 |
21250 |
38.556297 |
-121.3763895 |
-118.443346549004 |
34.0637399640282 |
1029 |
Ettenger, Robert |
1043233661 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
5 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
55250 |
8500 |
34.0637399643 |
-118.443346549 |
-121.931844043068 |
37.3128740632874 |
1037 |
Huang, Yi-Chao |
1043274236 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave, Internal Medicine Department |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1588721500 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.884277132783 |
33.7097396327779 |
1039 |
Hajj, Ahmad |
1043287345 |
Physician |
UNKNOWN |
1220 Hemlock Way, Ste 203 |
Santa Ana |
Orange |
92707 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1043287345 |
21250 |
21250 |
33.7097396335 |
-117.884277133 |
-118.197967311142 |
33.9713344448288 |
1048 |
sadeghpour, sepehr |
1043306475 |
Dentist |
UNKNOWN |
3826 Florence Avenue |
Bell |
Los Angeles |
90201 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1043306475 |
21250 |
21250 |
33.9713344449 |
-118.197967311 |
-124.100958397712 |
40.9351139998113 |
1051 |
Copple, Nathan |
1043307853 |
Physician |
FAMILY PRACTICE |
1644 Central Avenue |
McKinleyville |
Humboldt |
95519 |
California |
2017 |
2018 |
6 |
MU |
DOOR COMM HLTH CTRS OPEN |
1598858169 |
63750 |
8500 |
40.935114 |
-124.100958398 |
-117.064543499583 |
32.7643290000834 |
1053 |
Zokaei, Afsaneh |
1043308240 |
Dentist |
UNKNOWN |
6244 El Cajon Blv, #25 |
San Diego |
San Diego |
92115 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043308240 |
21250 |
21250 |
32.764329 |
-117.0645435 |
-118.104364490329 |
33.9571124032149 |
1055 |
TRIGOSO, OSCAR |
1043310741 |
Dentist |
UNKNOWN |
9309 Telegraph Rd |
Pico Rivera |
Los Angeles |
90660 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1528185063 |
21250 |
21250 |
33.9571124027 |
-118.10436449 |
-119.018416499822 |
35.3738699996009 |
1070 |
Amazona, Carlo |
1043323488 |
Physician |
GENERAL PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.327146000288 |
38.6816490001013 |
1072 |
DAVIES, YINKA |
1043321789 |
Physician |
PEDIATRIC MEDICINE |
5767 Greenback Lane, Suite 200 |
Sacramento |
Sacramento |
95841 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043321789 |
21250 |
21250 |
38.681649 |
-121.327146 |
-118.363652999986 |
34.0628399998661 |
1075 |
Rothberg, jack |
1043326911 |
Physician |
UNKNOWN |
6200 Wilshire Blvd, suite 1612 |
Los Angeles |
Los Angeles |
90048 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1225073786 |
21250 |
21250 |
34.06284 |
-118.363653 |
-119.018416499822 |
35.3738699996009 |
1078 |
Sanden, Stefanie |
1043347461 |
Nurse Practitioner |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.193679000086 |
33.9425640003284 |
1082 |
WIEDERKEHR, SABINA |
1043356728 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-118.050455811986 |
33.9807686289691 |
1090 |
budka, kendra |
1043364896 |
Nurse Practitioner |
UNKNOWN |
11807 Whittier Blvd |
Whittier |
Los Angeles |
90601 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1043364896 |
29750 |
8500 |
33.9807686295 |
-118.050455812 |
-121.768989039612 |
36.9275347293444 |
1102 |
Modjeski, Catherine |
1043388952 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
98 Mariposa Avenue |
Watsonville |
Santa Cruz |
95076 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043388952 |
21250 |
21250 |
36.9275347291 |
-121.76898904 |
-122.46118324571 |
37.7624926958812 |
1104 |
Chen, James |
1043389075 |
Dentist |
UNKNOWN |
707 Parnassus Ave, Rm D-3000 |
San Francisco |
UNKNOWN |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043389075 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-120.413076960333 |
34.9528340951175 |
1108 |
Newsom, Kristin |
1043400674 |
Dentist |
UNKNOWN |
1430 E Main Street, #203 |
Santa Maria |
Santa Barbara |
93454 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043400674 |
21250 |
21250 |
34.9528340951 |
-120.41307696 |
-117.98903250025 |
33.7570380000038 |
1110 |
pham, david |
1043401698 |
Physician |
UNKNOWN |
14120 Beach Blvd Ste101 |
Westminster |
Orange |
92683 |
California |
2019 |
2020 |
5 |
MU |
DAVID N MD PHAM |
1043401698 |
55250 |
8500 |
33.757038 |
-117.9890325 |
-122.418999000104 |
37.7885970003513 |
1115 |
Lin, Leslie |
1043404353 |
Nurse Practitioner |
UNKNOWN |
1333 Bush St |
San Francisco |
San Francisco |
94109 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.788597 |
-122.418999 |
-122.437312712412 |
37.6570504909874 |
1119 |
Kotrob, Moutaz |
1043406283 |
Dentist |
UNKNOWN |
1133 El Camino Real, Suite 5 |
South San Francisco |
San Mateo |
94080 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1609141274 |
21250 |
21250 |
37.6570504912 |
-122.437312712 |
-117.163974713262 |
32.7328816281847 |
1122 |
Deer, Melissa |
1043415888 |
Physician |
UNKNOWN |
2630 1st Ave |
San Diego |
San Diego |
92103 |
California |
2016 |
2017 |
2 |
MU |
DIEGO AMERICAN SAN |
1003902917 |
29750 |
8500 |
32.7328816275 |
-117.163974713 |
-121.810552040744 |
37.3123830694232 |
1126 |
Warwatkar, Suruchi |
1043420821 |
Dentist |
UNKNOWN |
2930 ABORN SQUARE RD |
San Jose |
Santa Clara |
95121 |
California |
2015 |
2015 |
1 |
AIU |
DOLPHIN DENTAL |
1881022333 |
21250 |
21250 |
37.3123830694 |
-121.810552041 |
-118.290582000059 |
34.0962209995995 |
1129 |
Cottam, Dallas |
1043423056 |
Physician |
UNKNOWN |
1300 N Vermont Ave, Suite 403 Doctors Tower |
Los Angeles |
Los Angeles |
90027 |
California |
2020 |
2020 |
4 |
MU |
DALLAS MD COTTAM |
1043423056 |
46750 |
8500 |
34.096221 |
-118.290582 |
-118.308918870809 |
33.751809704954 |
1130 |
Kaiser, Arthur |
1043437866 |
Dentist |
UNKNOWN |
946 N Western Ave |
San Pedro |
Los Angeles |
90732 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043437866 |
21250 |
21250 |
33.7518097051 |
-118.308918871 |
-122.061934495181 |
39.0211917707837 |
1139 |
LUNA, EUGENE |
1043468457 |
Dentist |
UNKNOWN |
89 Putnam Way |
Arbuckle |
Colusa |
95912 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.0211917707 |
-122.061934495 |
-121.847240811714 |
37.3622099111585 |
1145 |
Ruiz, Maribel |
1043474067 |
Physician |
UNKNOWN |
175 N Jackson Ave Ste 212 |
San Jose |
Santa Clara |
95116 |
California |
2018 |
2019 |
6 |
MU |
Designated Payee Name not Found |
1043474067 |
63750 |
8500 |
37.3622099106 |
-121.847240812 |
-119.159698864611 |
34.2931563264034 |
1149 |
krishnan, shyam |
1043480379 |
Dentist |
UNKNOWN |
200 S Wells Rd, suite 200 |
Ventura |
Ventura |
93004 |
California |
2011 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-117.901647000309 |
33.93206705585 |
1164 |
Hawatmeh, Ayed |
1043515653 |
Dentist |
UNKNOWN |
391 W. Central Ave |
Brea |
Orange |
92821 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1043515653 |
21250 |
21250 |
33.9320670559 |
-117.901647 |
-122.054849128884 |
37.5516595942149 |
1169 |
Sinha, Milu |
1043528656 |
Dentist |
UNKNOWN |
34743 Ardenwood Blvd |
Fremont |
Alameda |
94555 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1467717421 |
21250 |
21250 |
37.5516595937 |
-122.054849129 |
-117.252476550652 |
32.7995467436873 |
1170 |
Hanna, Mariam |
1043534159 |
Dentist |
UNKNOWN |
4655 Cass Street, Suite 100 |
SAN DIEGO |
San Diego |
92109 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1093157372 |
21250 |
21250 |
32.7995467436 |
-117.252476551 |
-121.92175408858 |
37.5332617332425 |
1173 |
Lim, Phyu Phyu |
1043534803 |
Physician |
UNKNOWN |
159 Washington Blvd |
Fremont |
Alameda |
94539 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.5332617327 |
-121.921754089 |
-119.976977415176 |
37.5004454879689 |
1179 |
Heyer, Melissa |
1043555170 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
5189 Hospital Rd |
Mariposa |
Mariposa |
95338 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1043555170 |
21250 |
21250 |
37.5004454882 |
-119.976977415 |
-117.867477936358 |
33.7790861138332 |
1181 |
hanna, amal |
1043555162 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-123.211126833337 |
39.1278118681233 |
1189 |
Eventide, Chad |
1043589419 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1043589419 |
29750 |
8500 |
39.1278118679 |
-123.211126833 |
-119.789197700314 |
36.8586123919484 |
1190 |
Oliveira, Ana Bela |
1043566938 |
Nurse Practitioner |
UNKNOWN |
30 E River Park Pl W, Suite 440 |
Fresno |
Fresno |
93720 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1043566938 |
21250 |
21250 |
36.8586123917 |
-119.7891977 |
-119.177400501932 |
34.1817660001009 |
1195 |
Terraza, Jose |
1043598642 |
Dentist |
UNKNOWN |
1804 Saviers Rd, Ste B |
Oxnard |
Ventura |
93033 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1518380294 |
21250 |
21250 |
34.181766 |
-119.177400502 |
-115.57033504033 |
32.7792980599576 |
1200 |
Ramirez, Avelina |
1043612013 |
Nurse Practitioner |
UNKNOWN |
1550 Pepper Dr, Suite B and C |
El Centro |
Imperial |
92243 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1043612013 |
21250 |
21250 |
32.7792980597 |
-115.57033504 |
-117.867477936358 |
33.7790861138332 |
1203 |
gakhar, alpana |
1043628639 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.988756772807 |
32.8407781530893 |
1205 |
Spallina, Jillian |
1043628068 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
120 Town Center Parkway |
Santee |
San Diego |
92071 |
California |
2016 |
2017 |
1 |
AIU |
DESERT FAMILY HIGH |
1982658142 |
21250 |
21250 |
32.8407781532 |
-116.988756773 |
-117.867477936358 |
33.7790861138332 |
1221 |
Lee, Young Min |
1043659105 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.808349000306 |
37.2605850000977 |
1244 |
Nguyen, Pauline |
1053319707 |
Dentist |
UNKNOWN |
5278 Monterey Hwy, Suite 10 |
San Jose |
Santa Clara |
95111 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1053319707 |
21250 |
21250 |
37.260585 |
-121.808349 |
-118.272941999574 |
34.0675650001247 |
1254 |
Quimson-Cruz, Rosemarie |
1053335455 |
Dentist |
UNKNOWN |
2252 Beverly Blvd, Suite 102 |
Los Angeles |
Los Angeles |
90057 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1053335455 |
21250 |
21250 |
34.067565 |
-118.272942 |
-118.122865833591 |
34.0674878868566 |
1258 |
Chan, Dennis |
1053343434 |
Physician |
GASTROENTEROLOGY |
500 N Garfield Ave, Suite 107 |
Monterey Park |
Los Angeles |
91754 |
California |
2013 |
2013 |
2 |
MU |
DENNIS Y MD CHAN |
1053343434 |
29750 |
8500 |
34.067487887 |
-118.122865834 |
-119.018416499822 |
35.3738699996009 |
1267 |
Sharpe, Carol |
1053364018 |
Nurse Practitioner |
NURSE PRACTITIONER |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.159698864611 |
34.2931563264034 |
1268 |
LIPMAN, DAVID |
1053343921 |
Physician |
DERMATOLOGY |
200 S. Wells Road, Suite 100 |
Ventura |
Ventura |
93004 |
California |
2012 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.200838500197 |
34.0433640001485 |
1287 |
Dabiri, Mehrtaj |
1053366195 |
Dentist |
UNKNOWN |
2926 Cesar Chavez Ave |
Los Angeles |
Los Angeles |
90033 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1053366195 |
21250 |
21250 |
34.043364 |
-118.2008385 |
-122.419007999619 |
37.7838180003005 |
1293 |
Do, Tri |
1053402651 |
Physician |
UNKNOWN |
726 Polk St., 4th Floor |
San Francisco |
San Francisco |
94109 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1053402651 |
21250 |
21250 |
37.783818 |
-122.419008 |
-119.758442318058 |
34.4424059156006 |
1298 |
Remington, Katherine |
1053406603 |
Physician |
UNKNOWN |
215 Pesetas Ln |
Santa Barbara |
Santa Barbara |
93110 |
California |
2015 |
2017 |
3 |
MU |
Designated Payee Name not Found |
1053406603 |
38250 |
8500 |
34.4424059162 |
-119.758442318 |
-118.109628000132 |
34.0100730000689 |
1309 |
Glosman, leonid |
1053420216 |
Dentist |
UNKNOWN |
833 W Whittier Blvd |
Montebello |
Los Angeles |
90640 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1558588566 |
21250 |
21250 |
34.010073 |
-118.109628 |
-121.931844043068 |
37.3128740632874 |
1314 |
Sklar, Abraham |
1053424127 |
Physician |
OBSTETRICS/GYNECOLOGY |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1053424127 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-121.634037000008 |
36.697248000395 |
1322 |
Perez, Liliam |
1053441287 |
Physician |
PSYCHIATRY |
1270 Natividad Rd, Rm 200 |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730211178 |
21250 |
21250 |
36.697248 |
-121.634037 |
-121.793329849093 |
38.6749225631258 |
1335 |
dizon, brenda |
1053464248 |
Dentist |
UNKNOWN |
520 Cottonwood St, Ste 9 |
Woodland |
Yolo |
95695 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1053464248 |
21250 |
21250 |
38.6749225634 |
-121.793329849 |
-117.239210541433 |
33.9404251049347 |
1337 |
Mehta, Ami |
1053471441 |
Dentist |
UNKNOWN |
24266 POSTAL AVE, STE 100 |
Moreno Valley |
Riverside |
92553 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1053471441 |
21250 |
21250 |
33.9404251049 |
-117.239210541 |
-118.443346549004 |
34.0637399640282 |
1339 |
Martin, Martin |
1053424325 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2014 |
2015 |
1 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-118.056030537579 |
33.8315778599303 |
1342 |
Mistry, Umeshkumar |
1053477539 |
Dentist |
UNKNOWN |
4470 Lincoln Ave Ste 4 |
Cypress |
Orange |
90630 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1053477539 |
21250 |
21250 |
33.8315778598 |
-118.056030538 |
-119.13169066839 |
36.2988754701269 |
1344 |
Glaze, Vanessa |
1053480046 |
Nurse Practitioner |
NURSE PRACTITIONER |
1014 San Juan Ave |
Exeter |
Tulare |
93221 |
California |
2017 |
2018 |
4 |
MU |
DELTA HEALTHCARE KAWEAH |
1043272172 |
46750 |
8500 |
36.2988754701 |
-119.131690668 |
-117.867477936358 |
33.7790861138332 |
1346 |
Le, Thang |
1053479345 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.293223499565 |
33.892947000104 |
1350 |
Nicolas, Vanessa |
1053484428 |
Certified Nurse - Midwife |
UNKNOWN |
1045 W Redondo Beach Blvd #500 |
gardena |
Los Angeles |
90247 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1326051806 |
21250 |
21250 |
33.892947 |
-118.2932235 |
-120.827405971908 |
38.706282365339 |
1365 |
Velasquez-Morfin, Veronica |
1053495424 |
Physician |
UNKNOWN |
4327 Golden Center Dr |
Placerville |
El Dorado |
95667 |
California |
2016 |
2017 |
6 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
63750 |
8500 |
38.706282365 |
-120.827405972 |
-118.467437230943 |
34.2371752494383 |
1380 |
YANEZA, MERLE |
1053529354 |
Dentist |
UNKNOWN |
9146 Sepulveda Blvd, Ste A |
North Hills |
Los Angeles |
91343 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1053529354 |
21250 |
21250 |
34.2371752492 |
-118.467437231 |
-119.168750578776 |
34.2378675268649 |
1382 |
Ngo, Tien |
1053532408 |
Dentist |
UNKNOWN |
2840 E Vineyard Ave |
Oxnard |
Ventura |
93036 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1225259674 |
21250 |
21250 |
34.2378675273 |
-119.168750579 |
-117.748901865029 |
34.077042683573 |
1401 |
Laxpati, Monish |
1053552893 |
Physician |
UNKNOWN |
1818 N Orange Grove Ave, Suite 101 |
Pomona |
Los Angeles |
91767 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1053552893 |
21250 |
21250 |
34.0770426836 |
-117.748901865 |
-117.083254011663 |
32.638078788905 |
1413 |
Hernandez, Hetzabel |
1053580670 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
340 4th Ave |
Chula Vista |
San Diego |
91910 |
California |
2012 |
2013 |
1 |
AIU |
DE SALUD DE LA COMUNI CENTRO |
1184801433 |
21250 |
21250 |
32.6380787888 |
-117.083254012 |
-117.867477936358 |
33.7790861138332 |
1422 |
Asgarifar, Kati |
1053594580 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
1435 |
Mokriy, Irene |
1053647198 |
Dentist |
UNKNOWN |
530 South Main St., Ste. 101 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.450721263176 |
34.1887228523778 |
1441 |
Yerro, Gladys Hope |
1053676619 |
Physician |
UNKNOWN |
14555 Hamlin St Ste 108 |
Van Nuys |
Los Angeles |
91411 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1053676619 |
29750 |
8500 |
34.1887228524 |
-118.450721263 |
-117.867477936358 |
33.7790861138332 |
1443 |
Nguyen, Audrey |
1053667832 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
1449 |
sarva rama murthi, vikram naga prasad |
1053689372 |
Physician |
UNKNOWN |
200 S Wells Rd, Suite #200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
2 |
MU |
DEL CAMINO REAL CLINICAS |
1679631907 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-121.376389500375 |
38.5562970003064 |
1458 |
Sanchez, David |
1053716530 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2017 |
2018 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-117.464746500051 |
33.915545999948 |
1491 |
Pham, Stacy |
1063420255 |
Dentist |
UNKNOWN |
4000 Tyler St |
Riverside |
Riverside |
92503 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1063420255 |
21250 |
21250 |
33.915546 |
-117.4647465 |
-121.852367120946 |
37.3542936414385 |
1500 |
Vu, Doan |
1063432961 |
Dentist |
UNKNOWN |
1870 Alum Rock Ave, Suite B |
San Jose |
Santa Clara |
95116 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1831228790 |
21250 |
21250 |
37.3542936408 |
-121.852367121 |
-119.188008568441 |
34.1958771840849 |
1511 |
Ramirez, Johannes |
1063446896 |
Physician |
OBSTETRICS/GYNECOLOGY |
650 hobson way, Suite 201 |
oxnard |
Ventura |
93030 |
California |
2017 |
2018 |
5 |
MU |
Designated Payee Name not Found |
1063446896 |
55250 |
8500 |
34.195877184 |
-119.188008568 |
-121.931844043068 |
37.3128740632874 |
1520 |
Ginieczki, Brandon |
1063462083 |
Physician |
ANESTHESIOLOGY |
751 S Bascom Ave, Department of Anesthesia |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1063462083 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-119.781421413667 |
36.8273766530102 |
1521 |
Hodge, David |
1063471746 |
Physician |
UNKNOWN |
6235 N Fresno St, Suite 106 |
Fresno |
Fresno |
93710 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1063471746 |
21250 |
21250 |
36.8273766531 |
-119.781421414 |
-121.931844043068 |
37.3128740632874 |
1536 |
Blenko, Katherine |
1063485167 |
Physician |
OBSTETRICS/GYNECOLOGY |
751 S Bascom Ave, OB/GYN Dept |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1063485167 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.557127642726 |
36.7120827357297 |
1542 |
Tran, Kim |
1063511509 |
Dentist |
UNKNOWN |
263 Academy Ave |
Sanger |
Fresno |
93657 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1063511509 |
21250 |
21250 |
36.7120827363 |
-119.557127643 |
-117.925416668345 |
33.859562996635 |
1545 |
huynh, phuong |
1063514370 |
Dentist |
UNKNOWN |
125 W Orangethorpe Ave |
Fullerton |
Orange |
92832 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1063514370 |
21250 |
21250 |
33.8595629972 |
-117.925416668 |
-118.084720499951 |
34.5797370001625 |
1561 |
khatchaturian, chris |
1063541985 |
Dentist |
UNKNOWN |
2508 E Palmdale Blvd |
Palmdale |
Los Angeles |
93550 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1063541985 |
21250 |
21250 |
34.579737 |
-118.0847205 |
-117.90057778104 |
33.70357579099 |
1570 |
Riba, Patricia |
1063562908 |
Physician |
UNKNOWN |
2100 W. Alton Ave. #2 |
Santa Ana |
Orange |
92704 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1578861613 |
21250 |
21250 |
33.7035757906 |
-117.900577781 |
-118.839066882331 |
34.1655551050841 |
1576 |
Tebyani, Farid |
1063571198 |
Dentist |
UNKNOWN |
3180 Willow Lane, Suite 208 |
Westlake Village |
Ventura |
91361 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1063571198 |
21250 |
21250 |
34.1655551052 |
-118.839066882 |
-121.877744902705 |
37.3259090312768 |
1589 |
FEDASZ, JEANETTE |
1063580322 |
Nurse Practitioner |
UNKNOWN |
195 E. Virginia St |
San Jose |
Santa Clara |
95112 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1407985534 |
21250 |
21250 |
37.3259090311 |
-121.877744903 |
-117.253461605968 |
33.1956166057219 |
1591 |
Proffitt, Paula |
1063580587 |
Physician |
PSYCHIATRY |
550 W Vista Wy, #407 |
Vista |
San Diego |
92083 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760431670 |
21250 |
21250 |
33.1956166056 |
-117.253461606 |
-118.278376001052 |
34.0005960001054 |
1601 |
SWEENY, ALFREDO |
1063588846 |
Physician |
UNKNOWN |
4719 S Broadway |
Los Angeles |
Los Angeles |
90037 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1063588846 |
29750 |
8500 |
34.000596 |
-118.278376001 |
-117.976152677904 |
33.8508857565724 |
1606 |
Hansen, Lynn |
1063597219 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1236 N. Magnolia Ave. |
Anaheim |
Orange |
92801 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1497759005 |
38250 |
8500 |
33.8508857566 |
-117.976152678 |
-121.330939499858 |
38.6179919999309 |
1608 |
Chitre, Rajas |
1063610111 |
Dentist |
UNKNOWN |
5723 Marconi Ave, Suite A |
Carmichael |
Sacramento |
95608 |
California |
2017 |
2018 |
2 |
MU |
Designated Payee Name not Found |
1134465651 |
29750 |
8500 |
38.617992 |
-121.3309395 |
-117.088522051352 |
33.1293830577819 |
1609 |
Montiague-Paras, Lowella |
1063608149 |
Dentist |
UNKNOWN |
240 W Mission Ave, Ste. A & B |
Escondido |
San Diego |
92025 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1548488489 |
21250 |
21250 |
33.1293830583 |
-117.088522051 |
-118.187343371599 |
33.8090145901513 |
1620 |
Lo, Jonathan |
1063622371 |
Dentist |
UNKNOWN |
455 East Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
5 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
55250 |
8500 |
33.8090145898 |
-118.187343372 |
-117.259848000285 |
33.9187320002816 |
1624 |
flores, enrique |
1063635241 |
Dentist |
UNKNOWN |
23080 Alessandro Blvd, Suite 201 |
Moreno Valley |
Riverside |
92553 |
California |
2016 |
2017 |
1 |
AIU |
DR. DEZAS DENTAL OFFICE INC. |
1548612856 |
21250 |
21250 |
33.918732 |
-117.259848 |
-118.481580000017 |
35.1243444527344 |
1626 |
Heer, Daniel |
1063638153 |
Dentist |
UNKNOWN |
19737 W Valley Blvd |
Tehachapi |
Kern |
93561 |
California |
2012 |
2013 |
1 |
AIU |
Daniel D Heer |
1063638153 |
21250 |
21250 |
35.1243444533 |
-118.48158 |
-116.997606063069 |
32.6234799664273 |
1632 |
Fish, Pamela |
1063651867 |
Nurse Practitioner |
UNKNOWN |
1392 E Palomar St, Suite 501 |
Chula Vista |
San Diego |
91913 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1063651867 |
29750 |
8500 |
32.6234799658 |
-116.997606063 |
-117.7599148378 |
34.0272314441759 |
1640 |
Khan, Shehzad |
1063668671 |
Dentist |
UNKNOWN |
18 Rancho Camino Dr, Suite 104 |
Pomona |
Los Angeles |
91766 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1326466152 |
21250 |
21250 |
34.0272314436 |
-117.759914838 |
-121.376389500375 |
38.5562970003064 |
1659 |
Milera, Shelly |
1063697183 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-117.867477936358 |
33.7790861138332 |
1674 |
Kim, Sooyong |
1063698629 |
Dentist |
UNKNOWN |
530 South Main St., WESTERN DENTAL |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
1676 |
Bhogal, Rajvir |
1063723021 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.136023508378 |
40.5823939793987 |
1684 |
Murray, Angela |
1063746287 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3304 Renner Dr |
Fortuna |
Humboldt |
95540 |
California |
2020 |
2020 |
5 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
55250 |
8500 |
40.5823939793 |
-124.136023508 |
-118.471280721128 |
34.1546877964047 |
1690 |
Nunez, Jennifer |
1063764256 |
Nurse Practitioner |
UNKNOWN |
15477 Ventura Blvd |
Sherman Oaks |
Los Angeles |
91403 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1063764256 |
21250 |
21250 |
34.1546877963 |
-118.471280721 |
-117.867477936358 |
33.7790861138332 |
1694 |
Bailey, Melissa |
1063761609 |
Dentist |
UNKNOWN |
530 South Main St., Suite 104A |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.575332175739 |
34.4365280762098 |
1722 |
Malinoski, Valerie |
1063838217 |
Nurse Practitioner |
UNKNOWN |
25115 Avenue Stanford, Suite A-104 |
Valencia |
Los Angeles |
91355 |
California |
2016 |
2017 |
1 |
AIU |
DIXON FAMILY SAMUEL |
1154402675 |
21250 |
21250 |
34.4365280758 |
-118.575332176 |
-117.833377499672 |
33.8084009998063 |
1724 |
GARCIA LORA, RAYMUNDO |
1063839934 |
Physician |
UNKNOWN |
1920 E Katella Ave Ste P |
Orange |
UNKNOWN |
92867 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1063839934 |
21250 |
21250 |
33.808401 |
-117.8333775 |
-117.867477936358 |
33.7790861138332 |
1725 |
Youssef, Hany |
1063839751 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.508708600322 |
32.6815999999401 |
1729 |
Bartholme, Karissa |
1063834331 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
31115 Hyw. 94, Mountain Health and Community Services |
Campo |
San Diego |
91906 |
California |
2015 |
2017 |
1 |
AIU |
DESERT FAMILY HIGH |
1982658142 |
21250 |
21250 |
32.6816 |
-116.5087086 |
-118.110419999783 |
34.5795854554045 |
1732 |
Ortega, Michael |
1063852960 |
Dentist |
UNKNOWN |
1037 E PALMDALE BLVD, STE 203 |
PALMDALE |
Los Angeles |
93550 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1275950818 |
21250 |
21250 |
34.5795854546 |
-118.11042 |
-118.293223499565 |
33.892947000104 |
1735 |
Mendoza, Trisha |
1063867158 |
Nurse Practitioner |
UNKNOWN |
1045 W Redondo Beach Blvd, Suite 500 |
Gardena |
Los Angeles |
90247 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1326051806 |
21250 |
21250 |
33.892947 |
-118.2932235 |
-119.096760526177 |
36.4156065337146 |
1754 |
KIM, DEAN |
1073513149 |
Dentist |
UNKNOWN |
250 E Antelope Ave, Suite D |
Woodlake |
Tulare |
93286 |
California |
2016 |
2017 |
1 |
AIU |
DEAN DAEHYUN KIM |
1073513149 |
21250 |
21250 |
36.4156065338 |
-119.096760526 |
-118.605927964304 |
34.1893799995873 |
1764 |
lee, kyoung hee |
1073534806 |
Dentist |
UNKNOWN |
6543 Topanga Cyn Blvd |
Woodland Hills |
Los Angeles |
91303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
34.18938 |
-118.605927964 |
-118.242830597554 |
33.9245590162856 |
1771 |
Bonds, Curley |
1073546404 |
Physician |
PSYCHIATRY |
1720 E 120th St, Suite 1021 |
Los Angeles |
Los Angeles |
90059 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
33.9245590158 |
-118.242830598 |
-118.099486697953 |
34.0685337750137 |
1777 |
HSU, MING CHANG |
1073565461 |
Physician |
UNKNOWN |
3318 Del Mar Avenue, Suite 205 |
Rosemead |
Los Angeles |
91770 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1447454061 |
21250 |
21250 |
34.068533775 |
-118.099486698 |
-121.931844043068 |
37.3128740632874 |
1790 |
Lin, Albert |
1073579421 |
Physician |
HEMATOLOGY/ONCOLOGY |
751 S Bascom Ave, Oncology/Hematology Department |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1588721500 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.193300999741 |
33.7782149999223 |
1798 |
VALERY, HAROLD |
1073604716 |
Physician |
GENERAL PRACTICE |
920 PACIFIC AVE |
LONG BEACH |
Los Angeles |
90813 |
California |
2013 |
2014 |
3 |
MU |
Designated Payee Name not Found |
1104193358 |
38250 |
8500 |
33.778215 |
-118.193301 |
-118.60714799988 |
34.2009885241011 |
1802 |
Nguyen, Tuan |
1073607446 |
Physician |
FAMILY PRACTICE |
22030 Sherman Way, Suite 211 |
Canoga Park |
Los Angeles |
91303 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1073607446 |
21250 |
21250 |
34.2009885243 |
-118.607148 |
-117.867440000256 |
33.7790800002419 |
1803 |
rao, cherukupalli |
1073581856 |
Dentist |
UNKNOWN |
530 South Main St., Western Dental Center Ste . #F-1 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.77908 |
-117.86744 |
-118.081449000171 |
33.871472999979 |
1805 |
Cruz, Anna Belle |
1073613758 |
Dentist |
UNKNOWN |
17510 Pioneer Blvd., Ste. 201 |
Artesia |
Los Angeles |
90701 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1073613758 |
21250 |
21250 |
33.871473 |
-118.081449 |
-117.867477936358 |
33.7790861138332 |
1806 |
NOVICIO, MARGARET |
1073608089 |
Dentist |
UNKNOWN |
530 South Main St., STE. 13 |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.313677285179 |
36.3070879099791 |
1817 |
Barnes, Richard |
1073622965 |
Dentist |
UNKNOWN |
2626 S Mooney Blvd, Suite C |
Visalia |
Tulare |
93277 |
California |
2013 |
2013 |
1 |
AIU |
DENTAL SURGERY CENTER BARNES |
1124333497 |
21250 |
21250 |
36.3070879104 |
-119.313677285 |
-119.018416499822 |
35.3738699996009 |
1818 |
Robinson, Rhonda |
1073626313 |
Physician |
OBSTETRICS/GYNECOLOGY |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.521534499617 |
36.6049529997812 |
1821 |
Bowden, Anna Lisa |
1073630943 |
Physician |
UNKNOWN |
650 Zediker Ave |
Parlier |
Fresno |
93648 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1073630943 |
21250 |
21250 |
36.604953 |
-119.5215345 |
-118.226251746721 |
33.9891357414214 |
1822 |
Samala, Veronica |
1073630281 |
Physician |
UNKNOWN |
2550 E Slauson Ave Ste G |
Huntington Park |
Los Angeles |
90255 |
California |
2013 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1073630281 |
29750 |
8500 |
33.9891357412 |
-118.226251747 |
-117.835550307601 |
33.7527390886381 |
1824 |
Ward, David |
1073631776 |
Dentist |
UNKNOWN |
2220 E Fruit St, Suite 215 |
Santa Ana |
Orange |
92701 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1073631776 |
21250 |
21250 |
33.7527390888 |
-117.835550308 |
-119.556427258811 |
36.7050968623304 |
1829 |
Tham, Serena |
1073641577 |
Dentist |
UNKNOWN |
1329 8TH STREET |
Sanger |
Fresno |
93657 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1073641577 |
21250 |
21250 |
36.705096862 |
-119.556427259 |
-122.535873000139 |
37.9473930000869 |
1835 |
Wennik, Jesse |
1073651154 |
Nurse Practitioner |
NURSE PRACTITIONER |
250 Bon Air Rd |
Greenbrae |
Marin |
94904 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1568525699 |
21250 |
21250 |
37.947393 |
-122.535873 |
-122.296689000297 |
40.4506349998055 |
1838 |
Dawson, Martin |
1073653861 |
Nurse Practitioner |
NURSE PRACTITIONER |
2830 East St |
Anderson |
Shasta |
96007 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1073653861 |
21250 |
21250 |
40.450635 |
-122.296689 |
-117.867477936358 |
33.7790861138332 |
1849 |
Daryaei, Homa |
1073662466 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.800377524303 |
36.8843745979094 |
1861 |
Haro, Alicia |
1073675724 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93638 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1073675724 |
29750 |
8500 |
36.8843745978 |
-119.800377524 |
-117.867477936358 |
33.7790861138332 |
1868 |
TRUONG, RICK |
1073690897 |
Dentist |
UNKNOWN |
530 South Main St., Suite 50 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.225553499794 |
33.8024879996215 |
1874 |
Hulse, Daniel |
1073700324 |
Dentist |
UNKNOWN |
1675 N. Perris Blvd. Suite A-1 |
Perris |
Riverside |
92571 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1073700324 |
21250 |
21250 |
33.802488 |
-117.2255535 |
-118.151905446979 |
34.0310255346008 |
1878 |
Wu, Margaret |
1073703500 |
Dentist |
UNKNOWN |
5262 E. Beverly Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1396163614 |
21250 |
21250 |
34.0310255354 |
-118.151905447 |
-119.788074000115 |
36.7937459996782 |
1886 |
Akande, Adeniyi |
1073723516 |
Dentist |
UNKNOWN |
1902 E Ashlan Ave |
Fresno |
Fresno |
93726 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1235470469 |
21250 |
21250 |
36.793746 |
-119.788074 |
-118.274462999568 |
34.0548480000352 |
1892 |
Benyamini, Dan |
1073715785 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
1826 W 7th St |
Los Angeles |
Los Angeles |
90057 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1073715785 |
21250 |
21250 |
34.054848 |
-118.274463 |
-117.969385499841 |
33.7449444801037 |
1893 |
Phan, Derek |
1073729588 |
Physician |
INTERNAL MEDICINE |
9191 Bolsa Ave Ste 205 |
Westminster |
Orange |
92683 |
California |
2011 |
2012 |
1 |
AIU |
DEREK T MD PHAN |
1073729588 |
21250 |
21250 |
33.7449444799 |
-117.9693855 |
-118.446267296099 |
34.0652797382693 |
1897 |
WEST, ALISHA |
1073733861 |
Physician |
OTOLARYNGOLOGY |
200 Ucla Medical Plz Ste 550 |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1073733861 |
21250 |
21250 |
34.0652797376 |
-118.446267296 |
-117.867477936358 |
33.7790861138332 |
1906 |
Metwally, Ayman |
1073751152 |
Dentist |
UNKNOWN |
530 South Main St., Suite 506 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.396719577147 |
33.9490001730196 |
1907 |
Song, Helen |
1073764452 |
Dentist |
UNKNOWN |
6860 Brockton Ave Ste 10 |
Riverside |
Riverside |
92506 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1073764452 |
21250 |
21250 |
33.9490001735 |
-117.396719577 |
-119.018416499822 |
35.3738699996009 |
1917 |
Soler, Ma Simonette |
1073793287 |
Physician |
INTERNAL MEDICINE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
1927 |
Wee, Hilda |
1073808812 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.312449536117 |
36.6252868987714 |
1928 |
Escobar, Pedro |
1073809893 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
555 6th St |
Orange Cove |
Fresno |
93646 |
California |
2012 |
2013 |
1 |
AIU |
DARYOUSH Y MD KASHANI |
1831335116 |
21250 |
21250 |
36.6252868989 |
-119.312449536 |
-120.704102464057 |
38.6556029204385 |
1939 |
Herrlie, Carol |
1073838900 |
Nurse Practitioner |
UNKNOWN |
5253 Bucks Bar Rd |
Placerville |
El Dorado |
95667 |
California |
2012 |
2013 |
1 |
AIU |
DORADO COUNTY COMM EL |
1316050107 |
21250 |
21250 |
38.6556029202 |
-120.704102464 |
-118.177339500218 |
33.7826344690056 |
1952 |
Basha, Mariana |
1073888152 |
Dentist |
UNKNOWN |
1183 E Anaheim St |
Long Beach |
Los Angeles |
90813 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1437587607 |
21250 |
21250 |
33.7826344694 |
-118.1773395 |
-117.867477936358 |
33.7790861138332 |
1960 |
Chang, Tzu-Fei |
1073920377 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
1961 |
Pang, Seokjoon |
1073922951 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.267252075423 |
37.8373378810384 |
1965 |
Canaday, Dian |
1073932307 |
Physician |
UNKNOWN |
747 52nd St, Room 245 |
Oakland |
Alameda |
94609 |
California |
2016 |
2017 |
1 |
AIU |
Dian Canaday |
1073932307 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
-117.867477936358 |
33.7790861138332 |
1970 |
Lirio, Dino |
1073953774 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.923463000017 |
33.8503770001985 |
1981 |
Nguyen, Huy |
1083010573 |
Dentist |
UNKNOWN |
1150 N Harbor Blvd, Suite 154 |
Anaheim |
Orange |
92801 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1952403735 |
21250 |
21250 |
33.850377 |
-117.923463 |
-121.000550616218 |
37.689225471978 |
1982 |
DHILLON, MANINDER |
1083021323 |
Dentist |
UNKNOWN |
605 Standiford Ave, Suite G |
Modesto |
Stanislaus |
95350 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1447666078 |
21250 |
21250 |
37.6892254719 |
-121.000550616 |
-117.867477936358 |
33.7790861138332 |
1990 |
Gill, Ramandeep |
1083027643 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.985531499779 |
33.817539506643 |
1999 |
kim, douglas |
1083045173 |
Dentist |
UNKNOWN |
2801 W Ball Rd, Suite 10 |
Anaheim |
Orange |
92804 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1952782070 |
21250 |
21250 |
33.8175395074 |
-117.9855315 |
-119.159698864611 |
34.2931563264034 |
2000 |
Swanson, Elise |
1083048995 |
Doctor of Optometry |
UNKNOWN |
200 S. Wells Rd., Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
2 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
2002 |
Ahuja, Ashley |
1083056014 |
Dentist |
UNKNOWN |
530 South Main St., Apt 301 |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.958903595624 |
34.1035722450631 |
2006 |
sijlamassi, othman |
1083053805 |
Dentist |
UNKNOWN |
14510 Baldwin Park |
Baldwin Park |
Los Angeles |
91706 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1477974699 |
21250 |
21250 |
34.1035722453 |
-117.958903596 |
-119.018416499822 |
35.3738699996009 |
2013 |
Dhaliwal, Sukhdeep |
1083089437 |
Nurse Practitioner |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-124.261684529617 |
40.5785368087268 |
2014 |
Hawk, Heather |
1083159479 |
Nurse Practitioner |
UNKNOWN |
638 Main Street |
Ferndale |
Humboldt |
95536 |
California |
2018 |
2019 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
38250 |
8500 |
40.5785368088 |
-124.26168453 |
-117.938971885144 |
34.0548586713906 |
2016 |
GOMEZ, HAROLD |
1083619753 |
Nurse Practitioner |
UNKNOWN |
1220 S Glendora Ave |
West Covina |
Los Angeles |
91790 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1083619753 |
21250 |
21250 |
34.0548586707 |
-117.938971885 |
-115.568875517091 |
32.8307198853145 |
2020 |
Arshad, Ijaz |
1083623821 |
Physician |
UNKNOWN |
2433 Marshall Rd |
Imperial |
Imperial |
92251 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1083623821 |
21250 |
21250 |
32.8307198845 |
-115.568875517 |
-118.520157787052 |
34.2083322988966 |
2021 |
Molina, Arnulfo |
1083623557 |
Dentist |
UNKNOWN |
17756 Saticoy St |
Los Angeles |
Los Angeles |
91335 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1083623557 |
21250 |
21250 |
34.2083322995 |
-118.520157787 |
-119.352904028398 |
36.3288420003581 |
2028 |
Zuiderveld, Ellie |
1083631709 |
Dentist |
UNKNOWN |
136 S Aspen Ct Ste B |
Visalia |
Tulare |
93291 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083631709 |
21250 |
21250 |
36.328842 |
-119.352904028 |
-121.944370322133 |
37.3220328417423 |
2037 |
AHMED, MOHAMMED |
1083638019 |
Physician |
UNKNOWN |
360 S Clover Ave |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1083638019 |
21250 |
21250 |
37.3220328422 |
-121.944370322 |
-118.257846504013 |
34.1314829997407 |
2053 |
Yepes, Olga |
1083676837 |
Dentist |
UNKNOWN |
1217 S Central Ave |
Glendale |
Los Angeles |
91204 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1609996909 |
21250 |
21250 |
34.131483 |
-118.257846504 |
-120.938716692921 |
37.6110124678511 |
2064 |
Mealing, Hala |
1083695431 |
Dentist |
UNKNOWN |
1404 Mitchell Road |
MODESTO |
Stanislaus |
95351 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1992054308 |
21250 |
21250 |
37.6110124679 |
-120.938716693 |
-121.326119999738 |
36.4253039997798 |
2065 |
Nguyen, Ngoctrinh |
1083700850 |
Dentist |
UNKNOWN |
799 Front St |
Soledad |
Monterey |
93960 |
California |
2013 |
2014 |
2 |
MU |
DE SALUD DE CLINICA |
1053452136 |
29750 |
8500 |
36.425304 |
-121.32612 |
-117.253499866725 |
33.3725912422921 |
2066 |
Carrasco, Jennifer |
1083700256 |
Nurse Practitioner |
UNKNOWN |
1107 S Mission Rd |
Fallbrook |
San Diego |
92028 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1861561391 |
38250 |
8500 |
33.3725912416 |
-117.253499867 |
-117.72334799961 |
33.6091590000879 |
2068 |
Chung, Christine |
1083706444 |
Dentist |
UNKNOWN |
24310 Moulton Pkwy, Suite C1 |
Laguna Woods |
Orange |
92637 |
California |
2016 |
2017 |
1 |
AIU |
DAYS DENTAL 7 |
1831239888 |
21250 |
21250 |
33.609159 |
-117.723348 |
-117.278125573337 |
34.0686575675927 |
2074 |
myint, than |
1083709711 |
Physician |
UNKNOWN |
303 E. Vanderbilt Way |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
Department of Behavioral Health |
1164467023 |
21250 |
21250 |
34.0686575683 |
-117.278125573 |
-117.304928999973 |
33.1229159996737 |
2075 |
Bigoni, Brian |
1083713002 |
Physician |
UNKNOWN |
6010 Hidden Valley Rd Suite 125 |
Carlsbad |
San Diego |
92011 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1083713002 |
21250 |
21250 |
33.122916 |
-117.304929 |
-116.883431999587 |
33.9254505133306 |
2076 |
Choe, John |
1083718340 |
Dentist |
UNKNOWN |
617 W Ramsey St |
Banning |
Riverside |
92220 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700957180 |
21250 |
21250 |
33.9254505132 |
-116.883432 |
-121.931844043068 |
37.3128740632874 |
2084 |
Pun, Kwan |
1083719207 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave, Primary Care Clinic-EVC |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083719207 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.187343371599 |
33.8090145901513 |
2085 |
Livingood, Philip |
1083728141 |
Dentist |
UNKNOWN |
455 E. Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
4 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
46750 |
8500 |
33.8090145898 |
-118.187343372 |
-120.723421943068 |
37.3798552940866 |
2086 |
Qadeer, Afnan |
1083728794 |
Physician |
FAMILY PRACTICE |
1140 Main St |
Livingston |
Merced |
95334 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1083728794 |
21250 |
21250 |
37.3798552945 |
-120.723421943 |
-122.0618115003 |
37.9485630000825 |
2090 |
balancio, clara |
1083735831 |
Dentist |
UNKNOWN |
91 Gregory Ln, Ste 9 |
Pleasant Hill |
Contra Costa |
94523 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1679893556 |
21250 |
21250 |
37.948563 |
-122.0618115 |
-121.931153999557 |
37.3150530000959 |
2097 |
Floreza, Arthur |
1083750186 |
Physician |
PSYCHIATRY |
650 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
2 |
MU |
Designated Payee Name not Found |
1083750186 |
29750 |
8500 |
37.315053 |
-121.931154 |
-117.430681500251 |
34.106610535348 |
2100 |
Correa, Maria-Isabel |
1083753149 |
Dentist |
UNKNOWN |
17171 Foothill Blvd, Suite B |
Fontana |
San Bernardino |
92335 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1659568848 |
21250 |
21250 |
34.1066105351 |
-117.4306815 |
-117.169643400922 |
32.7833702972015 |
2102 |
Le, Catherine |
1083754725 |
Dentist |
UNKNOWN |
2171 Ulric St, Ste 100 |
San Diego |
San Diego |
92111 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1639392921 |
21250 |
21250 |
32.7833702972 |
-117.169643401 |
-117.295825500147 |
34.1082784881618 |
2104 |
Rocha, Mark |
1083756670 |
Dentist |
UNKNOWN |
575 W 5th St |
San Bernardino |
San Bernardino |
92401 |
California |
2013 |
2013 |
1 |
AIU |
Dr. Sam Daniel Dason DDS |
1831226695 |
21250 |
21250 |
34.1082784876 |
-117.2958255 |
-117.669853315178 |
35.6402360487547 |
2106 |
Sharma, Rakesh |
1083761159 |
Physician |
UNKNOWN |
1081 N China Lake Blvd |
Ridgecrest |
Kern |
93555 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1083761159 |
21250 |
21250 |
35.6402360489 |
-117.669853315 |
-122.244429097625 |
37.7664770387844 |
2114 |
Huang, Wei |
1083768550 |
Dentist |
UNKNOWN |
2245 Santa Clara Ave, Suite 2 |
Alameda |
Alameda |
94501 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083768550 |
21250 |
21250 |
37.7664770392 |
-122.244429098 |
-119.722621820041 |
34.4310925072135 |
2121 |
Tubiolo, Vincent |
1083778864 |
Physician |
UNKNOWN |
2320 Bath St Ste 303 |
Santa Barbara |
Santa Barbara |
93105 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1083778864 |
21250 |
21250 |
34.4310925074 |
-119.72262182 |
-117.895189500195 |
34.086270532659 |
2122 |
Cuevas, Edna |
1083780613 |
Dentist |
UNKNOWN |
324 W. BADILLO ST |
COVINA |
Los Angeles |
91723 |
California |
2020 |
2020 |
2 |
MU |
Designated Payee Name not Found |
1083780613 |
29750 |
8500 |
34.0862705334 |
-117.8951895 |
-117.867477936358 |
33.7790861138332 |
2123 |
Taylor, Parvez |
1083778096 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.12298161411 |
34.0799362549542 |
2124 |
Yang, Biyan |
1083782338 |
Dentist |
UNKNOWN |
1234 S Garfield Ave, STE 101 |
Alhambra |
Los Angeles |
91801 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1811142680 |
21250 |
21250 |
34.0799362549 |
-118.122981614 |
-117.867477936358 |
33.7790861138332 |
2142 |
azadeh, ramin |
1083804496 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.192756499813 |
33.7801049998459 |
2150 |
GUIJON, OLGA |
1083809537 |
Physician |
UNKNOWN |
1057 Pine Ave |
Long Beach |
Los Angeles |
90813 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1083809537 |
29750 |
8500 |
33.780105 |
-118.1927565 |
-121.827262831115 |
37.3215960707021 |
2152 |
mai, huy |
1083820526 |
Dentist |
UNKNOWN |
1661 Tully Rd |
San Jose |
Santa Clara |
95122 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1275662074 |
21250 |
21250 |
37.3215960705 |
-121.827262831 |
-117.081873000139 |
32.682419999983 |
2153 |
Carr, Mianda |
1083815823 |
Physician |
OBSTETRICS/GYNECOLOGY |
2400 E 8th St, Suite A |
National City |
San Diego |
91950 |
California |
2015 |
2017 |
4 |
MU |
DE SALUD DE LA CENTRO |
1598907487 |
46750 |
8500 |
32.68242 |
-117.081873 |
-117.867477936358 |
33.7790861138332 |
2155 |
RANA, SHAZIA |
1083821938 |
Dentist |
UNKNOWN |
530 South Main St., Suite D |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.773172000387 |
33.6604229998217 |
2158 |
Milanchi, Siamak |
1083829956 |
Physician |
UNKNOWN |
16300 Sand Canyon Ave Ste 604 |
Irvine |
Orange |
92618 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1083829956 |
8500 |
8500 |
33.660423 |
-117.773172 |
-117.854802000212 |
34.1067635082294 |
2159 |
Irawan, Ibrahim |
1083827976 |
Dentist |
UNKNOWN |
505 E Arrow Hwy |
Glendora |
Los Angeles |
91740 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1083827976 |
21250 |
21250 |
34.1067635085 |
-117.854802 |
-117.280898999789 |
34.1359165342207 |
2171 |
Felix-Trunnelle, Elizabeth |
1083865158 |
Physician |
OBSTETRICS/GYNECOLOGY |
249 E Highland Ave |
San Bernardino |
San Bernardino |
92404 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1871553347 |
21250 |
21250 |
34.1359165342 |
-117.280899 |
-117.082635289787 |
32.6835371351307 |
2175 |
Gonzalez, Marisa |
1083870463 |
Physician |
UNKNOWN |
655 Euclid Ave, Suite 409 |
National City |
San Diego |
91950 |
California |
2015 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1083870463 |
29750 |
8500 |
32.6835371355 |
-117.08263529 |
-117.102104825177 |
32.677111893699 |
2176 |
HERNANDEZ, MARIA |
1083868616 |
Dentist |
UNKNOWN |
450 E 8th St, Ste E |
National City |
San Diego |
91950 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1962685974 |
21250 |
21250 |
32.6771118941 |
-117.102104825 |
-118.972018818913 |
35.3821130442816 |
2183 |
Kase, Michael |
1083885164 |
Physician |
PSYCHIATRY |
1830 Flower St |
Bakersfield |
Kern |
93305 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083885164 |
21250 |
21250 |
35.382113044 |
-118.972018819 |
-117.867477936358 |
33.7790861138332 |
2185 |
Llaguno-Jingco, Katherine |
1083882369 |
Dentist |
UNKNOWN |
530 South Main St., Unit #8 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.278165262917 |
34.0544193004104 |
2190 |
Tello, Jorge |
1083892558 |
Dentist |
UNKNOWN |
811 S ALVARADO ST |
Los Angeles |
Los Angeles |
90057 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083892558 |
21250 |
21250 |
34.0544192998 |
-118.278165263 |
-118.078502119677 |
33.9991216101742 |
2198 |
Rana, Arvind |
1083899306 |
Dentist |
UNKNOWN |
9317 Whittier Blvd |
Pico Rivera |
Los Angeles |
90660 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083899306 |
21250 |
21250 |
33.9991216098 |
-118.07850212 |
-118.187343371599 |
33.8090145901513 |
2209 |
olson, nancy |
1083933451 |
Nurse Practitioner |
UNKNOWN |
455 East Columbia Ave. |
Long Beach |
Los Angeles |
90802 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1083933451 |
21250 |
21250 |
33.8090145898 |
-118.187343372 |
-117.867477936358 |
33.7790861138332 |
2210 |
Afshar-Ebrahimi, Manijeh |
1083933956 |
Dentist |
UNKNOWN |
530 South Main St., #3 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
2218 |
NANDAVIKAR, DHANASHRI |
1083949481 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.016298749787 |
37.3147940933728 |
2220 |
Hill, Spencer |
1083954275 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
637 Merced St |
Newman |
Stanislaus |
95360 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1083954275 |
21250 |
21250 |
37.3147940927 |
-121.01629875 |
-119.159698864611 |
34.2931563264034 |
2247 |
Nadafi, Laura |
1083999387 |
Dentist |
UNKNOWN |
200 S. Wells Road, Suite 225 |
Ventura |
Ventura |
93004 |
California |
2011 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.448709084057 |
34.1912128988562 |
2258 |
Shaw, Eva |
1093030967 |
Nurse Practitioner |
UNKNOWN |
6618 Van Nuys Blvd |
Van Nuys |
Los Angeles |
91405 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1093030967 |
21250 |
21250 |
34.1912128987 |
-118.448709084 |
-117.161098636393 |
32.7504236969961 |
2260 |
Schachter, Levanto |
1093031668 |
Physician |
INTERNAL MEDICINE |
4020 Fifth Ave |
San Diego |
San Diego |
92103 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1093031668 |
21250 |
21250 |
32.7504236966 |
-117.161098636 |
-117.252476550652 |
32.7995467436873 |
2263 |
Lakhani, Mohammed |
1093047052 |
Dentist |
UNKNOWN |
4655 Cass Street, Suite 100 |
San Diego |
San Diego |
92109 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1093157372 |
21250 |
21250 |
32.7995467436 |
-117.252476551 |
-117.096649475593 |
32.6724439653168 |
2265 |
MATHEWS, LEENA |
1093046641 |
Dentist |
UNKNOWN |
1428 Highland Ave |
National City |
San Diego |
91950 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1093046641 |
21250 |
21250 |
32.6724439651 |
-117.096649476 |
-119.159698864611 |
34.2931563264034 |
2272 |
Kamra, Pallavi |
1093061459 |
Physician |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL INC CLINICAS |
1841556404 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-122.462972667255 |
37.6496069409076 |
2280 |
rabanes-lee, carolina |
1093097925 |
Nurse Practitioner |
UNKNOWN |
3936 Stein Ct |
South San Francisco |
San Mateo |
94080 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043218134 |
21250 |
21250 |
37.6496069409 |
-122.462972667 |
-119.159698864611 |
34.2931563264034 |
2299 |
Anthony, Nisha |
1093143703 |
Physician |
UNKNOWN |
200 S Wells Rd, Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
4 |
MU |
DEL CAMINO REAL INC CLINICAS |
1093933194 |
46750 |
8500 |
34.2931563259 |
-119.159698865 |
-117.133070825958 |
32.9478238896608 |
2304 |
Wong, Katherine |
1093179665 |
Dentist |
UNKNOWN |
12799 Texana Street |
San Diego |
San Diego |
92129 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1093179665 |
21250 |
21250 |
32.9478238904 |
-117.133070826 |
-124.146181542444 |
40.8024420806375 |
2309 |
Krause, Abigail |
1093190563 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2200 Tydd St |
Eureka |
Humboldt |
95501 |
California |
2018 |
2019 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
38250 |
8500 |
40.802442081 |
-124.146181542 |
-122.646489753 |
41.7186503676204 |
2310 |
Bradley, Charity |
1093197790 |
Nurse Practitioner |
UNKNOWN |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1093197790 |
21250 |
21250 |
41.7186503677 |
-122.646489753 |
-121.850527436292 |
37.3611363283789 |
2315 |
Phan, Bichvan |
1093707085 |
Physician |
OBSTETRICS/GYNECOLOGY |
200 Jose Figueres Ave, Suite 370 |
San Jose |
Santa Clara |
95116 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1093707085 |
21250 |
21250 |
37.3611363278 |
-121.850527436 |
-115.560048526418 |
32.7706535039561 |
2319 |
MANJARREZ, DANIEL |
1093707978 |
Physician |
UNKNOWN |
702 Wake Ave |
El Centro |
Imperial |
92243 |
California |
2012 |
2013 |
1 |
AIU |
DANIEL MD MANJARREZ |
1093707978 |
21250 |
21250 |
32.7706535043 |
-115.560048526 |
-118.133902204023 |
33.797345704041 |
2325 |
Lombardo, Joseph |
1093726457 |
Physician |
FAMILY PRACTICE |
2220 Clark Ave |
Long Beach |
Los Angeles |
90815 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1093726457 |
46750 |
8500 |
33.7973457043 |
-118.133902204 |
-117.857387489941 |
33.9182489546256 |
2330 |
Jesse, David |
1093730061 |
Physician |
EMERGENCY MEDICINE |
3000 E Birch St Ste 110 |
Brea |
Orange |
92821 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1497759005 |
21250 |
21250 |
33.9182489552 |
-117.85738749 |
-117.075667252642 |
32.6233783205531 |
2332 |
Savelli, Ilse |
1093733925 |
Dentist |
UNKNOWN |
355 K St, Suite A |
Chula Vista |
San Diego |
91911 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1093733925 |
21250 |
21250 |
32.6233783214 |
-117.075667253 |
-119.205979959208 |
34.2691164426698 |
2342 |
RYAN, ROBERT |
1093743239 |
Physician |
PEDIATRIC MEDICINE |
888 S Hill Rd. |
Ventura |
Ventura |
93003 |
California |
2012 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2691164429 |
-119.205979959 |
-121.988082616619 |
37.3101972222241 |
2355 |
Khan, Farah |
1093778219 |
Physician |
PSYCHIATRY |
943 Brentwood Dr |
San Jose |
Santa Clara |
95129 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1093778219 |
21250 |
21250 |
37.3101972223 |
-121.988082617 |
-119.772448997223 |
36.8034209997793 |
2360 |
Magleby, Benjamin |
1093785222 |
Dentist |
UNKNOWN |
4747 N. First St, Ste 109 |
Fresno |
Fresno |
93726 |
California |
2013 |
2013 |
1 |
AIU |
Dental Spa on First |
1760788392 |
21250 |
21250 |
36.803421 |
-119.772448997 |
-121.918297500229 |
37.3180679997384 |
2368 |
zhang, ying |
1093803850 |
Physician |
UNKNOWN |
1555 Parkmoor avenue |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1861445306 |
21250 |
21250 |
37.318068 |
-121.9182975 |
-117.153202643687 |
33.4976977829264 |
2377 |
CASTRO, JOSE |
1093818288 |
Dentist |
UNKNOWN |
28314 Old Town Front Street |
Temecula |
Riverside |
92590 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL CENTER FRIENDLY |
1467761569 |
21250 |
21250 |
33.4976977826 |
-117.153202644 |
-117.436283999607 |
34.1052389999799 |
2380 |
TRAN, KEVIN |
1093831893 |
Dentist |
UNKNOWN |
8188 Sierra Ave, Suite H |
Fontana |
San Bernardino |
92335 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1851512271 |
21250 |
21250 |
34.105239 |
-117.436284 |
-118.404140999208 |
34.001435334673 |
2381 |
Gutierrez, Nick |
1093830747 |
Physician |
PSYCHIATRY |
4760 Sepulveda Blvd |
Culver City |
Los Angeles |
90230 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
34.001435335 |
-118.404140999 |
-122.0618115003 |
37.9485630000825 |
2386 |
Endonila, Rose Joy |
1093836868 |
Dentist |
UNKNOWN |
91 GREGORY LN, STE 9 |
PLEASANT HILL |
Contra Costa |
94523 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1679893556 |
21250 |
21250 |
37.948563 |
-122.0618115 |
-119.343963492921 |
36.2104521336591 |
2387 |
Grewal, Manpreet |
1093836793 |
Dentist |
UNKNOWN |
233 N M St |
Tulare |
Tulare |
93274 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1821324807 |
21250 |
21250 |
36.2104521341 |
-119.343963493 |
-117.815009720122 |
33.7877295960441 |
2390 |
tran, anh |
1093839250 |
Dentist |
UNKNOWN |
3550 E Chapman Ave |
Orange |
Orange |
92869 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1679699227 |
21250 |
21250 |
33.7877295956 |
-117.81500972 |
-117.977571111118 |
34.0541192946698 |
2394 |
fu, fenghua |
1093845398 |
Dentist |
UNKNOWN |
13704 Amar Rd |
LA Puente |
Los Angeles |
91746 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1982733689 |
21250 |
21250 |
34.0541192946 |
-117.977571111 |
-118.418934585163 |
34.2463476508235 |
2400 |
fakheri, mehran |
1093850695 |
Dentist |
UNKNOWN |
9722 laurel canyon blvd |
arleta |
Los Angeles |
91331 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1093850695 |
21250 |
21250 |
34.2463476514 |
-118.418934585 |
-117.907220055861 |
33.903817689335 |
2402 |
abdolhosseini, hossein |
1093853020 |
Dentist |
UNKNOWN |
2949 Brea Blvd, Suite A1 |
Fullerton |
Orange |
92835 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1801154851 |
21250 |
21250 |
33.9038176886 |
-117.907220056 |
-120.938716692921 |
37.6110124678511 |
2407 |
Desai, Satyen |
1093853970 |
Dentist |
UNKNOWN |
1404 Mitchell Road |
MODESTO |
Stanislaus |
95351 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1992054308 |
21250 |
21250 |
37.6110124679 |
-120.938716693 |
-121.383647999655 |
38.5996769997938 |
2422 |
ELHASSANIN, MOHAMED |
1093883464 |
Dentist |
UNKNOWN |
1901 Watt Ave, Suite 6 |
Sacramento |
Sacramento |
95825 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1952580912 |
21250 |
21250 |
38.599677 |
-121.383648 |
-118.330896974216 |
33.9842429996148 |
2425 |
WARE, DONALD |
1093881054 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
6109 Crenshaw Blvd |
Los Angeles |
Los Angeles |
90043 |
California |
2012 |
2013 |
1 |
AIU |
DONALD R MD WARE |
1093881054 |
21250 |
21250 |
33.984243 |
-118.330896974 |
-118.372782369711 |
33.9277515367041 |
2430 |
MALONE, DWIGHT |
1093886269 |
Physician |
UNKNOWN |
5230 Pacific concourse dr., suite 110 |
Los Angeles |
Los Angeles |
90045 |
California |
2014 |
2015 |
2 |
MU |
DWIGHT W MD MALONE |
1093886269 |
29750 |
8500 |
33.9277515368 |
-118.37278237 |
-121.425964666836 |
37.738084493005 |
2439 |
Do, William |
1093900458 |
Dentist |
UNKNOWN |
945 Central Ave |
Tracy |
San Joaquin |
95376 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1922214337 |
21250 |
21250 |
37.7380844934 |
-121.425964667 |
-118.272190535065 |
34.0637927839099 |
2444 |
Wong, Michael |
1093906836 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
201 S. Alvarado St., #618 |
Los Angeles |
Los Angeles |
90057 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1093906836 |
29750 |
8500 |
34.0637927838 |
-118.272190535 |
-115.569162842391 |
32.8311276918895 |
2446 |
Dean, Susan |
1093913881 |
Nurse Practitioner |
UNKNOWN |
2435 marshall ave |
imperial |
Imperial |
92251 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1093913881 |
21250 |
21250 |
32.8311276922 |
-115.569162842 |
-121.386330753761 |
36.8350745250693 |
2449 |
Slaughter, Terry W. Slaughter |
1093915530 |
Dentist |
UNKNOWN |
901 Sunset Dr, Ste 5 |
Hollister |
San Benito |
95023 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1093915530 |
21250 |
21250 |
36.8350745251 |
-121.386330754 |
-118.590549297412 |
34.1666032442444 |
2453 |
Golian, Hormoz |
1093922759 |
Dentist |
UNKNOWN |
20968 Ventura Blvd |
Woodland Hills |
Los Angeles |
91364 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1689044521 |
21250 |
21250 |
34.1666032437 |
-118.590549297 |
-117.816507498722 |
33.7877310610397 |
2457 |
Dinh, Hung |
1093925521 |
Dentist |
UNKNOWN |
3402 E Chapman Ave |
Orange |
Orange |
92869 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1093925521 |
21250 |
21250 |
33.7877310606 |
-117.816507499 |
-118.431242521425 |
34.194419999983 |
2461 |
DerBoghosian, Roberto |
1093929945 |
Dentist |
UNKNOWN |
6812 woodman ave |
van nuys |
Los Angeles |
91405 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1093929945 |
21250 |
21250 |
34.19442 |
-118.431242521 |
-117.962019000077 |
33.8330069995734 |
2464 |
Kim, Stanley |
1093933400 |
Dentist |
UNKNOWN |
2265 W LINCOLN AVE |
ANAHEIM |
Orange |
92801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1225132483 |
21250 |
21250 |
33.833007 |
-117.962019 |
-118.151577000178 |
34.1579160001234 |
2479 |
Termechi, Gisoo |
1093957532 |
Dentist |
UNKNOWN |
929 N Orange Grove Blvd |
Pasadena |
Los Angeles |
91103 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1942450333 |
21250 |
21250 |
34.157916 |
-118.151577 |
-122.297371754803 |
37.8671772750113 |
2508 |
Kayman, Joshua |
1104021963 |
Physician |
FAMILY PRACTICE |
LifeLong West Berkeley, 2031 Sixth Street |
Berkeley |
Alameda |
94710 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1104021963 |
21250 |
21250 |
37.8671772747 |
-122.297371755 |
-121.931844043068 |
37.3128740632874 |
2512 |
Steinhoff, Stephanie |
1104026533 |
Physician |
ANESTHESIOLOGY |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1104026533 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.470234471444 |
34.0366071768798 |
2525 |
Xu, Hongbo |
1104051010 |
Dentist |
UNKNOWN |
3011 Santa Monica Blvd |
Santa Monica |
Los Angeles |
90404 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1619313301 |
21250 |
21250 |
34.0366071771 |
-118.470234471 |
-118.443346549004 |
34.0637399640282 |
2533 |
Shah, Megha |
1104053594 |
Physician |
UNKNOWN |
10833 Le Conte Avenue, Ste 265 |
Los Angeles |
Los Angeles |
90095 |
California |
2015 |
2016 |
1 |
AIU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-117.370465796359 |
34.1205239152466 |
2541 |
AHUJA, ARSHJOT |
1104088178 |
Dentist |
UNKNOWN |
1130 N Riverside Ave |
Rialto |
San Bernardino |
92376 |
California |
2018 |
2019 |
2 |
MU |
DENTAL CORP AHUJA |
1285046763 |
29750 |
8500 |
34.1205239154 |
-117.370465796 |
-118.536097522982 |
34.2222479999453 |
2551 |
Pena, Michele |
1104133958 |
Nurse Practitioner |
NURSE PRACTITIONER |
8349 Reseda Blvd, Suite G |
Northridge |
Los Angeles |
91324 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1104133958 |
21250 |
21250 |
34.222248 |
-118.536097523 |
-117.867477936358 |
33.7790861138332 |
2555 |
Huang, Peter WenYen |
1104137314 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.931844043068 |
37.3128740632874 |
2557 |
Vaz, Anne |
1104145762 |
Nurse Practitioner |
NURSE PRACTITIONER |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1104145762 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.443346549004 |
34.0637399640282 |
2568 |
Tymchuk, Christopher |
1104118561 |
Physician |
INFECTIOUS DISEASE |
Ucla Infectious Diseases 37 121 Chs, 10833 Le Conte Ave |
Los Angeles |
UNKNOWN |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1104118561 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-118.446236463742 |
34.0652250001337 |
2574 |
Davidson, Tom |
1104152628 |
Physician |
UNKNOWN |
200 Medical Plaza, Suite 265 |
Los Angeles |
UNKNOWN |
90095 |
California |
2018 |
2019 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.065225 |
-118.446236464 |
-121.931844043068 |
37.3128740632874 |
2575 |
Wong, Keith |
1104200922 |
Physician |
UNKNOWN |
751 S. Bascom Ave. |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
3 |
MU |
Designated Payee Name not Found |
1588721500 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-121.626878573687 |
36.6796192540254 |
2589 |
GALLARDO, NATALIE |
1104237148 |
Physician |
UNKNOWN |
950 Circle Dr |
Salinas |
Monterey |
93905 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.6796192539 |
-121.626878574 |
-117.169517934705 |
32.7876688614289 |
2609 |
Walters, Jonathan |
1104801539 |
Physician |
FAMILY PRACTICE |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2011 |
2012 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-117.885300539688 |
33.7167809997434 |
2611 |
heidarinia, akbar |
1104804780 |
Dentist |
UNKNOWN |
2231 S Bristol St |
Santa Ana |
Orange |
92704 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1306043872 |
21250 |
21250 |
33.716781 |
-117.88530054 |
-118.063124999619 |
33.8810760003572 |
2626 |
Tellez, Edwardo |
1104833516 |
Physician |
PEDIATRIC MEDICINE |
16510 Bloomfield Ave |
Cerritos |
Los Angeles |
90703 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1104833516 |
46750 |
8500 |
33.881076 |
-118.063125 |
-122.153565841091 |
37.7052153019447 |
2636 |
Nakahira, Laurie |
1104842293 |
Physician |
UNKNOWN |
3081 Teagarden St |
San Leandro |
Alameda |
94577 |
California |
2016 |
2016 |
1 |
AIU |
DAVIS STREET COMMUNITY THE |
1215358924 |
21250 |
21250 |
37.7052153025 |
-122.153565841 |
-118.457860499762 |
34.2790374846922 |
2645 |
Sanders, Michael |
1104848332 |
Physician |
UNKNOWN |
14901 Rinaldi St, Suite 330 |
Mission Hills |
Los Angeles |
91345 |
California |
2015 |
2016 |
1 |
MU |
Designated Payee Name not Found |
1104848332 |
21250 |
21250 |
34.2790374852 |
-118.4578605 |
-118.476859499966 |
34.0252650000797 |
2646 |
Bholat, Michelle |
1104849959 |
Physician |
FAMILY PRACTICE |
1920 Colorado Ave |
Santa Monica |
Los Angeles |
90404 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1104849959 |
21250 |
21250 |
34.025265 |
-118.4768595 |
-118.008081000038 |
33.8320164511983 |
2649 |
CHAMBI, MIRNA |
1104853514 |
Physician |
FAMILY PRACTICE |
7151 Lincoln Ave, SUITE A & B |
Buena Park |
Orange |
90620 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1104853514 |
21250 |
21250 |
33.8320164511 |
-118.008081 |
-119.725216668115 |
34.4290967092458 |
2660 |
Kelts, Drew |
1104873603 |
Physician |
UNKNOWN |
2329 Oak Park Ln |
Santa Barbara |
Santa Barbara |
93105 |
California |
2016 |
2017 |
2 |
MU |
DREW G MD KELTS |
1104873603 |
29750 |
8500 |
34.4290967088 |
-119.725216668 |
-118.006321540307 |
33.6859598320806 |
2674 |
Tipton, David |
1104899780 |
Dentist |
UNKNOWN |
19051 Goldenwest St, Suite 108 |
Huntington Beach |
Orange |
92648 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1104899780 |
21250 |
21250 |
33.6859598322 |
-118.00632154 |
-118.212475499944 |
33.9320789997461 |
2683 |
Deirmenjian, Sandra |
1104918333 |
Dentist |
UNKNOWN |
11035 Long Beach Blvd, Suite 5 |
Lynwood |
Los Angeles |
90262 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1356560494 |
21250 |
21250 |
33.932079 |
-118.2124755 |
-117.260995500142 |
34.5401369996229 |
2686 |
RIVERA-ORTIZ, WILLIAM |
1104914217 |
Physician |
UNKNOWN |
18484 US Highway 18, SUITE 225 |
Apple Valley |
San Bernardino |
92307 |
California |
2015 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1104914217 |
29750 |
8500 |
34.540137 |
-117.2609955 |
-119.096125049032 |
36.2117428316664 |
2701 |
Soliman, Mohamed |
1104939792 |
Dentist |
UNKNOWN |
755 North Sequoia Avenue |
Lindsay |
Tulare |
93247 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1811331986 |
21250 |
21250 |
36.2117428324 |
-119.096125049 |
-122.571971633284 |
38.1040501727773 |
2708 |
Kent, Donald |
1104951730 |
Dentist |
UNKNOWN |
926A DIABLO AVE, # 122 |
Novato |
Marin |
94947 |
California |
2013 |
2014 |
1 |
AIU |
Donald Eric Kent |
1104951730 |
21250 |
21250 |
38.1040501728 |
-122.571971633 |
-117.345292202073 |
33.1608925215727 |
2710 |
Watkins, Ryan |
1104954999 |
Dentist |
UNKNOWN |
3039 Jefferson St Ste A |
Carlsbad |
San Diego |
92008 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1104954999 |
21250 |
21250 |
33.1608925223 |
-117.345292202 |
-117.916545871695 |
33.7451250954468 |
2715 |
patel, jetan |
1104960574 |
Dentist |
UNKNOWN |
3528 W 1st St |
Santa Ana |
Orange |
92703 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1104960574 |
21250 |
21250 |
33.7451250949 |
-117.916545872 |
-119.08329403739 |
35.2357199995784 |
2726 |
Gong, Sandra |
1104966241 |
Dentist |
UNKNOWN |
13124 Eberle Road |
Bakersfield |
Kern |
93313 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1285775502 |
21250 |
21250 |
35.23572 |
-119.083294037 |
-119.313677285179 |
36.3070879099791 |
2727 |
Gould, Roxanne |
1104970110 |
Dentist |
UNKNOWN |
2626 S MOONEY BLVD, Suite C |
Visalia |
Tulare |
93277 |
California |
2013 |
2013 |
1 |
AIU |
DENTAL SURGERY CENTER BARNES |
1124333497 |
21250 |
21250 |
36.3070879104 |
-119.313677285 |
-117.078644165995 |
32.6340677838012 |
2731 |
Carrillo, Victor |
1104973478 |
Dentist |
UNKNOWN |
333 H Street Suite # 1015 |
Chula Vista |
San Diego |
91910 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1750520466 |
21250 |
21250 |
32.6340677842 |
-117.078644166 |
-122.245406121096 |
37.7653633255571 |
2733 |
Bui, David |
1104977636 |
Physician |
UNKNOWN |
2241 Central Ave, Suite A |
Alameda |
Alameda |
94501 |
California |
2020 |
2020 |
6 |
MU |
DAVID P MD BUI |
1104977636 |
63750 |
8500 |
37.7653633256 |
-122.245406121 |
-117.665068500111 |
33.497442000448 |
2736 |
Restrepo, Carlos |
1104978295 |
Dentist |
UNKNOWN |
31920 Del Obispo St, Suite 160 |
San Juan Capistrano |
Orange |
92675 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1104978295 |
21250 |
21250 |
33.497442 |
-117.6650685 |
-121.768989039612 |
36.9275347293444 |
2739 |
Foster, Donald |
1104982073 |
Dentist |
UNKNOWN |
98 Mariposa Ave |
Watsonville |
Santa Cruz |
95076 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1104982073 |
21250 |
21250 |
36.9275347291 |
-121.76898904 |
-122.408336258412 |
37.793988954027 |
2742 |
Yee, David |
1104991751 |
Physician |
UNKNOWN |
929 Clay St, Ste 405 |
San Francisco |
San Francisco |
94108 |
California |
2014 |
2015 |
4 |
MU |
DAVID S MD YEE |
1104991751 |
46750 |
8500 |
37.7939889545 |
-122.408336258 |
-119.030310084243 |
36.0695685138759 |
2744 |
Reddy, Lalitha |
1104992981 |
Physician |
UNKNOWN |
591 W Putnam Ave |
Porterville |
Tulare |
93257 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1104992981 |
21250 |
21250 |
36.069568514 |
-119.030310084 |
-117.290608859411 |
34.4815548072086 |
2759 |
VALENCIA, RAINILDA |
1114009107 |
Physician |
UNKNOWN |
12677 Hesperia Rd, SUITE 160 |
Victorville |
San Bernardino |
92395 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1548539653 |
38250 |
8500 |
34.4815548071 |
-117.290608859 |
-117.386464499937 |
34.106040000046 |
2763 |
Arteaga-Hernandez, Edna |
1114016433 |
Physician |
UNKNOWN |
851 W Foothill Blvd, Suite 101 |
Rialto |
San Bernardino |
92376 |
California |
2014 |
2015 |
1 |
MU |
Designated Payee Name not Found |
1114016433 |
21250 |
21250 |
34.10604 |
-117.3864645 |
-118.450404000344 |
34.2027720002277 |
2766 |
HASSAN, HESHAM |
1114017282 |
Dentist |
UNKNOWN |
7239 VAN NUYS BLVD, SUITE #6 |
VAN NUYS |
Los Angeles |
91405 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1033274519 |
21250 |
21250 |
34.202772 |
-118.450404 |
-118.456806409788 |
34.1648741717057 |
2806 |
grkikian, jouriy |
1114078052 |
Dentist |
UNKNOWN |
14847 Magnolia Blvd |
Sherman Oaks |
Los Angeles |
91403 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1689077265 |
21250 |
21250 |
34.1648741724 |
-118.45680641 |
-117.748453348843 |
34.0552268574336 |
2809 |
hoang, robert |
1114080694 |
Dentist |
UNKNOWN |
243 East Mission Blvd. |
Pomona |
Los Angeles |
91766 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1114080694 |
21250 |
21250 |
34.0552268566 |
-117.748453349 |
-117.737900955764 |
34.0899016047753 |
2811 |
Zahedi, Malakeh |
1114082138 |
Dentist |
UNKNOWN |
722 E. ARROW HWY |
POMONA |
UNKNOWN |
91767 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1689018483 |
21250 |
21250 |
34.0899016051 |
-117.737900956 |
-117.867477936358 |
33.7790861138332 |
2820 |
Morales, Maria Judina |
1114077351 |
Dentist |
UNKNOWN |
530 South Main St., Western Dental Services Inc |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
2821 |
Nguyen, LinhPhuong |
1114094208 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
2823 |
Amin, Gaurang |
1114095593 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.448487000075 |
34.2140850003225 |
2829 |
MIRZABAGI, MOSTAFA |
1114101722 |
Dentist |
UNKNOWN |
7864 Van Nuys Blvd |
Panorama |
Los Angeles |
91402 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700083078 |
21250 |
21250 |
34.214085 |
-118.448487 |
-117.298453499929 |
34.1357939997933 |
2835 |
rea, lourdes |
1114104205 |
Dentist |
UNKNOWN |
695 W Highland Ave |
San Bernardino |
San Bernardino |
92405 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1447593330 |
21250 |
21250 |
34.135794 |
-117.2984535 |
-116.074152000414 |
33.5692744864285 |
2838 |
Roman, Katherine |
1114108578 |
Nurse Practitioner |
UNKNOWN |
91275 66th Ave, Suite 500 |
Mecca |
UNKNOWN |
92254 |
California |
2016 |
2017 |
2 |
MU |
DE SALUD DEL CLINICAS |
1932280633 |
29750 |
8500 |
33.5692744859 |
-116.074152 |
-117.867477936358 |
33.7790861138332 |
2843 |
Pangilinan, Juanito |
1114120094 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.129277589689 |
34.0986678363516 |
2844 |
Debora, Daisy |
1114120516 |
Dentist |
UNKNOWN |
330 N. garfield avenue, #2 |
alhambra |
Los Angeles |
91801 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1114120516 |
21250 |
21250 |
34.0986678357 |
-118.12927759 |
-122.151138825396 |
37.7421031099706 |
2856 |
Reaghard, Deborah |
1114132610 |
Nurse Practitioner |
NURSE PRACTITIONER |
LifeLong East Oakland, 10700 MacArthur Blvd |
Oakland |
Alameda |
94605 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1114132610 |
29750 |
8500 |
37.7421031103 |
-122.151138825 |
-119.159698864611 |
34.2931563264034 |
2857 |
Lam, Christopher |
1114144839 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1518183904 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-119.221061037737 |
34.1986410003819 |
2858 |
Begian, Armand |
1114145828 |
Dentist |
UNKNOWN |
480 S VICTORIA AVE, SUITE D |
Oxnard |
Ventura |
93030 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1114145828 |
21250 |
21250 |
34.198641 |
-119.221061038 |
-121.290462000221 |
38.0025270002209 |
2868 |
Ngo, Katie |
1114166824 |
Dentist |
UNKNOWN |
1503 E March Ln, Suite B |
Stockton |
San Joaquin |
95210 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1508025826 |
21250 |
21250 |
38.002527 |
-121.290462 |
-121.329139499588 |
37.9880279997924 |
2873 |
Levinsohn, Daniel |
1114176674 |
Physician |
UNKNOWN |
1899 W March Ln |
Stockton |
San Joaquin |
95207 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1114176674 |
21250 |
21250 |
37.988028 |
-121.3291395 |
-119.34989100007 |
35.5942635052566 |
2892 |
Smith, Pamela |
1114221785 |
Nurse Practitioner |
UNKNOWN |
2101 7th St, BLDG. A |
Wasco |
Kern |
93280 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1114221785 |
21250 |
21250 |
35.594263505 |
-119.349891 |
-117.867477936358 |
33.7790861138332 |
2899 |
Lang, Rebecca |
1114232022 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.63151699981 |
36.7040969996768 |
2901 |
Boparai-khera, Preeti |
1114236569 |
Dentist |
UNKNOWN |
631 E. Alvin Drive, Suite C |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1033242144 |
21250 |
21250 |
36.704097 |
-121.631517 |
-117.867477936358 |
33.7790861138332 |
2905 |
Asatryan, Sona |
1114252384 |
Dentist |
UNKNOWN |
530 South Main St., #116 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.634785206272 |
36.6995460497105 |
2928 |
Su, Annette |
1114313640 |
Nurse Practitioner |
UNKNOWN |
1332 Natividad Rd, Suite B |
Salinas |
Monterey |
93906 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1114313640 |
21250 |
21250 |
36.6995460499 |
-121.634785206 |
-115.528558499675 |
32.9786155433727 |
2932 |
Montalvo, Omayra |
1114354404 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
900 Main St |
Brawley |
Imperial |
92227 |
California |
2018 |
2019 |
4 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
46750 |
8500 |
32.9786155434 |
-115.5285585 |
-117.912028499715 |
33.8179935446664 |
2954 |
Leon, Laura |
1114925690 |
Dentist |
UNKNOWN |
314 W Ball Rd |
Anaheim |
Orange |
92805 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1063660868 |
21250 |
21250 |
33.8179935448 |
-117.9120285 |
-121.30687551879 |
37.9955025432079 |
2980 |
Lin, Shou I |
1114963873 |
Physician |
UNKNOWN |
75 W March Lane, #G |
Stockton |
San Joaquin |
95207 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1114963873 |
21250 |
21250 |
37.9955025429 |
-121.306875519 |
-118.305603000278 |
33.7388574521098 |
2981 |
BROW, FRANK |
1114964236 |
Physician |
UNKNOWN |
1294 W 6th St, STE #102 |
San Pedro |
Los Angeles |
90731 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1114964236 |
21250 |
21250 |
33.7388574522 |
-118.305603 |
-122.153565841091 |
37.7052153019447 |
2985 |
Coats, Gerald |
1114979879 |
Physician |
UNKNOWN |
3081 Teagarden St |
San Leandro |
Alameda |
94577 |
California |
2016 |
2016 |
1 |
AIU |
DAVIS STREET COMMUNITY THE |
1215358924 |
21250 |
21250 |
37.7052153025 |
-122.153565841 |
-118.443346549004 |
34.0637399640282 |
3000 |
Lerner, Carlos |
1114964228 |
Physician |
UNKNOWN |
General Pediatrics 12 466 Mdcc, 10833 Le Conte Ave |
Los Angeles |
UNKNOWN |
90095 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
60916.67 |
8500 |
34.0637399643 |
-118.443346549 |
-121.55149361274 |
39.0972587433964 |
3005 |
Amatangelo, Gary |
1124002852 |
Dentist |
UNKNOWN |
4941 Olivehurst Ave |
Olivehurst |
Yuba |
95961 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.0972587427 |
-121.551493613 |
-118.365226156162 |
33.8727682467572 |
3016 |
Ginsburg, Gregory |
1124021654 |
Physician |
UNKNOWN |
2512 Artesia Blvd, Ste 310 |
Redondo Beach |
Los Angeles |
90278 |
California |
2014 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1124021654 |
21250 |
21250 |
33.8727682467 |
-118.365226156 |
-118.114421190585 |
33.9019620632986 |
3022 |
Baskin, Marc |
1124035076 |
Physician |
ALLERGY/IMMUNOLOGY |
10234 Rosecrans Ave |
Bellflower |
Los Angeles |
90706 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1124035076 |
46750 |
8500 |
33.9019620629 |
-118.114421191 |
-117.26114600978 |
34.0471260000649 |
3023 |
Kempert, Pamela |
1124035266 |
Physician |
UNKNOWN |
11370 Anderson St, Suite B 100 |
Loma Linda |
San Bernardino |
92354 |
California |
2015 |
2016 |
4 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
46750 |
8500 |
34.047126 |
-117.26114601 |
-121.913807877731 |
37.3243404661396 |
3024 |
Cai, Dung |
1124032792 |
Physician |
OBSTETRICS/GYNECOLOGY |
259 Meridian, Ste #5 |
San Jose |
Santa Clara |
95126 |
California |
2013 |
2013 |
1 |
AIU |
DUNG VAN MD CAI |
1124032792 |
21250 |
21250 |
37.3243404657 |
-121.913807878 |
-120.413076960333 |
34.9528340951175 |
3028 |
Burg, Samuel |
1124036397 |
Dentist |
UNKNOWN |
1430 E Main St Ste 203 |
Santa Maria |
Santa Barbara |
93454 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1124036397 |
21250 |
21250 |
34.9528340951 |
-120.41307696 |
-117.992601000236 |
33.7927769996589 |
3030 |
boone, thomas |
1124042460 |
Dentist |
UNKNOWN |
11702 Beach Blvd |
Stanton |
Orange |
90680 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1124042460 |
21250 |
21250 |
33.792777 |
-117.992601 |
-118.540548980051 |
34.201206952339 |
3032 |
HOSSEINIAN, GHOLAM |
1124042882 |
Physician |
GENERAL PRACTICE |
18701 sherman way suite 4 |
reseda |
Los Angeles |
91335 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1124042882 |
29750 |
8500 |
34.2012069517 |
-118.54054898 |
-117.064482984202 |
32.5965600002439 |
3070 |
Flores, Maribel |
1124104815 |
Physician |
FAMILY PRACTICE |
1637 Third Avenue, Suite H |
Chula Vista |
San Diego |
91911 |
California |
2015 |
2017 |
4 |
MU |
DE SALUD DE LA CENTRO |
1922051812 |
46750 |
8500 |
32.59656 |
-117.064482984 |
-121.809214840592 |
36.5735009361193 |
3081 |
MOHANDAS, RADHIKA |
1124111802 |
Physician |
UNKNOWN |
100 Wilson Road Ste 110 |
MONTEREY |
Monterey |
93940 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1588859532 |
21250 |
21250 |
36.5735009359 |
-121.809214841 |
-117.225231913022 |
32.8866044362458 |
3093 |
Placek, Karel |
1124127675 |
Physician |
UNKNOWN |
9850 Genesee Ave #910 |
La Jolla |
San Diego |
92037 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760431670 |
21250 |
21250 |
32.8866044359 |
-117.225231913 |
-122.407149450087 |
37.7614542154398 |
3096 |
Shih, Grace |
1124131784 |
Physician |
OBSTETRICS/GYNECOLOGY |
625 Potrero Ave., |
San Francisco |
San Francisco |
94110 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1407821523 |
21250 |
21250 |
37.7614542151 |
-122.40714945 |
-117.18313653932 |
32.8219205101235 |
3105 |
Tarabishi, Mohamad |
1124135306 |
Dentist |
UNKNOWN |
4223 Genesee Avenue, Suite 109 |
San Diego |
San Diego |
92117 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1821390030 |
21250 |
21250 |
32.8219205099 |
-117.183136539 |
-118.448733044694 |
34.2239940004228 |
3110 |
ROSEN, DAN |
1124143102 |
Dentist |
UNKNOWN |
8424 Van Nuys Blvd |
Panorama City |
Los Angeles |
91402 |
California |
2016 |
2016 |
1 |
AIU |
Dan Rosen DDS and Sharam Nourian DDS |
1699892893 |
21250 |
21250 |
34.223994 |
-118.448733045 |
-117.867477936358 |
33.7790861138332 |
3117 |
Nguyen, C. |
1124147673 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.072043472928 |
33.8383034740261 |
3118 |
kim, rick |
1124156427 |
Dentist |
UNKNOWN |
21012 Norwalk Blvd |
Lakewood |
Los Angeles |
90715 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1457548182 |
21250 |
21250 |
33.8383034738 |
-118.072043473 |
-120.046391527947 |
36.9454285032229 |
3119 |
Bohlman, Jaime |
1124161740 |
Physician |
UNKNOWN |
1100 E Almond Ave |
Madera |
Madera |
93637 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1124161740 |
21250 |
21250 |
36.9454285029 |
-120.046391528 |
-118.251382500002 |
34.1338320001468 |
3125 |
Khatchaturian, Zaven |
1124172051 |
Dentist |
UNKNOWN |
1030 S Glendale Ave, Ste 501 |
Glendale |
Los Angeles |
91205 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1326234675 |
21250 |
21250 |
34.133832 |
-118.2513825 |
-118.187343371599 |
33.8090145901513 |
3130 |
Torres, Veronica |
1124172994 |
Nurse Practitioner |
UNKNOWN |
455 East Columbia Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1124172994 |
29750 |
8500 |
33.8090145898 |
-118.187343372 |
-119.781351569619 |
36.8367656956804 |
3133 |
KAYE, DAVID |
1124180518 |
Physician |
UNKNOWN |
6767 N Fresno St |
Fresno |
Fresno |
93710 |
California |
2019 |
2020 |
5 |
MU |
DAVID B MD INC KAYE |
1811068455 |
55250 |
8500 |
36.8367656961 |
-119.78135157 |
-117.867477936358 |
33.7790861138332 |
3138 |
Santos, Augusto |
1124182837 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.140549948321 |
36.2964215709987 |
3142 |
Sine, David |
1124187018 |
Physician |
PEDIATRIC MEDICINE |
216 E Pine St |
Exeter |
Tulare |
93221 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1780975904 |
21250 |
21250 |
36.2964215709 |
-119.140549948 |
-118.282621642874 |
34.0638930322377 |
3144 |
RABIN, JOHN |
1124185442 |
Physician |
UNKNOWN |
520 So. Lafayette Park Place 3rd Fl |
Los Angeles |
UNKNOWN |
90057 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1124185442 |
21250 |
21250 |
34.0638930325 |
-118.282621643 |
-122.195416638767 |
39.5221317492808 |
3148 |
Jenkins, Morgan |
1124194980 |
Physician |
UNKNOWN |
207 N. Butte St. |
Willows |
Glenn |
95988 |
California |
2014 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1124194980 |
21250 |
21250 |
39.5221317485 |
-122.195416639 |
-118.282005979592 |
34.2477784650042 |
3150 |
krekorians, vanik |
1124196217 |
Dentist |
UNKNOWN |
6900 Foothill Blvd |
Tujunga |
Los Angeles |
91042 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1598032054 |
21250 |
21250 |
34.2477784654 |
-118.28200598 |
-121.40568449964 |
38.5977510000087 |
3153 |
Willis, Donald |
1124196423 |
Nurse Practitioner |
OBSTETRICS/GYNECOLOGY |
1750 Wright St, Ste 4 |
Sacramento |
Sacramento |
95825 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1124196423 |
21250 |
21250 |
38.597751 |
-121.4056845 |
-122.479148127184 |
37.7391781036866 |
3156 |
Li, Mike |
1124205455 |
Dentist |
UNKNOWN |
1108 Vicente St Ste 104 |
San Francisco |
San Francisco |
94116 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1124205455 |
21250 |
21250 |
37.7391781038 |
-122.479148127 |
-121.931844043068 |
37.3128740632874 |
3161 |
Gorelik, Marta |
1124200126 |
Physician |
UNKNOWN |
751 S Bascom Ave, Pediatrics Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1124200126 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-119.018416499822 |
35.3738699996009 |
3164 |
Wright, Toby |
1124212741 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.264131848706 |
33.8111358102695 |
3167 |
Narvaez, Arelvis |
1124216007 |
Dentist |
UNKNOWN |
23601 Avalon Blvd., Suite 101 |
Carson |
Los Angeles |
90745 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1245580778 |
21250 |
21250 |
33.81113581 |
-118.264131849 |
-117.313902432651 |
34.0754451332863 |
3169 |
lee, kyu |
1124216593 |
Dentist |
UNKNOWN |
1139 N MOUNT VERNON AVE |
COLTON |
San Bernardino |
92324 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1316074636 |
21250 |
21250 |
34.0754451334 |
-117.313902433 |
-118.12290276605 |
34.0691540608113 |
3183 |
LI, LILLIAN |
1124236294 |
Dentist |
UNKNOWN |
616 North Garfield Ave, #102 |
Monterey Park |
Los Angeles |
91754 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1023379732 |
21250 |
21250 |
34.0691540605 |
-118.122902766 |
-122.46118324571 |
37.7624926958812 |
3186 |
Leung, Joanne |
1124240791 |
Dentist |
UNKNOWN |
707 Parnassus Ave |
San Francisco |
UNKNOWN |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1124240791 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-117.152095919991 |
32.797887147374 |
3187 |
Dickins, Stephen |
1124243308 |
Dentist |
UNKNOWN |
8110 Birmingham Way |
San Diego |
San Diego |
92123 |
California |
2012 |
2012 |
1 |
AIU |
DE SALUD DE LA COMUNI CENTRO |
1477730737 |
21250 |
21250 |
32.7978871469 |
-117.15209592 |
-117.867477936358 |
33.7790861138332 |
3194 |
Wakode, Archana |
1124247085 |
Dentist |
UNKNOWN |
530 South Main St., Suite 260 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.931844043068 |
37.3128740632874 |
3201 |
Shu, Chen-Tsen |
1124264163 |
Physician |
INTERNAL MEDICINE |
751 South Bascom Avenue |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1124264163 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.867477936358 |
33.7790861138332 |
3205 |
Rizvi, Syed |
1124271572 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
3206 |
FRISANCHO, MIGUEL |
1124271937 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-115.558425529814 |
32.7706346298843 |
3208 |
reich, nilza |
1124276266 |
Physician |
GENERAL PRACTICE |
651 Wake Ave |
El Centro |
Imperial |
92243 |
California |
2012 |
2013 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1487741773 |
21250 |
21250 |
32.77063463 |
-115.55842553 |
-117.343903500446 |
33.975998999854 |
3211 |
Mehta, Parul |
1124275177 |
Dentist |
UNKNOWN |
1485 University Drive, Suite A |
Riverside |
Riverside |
92507 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1164762159 |
21250 |
21250 |
33.975999 |
-117.3439035 |
-118.446950183704 |
34.0636845621929 |
3220 |
Tran, Hong-Phuc |
1124285424 |
Physician |
GERIATRIC MEDICINE |
10945 Le Conte Ave, Suite 2339 |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1124285424 |
21250 |
21250 |
34.0636845621 |
-118.446950184 |
-118.201436999918 |
33.8963759999525 |
3221 |
Patel, Chandrakant |
1124293162 |
Dentist |
UNKNOWN |
2001 E COMPTON BLVD |
COMPTON |
Los Angeles |
90221 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1457673170 |
21250 |
21250 |
33.896376 |
-118.201437 |
-117.918706500105 |
33.7761449997919 |
3229 |
Huh, Kamee |
1124298989 |
Dentist |
UNKNOWN |
12901 HARBOR BLVD, STE. A-3 |
GARDEN GROVE |
Orange |
92840 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1750498606 |
21250 |
21250 |
33.776145 |
-117.9187065 |
-121.931844043068 |
37.3128740632874 |
3234 |
Devine, Christina |
1124292594 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave, Department of Medicine, 4th floor |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1124292594 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.862390256605 |
33.6958976824321 |
3244 |
Trinh, Linda |
1124333828 |
Nurse Practitioner |
UNKNOWN |
17782 Cowan |
Irvine |
Orange |
92614 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1124333828 |
21250 |
21250 |
33.6958976819 |
-117.862390257 |
-117.867477936358 |
33.7790861138332 |
3249 |
Gaba, Puja |
1124350012 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.018416499822 |
35.3738699996009 |
3253 |
RAMESH, GEETA |
1124359179 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1245234673 |
29750 |
8500 |
35.37387 |
-119.0184165 |
-124.146181542444 |
40.8024420806375 |
3259 |
Allred, Kyle |
1124372230 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2015 |
2017 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
38250 |
8500 |
40.802442081 |
-124.146181542 |
-117.867477936358 |
33.7790861138332 |
3263 |
Moalej, Bita |
1124364237 |
Dentist |
UNKNOWN |
530 South Main St., #102 |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.46118324571 |
37.7624926958812 |
3265 |
Nee, Alexander |
1124370895 |
Dentist |
UNKNOWN |
707 Parnassus Ave D-3000 |
San Francisco |
San Francisco |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1124370895 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-120.827405971908 |
38.706282365339 |
3275 |
navone, adam |
1124414040 |
Nurse Practitioner |
UNKNOWN |
4327 Golden Center Dr |
Placerville |
El Dorado |
95667 |
California |
2017 |
2018 |
3 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
38250 |
8500 |
38.706282365 |
-120.827405972 |
-117.867477936358 |
33.7790861138332 |
3281 |
CHILTON, Chunhua |
1124432695 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
3288 |
Taqavi, Pouyan |
1124450523 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.163974713262 |
32.7328816281847 |
3306 |
Lumanog, Rodel |
1124574819 |
Nurse Practitioner |
UNKNOWN |
2630 1st Avenue |
San Diego |
San Diego |
92103 |
California |
2017 |
2018 |
2 |
MU |
DIEGO AMERICAN SAN |
1003902917 |
29750 |
8500 |
32.7328816275 |
-117.163974713 |
-118.304125203715 |
34.0692652457945 |
3311 |
Lee, Dong |
1134109200 |
Physician |
UNKNOWN |
266 S Harvard Blvd, Suite 300 |
Los Angeles |
Los Angeles |
90004 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1336581123 |
21250 |
21250 |
34.0692652456 |
-118.304125204 |
-119.159698864611 |
34.2931563264034 |
3320 |
Hatch, Lanette |
1134132897 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL INC CLINICAS |
1720362056 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
3322 |
Lee, Peter |
1134139892 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.074713500028 |
32.7586859997591 |
3324 |
Sidrick, Nadine |
1134140718 |
Physician |
GENERAL PRACTICE |
5602 El Cajon Blvd |
San Diego |
San Diego |
92115 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1134140718 |
21250 |
21250 |
32.758686 |
-117.0747135 |
-117.31275450022 |
34.1294310004404 |
3326 |
Rosenblatt, Steven |
1134142201 |
Physician |
FAMILY PRACTICE |
1655 N. MT. VERNON AVE SUITE B1 |
SAN BERNARDINO |
San Bernardino |
92411 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1134142201 |
21250 |
21250 |
34.129431 |
-117.3127545 |
-117.867477936358 |
33.7790861138332 |
3341 |
Haq, Shuja |
1134159916 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.178266499799 |
34.0837289999934 |
3350 |
Wang, James |
1134163637 |
Physician |
FAMILY PRACTICE |
3301 N Eastern Ave |
Los Angeles |
Los Angeles |
90032 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1134163637 |
21250 |
21250 |
34.083729 |
-118.1782665 |
-121.551722325625 |
39.5023306563348 |
3356 |
Damazo, David |
1134173230 |
Physician |
INTERNAL MEDICINE |
2800 Lincoln Blvd |
Oroville |
Butte |
95966 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.5023306564 |
-121.551722326 |
-118.253407499856 |
34.1334925276581 |
3381 |
Kazazian, Navasart |
1134225576 |
Dentist |
UNKNOWN |
204 E Chevy Chase Dr, #1 |
Glendale |
Los Angeles |
91205 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1134225576 |
21250 |
21250 |
34.1334925276 |
-118.2534075 |
-118.382935499773 |
33.9456045317238 |
3384 |
Wong, Derek |
1134199946 |
Physician |
UNKNOWN |
5767 W. Century Blvd. |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
33.9456045323 |
-118.3829355 |
-122.019410920078 |
36.980148208573 |
3390 |
Halpern, Stephen |
1134229206 |
Physician |
UNKNOWN |
550A Water Street |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1134229206 |
46750 |
8500 |
36.9801482094 |
-122.01941092 |
-119.018416499822 |
35.3738699996009 |
3394 |
Paul, Jacqueline |
1134232473 |
Physician |
INTERNAL MEDICINE |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
3401 |
Mayweather, George |
1134243470 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-115.519092902216 |
33.235823987687 |
3403 |
DiCero, Eugene |
1134252521 |
Physician |
PEDIATRIC MEDICINE |
8027 Hwy 111 |
Niland |
Imperial |
92257 |
California |
2012 |
2013 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1679654750 |
21250 |
21250 |
33.2358239883 |
-115.519092902 |
-118.416915000127 |
34.2704250003135 |
3409 |
Rafieyan, Nazafarin |
1134261738 |
Dentist |
UNKNOWN |
13003 Van Nuys Blvd, Ste H |
Pacoima |
Los Angeles |
91331 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1235438672 |
21250 |
21250 |
34.270425 |
-118.416915 |
-121.02100650015 |
37.659474000225 |
3411 |
Singh, Amrit |
1134259351 |
Dentist |
UNKNOWN |
1100 Carver Rd, Suite# 5 |
Modesto |
Stanislaus |
95350 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1477866481 |
21250 |
21250 |
37.659474 |
-121.0210065 |
-116.412129000153 |
33.7391640004183 |
3414 |
Cros, Raymond |
1134261001 |
Dentist |
UNKNOWN |
71843 Highway 111, Suite A |
Rancho Mirage |
Riverside |
92270 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1134261001 |
21250 |
21250 |
33.739164 |
-116.412129 |
-117.867477936358 |
33.7790861138332 |
3426 |
Wu, Sungpin |
1134280373 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.278079930944 |
34.1340376094482 |
3440 |
Pham, Thanh |
1134287667 |
Dentist |
UNKNOWN |
355 East 21St, Ste B |
San Bernardino |
San Bernardino |
92404 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1134287667 |
21250 |
21250 |
34.1340376086 |
-117.278079931 |
-117.867477936358 |
33.7790861138332 |
3445 |
Elmirahem, Manal |
1134291685 |
Dentist |
UNKNOWN |
530 South Main St., Ste 17 |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
3448 |
saweres, bassem |
1134295199 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.326390486732 |
33.9321870002299 |
3458 |
bina, pedram |
1134300866 |
Dentist |
UNKNOWN |
11344-A South Crenshaw Blvd. |
Inglewood |
Los Angeles |
90303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043599657 |
21250 |
21250 |
33.932187 |
-118.326390487 |
-117.370366796291 |
34.080133789243 |
3460 |
Reynolds, Taran |
1134319379 |
Dentist |
UNKNOWN |
1130 Riverside Ave |
Rialto |
San Bernardino |
92376 |
California |
2018 |
2019 |
2 |
MU |
DENTAL CORP AHUJA |
1285046763 |
29750 |
8500 |
34.0801337894 |
-117.370366796 |
-117.077796000085 |
32.6040929995923 |
3470 |
Broas, Alberto |
1134334626 |
Dentist |
UNKNOWN |
1295 Broadway, Suite 204 |
Chula Vista |
San Diego |
91911 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1134334626 |
21250 |
21250 |
32.604093 |
-117.077796 |
-117.867477936358 |
33.7790861138332 |
3472 |
Hallak, Lojyn |
1134314909 |
Dentist |
UNKNOWN |
530 South Main St., Su 101 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.991080000242 |
33.7593389163579 |
3474 |
Duong, Hien |
1134340524 |
Dentist |
UNKNOWN |
7911 Westminster Blvd |
Westminster |
Orange |
92683 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1134340524 |
21250 |
21250 |
33.7593389164 |
-117.99108 |
-119.81951550034 |
36.8377829997856 |
3477 |
Sorensen, Jason |
1134346844 |
Dentist |
UNKNOWN |
1480 W Herndon Ave |
Fresno |
Fresno |
93711 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1952528671 |
21250 |
21250 |
36.837783 |
-119.8195155 |
-117.940614340379 |
33.776105929645 |
3478 |
Hoang, Anh |
1134346257 |
Dentist |
UNKNOWN |
11031 Acacia Parkway |
Garden Grove |
Orange |
92840 |
California |
2017 |
2018 |
2 |
MU |
D HOANG, DDS INC ANH |
1316282825 |
29750 |
8500 |
33.7761059299 |
-117.94061434 |
-117.163974713262 |
32.7328816281847 |
3500 |
LUU, DAN |
1134389026 |
Physician |
FAMILY PRACTICE |
2630 First AVe |
San Diego |
San Diego |
92103 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1134389026 |
29750 |
8500 |
32.7328816275 |
-117.163974713 |
-117.867477936358 |
33.7790861138332 |
3509 |
Pampaniya, Aditi |
1134397342 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.491111179238 |
37.3252442488231 |
3515 |
Foroozan, Salma |
1134420631 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1208 Paseo Verde Dr. |
Merced |
Merced |
95348 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1184674582 |
21250 |
21250 |
37.3252442495 |
-120.491111179 |
-119.159698864611 |
34.2931563264034 |
3520 |
Handlers, Kathleen |
1134421340 |
Dentist |
UNKNOWN |
200 S Wells Rd Ste 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
2 |
MU |
DEL CAMINO REAL INC CLINICAS |
1912135179 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-120.491111179238 |
37.3252442488231 |
3524 |
park, SUNNY |
1134445745 |
Nurse Practitioner |
NURSE PRACTITIONER |
1208 paseo verde Dr. |
Merced |
Merced |
95348 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1184674582 |
21250 |
21250 |
37.3252442495 |
-120.491111179 |
-117.867477936358 |
33.7790861138332 |
3530 |
GUIRGUIS, MOUNIR |
1134458177 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.280898999789 |
34.1359165342207 |
3532 |
Bush, Carla |
1134456379 |
Certified Nurse - Midwife |
UNKNOWN |
249 E Highland Ave |
San Bernardino |
San Bernardino |
92404 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1871553347 |
21250 |
21250 |
34.1359165342 |
-117.280899 |
-119.159698864611 |
34.2931563264034 |
3541 |
Verghese, Veena |
1134479678 |
Doctor of Optometry |
UNKNOWN |
200 S. Wells Rd, Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1679631907 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.435738296385 |
34.0755468592002 |
3545 |
Bozorgmanesh, Hamed |
1134503741 |
Dentist |
UNKNOWN |
9810 Sierra Ave #D |
Fontana |
San Bernardino |
92335 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1902185846 |
21250 |
21250 |
34.0755468591 |
-117.435738296 |
-119.294905499589 |
36.3278790000159 |
3564 |
Swehli, Ehab |
1134551534 |
Physician |
UNKNOWN |
400 W Mineral King Ave |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1134551534 |
21250 |
21250 |
36.327879 |
-119.2949055 |
-122.236999565278 |
37.4867480316964 |
3565 |
Kumar, Unknown Shaveta |
1134556004 |
Dentist |
UNKNOWN |
193 ARCH ST STE B-C |
REDWOOD CITY |
San Mateo |
94062 |
California |
2020 |
2020 |
2 |
MU |
Designated Payee Name not Found |
1134556004 |
29750 |
8500 |
37.4867480317 |
-122.236999565 |
-120.967203073963 |
38.6625421010372 |
3568 |
Eltejaye, Ahmad |
1134565963 |
Dentist |
UNKNOWN |
3100 Ponte Morino Dr, Ste. 1 |
Cameron Park |
El Dorado |
95682 |
California |
2018 |
2019 |
4 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
46750 |
8500 |
38.6625421005 |
-120.967203074 |
-118.29143249971 |
34.0936289996786 |
3572 |
ZADFAR, ANOOSH |
1134578743 |
Dentist |
UNKNOWN |
1200 N Vermont Ave, Unit C |
Los Angeles |
Los Angeles |
90029 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1134578743 |
21250 |
21250 |
34.093629 |
-118.2914325 |
-118.115460000179 |
33.872907486991 |
3591 |
Kato, Stephen |
1144236399 |
Physician |
PEDIATRIC MEDICINE |
10251 Artesia Blvd |
Bellflower |
Los Angeles |
90706 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1144236399 |
46750 |
8500 |
33.8729074874 |
-118.11546 |
-117.26653500019 |
32.9945579997519 |
3597 |
HUANG, PETER |
1144245556 |
Physician |
PSYCHIATRY |
505 Lomas Santa Fe Dr, 260 |
Solana Beach |
San Diego |
92075 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760431670 |
21250 |
21250 |
32.994558 |
-117.266535 |
-118.185354000187 |
33.7685130003747 |
3599 |
Reddy, Usha Rani |
1144252446 |
Physician |
UNKNOWN |
123 Atlantic Avenue |
Long Beach |
Los Angeles |
90802 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1144252446 |
21250 |
21250 |
33.768513 |
-118.185354 |
-118.366308000114 |
33.9618060000469 |
3608 |
Biamby, Gisele |
1144261843 |
Physician |
UNKNOWN |
601 West Manchester Blvd |
Inglewood |
Los Angeles |
90301 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1144261843 |
21250 |
21250 |
33.961806 |
-118.366308 |
-121.346739000005 |
38.609433000033 |
3609 |
pia, lally |
1144265570 |
Physician |
UNKNOWN |
5030 El Camino Ave |
Carmichael |
Sacramento |
95608 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1144265570 |
21250 |
21250 |
38.609433 |
-121.346739 |
-117.228744000335 |
33.9171795500962 |
3612 |
McKeown, Karen |
1144271479 |
Physician |
GENERAL PRACTICE |
24853 Alessandro Blvd, #4 |
Moreno Valley |
Riverside |
92553 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1124399860 |
21250 |
21250 |
33.9171795495 |
-117.228744 |
-117.962019000077 |
33.8330069995734 |
3618 |
Le, Huong |
1144282401 |
Physician |
UNKNOWN |
2265 WEST LINCOLN AVE |
ANAHEIM |
Orange |
92801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1306913645 |
21250 |
21250 |
33.833007 |
-117.962019 |
-117.083254011663 |
32.638078788905 |
3632 |
Argoud, Georges |
1144303538 |
Physician |
UNKNOWN |
340 Fourth Ave, 7A |
Chula Vista |
San Diego |
91910 |
California |
2018 |
2019 |
4 |
MU |
DIEGO COASTAL ENDOCRINOL SAN |
1801985791 |
46750 |
8500 |
32.6380787888 |
-117.083254012 |
-118.201593564691 |
33.9796489433441 |
3634 |
Lalezarzadeh, Farhad |
1144304759 |
Dentist |
UNKNOWN |
3559 E. Gage Ave. |
Bell |
Los Angeles |
90201 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1720280456 |
21250 |
21250 |
33.9796489429 |
-118.201593565 |
-122.535873000139 |
37.9473930000869 |
3638 |
Grimes, Pamela |
1144309691 |
Nurse Practitioner |
NURSE PRACTITIONER |
250 Bon Air Rd |
Greenbrae |
Marin |
94904 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1568525699 |
21250 |
21250 |
37.947393 |
-122.535873 |
-118.287253063278 |
34.0617897976611 |
3648 |
Baggot, Patrick |
1144319609 |
Physician |
OBSTETRICS/GYNECOLOGY |
3020 Wilshire Blvd, Suite 219 |
Los Angeles |
Los Angeles |
90010 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1144319609 |
21250 |
21250 |
34.0617897985 |
-118.287253063 |
-118.290635999851 |
34.0981185349425 |
3650 |
SKLANSKY, MARK |
1144323213 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
4650 W Sunset Blvd |
Los Angeles |
Los Angeles |
90027 |
California |
2012 |
2013 |
1 |
AIU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.0981185351 |
-118.290636 |
-118.187289000387 |
33.7727430002893 |
3662 |
liovin, helen |
1144347022 |
Physician |
UNKNOWN |
456 Elm Ave |
Long Beach |
Los Angeles |
90802 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1104942044 |
21250 |
21250 |
33.772743 |
-118.187289 |
-117.971638691872 |
33.7449749050679 |
3668 |
Ho, Dennis |
1144356536 |
Doctor of Optometry |
UNKNOWN |
9039 Bolsa Ave, 110 |
Westminster |
Orange |
92683 |
California |
2014 |
2016 |
1 |
AIU |
DENNIS ANHVU OD HO |
1144356536 |
21250 |
21250 |
33.7449749049 |
-117.971638692 |
-117.873174456236 |
33.727029764612 |
3673 |
Georgieff, Evan |
1144367699 |
Dentist |
UNKNOWN |
620 W Edinger Ave |
Santa Ana |
Orange |
92707 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1194899864 |
21250 |
21250 |
33.7270297647 |
-117.873174456 |
-118.564924407136 |
34.4371390459303 |
3674 |
Castillo, Rosario |
1144366519 |
Dentist |
UNKNOWN |
27616 Newhall Ranch Rd Unit 5 |
Valencia |
Los Angeles |
91355 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1144366519 |
21250 |
21250 |
34.4371390457 |
-118.564924407 |
-119.85441299986 |
36.8053559999794 |
3677 |
fox, david |
1144374091 |
Physician |
PSYCHIATRY |
3443 W Shaw Ave |
Fresno |
Fresno |
93711 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1508910449 |
21250 |
21250 |
36.805356 |
-119.854413 |
-118.222389000252 |
33.8955840003014 |
3680 |
an, scott |
1144376138 |
Dentist |
UNKNOWN |
162 East Compton Blvd. |
Compton |
Los Angeles |
90220 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1891900676 |
21250 |
21250 |
33.895584 |
-118.222389 |
-118.357742934289 |
34.0908854064364 |
3683 |
Kovalevsky, Marina |
1144377607 |
Physician |
INTERNAL MEDICINE |
7737 Santa Monica Bl |
Los Angeles |
Los Angeles |
90046 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1033164579 |
21250 |
21250 |
34.0908854055 |
-118.357742934 |
-117.016861499559 |
32.6368530003657 |
3688 |
Gibson, Glenn |
1144381427 |
Dentist |
UNKNOWN |
885 Canarios Ct, Suite 204 |
Chula Vista |
San Diego |
91910 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1386882215 |
21250 |
21250 |
32.636853 |
-117.0168615 |
-117.429556499633 |
34.099218473254 |
3691 |
Lim, Andrew |
1144384967 |
Dentist |
UNKNOWN |
17185 Arrow Blvd |
Fontana |
San Bernardino |
92335 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1144384967 |
21250 |
21250 |
34.0992184726 |
-117.4295565 |
-117.867477936358 |
33.7790861138332 |
3692 |
afshari-aliabad, nahid |
1144382276 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.058183049808 |
33.0015690002093 |
3695 |
Fattouch, Robert |
1144386194 |
Dentist |
UNKNOWN |
15835 Pomerado Rd, Suite 303 |
Poway |
San Diego |
92064 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1619243227 |
21250 |
21250 |
33.001569 |
-117.05818305 |
-116.930614133036 |
32.8561600827217 |
3696 |
BLACKSTOCK, BURCH |
1144387234 |
Dentist |
UNKNOWN |
12110 Woodside Ave |
Lakeside |
San Diego |
92040 |
California |
2017 |
2018 |
3 |
MU |
DENTAL WOODSIDE |
1417168881 |
38250 |
8500 |
32.8561600833 |
-116.930614133 |
-121.849251715594 |
36.6018179379475 |
3697 |
wang, weidong |
1144388430 |
Dentist |
UNKNOWN |
1165 Fremont Blvd |
Seaside |
Monterey |
93955 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1457767048 |
21250 |
21250 |
36.6018179383 |
-121.849251716 |
-117.867477936358 |
33.7790861138332 |
3702 |
ELIA, BACHAR |
1144389065 |
Dentist |
UNKNOWN |
530 South Main St., Suite A |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.160377516809 |
32.7500307121477 |
3703 |
WRIGHT, GWENDOLYN |
1144391905 |
Physician |
UNKNOWN |
550 Washington St., Suite 300 |
San Diego |
San Diego |
92103 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1144391905 |
38250 |
8500 |
32.7500307119 |
-117.160377517 |
-121.815622064107 |
39.7352903898397 |
3709 |
Farley, Donna |
1144396250 |
Nurse Practitioner |
UNKNOWN |
1469 Humboldt RD, Suite# 2 |
Chico |
Butte |
95928 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1144396250 |
21250 |
21250 |
39.7352903902 |
-121.815622064 |
-119.159698864611 |
34.2931563264034 |
3710 |
Thorne, Olga |
1144400656 |
Physician |
OBSTETRICS/GYNECOLOGY |
200 S. Wells Rd., Suite 200 |
Ventura |
Ventura |
93004 |
California |
2013 |
2013 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.158362204252 |
33.9672632975632 |
3711 |
Salem, Galal |
1144401506 |
Physician |
GENERAL PRACTICE |
5985 Florence Ave, Suite N |
Bell Gardens |
Los Angeles |
90201 |
California |
2014 |
2016 |
3 |
MU |
Designated Payee Name not Found |
1144401506 |
38250 |
8500 |
33.9672632981 |
-118.158362204 |
-118.126464828689 |
34.094580140661 |
3713 |
Young, Amelia |
1144405903 |
Physician |
UNKNOWN |
35 S Garfield Ave |
Alhambra |
Los Angeles |
91801 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1144405903 |
21250 |
21250 |
34.094580141 |
-118.126464829 |
-121.931844043068 |
37.3128740632874 |
3714 |
Yeh, Kelly |
1144398058 |
Physician |
ANESTHESIOLOGY |
751 S Bascom Ave, Anesthesiology Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1144398058 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.537790499632 |
34.1283960003752 |
3720 |
le, dianne |
1144418567 |
Dentist |
UNKNOWN |
12252 Eton Dr |
Rancho Cucamonga |
San Bernardino |
91739 |
California |
2013 |
2014 |
1 |
AIU |
dianne thanh le |
1144418567 |
21250 |
21250 |
34.128396 |
-117.5377905 |
-117.867477936358 |
33.7790861138332 |
3724 |
Suliman, sam |
1144418575 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
3725 |
Elhussiny, Aliaa |
1144421918 |
Dentist |
UNKNOWN |
530 South Main St., Ste. #101 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.946440000206 |
33.851204999711 |
3736 |
Quevedo, Violeta |
1144437922 |
Nurse Practitioner |
UNKNOWN |
1801 W Romneya Dr, Ste 507 |
Anaheim |
Orange |
92801 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1386915890 |
21250 |
21250 |
33.851205 |
-117.94644 |
-120.341476002116 |
36.1515714814388 |
3750 |
Castolo, Jose |
1144474206 |
Nurse Practitioner |
UNKNOWN |
1145 Phelps Ave, Suite 104 |
Coalinga |
Fresno |
93210 |
California |
2018 |
2019 |
2 |
MU |
Designated Payee Name not Found |
1144474206 |
29750 |
8500 |
36.1515714812 |
-120.341476002 |
-120.647045100951 |
35.2751501739414 |
3751 |
Marks, Russell |
1144478751 |
Physician |
PSYCHIATRY |
2180 Johnson Ave |
San Luis Obispo |
San Luis Obispo |
93401 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1376754143 |
21250 |
21250 |
35.2751501744 |
-120.647045101 |
-121.551722325625 |
39.5023306563348 |
3754 |
Nelson, Christine |
1144483702 |
Nurse Practitioner |
UNKNOWN |
2800 Lincoln Blvd |
Oroville |
Butte |
95966 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.5023306564 |
-121.551722326 |
-117.867477936358 |
33.7790861138332 |
3758 |
Sadduk, Ali |
1144487679 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
3767 |
Azizzadeh, katrin A |
1144525247 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.86305199965 |
37.4923349997605 |
3768 |
Moran, Esmeralda |
1144528498 |
Physician |
UNKNOWN |
1200 W. Main Street |
Turlock |
Stanislaus |
95380 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1144528498 |
21250 |
21250 |
37.492335 |
-120.863052 |
-117.178010999908 |
33.1378739996854 |
3772 |
Namavar, Vida |
1144532672 |
Dentist |
UNKNOWN |
670 W San Marcos Blvd, Suite 103 |
San Marcos |
San Diego |
92078 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1609205426 |
21250 |
21250 |
33.137874 |
-117.178011 |
-118.21629060123 |
33.9038603963403 |
3782 |
Kidd, Jeanette |
1144584806 |
Nurse Practitioner |
UNKNOWN |
1112 N. Santa Fe Ave |
Compton |
Los Angeles |
90221 |
California |
2016 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1427471846 |
29750 |
8500 |
33.9038603958 |
-118.216290601 |
-119.159698864611 |
34.2931563264034 |
3797 |
Sharpe, Ingrid |
1144619784 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S Wells Rd, Suite #200 |
Ventura |
Ventura |
93004 |
California |
2016 |
2016 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1679631907 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-119.221061037737 |
34.1986410003819 |
3801 |
Chen, John |
1144633355 |
Dentist |
UNKNOWN |
480 S VICTORIA AVE, SUITE D |
OXNARD |
Ventura |
93030 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1467635243 |
21250 |
21250 |
34.198641 |
-119.221061038 |
-119.159698864611 |
34.2931563264034 |
3807 |
Simarro, Nathan |
1144637661 |
Dentist |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2015 |
2015 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1679631907 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-117.169275794942 |
32.7879564007673 |
3815 |
Luu, Thanh |
1144655812 |
Dentist |
UNKNOWN |
7011 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2016 |
2017 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1457724858 |
21250 |
21250 |
32.787956401 |
-117.169275795 |
-117.867477936358 |
33.7790861138332 |
3816 |
Chau, Jennifer |
1144659699 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.096649475593 |
32.6724439653168 |
3828 |
Dacanay-Herman, Rowena |
1144689175 |
Nurse Practitioner |
UNKNOWN |
1428 Highland Ave |
National City |
San Diego |
91950 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1144689175 |
21250 |
21250 |
32.6724439651 |
-117.096649476 |
-117.143758378147 |
32.9138358907138 |
3841 |
Lai, Tung |
1154317022 |
Physician |
UNKNOWN |
10737 Camino Ruiz, Suite 200 |
San Diego |
San Diego |
92126 |
California |
2017 |
2018 |
2 |
MU |
DIEGO PHYSICIANS CLINIC SAN |
1427152701 |
29750 |
8500 |
32.9138358909 |
-117.143758378 |
-117.976152677904 |
33.8508857565724 |
3848 |
KARP, DENIS |
1154328771 |
Physician |
UNKNOWN |
1236 N. Magnolia Ave. |
Anaheim |
Orange |
92801 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.8508857566 |
-117.976152678 |
-117.933002689922 |
33.9906554014257 |
3850 |
Choo, Daniel |
1154325702 |
Physician |
UNKNOWN |
17134 Colima Rd, Ste #E |
Hacienda Heights |
Los Angeles |
91745 |
California |
2016 |
2017 |
4 |
MU |
DANIEL MD CHOO |
1528062072 |
46750 |
8500 |
33.9906554012 |
-117.93300269 |
-119.018416499822 |
35.3738699996009 |
3856 |
KENDALL, CAROL |
1154340099 |
Nurse Practitioner |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.018416499822 |
35.3738699996009 |
3865 |
De la Cruz, Dmitri |
1154337053 |
Physician |
PEDIATRIC MEDICINE |
1430 Truxton Ave, Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.944568000213 |
33.8515199998482 |
3866 |
LE, NGUYET |
1154346542 |
Physician |
FAMILY PRACTICE |
1771 W Romneya Dr Ste E1 |
Anaheim |
Orange |
92801 |
California |
2019 |
2020 |
6 |
MU |
Designated Payee Name not Found |
1154346542 |
63750 |
8500 |
33.85152 |
-117.944568 |
-118.39585287511 |
33.9186042893565 |
3887 |
Eugenio, Carmen |
1154388668 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
222 N Sepulveda Blvd, Suite 1800 |
El Segundo |
Los Angeles |
90245 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336384619 |
21250 |
21250 |
33.9186042888 |
-118.395852875 |
-120.410188638295 |
34.9528195458854 |
3902 |
Dillon, Keith |
1154407534 |
Physician |
UNKNOWN |
1510 E Main St, Suite 104 |
Santa Maria |
Santa Barbara |
93454 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1154407534 |
21250 |
21250 |
34.9528195462 |
-120.410188638 |
-117.569339253903 |
34.1022039157781 |
3906 |
Patel, Geeta |
1154414357 |
Physician |
OBSTETRICS/GYNECOLOGY |
8330 Red Oak Street, Suite 101 |
Rancho Cucamonga |
San Bernardino |
91730 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1154414357 |
29750 |
8500 |
34.1022039159 |
-117.569339254 |
-117.139162499849 |
33.5500649998999 |
3910 |
Hananian, Juliet |
1154418077 |
Dentist |
UNKNOWN |
39252 Winchester Rd, Suite 117 |
Murrieta |
Riverside |
92563 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598065930 |
21250 |
21250 |
33.550065 |
-117.1391625 |
-118.193679000086 |
33.9425640003284 |
3911 |
Thompson, Karla |
1154420677 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-118.399091980411 |
34.0619130002848 |
3914 |
Nazarian, Armine |
1154422053 |
Dentist |
UNKNOWN |
300 S Beverly Drive, Ste 303 |
Beverly Hills |
Los Angeles |
90212 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1801159900 |
21250 |
21250 |
34.061913 |
-118.39909198 |
-118.246191531314 |
33.9426899692667 |
3915 |
Logan, Deirdre |
1154427144 |
Physician |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2012 |
2013 |
1 |
AIU |
Deirdre Dene Logan |
1154427144 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
-117.885145036114 |
33.7610940476523 |
3927 |
Desai, Madhavi |
1154440303 |
Dentist |
UNKNOWN |
1800 N Bristol St, #D |
Santa Ana |
Orange |
92706 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1154440303 |
21250 |
21250 |
33.7610940485 |
-117.885145036 |
-117.867477936358 |
33.7790861138332 |
3928 |
Meng, Zhi |
1154442457 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.2601169999 |
34.0282619997915 |
3931 |
Nykolaychuck, Ivanna |
1154447258 |
Dentist |
UNKNOWN |
514 E Washington Blvd |
Los Angeles |
Los Angeles |
90015 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1154447258 |
21250 |
21250 |
34.028262 |
-118.260117 |
-117.867477936358 |
33.7790861138332 |
3952 |
Neerumalla, Madhavi |
1154468098 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.449428999749 |
38.5522109998378 |
3955 |
Hou, Melody |
1154471092 |
Physician |
UNKNOWN |
4860Y Street, Suite 2500 |
Sacramento |
Sacramento |
95817 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1154471092 |
17000 |
8500 |
38.552211 |
-121.449429 |
-119.039183999742 |
35.3746889995977 |
3959 |
Huq, Sahana |
1154479012 |
Physician |
PSYCHIATRY |
3300 Truxtun Avenue Ste 290 |
Bakersfield |
Kern |
93301 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1154479012 |
21250 |
21250 |
35.374689 |
-119.039184 |
-118.352775296043 |
33.937890056381 |
3963 |
cohen, john |
1154492379 |
Dentist |
UNKNOWN |
10823 Hawthorne Blvd, Ste A |
Lennox |
Los Angeles |
90304 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1154492379 |
21250 |
21250 |
33.9378900564 |
-118.352775296 |
-118.629448531824 |
34.2034560002942 |
3971 |
Melin Perel, Beth |
1154499176 |
Physician |
UNKNOWN |
7345 Medical Center Drive, Suite 400 |
West Hills |
Los Angeles |
91307 |
California |
2019 |
2020 |
3 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
38250 |
8500 |
34.203456 |
-118.629448532 |
-118.2601169999 |
34.0282619997915 |
3978 |
Hwang, Kathleen |
1154501252 |
Dentist |
UNKNOWN |
514 E Washington Blvd |
Los Angeles |
Los Angeles |
90015 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1154501252 |
21250 |
21250 |
34.028262 |
-118.260117 |
-117.196659436284 |
33.5537920000008 |
3981 |
Hajdari, Haled |
1154511145 |
Dentist |
UNKNOWN |
25285 MADISON AVE, Suite 107 |
MURRIETA |
Riverside |
92562 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1043641319 |
21250 |
21250 |
33.5537919999 |
-117.196659436 |
-118.110419999783 |
34.5795854554045 |
3983 |
Arzola, Zaida |
1154513455 |
Dentist |
UNKNOWN |
1037 E PALMDALE BLVD, STE 203 |
PALMDALE |
Los Angeles |
93550 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1275950818 |
21250 |
21250 |
34.5795854546 |
-118.11042 |
-117.867477936358 |
33.7790861138332 |
3992 |
DERKEJIAN, ARA |
1154504140 |
Dentist |
UNKNOWN |
530 South Main St., SUITE # 150 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.018416499822 |
35.3738699996009 |
3995 |
Irene, Sunday |
1154541019 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.446236463742 |
34.0652250001337 |
3999 |
Sridhar, Aparna |
1154526010 |
Physician |
UNKNOWN |
200 Medical Plz, Ste 430 |
Los Angeles |
UNKNOWN |
90095 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1154526010 |
29750 |
8500 |
34.065225 |
-118.446236464 |
-118.264111024005 |
34.0596529410304 |
4000 |
ghalchi, ojan |
1154541738 |
Dentist |
UNKNOWN |
281 South Columbia Ave |
Los Angeles |
Los Angeles |
90026 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1629258785 |
21250 |
21250 |
34.0596529412 |
-118.264111024 |
-122.646489753 |
41.7186503676204 |
4004 |
Dias, Michel-Ann |
1154557890 |
Physician |
UNKNOWN |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1154557890 |
21250 |
21250 |
41.7186503677 |
-122.646489753 |
-116.952862499805 |
32.8077314592395 |
4009 |
Simms, Lynne |
1154563187 |
Dentist |
UNKNOWN |
742 BROADWAY |
EL CAJON |
San Diego |
92021 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1114143310 |
21250 |
21250 |
32.8077314591 |
-116.9528625 |
-117.912298499576 |
33.7753079998644 |
4011 |
Pe, Irene |
1154560415 |
Physician |
UNKNOWN |
12665 Garden Grove Blvd, Suite 606 |
Garden Grove |
Orange |
92843 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1154560415 |
21250 |
21250 |
33.775308 |
-117.9122985 |
-118.326390486732 |
33.9321870002299 |
4014 |
Sage, Parham |
1154562338 |
Dentist |
UNKNOWN |
11344-A South Crenshaw Blvd. |
Inglewood |
Los Angeles |
90303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043599657 |
21250 |
21250 |
33.932187 |
-118.326390487 |
-117.867477936358 |
33.7790861138332 |
4018 |
Hidalgo, Elizabeth |
1154572535 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.679989500015 |
34.2705960001054 |
4024 |
Tocuseanu, Matt |
1154599108 |
Dentist |
UNKNOWN |
5732 E Los Angeles Ave |
Simi Valley |
Ventura |
93063 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1154599108 |
21250 |
21250 |
34.270596 |
-118.6799895 |
-117.867477936358 |
33.7790861138332 |
4035 |
Ameri, Aida |
1154610921 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
4039 |
Sotomil, Elizabeth |
1154629566 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
4040 |
McCann, David |
1154635126 |
Dentist |
UNKNOWN |
530 South Main St., Ste A2 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.404414735751 |
34.2789575259691 |
4058 |
Murphy, Patrick |
1154710234 |
Nurse Practitioner |
UNKNOWN |
12450 Van Nuys Blvd, Suite 200 |
Pacoima |
Los Angeles |
91331 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1225073786 |
21250 |
21250 |
34.2789575262 |
-118.404414736 |
-118.025319283258 |
34.071763094791 |
4063 |
galustian, armen |
1154720274 |
Dentist |
UNKNOWN |
3551 Peck Rd, Unit 101 |
El Monte |
Los Angeles |
91731 |
California |
2016 |
2016 |
1 |
AIU |
DDS, INC Zaghi |
1306242631 |
21250 |
21250 |
34.0717630952 |
-118.025319283 |
-117.867477936358 |
33.7790861138332 |
4065 |
CHOI, JAEYONG |
1154726321 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
4076 |
Diemandezi, Charlene |
1154751139 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.435623703871 |
34.0771164720476 |
4091 |
Castellanos, Mario |
1164402756 |
Dentist |
UNKNOWN |
9725 Sierra Ave |
Fontana |
San Bernardino |
92335 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1164402756 |
21250 |
21250 |
34.0771164718 |
-117.435623704 |
-120.993056999981 |
37.6951770000186 |
4123 |
DIKO, DIKO |
1164449005 |
Dentist |
UNKNOWN |
3848 McHenry Ave, Ste 130 |
Modesto |
Stanislaus |
95356 |
California |
2015 |
2015 |
1 |
AIU |
DIKO ANDROUS DIKO |
1164449005 |
21250 |
21250 |
37.695177 |
-120.993057 |
-117.904449374139 |
34.1142992037453 |
4132 |
Ahn, James |
1164462263 |
Dentist |
UNKNOWN |
315 E Gladstone St |
Azusa |
Los Angeles |
91702 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1144430455 |
21250 |
21250 |
34.1142992043 |
-117.904449374 |
-121.288304558109 |
38.1276363881089 |
4138 |
Chen, Frank |
1164466132 |
Dentist |
UNKNOWN |
541 S Ham Ln, Suite C |
Lodi |
San Joaquin |
95242 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1164466132 |
21250 |
21250 |
38.1276363877 |
-121.288304558 |
-117.853991999731 |
33.7598314813379 |
4140 |
Sirakoff, Dimitri |
1164467056 |
Physician |
FAMILY PRACTICE |
1206 E 17th St, Ste 204 |
Santa Ana |
Orange |
92701 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1235351768 |
21250 |
21250 |
33.759831481 |
-117.853992 |
-115.57033504033 |
32.7792980599576 |
4149 |
Jahangiri Haghighi, Nasrin |
1164491916 |
Dentist |
UNKNOWN |
1550 Pepper Drive, Suite #F |
El Centro |
Imperial |
92243 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164491916 |
21250 |
21250 |
32.7792980597 |
-115.57033504 |
-117.487457999687 |
34.1231579998419 |
4151 |
Gimbel, Evangeline |
1164493888 |
Physician |
UNKNOWN |
14548 Baseline Ave, #220 |
Fontana |
San Bernardino |
92336 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164493888 |
21250 |
21250 |
34.123158 |
-117.487458 |
-117.370468524902 |
34.132904999666 |
4158 |
DANO, DELFIN |
1164505020 |
Physician |
UNKNOWN |
1850 N Riverside Ave, SUITE 210 |
Rialto |
San Bernardino |
92376 |
California |
2013 |
2013 |
1 |
AIU |
DELFIN L MD INC DANO |
1164505020 |
21250 |
21250 |
34.132905 |
-117.370468525 |
-117.27576277823 |
34.1358507775914 |
4176 |
Kanakriyeh, Mohammad |
1164512281 |
Physician |
UNKNOWN |
399 East Highland, Ste 324 |
San Bernardino |
San Bernardino |
92404 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1164512281 |
21250 |
21250 |
34.1358507779 |
-117.275762778 |
-122.149151832691 |
37.7268057570801 |
4182 |
Numan, Farhad |
1164528998 |
Physician |
PSYCHIATRY |
545 Estudillo Ave |
San Leandro |
Alameda |
94577 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1205992096 |
21250 |
21250 |
37.7268057574 |
-122.149151833 |
-121.414598999744 |
38.5772760000874 |
4183 |
Nutting, Larry |
1164528501 |
Physician |
UNKNOWN |
650 Howe Ave Ste 100 |
Sacramento |
Sacramento |
95825 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1164528501 |
14166.67 |
14166.67 |
38.577276 |
-121.414599 |
-118.978325546786 |
35.3790741550483 |
4193 |
han, seung |
1164545125 |
Dentist |
UNKNOWN |
1518 NILES ST |
Bakersfield |
Kern |
93305 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164545125 |
21250 |
21250 |
35.3790741551 |
-118.978325547 |
-118.225275960717 |
33.9735330003477 |
4201 |
Zaki, Samuel |
1164560322 |
Dentist |
UNKNOWN |
7221 Pacific Blvd |
Huntington Park |
Los Angeles |
90255 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1649650979 |
21250 |
21250 |
33.973533 |
-118.225275961 |
-122.419385999964 |
37.7576460002628 |
4208 |
Yang, Henry |
1164566592 |
Dentist |
UNKNOWN |
2460 Mission St., Suite 215 |
San Francisco |
San Francisco |
94110 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1821479965 |
21250 |
21250 |
37.757646 |
-122.419386 |
-118.575332175739 |
34.4365280762098 |
4210 |
Wallace, Debra |
1164570065 |
Nurse Practitioner |
UNKNOWN |
25115 Avenue Stanford, Suite A-104 |
Valencia |
Los Angeles |
91355 |
California |
2016 |
2017 |
1 |
AIU |
DIXON FAMILY SAMUEL |
1154402675 |
21250 |
21250 |
34.4365280758 |
-118.575332176 |
-118.212475499944 |
33.9320789997461 |
4215 |
Alexandrian, Nareg |
1164578639 |
Dentist |
UNKNOWN |
11035 Long Beach Blvd, Suite 5 |
Lynwood |
Los Angeles |
90262 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1356560494 |
21250 |
21250 |
33.932079 |
-118.2124755 |
-118.443346549004 |
34.0637399640282 |
4217 |
Ziring, David |
1164522033 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Avenue, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164522033 |
14166.67 |
14166.67 |
34.0637399643 |
-118.443346549 |
-117.867477936358 |
33.7790861138332 |
4220 |
Jin, Hangqing |
1164581260 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
4227 |
KYU, E |
1164590881 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.933097158407 |
37.3110853926768 |
4229 |
Khan, Shahbaz |
1164597167 |
Physician |
UNKNOWN |
2221 Enborg Ln |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164597167 |
21250 |
21250 |
37.3110853932 |
-121.933097158 |
-117.867477936358 |
33.7790861138332 |
4234 |
Sisodia, Manisha |
1164602538 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.383824346117 |
36.7660952641851 |
4239 |
Gault, Lance |
1164615811 |
Physician |
UNKNOWN |
121 Barboza Street |
Mendota |
Fresno |
93640 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164615811 |
21250 |
21250 |
36.7660952642 |
-120.383824346 |
-118.066251048447 |
33.803231952093 |
4241 |
Wu, Derek |
1164616223 |
Physician |
UNKNOWN |
3801 Katella Ave., #221 |
Los Alamitos |
Orange |
90720 |
California |
2015 |
2017 |
3 |
MU |
DEREK J MD WU |
1164616223 |
38250 |
8500 |
33.8032319517 |
-118.066251048 |
-118.233504000209 |
33.8959364859801 |
4244 |
ONYEADOR, LINDA |
1164618054 |
Dentist |
UNKNOWN |
555 W Compton Blvd, Suite 103 |
Compton |
Los Angeles |
90220 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1164618054 |
21250 |
21250 |
33.895936486 |
-118.233504 |
-117.88526579618 |
33.733569296386 |
4248 |
Kwon, Chang Hun |
1164618724 |
Dentist |
UNKNOWN |
1112 S Bristol St |
Santa Ana |
Orange |
92704 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1447684600 |
21250 |
21250 |
33.7335692957 |
-117.885265796 |
-122.462355898706 |
37.6433442501371 |
4249 |
Carracedo, Erwin |
1164625075 |
Dentist |
UNKNOWN |
3540 Callan Blvd, Ste 100 |
South San Francisco |
San Mateo |
94080 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1619292117 |
21250 |
21250 |
37.6433442495 |
-122.462355899 |
-117.160377516809 |
32.7500307121477 |
4250 |
Hibbs, Nicole |
1164627832 |
Physician |
UNKNOWN |
550 Washington St, Ste 300 |
San Diego |
San Diego |
92103 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1164627832 |
38250 |
8500 |
32.7500307119 |
-117.160377517 |
-119.706732000082 |
36.8095409996175 |
4254 |
ALONZO, OTTO |
1164636270 |
Dentist |
UNKNOWN |
145 Shaw Ave, SUITE B2 |
Clovis |
Fresno |
93612 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164636270 |
21250 |
21250 |
36.809541 |
-119.706732 |
-121.626878573687 |
36.6796192540254 |
4258 |
Atani, Sobha |
1164639555 |
Dentist |
UNKNOWN |
950 Circle Dr |
Salinas |
Monterey |
93905 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.6796192539 |
-121.626878574 |
-121.330939499858 |
38.6179919999309 |
4265 |
Gabor, David |
1164656906 |
Dentist |
UNKNOWN |
5723 Marconi Ave, Suite A |
Carmichael |
Sacramento |
95608 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1164656906 |
21250 |
21250 |
38.617992 |
-121.3309395 |
-119.019103517114 |
35.426520807889 |
4268 |
LIM, CHING |
1164657425 |
Dentist |
UNKNOWN |
215 China Grade Loop |
BAKERSFIELD |
Kern |
93308 |
California |
2020 |
2020 |
2 |
MU |
Designated Payee Name not Found |
1164657425 |
29750 |
8500 |
35.4265208085 |
-119.019103517 |
-118.107891258175 |
34.01102663667 |
4271 |
hung, weiling |
1164660833 |
Dentist |
UNKNOWN |
137 N Montebello Blvd. |
Montebello |
Los Angeles |
90640 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1114158151 |
21250 |
21250 |
34.0110266369 |
-118.107891258 |
-117.867477936358 |
33.7790861138332 |
4277 |
Imoto, Carrie |
1164674859 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.236999565278 |
37.4867480316964 |
4278 |
Kothandapani, Revathi |
1164677142 |
Dentist |
UNKNOWN |
193 Arch St, Suite B-C |
Redwood City |
San Mateo |
94062 |
California |
2020 |
2020 |
2 |
MU |
Designated Payee Name not Found |
1124093752 |
29750 |
8500 |
37.4867480317 |
-122.236999565 |
-117.867477936358 |
33.7790861138332 |
4279 |
Silva Suarez, Arturo |
1164675971 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
4292 |
Rojas, Jenniffer |
1164692836 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.16164973105 |
32.7512135688512 |
4318 |
Gumanovsky, Maya |
1164763173 |
Nurse Practitioner |
UNKNOWN |
4060 4th Ave Ste 100 |
San Diego |
San Diego |
92103 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1164763173 |
21250 |
21250 |
32.7512135692 |
-117.161649731 |
-119.159698864611 |
34.2931563264034 |
4321 |
Chandrasekharan, Nivedita |
1164763058 |
Doctor of Optometry |
UNKNOWN |
200 S. Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2017 |
2018 |
2 |
MU |
DEL CAMINO REAL INC CLINICAS |
1912135179 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-122.46118324571 |
37.7624926958812 |
4322 |
Lucas, Seth |
1164772752 |
Dentist |
UNKNOWN |
707 Parnassus Ave Rm D-3000 |
San Francisco |
San Francisco |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164772752 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-117.867477936358 |
33.7790861138332 |
4325 |
sirenko, sergey |
1164779187 |
Dentist |
UNKNOWN |
530 South Main St., 503 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.942005444995 |
33.8714856876144 |
4328 |
Rios Loaiza, Jose |
1164781662 |
Dentist |
UNKNOWN |
201 N Euclid St |
Fullerton |
Orange |
92832 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1558760892 |
21250 |
21250 |
33.871485688 |
-117.942005445 |
-124.158637016985 |
40.5980302930636 |
4340 |
heiob, roxane |
1164834578 |
Nurse Practitioner |
UNKNOWN |
874 Main Street |
Fortuna |
Humboldt |
95540 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1164834578 |
21250 |
21250 |
40.5980302928 |
-124.158637017 |
-118.208106540385 |
34.0469818729152 |
4341 |
SAMOHA, SHMUEL |
1164729885 |
Dentist |
UNKNOWN |
2323 East Cesar Chavez Avenue |
Los Angeles |
Los Angeles |
90033 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164729885 |
21250 |
21250 |
34.0469818734 |
-118.20810654 |
-117.867477936358 |
33.7790861138332 |
4351 |
SHASTRY, SHRUTI |
1164868063 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.50107254816 |
34.1693100003563 |
4358 |
Ferry, David |
1174502793 |
Physician |
PEDIATRIC MEDICINE |
5400 Balboa Blvd, Ste 202 |
Encino |
Los Angeles |
91316 |
California |
2012 |
2012 |
1 |
AIU |
DAVID A MD FERRY |
1174502793 |
21250 |
21250 |
34.16931 |
-118.501072548 |
-121.846701383962 |
37.3616636998199 |
4363 |
Nguyen, Lan |
1174516264 |
Physician |
OPHTHALMOLOGY |
135 N. JACKSON AVE., STE 101 |
San Jose |
Santa Clara |
95116 |
California |
2017 |
2018 |
5 |
MU |
Designated Payee Name not Found |
1174516264 |
55250 |
8500 |
37.3616636999 |
-121.846701384 |
-121.626878573687 |
36.6796192540254 |
4367 |
Villanueva, Ignacio |
1174533038 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
950 Circle Dr |
Salinas |
Monterey |
93905 |
California |
2015 |
2017 |
2 |
MU |
DE SALUD DEL CLINICA |
1023159811 |
29750 |
8500 |
36.6796192539 |
-121.626878574 |
-119.018416499822 |
35.3738699996009 |
4368 |
RAO, ANURADHA |
1174534069 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.331090277894 |
36.2333848449347 |
4377 |
Pierson, Kenneth |
1174546675 |
Dentist |
UNKNOWN |
1979 Hillman St |
Tulare |
Tulare |
93274 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1174546675 |
21250 |
21250 |
36.2333848453 |
-119.331090278 |
-118.443346549004 |
34.0637399640282 |
4382 |
Churchill, Bernard |
1174548176 |
Physician |
UROLOGY |
10833 Le Conte Ave |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1174548176 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-118.294334999561 |
33.8924760242492 |
4387 |
Hogan, Anjanette |
1174551964 |
Physician |
PEDIATRIC MEDICINE |
1141 west Redondo Beach Blvd, Suite 409 |
Gardena |
Los Angeles |
90247 |
California |
2017 |
2017 |
6 |
MU |
Designated Payee Name not Found |
1174551964 |
63750 |
8500 |
33.8924760238 |
-118.294335 |
-117.956395363955 |
33.7016155926855 |
4394 |
GRAINEY, RICHARD |
1174570782 |
Physician |
PEDIATRIC MEDICINE |
9930 Talbert Ave. |
Fountain Valley |
Orange |
92708 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.7016155931 |
-117.956395364 |
-121.645808999686 |
36.6576570002704 |
4397 |
NAIMARK, ROBERT |
1174578272 |
Physician |
UNKNOWN |
260 San Jose St |
Salinas |
Monterey |
93901 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1174578272 |
21250 |
21250 |
36.657657 |
-121.645809 |
-117.863145000042 |
33.7876200001629 |
4406 |
Chueh, Daniel |
1174589642 |
Physician |
UNKNOWN |
1010 W Chapman |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1174589642 |
21250 |
21250 |
33.78762 |
-117.863145 |
-117.920282704083 |
33.7727745583992 |
4407 |
Truong, Steven-Hung |
1174605711 |
Dentist |
UNKNOWN |
13112 Harbor Blvd |
Garden Grove |
Orange |
92843 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1770669830 |
21250 |
21250 |
33.7727745577 |
-117.920282704 |
-118.290770999782 |
34.0036634706927 |
4420 |
noorvash, ramin |
1174618136 |
Dentist |
UNKNOWN |
968 W Vernon Ave |
LA |
Los Angeles |
90037 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1568667236 |
21250 |
21250 |
34.0036634713 |
-118.290771 |
-117.960728359626 |
33.7887149400425 |
4425 |
Nguyen, Jaime |
1174623615 |
Dentist |
UNKNOWN |
9871 Chapman Ave |
Garden Grove |
Orange |
92841 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1508256454 |
21250 |
21250 |
33.78871494 |
-117.96072836 |
-118.193134500157 |
33.9424919997061 |
4439 |
Sheu, Kerry |
1174636310 |
Physician |
PEDIATRIC MEDICINE |
4476 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1174636310 |
46750 |
8500 |
33.942492 |
-118.1931345 |
-118.443346549004 |
34.0637399640282 |
4441 |
Puthenveetil, Geetha |
1174626683 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1679875942 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-118.02862679639 |
33.7891139998113 |
4444 |
Huynh, Hollie |
1174636872 |
Doctor of Optometry |
UNKNOWN |
11893 Valley View St |
Garden Grove |
Orange |
92845 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1174636872 |
21250 |
21250 |
33.789114 |
-118.028626796 |
-122.270795908804 |
37.7851006286911 |
4449 |
Mallya, Purandar |
1174641864 |
Physician |
PSYCHIATRY |
1080 Marina Village Parkway, Suite 100 |
Alameda |
Alameda |
94501 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1922171073 |
21250 |
21250 |
37.7851006289 |
-122.270795909 |
-119.083132257448 |
35.3131677939586 |
4454 |
Gordon, Eural |
1174657514 |
Nurse Practitioner |
PHYSICIAN ASSISTANT |
7400 District Blvd. Suite C |
Bakersfield |
Kern |
93313 |
California |
2012 |
2013 |
1 |
MU |
Designated Payee Name not Found |
1174657514 |
21250 |
21250 |
35.3131677941 |
-119.083132257 |
-117.933002689922 |
33.9906554014257 |
4455 |
WONG, CATHERINE |
1174656789 |
Nurse Practitioner |
UNKNOWN |
17134 Colima Rd Ste E |
Hacienda Heights |
Los Angeles |
91745 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1174656789 |
21250 |
21250 |
33.9906554012 |
-117.93300269 |
-117.835912203785 |
33.8193135003178 |
4456 |
Patel, Vikas |
1174660799 |
Dentist |
UNKNOWN |
1893 N Tustin St |
Orange |
Orange |
92865 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1174660799 |
21250 |
21250 |
33.8193135 |
-117.835912204 |
-117.867477936358 |
33.7790861138332 |
4465 |
Nishino, Philip |
1174670178 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.366138499792 |
38.7112499999876 |
4466 |
salama, mahmoud |
1174672786 |
Dentist |
UNKNOWN |
7897 WALERGA RD, SUITE 119 |
ANTELOPE |
Sacramento |
95843 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1851731442 |
21250 |
21250 |
38.71125 |
-121.3661385 |
-117.867477936358 |
33.7790861138332 |
4467 |
Nguyen, Tao |
1174673024 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.157435599673 |
32.7912215450383 |
4469 |
Nguyen, Khoung |
1174675078 |
Dentist |
UNKNOWN |
2780 Cardinal Road, Suite A |
San Diego |
San Diego |
92123 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1639517394 |
21250 |
21250 |
32.7912215445 |
-117.1574356 |
-117.867477936358 |
33.7790861138332 |
4471 |
tran, Henry |
1174677686 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
4472 |
CHEN, CONNIE |
1174677819 |
Dentist |
UNKNOWN |
530 South Main St., SUITE 100 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
4473 |
knapp, farideh |
1174680243 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.931844043068 |
37.3128740632874 |
4474 |
Schroeder, Alan |
1174675318 |
Physician |
UNKNOWN |
751 S Bascom Ave, Pediatrics Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1174675318 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.867477936358 |
33.7790861138332 |
4475 |
Madala, Nirmala |
1174681662 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.100958397712 |
40.9351139998113 |
4484 |
Lyons, Laura |
1174693436 |
Nurse Practitioner |
UNKNOWN |
1644 Central Avenue |
McKinleyville |
Humboldt |
95519 |
California |
2018 |
2019 |
6 |
MU |
DOOR COMM HLTH CTRS OPEN |
1598858169 |
63750 |
8500 |
40.935114 |
-124.100958398 |
-117.867477936358 |
33.7790861138332 |
4486 |
Gill, Amanpreet |
1174691083 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.396491247173 |
34.2077081073433 |
4496 |
Snyder, Mark |
1174698484 |
Physician |
UNKNOWN |
7544 Laurel Canyon Blvd, Suite 1 |
Hollywood |
UNKNOWN |
91605 |
California |
2020 |
2020 |
4 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
46750 |
8500 |
34.2077081071 |
-118.396491247 |
-117.867477936358 |
33.7790861138332 |
4500 |
Tran, Vinh |
1174711253 |
Dentist |
UNKNOWN |
530 South Main St., Suite 102 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
4502 |
ALEAGHA, NIMA |
1174713937 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.082166958638 |
33.8591196884229 |
4511 |
Carigma, Cecilia |
1174719058 |
Physician |
PEDIATRIC MEDICINE |
18821 Pioneer Blvd, Suite D |
Cerritos |
Los Angeles |
90701 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740566694 |
21250 |
21250 |
33.859119688 |
-118.082166959 |
-121.981180058213 |
37.5447866477856 |
4513 |
nguyen, duc |
1174720213 |
Dentist |
UNKNOWN |
39411 Fremont Blvd |
Fremont |
Alameda |
94538 |
California |
2015 |
2015 |
1 |
AIU |
duc nguyen |
1174720213 |
21250 |
21250 |
37.544786648 |
-121.981180058 |
-117.867477936358 |
33.7790861138332 |
4514 |
Yousesi, Babak |
1174723506 |
Dentist |
UNKNOWN |
530 South Main St., Suite 202 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.132632683551 |
36.2074110797575 |
4518 |
Hiranrattana, Anunya |
1174739619 |
Physician |
UNKNOWN |
210 CANAL ST |
King City |
Monterey |
93930 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1285685743 |
21250 |
21250 |
36.2074110799 |
-121.132632684 |
-119.738092500169 |
36.8013164746756 |
4519 |
YOUSSEF, SAMI |
1174741334 |
Dentist |
UNKNOWN |
4755 E Gettysburg Ave, Ste 101 |
Fresno |
Fresno |
93726 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1821205527 |
21250 |
21250 |
36.8013164752 |
-119.7380925 |
-117.969032342369 |
33.8176399294392 |
4521 |
Dabbagh, Moutaz |
1174740302 |
Dentist |
UNKNOWN |
2424 W Ball Rd, Suite L |
Anaheim |
Orange |
92804 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1235378860 |
21250 |
21250 |
33.8176399292 |
-117.969032342 |
-117.890522999936 |
33.7601489168391 |
4527 |
CARR, LINDA |
1174744676 |
Nurse Practitioner |
UNKNOWN |
1629 W. 17TH STREET, SUITE A |
SANTA ANA |
Orange |
92706 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1174744676 |
21250 |
21250 |
33.7601489171 |
-117.890523 |
-117.432081000038 |
34.0718400003158 |
4529 |
Barbosa, Heather |
1174755367 |
Physician |
FAMILY PRACTICE |
9961 Sierra Ave |
Fontana |
San Bernardino |
92335 |
California |
2012 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1023174067 |
29750 |
8500 |
34.07184 |
-117.432081 |
-118.281519000302 |
34.0955819998095 |
4532 |
Wongsaroj, Patarapha |
1174753784 |
Physician |
UNKNOWN |
4216 Fountain Ave. |
Los Angeles |
Los Angeles |
90029 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1174753784 |
21250 |
21250 |
34.095582 |
-118.281519 |
-117.102494782908 |
33.4833851562 |
4551 |
Rawson, Richard |
1174786016 |
Physician |
UNKNOWN |
44054 Margarita Road, Suite 1 |
Temecula |
Riverside |
92592 |
California |
2016 |
2017 |
1 |
AIU |
DO Rawson |
1053751941 |
21250 |
21250 |
33.4833851555 |
-117.102494783 |
-117.103691766162 |
32.7552338864348 |
4557 |
Nguyen, Quy Lam |
1174802813 |
Dentist |
UNKNOWN |
4236 El Cajon Blvd |
San Diego |
San Diego |
92105 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1174802813 |
21250 |
21250 |
32.7552338859 |
-117.103691766 |
-119.343963492921 |
36.2104521336591 |
4558 |
Colby, Shirley |
1174803803 |
Dentist |
UNKNOWN |
233 N M ST |
TULARE |
Tulare |
93274 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1821324807 |
21250 |
21250 |
36.2104521341 |
-119.343963493 |
-117.867477936358 |
33.7790861138332 |
4560 |
Shanahan, Ken |
1174808067 |
Dentist |
UNKNOWN |
530 South Main St., Suite 110 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.545819136144 |
39.1278335471805 |
4565 |
Kelly, Robin |
1174833586 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1908 N Beale Rd |
Marysville |
Yuba |
95901 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1124130620 |
21250 |
21250 |
39.1278335467 |
-121.545819136 |
-118.163348999856 |
34.0215030001634 |
4580 |
Zarrabian, Sahand |
1174836860 |
Dentist |
UNKNOWN |
4900 Whittier Blvd |
Los Angles |
Los Angeles |
90027 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1982738803 |
21250 |
21250 |
34.021503 |
-118.163349 |
-117.294129194407 |
33.8298069536281 |
4597 |
TRAN, TIEN |
1174931661 |
Dentist |
UNKNOWN |
21091 Rider St., Suite 203 |
Perris |
Riverside |
92570 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1881021434 |
21250 |
21250 |
33.8298069542 |
-117.294129194 |
-117.102763739555 |
32.6616005030608 |
4604 |
Soto Solis, Yara |
1174971188 |
Dentist |
UNKNOWN |
2405 Transportation Ave |
National City |
San Diego |
91950 |
California |
2016 |
2017 |
1 |
AIU |
DENTAL CORP NESS |
1760869796 |
21250 |
21250 |
32.6616005028 |
-117.10276374 |
-117.867477936358 |
33.7790861138332 |
4605 |
Lee, Christine |
1174965289 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
4630 |
Muthal, Rashi |
1184056970 |
Dentist |
UNKNOWN |
530 South Main St., apt #1735 |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.018842713221 |
32.6980623759779 |
4654 |
Casibang, Vicente |
1184631921 |
Dentist |
UNKNOWN |
123 Worthington Street, Ste 101 |
Spring Valley |
San Diego |
91977 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1184631921 |
21250 |
21250 |
32.6980623758 |
-117.018842713 |
-117.017806714009 |
34.8932317135728 |
4669 |
KING, LU-WEI |
1184647950 |
Physician |
OBSTETRICS/GYNECOLOGY |
801 E Mountain View St Ste C |
Barstow |
San Bernardino |
92311 |
California |
2016 |
2017 |
6 |
MU |
DESERT WOMENS MEM HIGH |
1184784555 |
63750 |
8500 |
34.8932317136 |
-117.017806714 |
-118.331856093984 |
34.1730118733993 |
4672 |
Ashburn, N Keith |
1184655730 |
Physician |
UNKNOWN |
2211 W Magnolia Blvd, Suite 210 |
Burbank |
Los Angeles |
91506 |
California |
2012 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1548353394 |
29750 |
8500 |
34.1730118731 |
-118.331856094 |
-117.885446682219 |
33.7111736116729 |
4681 |
Minkus, Roxana |
1184669871 |
Physician |
UNKNOWN |
2650 S BRISTOL ST SUITE 105 |
SANTA ANA |
Orange |
92704 |
California |
2018 |
2019 |
5 |
MU |
Designated Payee Name not Found |
1184669871 |
55250 |
8500 |
33.7111736123 |
-117.885446682 |
-118.443346549004 |
34.0637399640282 |
4684 |
Klitzner, Thomas |
1184631996 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-117.169517934705 |
32.7876688614289 |
4693 |
Celichowski, Raechelle |
1184679789 |
Nurse Practitioner |
NURSE PRACTITIONER |
6973 Linda Vista road |
San Diego |
San Diego |
92111 |
California |
2013 |
2014 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1780665877 |
38250 |
8500 |
32.7876688612 |
-117.169517935 |
-116.074152000414 |
33.5692744864285 |
4715 |
Laxa, Maryanne |
1184716458 |
Physician |
UNKNOWN |
91275 66th Ave |
Mecca |
Riverside |
92254 |
California |
2012 |
2013 |
2 |
MU |
DE SALUD DEL CLINICAS |
1932280633 |
29750 |
8500 |
33.5692744859 |
-116.074152 |
-117.741555511877 |
34.0581007408566 |
4727 |
Mehta, Rucha |
1184725749 |
Physician |
INTERNAL MEDICINE |
795 E. Second Street, Suite 5 |
Pomona |
Los Angeles |
91766 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811227564 |
21250 |
21250 |
34.0581007408 |
-117.741555512 |
-118.558768500066 |
34.2354494891027 |
4746 |
lizana, jessica |
1184764714 |
Dentist |
UNKNOWN |
19524 Nordhoff Street #3B |
Northridge |
Los Angeles |
91324 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1194104778 |
21250 |
21250 |
34.2354494887 |
-118.5587685 |
-119.056560974609 |
35.3234429997947 |
4752 |
Estrada, Luis |
1184769986 |
Dentist |
UNKNOWN |
3450 Stine Rd |
Bakersfield |
Kern |
93309 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1043647944 |
21250 |
21250 |
35.323443 |
-119.056560975 |
-116.779933476948 |
32.8378111565597 |
4761 |
ferolie, pamel |
1184788648 |
Nurse Practitioner |
NURSE PRACTITIONER |
1620 Alpine Boulevard |
Alpine |
San Diego |
91901 |
California |
2011 |
2012 |
1 |
AIU |
DESERT FAMILY HIGH |
1982658142 |
21250 |
21250 |
32.8378111571 |
-116.779933477 |
-118.308916897697 |
34.0293762400215 |
4762 |
Farhan, Farzin |
1184778292 |
Dentist |
UNKNOWN |
2822 S Western Ave |
Los Angeles |
Los Angeles |
90018 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1184778292 |
21250 |
21250 |
34.0293762398 |
-118.308916898 |
-117.867477936358 |
33.7790861138332 |
4764 |
Truong, Peter |
1184792681 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.629448531824 |
34.2034560002942 |
4769 |
Fineberg, Martin |
1184799496 |
Physician |
UNKNOWN |
7345 Medical Center Drive, Suite 400 |
West Hills |
Los Angeles |
91307 |
California |
2020 |
2020 |
4 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
46750 |
8500 |
34.203456 |
-118.629448532 |
-117.867477936358 |
33.7790861138332 |
4770 |
Katta, Neelima |
1184807711 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.187343371599 |
33.8090145901513 |
4776 |
Chang, Thomas |
1184812190 |
Dentist |
UNKNOWN |
455 E Columbia St, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1184812190 |
21250 |
21250 |
33.8090145898 |
-118.187343372 |
-118.320393312701 |
34.169856968924 |
4778 |
Gordon, Patricia |
1184815276 |
Dentist |
UNKNOWN |
1400 W Olive Ave Ste 201 |
Burbank |
Los Angeles |
91506 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1972823904 |
21250 |
21250 |
34.1698569694 |
-118.320393313 |
-119.048636906868 |
35.3372747419359 |
4779 |
Yeung, Laimui |
1184816019 |
Dentist |
UNKNOWN |
4124 Ardmore Ave |
Bakersfield |
Kern |
93309 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1689076754 |
21250 |
21250 |
35.3372747416 |
-119.048636907 |
-119.018416499822 |
35.3738699996009 |
4784 |
Dixon, Kimberly |
1184824955 |
Physician |
PEDIATRIC MEDICINE |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-116.38790094857 |
34.1328497453196 |
4786 |
Sanvictores, Jay |
1184816688 |
Physician |
FAMILY PRACTICE |
58471 29 Palms Highway, Suite 303 |
Yucca Valley |
San Bernardino |
92284 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1184816688 |
21250 |
21250 |
34.1328497455 |
-116.387900949 |
-122.403712500232 |
37.7984970000365 |
4789 |
Rosenlicht, Barbara |
1184834293 |
Nurse Practitioner |
UNKNOWN |
1000 Montgomery Street |
San Francisco |
San Francisco |
94133 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043218134 |
21250 |
21250 |
37.798497 |
-122.4037125 |
-120.491111179238 |
37.3252442488231 |
4798 |
Erickson, Kenneth |
1184848897 |
Nurse Practitioner |
NURSE PRACTITIONER |
1208 Paseo Verde Dr. |
Merced |
Merced |
95348 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1184674582 |
21250 |
21250 |
37.3252442495 |
-120.491111179 |
-117.867477936358 |
33.7790861138332 |
4801 |
Rivamonte, Andrew |
1184852691 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.264829999905 |
38.5993799995874 |
4807 |
Sanders, Matthew |
1184874893 |
Dentist |
UNKNOWN |
2865 Sunrise Blvd, Suite 114 |
Rancho Cordova |
Sacramento |
95742 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1932400579 |
21250 |
21250 |
38.59938 |
-121.26483 |
-119.159698864611 |
34.2931563264034 |
4809 |
Rogers, Ellie |
1184864449 |
Physician |
OSTEOPATHIC MANIPULATIVE MEDICINE |
200 S. Wells Road, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2013 |
2013 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.193679000086 |
33.9425640003284 |
4812 |
Ray, Jessica |
1184882458 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-118.264014622976 |
34.0306219386516 |
4813 |
Silva-Celada, Sharon |
1184878589 |
Physician |
OPTOMETRY |
122 E Washington Blvd |
Los Angeles |
Los Angeles |
90015 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1871779777 |
21250 |
21250 |
34.0306219387 |
-118.264014623 |
-117.941976000292 |
33.8431860004336 |
4820 |
Chang, Michael |
1184894305 |
Dentist |
UNKNOWN |
815 North Euclid Street |
Anaheim |
Orange |
92801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1770768327 |
21250 |
21250 |
33.843186 |
-117.941976 |
-118.114235395147 |
33.9305763450224 |
4824 |
Ehrenreich, Hannah |
1184909491 |
Dentist |
UNKNOWN |
9474 Firestone Blvd |
Downey |
Los Angeles |
90241 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
33.9305763446 |
-118.114235395 |
-119.018416499822 |
35.3738699996009 |
4830 |
McLain, Mary |
1184916579 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
4858 |
Du, Tran |
1184975880 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
4868 |
Nguyen, Henry |
1184989170 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.405829000108 |
33.736680000082 |
4883 |
Glick, Melvin |
1194037648 |
Dentist |
UNKNOWN |
42900 Bob Hope Dr, Ste 111 |
Rancho Mirage |
Riverside |
92270 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1447538228 |
21250 |
21250 |
33.73668 |
-116.405829 |
-124.146181542444 |
40.8024420806375 |
4912 |
Spellmeyer, Elizabeth |
1194126680 |
Nurse Practitioner |
UNKNOWN |
2200 Tydd Steet |
Eureka |
Humboldt |
95501 |
California |
2018 |
2019 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
38250 |
8500 |
40.802442081 |
-124.146181542 |
-117.867477936358 |
33.7790861138332 |
4925 |
Romana, Harjinder |
1194146472 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.694748416007 |
35.6160764787466 |
4929 |
CHAN, DONNA BELLE |
1194155994 |
Nurse Practitioner |
UNKNOWN |
21138 Paso Robles Hwy |
Lost Hills |
Kern |
93249 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1194155994 |
21250 |
21250 |
35.6160764788 |
-119.694748416 |
-117.867477936358 |
33.7790861138332 |
4930 |
Poerwanto, Erline |
1194152736 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.352773353707 |
34.071932436233 |
4931 |
Mirza, Sadiq |
1194166298 |
Physician |
UNKNOWN |
400 N Pepper Ave |
Colton |
San Bernardino |
92324 |
California |
2016 |
2017 |
1 |
AIU |
Department of Behavioral Health |
1164467023 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-117.867477936358 |
33.7790861138332 |
4932 |
Doan, Kristin |
1194159079 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.018416499822 |
35.3738699996009 |
4936 |
Moonga, Even |
1194193938 |
Nurse Practitioner |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.305135016768 |
38.1229111711137 |
4958 |
Oneal, Lisa |
1194738765 |
Nurse Practitioner |
UNKNOWN |
2415 W Vine St Ste 100 |
Lodi |
San Joaquin |
95242 |
California |
2014 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1194738765 |
21250 |
21250 |
38.1229111706 |
-121.305135017 |
-115.552551676219 |
32.7865319996521 |
4960 |
dang, diana |
1194736074 |
Physician |
UNKNOWN |
718 S 4th St |
El Centro |
Imperial |
92243 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1194736074 |
21250 |
21250 |
32.786532 |
-115.552551676 |
-118.330691724643 |
33.3390584576817 |
4961 |
LONG, FRANKLIN |
1194744045 |
Physician |
UNKNOWN |
100 Falls Canyon Rd |
Avalon |
Los Angeles |
90704 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1194744045 |
21250 |
21250 |
33.3390584582 |
-118.330691725 |
-121.954414500229 |
38.3353064680192 |
4968 |
Manzano, Aileen |
1194750729 |
Dentist |
UNKNOWN |
3000 Alamo Dr, Ste 108 |
Vacaville |
Solano |
95687 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1699069641 |
21250 |
21250 |
38.3353064679 |
-121.9544145 |
-117.94275450022 |
33.8507004539628 |
4993 |
AL-QAWAQNEH, IBRAHIM |
1194805887 |
Dentist |
UNKNOWN |
1719 W Romneya Dr |
Anaheim |
Orange |
92801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1194805887 |
21250 |
21250 |
33.8507004538 |
-117.9427545 |
-116.97268950042 |
33.727887000185 |
5000 |
Knepfler, Sharon |
1194779421 |
Physician |
UNKNOWN |
1285 S State St |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1861561391 |
21250 |
21250 |
33.727887 |
-116.9726895 |
-121.931844043068 |
37.3128740632874 |
5014 |
Tolentino-Macaraeg, Anita |
1194828996 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1194828996 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.073417499618 |
33.1009920003806 |
5018 |
Bobo, Jerry |
1194836429 |
Physician |
PSYCHIATRY |
474 W Vermont Ave Ste 104 |
Escondido |
San Diego |
92025 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760431670 |
21250 |
21250 |
33.100992 |
-117.0734175 |
-119.018416499822 |
35.3738699996009 |
5022 |
Taylor, Bruce |
1194838433 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-120.873687890284 |
37.5073202267471 |
5027 |
Huh, Kyung |
1194848622 |
Dentist |
UNKNOWN |
2211 Fulkerth Rd |
Turlock |
Stanislaus |
95380 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1194848622 |
21250 |
21250 |
37.5073202267 |
-120.87368789 |
-118.193679000086 |
33.9425640003284 |
5029 |
TARNAVSKY, IRINA |
1194861872 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-122.418999000104 |
37.7885970003513 |
5033 |
Rivero, Maria |
1194865485 |
Physician |
INTERNAL MEDICINE |
1333 Bush Street |
San Francisco |
San Francisco |
94109 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.788597 |
-122.418999 |
-116.241253151112 |
33.7081141657362 |
5036 |
Corral, Jessie |
1194860809 |
Dentist |
UNKNOWN |
81637 HIGHWAY 111, Suite #1 |
Indio |
Riverside |
92201 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1083818637 |
21250 |
21250 |
33.7081141664 |
-116.241253151 |
-118.443346549004 |
34.0637399640282 |
5039 |
Nielsen, Karin |
1194832469 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0637399643 |
-118.443346549 |
-118.080071439345 |
34.580165160194 |
5046 |
STILLION, RODNEY |
1194871129 |
Physician |
UNKNOWN |
2720 E Palmdale Blvd |
Palmdale |
Los Angeles |
93550 |
California |
2012 |
2013 |
2 |
MU |
DORADO COMMUNITY SVCS EL |
1568531036 |
29750 |
8500 |
34.5801651601 |
-118.080071439 |
-118.245743999886 |
34.1465939996135 |
5053 |
sadeghi, pirayeh |
1194883892 |
Dentist |
UNKNOWN |
727 E Broadway |
Glendale |
Los Angeles |
91205 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1194883892 |
21250 |
21250 |
34.146594 |
-118.245744 |
-117.867477936358 |
33.7790861138332 |
5058 |
Lee, Wonjoo |
1194887364 |
Dentist |
UNKNOWN |
530 South Main St., Suite 100 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.958427455063 |
37.2913380000487 |
5059 |
Braverman, Elena |
1194891705 |
Physician |
UNKNOWN |
251 Llewellyn Ave |
Campbell |
Santa Clara |
95008 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1255496105 |
21250 |
21250 |
37.291338 |
-121.958427455 |
-118.443954999723 |
34.0669899996888 |
5061 |
Matsumoto, Joyce |
1194868182 |
Physician |
UNKNOWN |
Ucla Division Of Pediatric Neurology, 22-474 MDCC Box 951752 |
Los Angeles |
Los Angeles |
90095 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.06699 |
-118.443955 |
-121.849814317077 |
37.306313644759 |
5067 |
Nguyen, Longhang |
1194894550 |
Physician |
INTERNAL MEDICINE |
500 Tully Rd, Internal Medicine Clinic |
San Jose |
Santa Clara |
95111 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1194894550 |
21250 |
21250 |
37.3063136448 |
-121.849814317 |
-117.677177831891 |
35.636993488259 |
5070 |
MAYBERRY, ANITA |
1194917070 |
Nurse Practitioner |
UNKNOWN |
409 Drummond Ave |
Ridgecrest |
Kern |
93555 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1487849626 |
21250 |
21250 |
35.6369934885 |
-117.677177832 |
-118.370356977293 |
34.2166590003127 |
5071 |
Lara, Fidel |
1194909481 |
Physician |
INTERNAL MEDICINE |
8033 Vineland Avenue, Lara Medical Clinic |
Sun Valley |
Los Angeles |
91352 |
California |
2019 |
2020 |
6 |
MU |
Designated Payee Name not Found |
1194909481 |
63750 |
8500 |
34.216659 |
-118.370356977 |
-117.996480000152 |
33.7594949999943 |
5072 |
Nguyen, Christopher |
1194920173 |
Dentist |
UNKNOWN |
7611 Westminster Blvd., Suite #B |
Westminster |
Orange |
92683 |
California |
2019 |
2020 |
3 |
MU |
DAI NGUYEN DDS CHRISTOPHER |
1760644488 |
38250 |
8500 |
33.759495 |
-117.99648 |
-117.007278613417 |
32.7844548382203 |
5075 |
Moffatt, Kyrra |
1194922419 |
Physician |
UNKNOWN |
8881 Fletcher Parkway, Suite 200 |
La MEsa |
San Diego |
91942 |
California |
2019 |
2020 |
5 |
MU |
D. SZOLD, MD, INC PHILIP |
1427268747 |
42500.01 |
5666.67 |
32.7844548376 |
-117.007278613 |
-118.217727000201 |
34.0504919997061 |
5077 |
Ghaly, Azmy |
1194899336 |
Physician |
INTERNAL MEDICINE |
1700 Cesar Chavez Ave 3900, Senior Care Clinic |
Los Angeles |
Los Angeles |
90033 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1194899336 |
21250 |
21250 |
34.050492 |
-118.217727 |
-119.018416499822 |
35.3738699996009 |
5087 |
Barrows, Diane |
1194940536 |
Nurse Practitioner |
NURSE PRACTITIONER |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.140549948321 |
36.2964215709987 |
5092 |
Sine, Kealani |
1194949354 |
Physician |
UNKNOWN |
216 E Pine St |
Exeter |
Tulare |
93221 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1780975904 |
21250 |
21250 |
36.2964215709 |
-119.140549948 |
-118.282621642874 |
34.0638930322377 |
5106 |
Liao, Lucy |
1194973990 |
Physician |
UNKNOWN |
520 So. Lafayette Park Place 3rd Fl |
LA |
Los Angeles |
90057 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1194973990 |
21250 |
21250 |
34.0638930325 |
-118.282621643 |
-118.335084550412 |
34.0091550000033 |
5113 |
galvez, gilberta |
1194993220 |
Dentist |
UNKNOWN |
4126 CRENSHAW BLVD |
LOS ANGELES |
Los Angeles |
90008 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1194993220 |
21250 |
21250 |
34.009155 |
-118.33508455 |
-118.146982499643 |
34.587917999716 |
5118 |
EZZAT, ANGELA |
1205001203 |
Dentist |
UNKNOWN |
849 W PALMDALE BLVD |
PALMDALE |
Los Angeles |
93551 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1205001203 |
21250 |
21250 |
34.587918 |
-118.1469825 |
-118.396043999931 |
34.1923679997834 |
5121 |
Nagai, Barnard |
1205004389 |
Dentist |
UNKNOWN |
6700 Laurel Canyon Blvd, Suite 3 |
North Hollywood |
Los Angeles |
91606 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1013079417 |
21250 |
21250 |
34.192368 |
-118.396044 |
-119.78216099993 |
36.8380890004071 |
5125 |
Richina, Carol |
1205011996 |
Nurse Practitioner |
UNKNOWN |
7033 N Fresno St Ste 301, 7033 N. Fresno Suite301 |
Fresno |
Fresno |
93720 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1205011996 |
21250 |
21250 |
36.838089 |
-119.782161 |
-121.634037000008 |
36.697248000395 |
5133 |
Bhatti, Moeen |
1205023736 |
Physician |
PSYCHIATRY |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730211178 |
21250 |
21250 |
36.697248 |
-121.634037 |
-117.867477936358 |
33.7790861138332 |
5134 |
Saharan, Sachin |
1205021250 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.920917352054 |
33.8338665068339 |
5136 |
Gowda, Ramesh |
1205026515 |
Dentist |
UNKNOWN |
532 W Lincoln Ave |
Anaheim |
Orange |
92805 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1174617534 |
21250 |
21250 |
33.8338665068 |
-117.920917352 |
-117.867477936358 |
33.7790861138332 |
5139 |
Loye, Katherine |
1205034626 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
5147 |
MACASAET-SAGUIN, MARIA |
1205040979 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.323741823227 |
33.9599099207063 |
5150 |
ellis, arnold |
1205045598 |
Physician |
UNKNOWN |
2710 W Manchester Blvd |
Inglewood |
Los Angeles |
90305 |
California |
2012 |
2012 |
1 |
AIU |
DIOP FAMILY CARE MED A |
1023145240 |
21250 |
21250 |
33.9599099214 |
-118.323741823 |
-117.514883966722 |
33.8827268957297 |
5153 |
Shah, Rajesh |
1205056264 |
Dentist |
UNKNOWN |
115 N McKinley St, Ste. #105 |
Corona |
Riverside |
92879 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1205056264 |
21250 |
21250 |
33.8827268962 |
-117.514883967 |
-121.315545809791 |
37.9900315013527 |
5154 |
Kunimoto, Blake |
1205056207 |
Dentist |
UNKNOWN |
4661 Precissi Lane, Suite A |
Stockton |
San Joaquin |
95207 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1508198680 |
21250 |
21250 |
37.9900315012 |
-121.31554581 |
-117.926142670348 |
33.674252153714 |
5155 |
MILLAR, SUSAN |
1205057619 |
Dentist |
UNKNOWN |
2850 Mesa Verde Drive E., Suite A |
Costa Mesa |
Orange |
92626 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1205057619 |
21250 |
21250 |
33.6742521536 |
-117.92614267 |
-118.192756499813 |
33.7801049998459 |
5158 |
Fong, Sarah |
1205064268 |
Physician |
UNKNOWN |
1057 Pine Ave |
Long Beach |
Los Angeles |
90813 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1205064268 |
21250 |
21250 |
33.780105 |
-118.1927565 |
-124.146181542444 |
40.8024420806375 |
5167 |
Kelly, Casey |
1205076015 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2017 |
2018 |
6 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
63750 |
8500 |
40.802442081 |
-124.146181542 |
-122.46118324571 |
37.7624926958812 |
5177 |
Orellana, Maria |
1205087939 |
Dentist |
UNKNOWN |
707 Parnassus Ave D-3000 |
San Francisco |
UNKNOWN |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1205087939 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-118.072552499998 |
33.8306400001359 |
5195 |
Kim, Young Rae |
1205137999 |
Dentist |
UNKNOWN |
12144 E. Carson St |
Hawaiian Gardens |
Los Angeles |
90716 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1578808788 |
21250 |
21250 |
33.83064 |
-118.0725525 |
-117.867477936358 |
33.7790861138332 |
5202 |
Daoud, Hasan |
1205156122 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.46118324571 |
37.7624926958812 |
5218 |
Asghari, Sara |
1205186350 |
Dentist |
UNKNOWN |
707 Parnassus Ave # D-3000 |
San Francisco |
San Francisco |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1205186350 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-122.153565841091 |
37.7052153019447 |
5219 |
Tran, Huong (Carrie) |
1205189693 |
Dentist |
UNKNOWN |
3081 Teagarden St |
San Leandro |
Alameda |
94577 |
California |
2016 |
2016 |
1 |
AIU |
DAVIS STREET COMMUNITY THE |
1215358924 |
21250 |
21250 |
37.7052153025 |
-122.153565841 |
-119.159698864611 |
34.2931563264034 |
5224 |
Foroughi, Ashkan |
1205203304 |
Dentist |
UNKNOWN |
200 S Wells Rd Ste 150 |
Ventura |
Ventura |
93004 |
California |
2016 |
2017 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1134369366 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-121.626878573687 |
36.6796192540254 |
5241 |
RAYMOND, REBECCA |
1205260114 |
Physician |
UNKNOWN |
950 Circle Dr |
Salinas |
Monterey |
93905 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.6796192539 |
-121.626878574 |
-118.093129338248 |
34.0625818377816 |
5243 |
Chang, Philip |
1205265527 |
Dentist |
UNKNOWN |
8038 GARVEY AVE, SUITE B |
ROSEMEAD |
Los Angeles |
91770 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1386013209 |
21250 |
21250 |
34.0625818378 |
-118.093129338 |
-117.867477936358 |
33.7790861138332 |
5247 |
SADEGHI, JANET |
1205269875 |
Dentist |
UNKNOWN |
530 South Main St., #201 |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.046679426614 |
37.9838770727687 |
5265 |
Raphael, Deborah |
1205819935 |
Physician |
UNKNOWN |
2425 Bisso Lane, Suite 200 |
Concord |
Contra Costa |
94520 |
California |
2012 |
2013 |
1 |
AIU |
DEBORAH B MD RAPHAEL |
1205819935 |
21250 |
21250 |
37.9838770727 |
-122.046679427 |
-117.971366208983 |
33.6856486819412 |
5267 |
Jones, Jerome |
1205833688 |
Physician |
UNKNOWN |
19066 Magnolia St. |
Huntington Beach |
Orange |
92646 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.6856486825 |
-117.971366209 |
-118.107927519739 |
33.8097510000087 |
5273 |
Dequiroz, Paulina |
1205831799 |
Physician |
UNKNOWN |
2925 N. Palo Verde |
Long Beach |
Los Angeles |
90815 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
19833.67 |
5666.67 |
33.809751 |
-118.10792752 |
-117.926590500351 |
33.6992914783191 |
5275 |
NGUYEN, VAN |
1205845237 |
Physician |
OBSTETRICS/GYNECOLOGY |
1665 Scenic Ave, Suite 100 |
Costa Mesa |
Orange |
92626 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1497759005 |
38250 |
8500 |
33.6992914784 |
-117.9265905 |
-118.20512014368 |
33.9541786141518 |
5289 |
SANCHEZ, DENNIS |
1205859733 |
Physician |
FAMILY PRACTICE |
3529 Firestone Blvd |
South Gate |
Los Angeles |
90280 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1205859733 |
21250 |
21250 |
33.9541786144 |
-118.205120144 |
-118.448220893379 |
35.130052562176 |
5309 |
freeman, david |
1205894417 |
Nurse Practitioner |
UNKNOWN |
115 W E Street |
Tehachapi |
Kern |
93561 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1508175431 |
21250 |
21250 |
35.1300525623 |
-118.448220893 |
-117.085087381278 |
32.7072053083783 |
5310 |
thomas, carlton |
1205881398 |
Physician |
UNKNOWN |
292 EUCLID AVE, STE 115 |
SAN DIEGO |
San Diego |
92116 |
California |
2017 |
2018 |
6 |
MU |
DIGESTIVE DISEASE DESTA |
1073699971 |
63750 |
8500 |
32.7072053084 |
-117.085087381 |
-117.867477936358 |
33.7790861138332 |
5314 |
Khasru, Mohammed |
1205902251 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.919840718774 |
33.7337133003286 |
5318 |
Tran, Phuong |
1205908290 |
Dentist |
UNKNOWN |
1103 S Harbor Blvd Ste D |
Santa Ana |
Orange |
92704 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1205908290 |
21250 |
21250 |
33.7337133003 |
-117.919840719 |
-115.56151715799 |
32.7937898424273 |
5323 |
Zink, Mark |
1205916731 |
Physician |
PSYCHIATRY |
801 Broadway |
El Centro |
Imperial |
92243 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1225258841 |
21250 |
21250 |
32.7937898415 |
-115.561517158 |
-121.937102999604 |
37.3157190002318 |
5335 |
Greyber, Elizabeth |
1205924339 |
Physician |
INTERNAL MEDICINE |
2400 Moorpark Ave, VHC Moorpark Internal Medicine Clinic |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588721500 |
21250 |
21250 |
37.315719 |
-121.937103 |
-121.931844043068 |
37.3128740632874 |
5336 |
Shnier, Carla |
1205931896 |
Physician |
UNKNOWN |
751 S Bascom Ave, Anesthesiology Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1205931896 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.465337259307 |
33.9154741809887 |
5338 |
martinez, michele |
1205939204 |
Physician |
UNKNOWN |
10327 Hole Ave |
Riverside |
Riverside |
92505 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1215991534 |
21250 |
21250 |
33.9154741815 |
-117.465337259 |
-118.153682564898 |
34.0196759042196 |
5358 |
gajardo, ana |
1205973351 |
Dentist |
UNKNOWN |
5415 Whittier Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1205973351 |
21250 |
21250 |
34.0196759043 |
-118.153682565 |
-117.10094976382 |
32.822934047868 |
5362 |
Lee, Sandra |
1205975729 |
Physician |
UNKNOWN |
10601G Tierrasanta Blvd #275 |
San Diego |
San Diego |
92124 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760431670 |
21250 |
21250 |
32.8229340478 |
-117.100949764 |
-117.867735379884 |
33.7397301928941 |
5366 |
nguyen, valerie |
1205978897 |
Dentist |
UNKNOWN |
630 S Main St, Suite C |
Santa Ana |
Orange |
92701 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1871808568 |
21250 |
21250 |
33.7397301932 |
-117.86773538 |
-118.206733499551 |
34.073928000377 |
5368 |
JUSTIN, HARTANTO |
1205982311 |
Dentist |
UNKNOWN |
3231 N Broadway |
Los Angeles |
Los Angeles |
90031 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1427104488 |
21250 |
21250 |
34.073928 |
-118.2067335 |
-117.390489654974 |
33.9440151499792 |
5370 |
DESAR, JYOTI |
1205983830 |
Dentist |
UNKNOWN |
6700 Indiana Ave, Ste 115 |
Riverside |
Riverside |
92506 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1487792586 |
21250 |
21250 |
33.9440151501 |
-117.390489655 |
-118.224213070876 |
33.9817020955753 |
5372 |
zinberg, diana |
1205989829 |
Dentist |
UNKNOWN |
2629 E Gage Ave |
Huntington Park |
Los Angeles |
90255 |
California |
2016 |
2017 |
1 |
AIU |
diana zinberg |
1205989829 |
21250 |
21250 |
33.9817020962 |
-118.224213071 |
-122.067686127313 |
38.2373643301997 |
5376 |
Semmler, Kathleen |
1205997699 |
Physician |
PSYCHIATRY |
2101 Courage Dr |
Fairfield |
Solano |
94533 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1205997699 |
21250 |
21250 |
38.2373643305 |
-122.067686127 |
-117.867477936358 |
33.7790861138332 |
5378 |
Pham, Bach-Mai |
1205999497 |
Dentist |
UNKNOWN |
530 South Main St., Suite C |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
5379 |
GHRAIR, SUZAN |
1205999828 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.301089329209 |
33.6670490256921 |
5382 |
Zhang, Xuguang |
1215004502 |
Dentist |
UNKNOWN |
31571 Canyon Estate Dr., Suite 200 |
LAKE ELSINORE |
Riverside |
92532 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1326281031 |
21250 |
21250 |
33.6670490263 |
-117.301089329 |
-118.441701000101 |
34.0372889996876 |
5383 |
Horst, Ryan |
1215005012 |
Physician |
UNKNOWN |
11340 West Olympic Boulevard, Suite 150 |
Los Angeles |
Los Angeles |
90064 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
34.037289 |
-118.441701 |
-117.867477936358 |
33.7790861138332 |
5385 |
zhang, shaobin |
1215005640 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.595925999685 |
34.1058779997699 |
5402 |
Jain, Daksha |
1215019591 |
Physician |
UNKNOWN |
9605 Foothill Blvd |
Rancho Cucamonga |
San Bernardino |
91730 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1215019591 |
21250 |
21250 |
34.105878 |
-117.595926 |
-118.373260499672 |
33.9274979998329 |
5414 |
Uppal, Narinder |
1215026562 |
Dentist |
UNKNOWN |
5220 Pacific Concourse Drive, Suite 120 |
Los Angeles |
Los Angeles |
90045 |
California |
2015 |
2016 |
1 |
AIU |
DENNIS R DDS INC. HARDIN |
1336384619 |
21250 |
21250 |
33.927498 |
-118.3732605 |
-122.408336258412 |
37.793988954027 |
5419 |
Chew, Clifford |
1215036066 |
Physician |
OTOLARYNGOLOGY |
929 Clay St, Suite 501 |
San Francisco |
San Francisco |
94108 |
California |
2016 |
2017 |
5 |
MU |
DEXTER MD LOUIE |
1295893345 |
55250 |
8500 |
37.7939889545 |
-122.408336258 |
-117.340916512887 |
34.4765682409316 |
5438 |
ko, samuel |
1215057419 |
Dentist |
UNKNOWN |
12429 MARIPOSA RD, SUITE A |
victorville |
San Bernardino |
92395 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1770965535 |
21250 |
21250 |
34.4765682414 |
-117.340916513 |
-117.160377516809 |
32.7500307121477 |
5441 |
Edwards, Whitney |
1215062310 |
Physician |
UNKNOWN |
550 Washington st, Suite 300 |
San Diego |
San Diego |
92103 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1215062310 |
38250 |
8500 |
32.7500307119 |
-117.160377517 |
-117.918856962978 |
33.7381501011463 |
5443 |
Olguin, Jose |
1215065461 |
Dentist |
UNKNOWN |
3750 W McFadden Ave, Suite D |
Santa Ana |
Orange |
92704 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1215065461 |
21250 |
21250 |
33.7381501005 |
-117.918856963 |
-118.193679000086 |
33.9425640003284 |
5449 |
LAZO, JULIE |
1215083589 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-117.867477936358 |
33.7790861138332 |
5458 |
manickam, kavitha |
1215099288 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.293944078057 |
38.1155893568634 |
5460 |
nguyen, linh |
1215104690 |
Dentist |
UNKNOWN |
1745 W Kettleman Ln, Suite C |
Lodi |
San Joaquin |
95242 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1215104690 |
21250 |
21250 |
38.1155893569 |
-121.293944078 |
-117.867477936358 |
33.7790861138332 |
5466 |
Estrada, Elizabeth |
1215117304 |
Dentist |
UNKNOWN |
530 South Main St., Suite 870 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.484523500059 |
37.7424180003904 |
5477 |
Ho, Ki Hong |
1215131883 |
Physician |
OTOLARYNGOLOGY |
1711 Taraval Street |
San Francisco |
San Francisco |
94116 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1215131883 |
46750 |
8500 |
37.742418 |
-122.4845235 |
-117.867477936358 |
33.7790861138332 |
5481 |
Patil, Sheetal |
1215132485 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.156668115441 |
37.7465017588491 |
5482 |
Boroniec, Jillian |
1215135371 |
Physician |
FAMILY PRACTICE |
9933 MacArthur Blvd |
Oakland |
Alameda |
94605 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1215135371 |
29750 |
8500 |
37.7465017585 |
-122.156668115 |
-118.448220893379 |
35.130052562176 |
5483 |
HARWICK, DONALD |
1215136957 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
115 W E Street |
Tehachapi |
Kern |
93561 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1699084525 |
21250 |
21250 |
35.1300525623 |
-118.448220893 |
-118.290635999851 |
34.0981185349425 |
5487 |
Marcus, Elizabeth |
1215114962 |
Physician |
UNKNOWN |
4650 W Sunset Blvd, Chief Resident's Office, Mailstop #68 |
Los Angeles |
Los Angeles |
90027 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0981185351 |
-118.290636 |
-118.383776999909 |
34.1795789999709 |
5490 |
Amir, Talia |
1215152988 |
Dentist |
UNKNOWN |
6007 Lankershim Blvd Ste 9 |
North Hollywood |
Los Angeles |
91606 |
California |
2013 |
2014 |
1 |
AIU |
Dr. Tali Amir A Professional Dental Corporation |
1467634394 |
21250 |
21250 |
34.179579 |
-118.383777 |
-119.177956524874 |
34.2277797847094 |
5504 |
Posso, Claudia |
1215185467 |
Dentist |
UNKNOWN |
2379 North Oxnard Blvd |
Oxnard |
Ventura |
93036 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1215074570 |
21250 |
21250 |
34.2277797846 |
-119.177956525 |
-119.159698864611 |
34.2931563264034 |
5507 |
RASULOVA, NARMINA |
1215188552 |
Dentist |
UNKNOWN |
200 S. WELLS RD., Suite 150 |
VENTURA |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL INC CLINICAS |
1720362056 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-119.159698864611 |
34.2931563264034 |
5511 |
Sarafzadeh, Yasmin |
1215197413 |
Physician |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
4 |
MU |
DEL CAMINO REAL INC CLINICAS |
1720362056 |
46750 |
8500 |
34.2931563259 |
-119.159698865 |
-118.193363999949 |
33.8000489995617 |
5514 |
Claude, Hebert |
1215213871 |
Physician |
UNKNOWN |
2360 Pacific Ave |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1215213871 |
21250 |
21250 |
33.800049 |
-118.193364 |
-117.867477936358 |
33.7790861138332 |
5520 |
tran, kimthy |
1215225511 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.827405971908 |
38.706282365339 |
5525 |
Cotton, Erin |
1215229018 |
Physician |
UNKNOWN |
4327 Golden Center Dr |
Placerville |
El Dorado |
95667 |
California |
2020 |
2020 |
5 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
55250 |
8500 |
38.706282365 |
-120.827405972 |
-117.867477936358 |
33.7790861138332 |
5530 |
Lucar, Hernan |
1215231212 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.261684529617 |
40.5785368087268 |
5536 |
Ennis, Marika |
1215249214 |
Physician |
UNKNOWN |
638 Main Street |
Ferndale |
Del Norte |
95531 |
California |
2016 |
2017 |
1 |
AIU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
21250 |
21250 |
40.5785368088 |
-124.26168453 |
-117.867477936358 |
33.7790861138332 |
5546 |
Hecht, Ryan |
1215279997 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.941448371645 |
33.8158419877176 |
5554 |
Hoang, Tuan |
1215307954 |
Dentist |
UNKNOWN |
1307 S Euclid st |
Anaheim |
Orange |
92802 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1215307954 |
21250 |
21250 |
33.8158419883 |
-117.941448372 |
-117.867477936358 |
33.7790861138332 |
5575 |
Fernando, Kristine-gail |
1215368022 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.376389500375 |
38.5562970003064 |
5577 |
Tojarieh, Farzad |
1215369038 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-122.371401924859 |
40.6806048139611 |
5593 |
Chambers, Ronald |
1215920319 |
Physician |
FAMILY PRACTICE |
4174 Ashby Ct |
Shasta Lake |
Shasta |
96019 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1215920319 |
29750 |
8500 |
40.6806048143 |
-122.371401925 |
-122.008909499674 |
38.3550479997654 |
5599 |
Riley, Irving |
1215922760 |
Dentist |
MAXILLOFACIAL SURGERY |
301 Alamo Dr, Suite E |
Vacaville |
Solano |
95688 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760633341 |
21250 |
21250 |
38.355048 |
-122.0089095 |
-122.47496099975 |
37.6803539999372 |
5601 |
CAJATOR, PEDRO |
1215932793 |
Physician |
FAMILY PRACTICE |
1800 Sullivan Ave, Rm 101 |
Daly City |
San Mateo |
94015 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1215932793 |
21250 |
21250 |
37.680354 |
-122.474961 |
-117.933448500048 |
33.7163235362023 |
5604 |
Bui, Tam |
1215937859 |
Physician |
OTOLARYNGOLOGY |
11180 Warner Ave, Suite 459 |
Fountain Valley |
Orange |
92708 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1215937859 |
21250 |
21250 |
33.7163235359 |
-117.9334485 |
-121.346739000005 |
38.609433000033 |
5606 |
Kehoe, Keather |
1215946876 |
Physician |
UNKNOWN |
5030 El Camino Ave |
Carmichael |
Sacramento |
95608 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1215946876 |
21250 |
21250 |
38.609433 |
-121.346739 |
-119.159698864611 |
34.2931563264034 |
5615 |
Sylvester, Ilona |
1215959291 |
Physician |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL INC CLINICAS |
1093933194 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-118.353717000439 |
33.8879879998464 |
5617 |
Do, Minh |
1215968441 |
Dentist |
UNKNOWN |
15725 Hawthorne Blvd, Suite 102 |
Lawndale |
Los Angeles |
90260 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1699886473 |
21250 |
21250 |
33.887988 |
-118.353717 |
-118.151738999555 |
34.1315605338916 |
5636 |
Loitz, Robert |
1225010077 |
Physician |
PEDIATRIC MEDICINE |
50 Bellefontaine St, Suite 405 |
Pasadena |
Los Angeles |
91105 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1225010077 |
29750 |
8500 |
34.1315605337 |
-118.151739 |
-117.410422500398 |
34.5592945296189 |
5637 |
Nwagwu, Odochi |
1225010903 |
Physician |
GENERAL PRACTICE |
11678 Rancho Rd |
Adelanto |
San Bernardino |
92301 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1225010903 |
14166.67 |
14166.67 |
34.5592945299 |
-117.4104225 |
-117.169517934705 |
32.7876688614289 |
5641 |
Satterwhite, Maurine |
1225012842 |
Nurse Practitioner |
NURSE PRACTITIONER |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2011 |
2012 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-118.443346549004 |
34.0637399640282 |
5655 |
Halnon, Nancy |
1215983614 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-119.096112501691 |
36.2123827020001 |
5658 |
Quezada, Guadalupe |
1225047764 |
Dentist |
UNKNOWN |
781 Sequoia Ave, Suite 4 |
Lindsay |
Tulare |
93247 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1225047764 |
21250 |
21250 |
36.2123827019 |
-119.096112502 |
-116.950527000021 |
32.8004369996679 |
5666 |
DOMINGUEZ, DENNIS |
1225063811 |
Physician |
FAMILY PRACTICE |
505 N Mollison Ave ste 201 |
El Cajon |
San Diego |
92021 |
California |
2018 |
2019 |
6 |
MU |
DENNIS O MD DOMINGUEZ |
1225063811 |
63750 |
8500 |
32.800437 |
-116.950527 |
-117.867477936358 |
33.7790861138332 |
5670 |
WEGLEY, CHRISTOPHER |
1225060809 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.071686264709 |
35.3628984909726 |
5671 |
Cole, Dyan |
1225067812 |
Physician |
GENERAL PRACTICE |
6001 Truxtun Ave, Suite 160 |
Bakersfield |
Kern |
93309 |
California |
2012 |
2013 |
1 |
AIU |
DYAN M MD COLE |
1225067812 |
21250 |
21250 |
35.3628984907 |
-119.071686265 |
-121.848385136964 |
37.3633082513747 |
5672 |
Komatineni, Neelima |
1225064108 |
Physician |
INTERNAL MEDICINE |
225 North Jackson Avenue |
San Jose |
Santa Clara |
95116 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1225064108 |
21250 |
21250 |
37.3633082508 |
-121.848385137 |
-118.212475499944 |
33.9320789997461 |
5688 |
Deirmenjian, Barouir |
1225097215 |
Dentist |
UNKNOWN |
11035 Long Beach Blvd, Suite 5 |
Lynwood |
Los Angeles |
90262 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1356560494 |
21250 |
21250 |
33.932079 |
-118.2124755 |
-117.88951050001 |
33.8402699999606 |
5701 |
Kim, Daniel |
1225113889 |
Dentist |
UNKNOWN |
1959 E LINCOLN AVE |
ANAHEIM |
Orange |
92805 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1154585800 |
21250 |
21250 |
33.84027 |
-117.8895105 |
-118.185077471248 |
33.7794120002637 |
5708 |
Tsi, Chung |
1225126311 |
Physician |
UNKNOWN |
1025 Atlantic Ave |
Long Beach |
Los Angeles |
90813 |
California |
2018 |
2019 |
2 |
MU |
Designated Payee Name not Found |
1225126311 |
29750 |
8500 |
33.779412 |
-118.185077471 |
-119.783796158066 |
36.8380957372286 |
5712 |
Singh, Sudeep |
1225130008 |
Physician |
ALLERGY/IMMUNOLOGY |
7011 N Howard, #201 |
Fresno |
Fresno |
93720 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1225130008 |
21250 |
21250 |
36.8380957369 |
-119.783796158 |
-121.376389500375 |
38.5562970003064 |
5726 |
marquez, monica |
1225149446 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-117.435656126229 |
34.08585863237 |
5731 |
garlapati, suneetha |
1225156664 |
Dentist |
UNKNOWN |
9261 Sierra Ave |
Fontana |
San Bernardino |
92335 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1285878488 |
21250 |
21250 |
34.0858586324 |
-117.435656126 |
-122.431298344243 |
37.7856005132531 |
5733 |
Vilderman, Alexander |
1225160716 |
Dentist |
UNKNOWN |
1600 Webster St., Suite C |
San Francisco |
San Francisco |
94118 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1013036193 |
21250 |
21250 |
37.7856005132 |
-122.431298344 |
-117.867477936358 |
33.7790861138332 |
5734 |
gellad, samer |
1225161342 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.95502695463 |
33.7528619998814 |
5736 |
TRAN, MAI |
1225163181 |
Dentist |
UNKNOWN |
14441 Brookhurst St, SUITE 2 |
Garden Grove |
Orange |
92843 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1932323854 |
21250 |
21250 |
33.752862 |
-117.955026955 |
-117.278079930944 |
34.1340376094482 |
5737 |
Lasala, Salvador |
1225163140 |
Physician |
PSYCHIATRY |
355 E. 21st Street, Ste. L |
San Bernardino |
San Bernardino |
92404 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1225163140 |
21250 |
21250 |
34.1340376086 |
-117.278079931 |
-122.437312712412 |
37.6570504909874 |
5744 |
Pimentel, Marivic |
1225170277 |
Dentist |
UNKNOWN |
1133 El Camino Real, Suite. 5 |
South San Francisco |
San Mateo |
94080 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1609141274 |
21250 |
21250 |
37.6570504912 |
-122.437312712 |
-121.132632683551 |
36.2074110797575 |
5750 |
Bhandarkar, Vidya |
1225179138 |
Physician |
PEDIATRIC MEDICINE |
210 Canal St |
King City |
Monterey |
93930 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1285685743 |
21250 |
21250 |
36.2074110799 |
-121.132632684 |
-117.104439143252 |
32.6607242027598 |
5751 |
Nunez-Oiju, Maria |
1225182355 |
Dentist |
UNKNOWN |
2405 Hoover Avenue |
National City |
San Diego |
91950 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL GROUP CROWN |
1538487640 |
21250 |
21250 |
32.6607242035 |
-117.104439143 |
-117.867477936358 |
33.7790861138332 |
5759 |
Murphy, William |
1225191042 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.857025520311 |
37.0634269687797 |
5762 |
Tamagni, Juliette |
1225196884 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
311 West I Street |
Los Banos |
Merced |
93635 |
California |
2014 |
2014 |
1 |
AIU |
DEVIREDDY MD KARTHIKEYA |
1518089507 |
21250 |
21250 |
37.0634269686 |
-120.85702552 |
-117.867477936358 |
33.7790861138332 |
5765 |
lazo, antonio |
1225196165 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.602792999797 |
34.1215125111935 |
5768 |
Ghafouri, Setareh |
1225206303 |
Dentist |
UNKNOWN |
9275 Baseline Road |
Rancho Cucamonga |
San Bernardino |
91730 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1386776698 |
21250 |
21250 |
34.1215125109 |
-117.602793 |
-117.727138285004 |
34.0628762236589 |
5771 |
nguyen, van |
1225220890 |
Dentist |
UNKNOWN |
1182 E Holt Ave |
Pomona |
Los Angeles |
91767 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1225220890 |
21250 |
21250 |
34.0628762239 |
-117.727138285 |
-118.197726159734 |
33.927616836248 |
5774 |
Hochman, Michael |
1225220130 |
Physician |
UNKNOWN |
3820 Martin Luther King Jr. |
Lynwood |
Los Angeles |
90262 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1225220130 |
29750 |
8500 |
33.9276168359 |
-118.19772616 |
-117.88951050001 |
33.7271855047073 |
5775 |
Hszieh, Gary |
1225228638 |
Dentist |
UNKNOWN |
1610 W EDINGER AVE, SUITE C |
SANTA ANA |
Orange |
92704 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1518995109 |
21250 |
21250 |
33.7271855051 |
-117.8895105 |
-117.867477936358 |
33.7790861138332 |
5778 |
Schultz, David |
1225177413 |
Dentist |
UNKNOWN |
530 South Main St., Western Dental Services, Inc. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.922348323616 |
33.643508824173 |
5779 |
Escudero, Ryan |
1225231996 |
Dentist |
UNKNOWN |
570 W. 19th St |
Costa Mesa |
Orange |
92627 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1679910533 |
21250 |
21250 |
33.6435088235 |
-117.922348324 |
-118.324614858089 |
34.1673156799747 |
5781 |
Sohrab, Sanah |
1225237357 |
Dentist |
UNKNOWN |
1824 W VERDUGO AVE |
BURBANK |
Los Angeles |
91506 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1447519129 |
21250 |
21250 |
34.16731568 |
-118.324614858 |
-117.867477936358 |
33.7790861138332 |
5793 |
Kim, Jekyong |
1225242084 |
Dentist |
UNKNOWN |
530 South Main St., Suite B-1 |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.284267293601 |
34.4710488794023 |
5800 |
Jeske, Don |
1225261027 |
Nurse Practitioner |
NURSE PRACTITIONER |
17330 Bear Valley Rd Ste A106 |
Victorville |
San Bernardino |
92395 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1225261027 |
29750 |
8500 |
34.4710488788 |
-117.284267294 |
-118.127160000134 |
34.0628939996584 |
5806 |
Lee, David |
1225276652 |
Physician |
UNKNOWN |
333 W Garvey Ave, Suite 154B |
Monterey Park |
Los Angeles |
91754 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1225276652 |
21250 |
21250 |
34.062894 |
-118.12716 |
-121.376389500375 |
38.5562970003064 |
5809 |
Portillo Novoa, Patricia |
1225277841 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-120.823715927648 |
38.6957791157137 |
5830 |
Perez, Sharon |
1225319486 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4641 Missouri Flat Road |
Placerville |
El Dorado |
95667 |
California |
2017 |
2018 |
5 |
MU |
DORADO COUNTY COMM EL |
1609029362 |
55250 |
8500 |
38.6957791157 |
-120.823715928 |
-122.020145999838 |
37.3941629997227 |
5838 |
Sabater, Maryette |
1225342264 |
Physician |
UNKNOWN |
785 Morse Ave |
Sunnyvale |
Santa Clara |
94085 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1225342264 |
21250 |
21250 |
37.394163 |
-122.020146 |
-116.526798000128 |
33.8240880001611 |
5842 |
Phang, Allison |
1225355662 |
Dentist |
UNKNOWN |
160 N Luring Dr, Suite F |
Palm Springs |
Riverside |
92262 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831386168 |
21250 |
21250 |
33.824088 |
-116.526798 |
-118.025319283258 |
34.071763094791 |
5845 |
allmaras, obadiah |
1225364680 |
Dentist |
UNKNOWN |
3551 Peck Rd, Unit 101 |
El Monte |
Los Angeles |
91731 |
California |
2016 |
2016 |
1 |
AIU |
DDS, INC Zaghi |
1306242631 |
21250 |
21250 |
34.0717630952 |
-118.025319283 |
-117.968426310826 |
33.7449987191156 |
5850 |
Cao, Jason |
1225385297 |
Dentist |
UNKNOWN |
9211 Bolsa Ave, Suite 210 |
Westminster |
Orange |
92683 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1679903314 |
21250 |
21250 |
33.7449987186 |
-117.968426311 |
-122.46118324571 |
37.7624926958812 |
5856 |
Hoang, Nga |
1225388986 |
Dentist |
UNKNOWN |
707 Parnassus Ave D3000 |
San Francisco |
San Francisco |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1225388986 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-118.220561559868 |
33.9736911883977 |
5886 |
Bernales, George |
1235107491 |
Physician |
GENERAL PRACTICE |
2766 E Florence Ave |
Huntington Park |
Los Angeles |
90255 |
California |
2012 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1376851428 |
29750 |
8500 |
33.9736911876 |
-118.22056156 |
-119.99625835374 |
38.9123594716124 |
5896 |
Degiovanni, Todd |
1235129289 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
2201 South Ave, Ste B |
South Lake Tahoe |
El Dorado |
96150 |
California |
2012 |
2014 |
1 |
MU |
Designated Payee Name not Found |
1235129289 |
21250 |
21250 |
38.9123594716 |
-119.996258354 |
-117.28261155358 |
33.0231002880479 |
5909 |
Castro, Christine |
1235149204 |
Dentist |
UNKNOWN |
120 Birmingham Drive, Suite 130 |
Cardiff By The Sea |
San Diego |
92007 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1518367317 |
21250 |
21250 |
33.0231002884 |
-117.282611554 |
-118.189281987973 |
33.7721489998765 |
5910 |
singh, ravinder |
1235150772 |
Dentist |
UNKNOWN |
460 Long Beach Blvd |
Long Beach |
Los Angeles |
90802 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1235150772 |
21250 |
21250 |
33.772149 |
-118.189281988 |
-118.446236463742 |
34.0652250001337 |
5922 |
miner, pamela |
1235141219 |
Nurse Practitioner |
UNKNOWN |
200 Medical Plaza, #365,530,420,120 |
Los Angeles |
Los Angeles |
90095 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1235141219 |
21250 |
21250 |
34.065225 |
-118.446236464 |
-118.443346549004 |
34.0637399640282 |
5923 |
bowles, la vette |
1235135740 |
Nurse Practitioner |
UNKNOWN |
10833 Le Conte Ave MDCC A2-410 |
los angeles |
Los Angeles |
90095 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1235135740 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-121.645808999686 |
36.6576570002704 |
5936 |
Cantor, Lewis |
1235183971 |
Physician |
UNKNOWN |
260 San Jose St |
Salinas |
Monterey |
93901 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1235183971 |
21250 |
21250 |
36.657657 |
-121.645809 |
-118.443346549004 |
34.0637399640282 |
5937 |
Venick, Robert |
1235166075 |
Physician |
UNKNOWN |
10833 Leconte Ave, 12-441 MDCC |
Los Angeles |
UNKNOWN |
90095 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0637399643 |
-118.443346549 |
-121.877744902705 |
37.3259090312768 |
5946 |
SANCHEZ, GLORIA |
1235207598 |
Nurse Practitioner |
UNKNOWN |
195 E. VIRGINIA STREET |
SAN JOSE |
Santa Clara |
95112 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1407985534 |
21250 |
21250 |
37.3259090311 |
-121.877744903 |
-117.43574524095 |
34.1086659898436 |
5951 |
Grigoryan, Vahan |
1235211541 |
Dentist |
UNKNOWN |
7993 Sierra Ave, Suite D |
Fontana |
San Bernardino |
92336 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1851546493 |
21250 |
21250 |
34.1086659895 |
-117.435745241 |
-117.182783021219 |
33.569596304326 |
5982 |
Nguyen, Steven |
1235252685 |
Dentist |
UNKNOWN |
25100 Hancock Ave, Suite 112 |
Murrieta |
Riverside |
92562 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1629262365 |
21250 |
21250 |
33.5695963043 |
-117.182783021 |
-118.294807499766 |
34.0762785107447 |
5986 |
Lagusay Templo, Marissa |
1235252867 |
Dentist |
UNKNOWN |
3940 1/2 Beverly Blvd |
Los Angeles |
Los Angeles |
90004 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1376698993 |
21250 |
21250 |
34.0762785109 |
-118.2948075 |
-118.208727034825 |
33.9067317445744 |
5988 |
kweider, mohamad |
1235268657 |
Dentist |
UNKNOWN |
1601 N LONG BEACH BLVD |
Compton |
Los Angeles |
90220 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1235268657 |
21250 |
21250 |
33.9067317454 |
-118.208727035 |
-117.867477936358 |
33.7790861138332 |
5991 |
DALLOUL, BASHAR |
1235271917 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.975755502215 |
33.8142575027816 |
5994 |
Ngo, Phuong |
1235274820 |
Dentist |
UNKNOWN |
1316-1318 S Magnolia Ave |
Anaheim |
Orange |
92804 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1235287434 |
21250 |
21250 |
33.8142575031 |
-117.975755502 |
-117.748453348843 |
34.0552268574336 |
5996 |
Foster, Charles |
1235277526 |
Dentist |
UNKNOWN |
243 East Mission Blvd. |
Pomona |
Los Angeles |
91766 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1235277526 |
21250 |
21250 |
34.0552268566 |
-117.748453349 |
-117.867477936358 |
33.7790861138332 |
5999 |
Mendoza, Anna |
1235280777 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
6000 |
Abedinzadeh, Lila |
1235242231 |
Dentist |
UNKNOWN |
Clinicas Del Camino Real, Inc., 200 S. Wells Rd |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
4 |
MU |
DEL CAMINO CLINICAS |
1982820221 |
46750 |
8500 |
34.2931563259 |
-119.159698865 |
-118.262058905094 |
33.9601612101717 |
6005 |
AKHAVAN, PARVIZ |
1235286436 |
Physician |
UNKNOWN |
723 E Manchester Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1235286436 |
21250 |
21250 |
33.9601612096 |
-118.262058905 |
-122.270795908804 |
37.7851006286911 |
6006 |
Jones, Robert |
1235285677 |
Physician |
PSYCHIATRY |
1080 Marina Village Parkway, Suite 100 |
Alameda |
Alameda |
94501 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1417033663 |
21250 |
21250 |
37.7851006289 |
-122.270795909 |
-115.522960499627 |
32.9730805030628 |
6012 |
SHUE, BRIAN |
1235296898 |
Dentist |
UNKNOWN |
1166 K St |
Brawley |
Imperial |
92227 |
California |
2017 |
2018 |
2 |
MU |
DE SALUD DEL CLINICAS |
1699859421 |
29750 |
8500 |
32.9730805029 |
-115.5229605 |
-119.781351569619 |
36.8367656956804 |
6014 |
PAZIRANDEH, ARYAN |
1235299033 |
Doctor of Optometry |
UNKNOWN |
6767 N Fresno St |
Fresno |
Fresno |
93710 |
California |
2018 |
2019 |
4 |
MU |
DAVID B MD INC KAYE |
1811068455 |
46750 |
8500 |
36.8367656961 |
-119.78135157 |
-118.273389045368 |
33.7987287732144 |
6018 |
Pereira, Guadalupe |
1235310442 |
Dentist |
UNKNOWN |
155 E Lomita Blvd |
Carson |
Los Angeles |
90745 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1437217783 |
21250 |
21250 |
33.798728773 |
-118.273389045 |
-117.670042204284 |
34.0756317893756 |
6021 |
Patel, Mukesh |
1235304668 |
Dentist |
UNKNOWN |
974 N MOUNTAIN AVE |
ONTARIO |
Unknown |
92762 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1235304668 |
21250 |
21250 |
34.0756317887 |
-117.670042204 |
-117.867477936358 |
33.7790861138332 |
6026 |
Gohil, Arusha |
1235314162 |
Dentist |
UNKNOWN |
530 South Main St., Apt # 113 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
6027 |
LEON, ARLETTE |
1235319989 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.46161949984 |
38.496834000189 |
6032 |
Maeda, Melvin |
1235322389 |
Dentist |
UNKNOWN |
3811 Florin Rd, #8 |
Sacramento |
Sacramento |
95823 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1174761522 |
21250 |
21250 |
38.496834 |
-121.4616195 |
-119.097971026242 |
36.4156364523604 |
6040 |
Medina, Rocio |
1235338948 |
Physician |
INTERNAL MEDICINE |
180 E Antelope Ave |
Woodlake |
Tulare |
93286 |
California |
2015 |
2017 |
3 |
MU |
DELTA HEALTH CARE KAWEAH |
1154614097 |
38250 |
8500 |
36.4156364517 |
-119.097971026 |
-118.446236463742 |
34.0652250001337 |
6041 |
Murphy, Aisling |
1235313974 |
Physician |
OBSTETRICS/GYNECOLOGY |
200 Medical Plz, Ste. 430, 220 |
Los Angeles |
UNKNOWN |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1235313974 |
21250 |
21250 |
34.065225 |
-118.446236464 |
-124.135908992306 |
40.5823885259098 |
6042 |
Warde-Selmanoff, Connie |
1235342049 |
Nurse Practitioner |
UNKNOWN |
3305 Renner Drive |
Fortuna |
Humboldt |
95540 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1235342049 |
21250 |
21250 |
40.5823885261 |
-124.135908992 |
-121.845447497004 |
39.7528200003428 |
6049 |
Gallaway, Bruce |
1235347873 |
Physician |
UNKNOWN |
680 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.75282 |
-121.845447497 |
-117.751753385011 |
34.0670719791885 |
6055 |
Choi, David |
1235353145 |
Dentist |
UNKNOWN |
956 N Garey Ave |
Pomona |
Los Angeles |
91767 |
California |
2014 |
2015 |
1 |
AIU |
David A Choi |
1235353145 |
21250 |
21250 |
34.0670719792 |
-117.751753385 |
-121.456646999859 |
38.5524089999754 |
6074 |
Pham, Kieu Oanh |
1235396797 |
Physician |
UNKNOWN |
2516 Stockton Blvd, Suite 364 |
Sacramento |
Sacramento |
95817 |
California |
2014 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1235396797 |
14166.67 |
14166.67 |
38.552409 |
-121.456647 |
-117.867477936358 |
33.7790861138332 |
6085 |
McCullough, Laurie |
1235417858 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.6322074687 |
36.7036735826698 |
6087 |
Truong, Chung |
1235432592 |
Dentist |
UNKNOWN |
620 E Alvin Dr Ste G |
Salinas |
Monterey |
93906 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DEL VALLE CLINICA |
1508994930 |
21250 |
21250 |
36.7036735825 |
-121.632207469 |
-121.376389500375 |
38.5562970003064 |
6091 |
Delgado, Carlos |
1235435553 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2015 |
2016 |
1 |
AIU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
21250 |
21250 |
38.556297 |
-121.3763895 |
-121.376389500375 |
38.5562970003064 |
6093 |
Bains, Harsimran |
1235436205 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-118.305603000278 |
33.7388574521098 |
6096 |
Follmar, Kenneth |
1235437575 |
Physician |
PEDIATRIC MEDICINE |
1294 W 6th St Ste 102 |
San Pedro |
Los Angeles |
90731 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1235437575 |
21250 |
21250 |
33.7388574522 |
-118.305603 |
-117.867477936358 |
33.7790861138332 |
6098 |
Pressutti, David |
1235442039 |
Dentist |
UNKNOWN |
530 South Main St., Suite 115 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
6099 |
Mai, Anh-Thu |
1235447525 |
Dentist |
UNKNOWN |
530 South Main St., Suite #G |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.63073293058 |
35.1387011507376 |
6104 |
Perez Martinez, Irma |
1235462532 |
Dentist |
UNKNOWN |
2 James Way, Suite 201 |
Pismo Beach |
UNKNOWN |
93449 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1477858868 |
21250 |
21250 |
35.1387011507 |
-120.630732931 |
-117.163974713262 |
32.7328816281847 |
6107 |
Lau, Jenna |
1235470519 |
Dentist |
UNKNOWN |
2630 1st Avenue |
San Diego |
San Diego |
92103 |
California |
2015 |
2016 |
1 |
AIU |
DIEGO AMERICAN SAN |
1003902917 |
21250 |
21250 |
32.7328816275 |
-117.163974713 |
-117.867477936358 |
33.7790861138332 |
6133 |
Malek Hedayat, Iman |
1235561713 |
Dentist |
UNKNOWN |
530 south main street, # 130 |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.318794982902 |
34.5106430514358 |
6135 |
Im, Isaac |
1235568874 |
Dentist |
UNKNOWN |
14285 7th St |
Victorville |
San Bernardino |
92395 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1447650296 |
21250 |
21250 |
34.5106430505 |
-117.318794983 |
-121.617664141587 |
39.1411961561777 |
6148 |
SOLIMAN, WALEED |
1245212018 |
Dentist |
UNKNOWN |
853 Plumas St |
Yuba City |
Sutter |
95991 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1841638624 |
21250 |
21250 |
39.141196156 |
-121.617664142 |
-122.38123557706 |
40.5497524220367 |
6162 |
Zarriello, Richard |
1245238765 |
Physician |
UNKNOWN |
2640 Breslauer Way |
Redding |
Shasta |
96001 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881692390 |
21250 |
21250 |
40.5497524221 |
-122.381235577 |
-121.620752897328 |
39.144298231778 |
6173 |
Grewal, Prabhjot |
1245254374 |
Dentist |
UNKNOWN |
1047 LIVE OAK BLVD, SUITE A |
YUBA CITY |
Sutter |
95991 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245254374 |
21250 |
21250 |
39.144298232 |
-121.620752897 |
-121.850648505724 |
37.3612620571982 |
6174 |
Thai, Nicole Hong Phuong |
1245254382 |
Physician |
UNKNOWN |
200 Jose Figueres Ave, Suite 355 |
San Jose |
Santa Clara |
95116 |
California |
2015 |
2017 |
3 |
MU |
Designated Payee Name not Found |
1245254382 |
38250 |
8500 |
37.3612620569 |
-121.850648506 |
-119.13169066839 |
36.2988754701269 |
6198 |
Campos, Jose |
1245288034 |
Physician |
FAMILY PRACTICE |
1014 San Juan Avenue |
Exeter |
Tulare |
93221 |
California |
2015 |
2017 |
3 |
MU |
DELTA HEALTHCARE KAWEAH |
1043272172 |
38250 |
8500 |
36.2988754701 |
-119.131690668 |
-117.229184500864 |
32.9542107399337 |
6203 |
Sharafi, Soudabeh |
1245289107 |
Dentist |
UNKNOWN |
12750 Carmel Country Rd, Suite 215 |
San Diego |
San Diego |
92130 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1972830180 |
21250 |
21250 |
32.9542107399 |
-117.229184501 |
-117.920506500375 |
33.7313970001715 |
6209 |
NGUYEN, MINH-Tri |
1245306349 |
Dentist |
UNKNOWN |
15975 Harbor Blvd |
Fountain Valley |
Orange |
92708 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1326319252 |
21250 |
21250 |
33.731397 |
-117.9205065 |
-117.867477936358 |
33.7790861138332 |
6210 |
Seleit, Mohamed |
1245306208 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
6214 |
Lee, Kiwoong |
1245308667 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.180791037976 |
33.7732795124396 |
6250 |
Morgan, Kathleen |
1245363969 |
Physician |
FAMILY PRACTICE |
500 Alamitos Avenue |
Long Beach |
Los Angeles |
90802 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245363969 |
21250 |
21250 |
33.7732795115 |
-118.180791038 |
-117.867477936358 |
33.7790861138332 |
6259 |
Vorperian, Vahe |
1245371988 |
Dentist |
UNKNOWN |
530 South Main St., ste H |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.042942067822 |
34.2219285679491 |
6260 |
sehati, farid |
1245376979 |
Dentist |
UNKNOWN |
484 Mobil Ave, Suite 33 |
Camarillo |
Ventura |
93010 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1679983498 |
21250 |
21250 |
34.2219285684 |
-119.042942068 |
-117.317738269605 |
34.5118938393293 |
6266 |
Reyes, Rosemarie Cristina |
1245386598 |
Dentist |
UNKNOWN |
14357 7th St |
Victorville |
San Bernardino |
92395 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245386598 |
21250 |
21250 |
34.511893839 |
-117.31773827 |
-117.867477936358 |
33.7790861138332 |
6273 |
Ji, Zhibin |
1245390079 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.312449536117 |
36.6252868987714 |
6280 |
WEBB, JAMES |
1245399583 |
Physician |
PEDIATRIC MEDICINE |
555 6th St. |
Orange Cove |
Fresno |
93646 |
California |
2012 |
2013 |
1 |
AIU |
DARYOUSH Y MD KASHANI |
1831335116 |
21250 |
21250 |
36.6252868989 |
-119.312449536 |
-117.867477936358 |
33.7790861138332 |
6284 |
Yu, Chunzhu |
1245408871 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.083714126805 |
40.8760468021183 |
6290 |
Lowry, Caroline |
1245432996 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
785 18th St |
Arcata |
Humboldt |
95521 |
California |
2020 |
2020 |
5 |
MU |
DOOR COMM HLTH CTRS OPEN |
1689778813 |
55250 |
8500 |
40.8760468021 |
-124.083714127 |
-122.465748609111 |
37.7810433156965 |
6295 |
Undorf, Yuri |
1245436880 |
Dentist |
UNKNOWN |
4312 Geary Blvd |
San Francisco |
San Francisco |
94118 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1124144332 |
21250 |
21250 |
37.7810433161 |
-122.465748609 |
-117.867477936358 |
33.7790861138332 |
6296 |
Adair, Kevin |
1245433978 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.952862499805 |
32.8077314592395 |
6302 |
Fremo, Jonathan |
1245446137 |
Dentist |
UNKNOWN |
742 Broadway |
El Cajon |
San Diego |
92021 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245446137 |
21250 |
21250 |
32.8077314591 |
-116.9528625 |
-121.376389500375 |
38.5562970003064 |
6304 |
Cardona, Patricia |
1245450105 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-116.961791977218 |
33.2771591455781 |
6308 |
Weissich, Fredric |
1245458694 |
Dentist |
UNKNOWN |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245458694 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-117.867477936358 |
33.7790861138332 |
6310 |
Wong, Derek |
1245464999 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
6312 |
Seo, Hee Song |
1245468958 |
Dentist |
UNKNOWN |
530 South Main St., Suite 1823 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
6315 |
Anwar, Adeel |
1245470913 |
Dentist |
UNKNOWN |
200 S Wells Rd, Ste100 |
Ventura |
Ventura |
93004 |
California |
2012 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-119.159698864611 |
34.2931563264034 |
6329 |
Mikhail, Sam |
1245511476 |
Dentist |
UNKNOWN |
200 S. Wells Rd, Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1134369366 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.852587999736 |
33.6841739997304 |
6333 |
Kim, Augustine |
1245545375 |
Dentist |
UNKNOWN |
1920 Main St #970 |
Irvine |
UNKNOWN |
92614 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL, INC BADII |
1467711358 |
21250 |
21250 |
33.684174 |
-117.852588 |
-117.867477936358 |
33.7790861138332 |
6337 |
Walthard, Sepideh |
1245545839 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.308918870809 |
33.751809704954 |
6340 |
Meister, Kristi |
1245559053 |
Dentist |
UNKNOWN |
946 N Western Ave |
San Pedro |
Los Angeles |
90732 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245559053 |
21250 |
21250 |
33.7518097051 |
-118.308918871 |
-117.867477936358 |
33.7790861138332 |
6341 |
Hosny, Kazem |
1245560481 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
6346 |
Tarassoli, Yasamin |
1245565159 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
6349 |
labib, arsany |
1245575364 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.46118324571 |
37.7624926958812 |
6351 |
Solem, Richard |
1245580877 |
Dentist |
UNKNOWN |
707 Parnassus Ave # D-3000 |
San Francisco |
UNKNOWN |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245580877 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-121.545819136144 |
39.1278335471805 |
6352 |
xiong, kuw |
1245568534 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1908 N Beale Road, Suite E |
Marysville |
Yuba |
95901 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1124130620 |
21250 |
21250 |
39.1278335467 |
-121.545819136 |
-117.907922887731 |
33.7143755381007 |
6366 |
Pham, Mai |
1245643154 |
Dentist |
UNKNOWN |
2414 S Fairview St, Suite 101 |
Santa Ana |
Orange |
92704 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1639538382 |
21250 |
21250 |
33.7143755379 |
-117.907922888 |
-121.295299500272 |
38.0195009996714 |
6378 |
Furukawa, Diana |
1245683861 |
Dentist |
UNKNOWN |
7743 West Lane, Suite C-5 |
Stockton |
San Joaquin |
95210 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1124572284 |
21250 |
21250 |
38.019501 |
-121.2952995 |
-118.338935927651 |
34.0089031367704 |
6395 |
GAYLORD, ERIC |
1255317780 |
Doctor of Optometry |
UNKNOWN |
3756 Santa Rosalia Dr, SUITE 100 |
Los Angeles |
Los Angeles |
90008 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1255317780 |
8500 |
8500 |
34.0089031368 |
-118.338935928 |
-118.097330998727 |
34.0797841040532 |
6401 |
Tay, Emerald |
1255331294 |
Physician |
INTERNAL MEDICINE |
222 E Valley Blvd |
San Gabriel |
Los Angeles |
91776 |
California |
2016 |
2014 |
3 |
MU |
Designated Payee Name not Found |
1255331294 |
38250 |
8500 |
34.0797841038 |
-118.097330999 |
-118.156590000228 |
33.7823010003909 |
6403 |
Vu, Hong |
1255343588 |
Dentist |
UNKNOWN |
3000 E ANAHEIM ST |
LONG BEACH |
Los Angeles |
90804 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1255343588 |
21250 |
21250 |
33.782301 |
-118.15659 |
-121.848385136964 |
37.3633082513747 |
6419 |
Lau, Nancy |
1255364055 |
Physician |
INTERNAL MEDICINE |
225 N Jackson Ave |
San Jose |
Santa Clara |
95116 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1255364055 |
21250 |
21250 |
37.3633082508 |
-121.848385137 |
-117.689476560895 |
34.0245414172526 |
6440 |
Perez-Pasiliao, Raimel |
1255400248 |
Physician |
UNKNOWN |
12574 Central Avenue, Chino |
CA |
San Bernardino |
91710 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1255400248 |
21250 |
21250 |
34.0245414169 |
-117.689476561 |
-119.291098500296 |
36.3134520002097 |
6450 |
Gu, Huiying |
1255405155 |
Physician |
PEDIATRIC MEDICINE |
1922 S. Court St. |
Visalia |
Tulare |
93277 |
California |
2017 |
2018 |
6 |
MU |
Designated Payee Name not Found |
1255405155 |
63750 |
8500 |
36.313452 |
-119.2910985 |
-118.443346549004 |
34.0637399640282 |
6453 |
Okelo, Sande |
1255385985 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-311 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2014 |
2015 |
3 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
38250 |
8500 |
34.0637399643 |
-118.443346549 |
-117.867477936358 |
33.7790861138332 |
6455 |
altwal, iyad |
1255409421 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.962019000077 |
33.8330069995734 |
6474 |
Marfatia, Rabin |
1255431953 |
Dentist |
UNKNOWN |
2265 West Lincoln Avenue |
Anaheim |
Orange |
92801 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1255431953 |
21250 |
21250 |
33.833007 |
-117.962019 |
-118.8378765001 |
34.1715510002785 |
6491 |
Mahdavi, Kambiz |
1255448049 |
Dentist |
UNKNOWN |
2875 E. Thousand Oaks Blvd |
Thousand Oaks |
Ventura |
91362 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1124248091 |
21250 |
21250 |
34.171551 |
-118.8378765 |
-117.867477936358 |
33.7790861138332 |
6497 |
Sheth, Madhavi |
1255455481 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.084720499951 |
34.5797370001625 |
6499 |
zargarian, albert |
1255460168 |
Dentist |
UNKNOWN |
2508 E Palmdale Blvd |
Palmdale |
Los Angeles |
93550 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1255460168 |
21250 |
21250 |
34.579737 |
-118.0847205 |
-119.071687500378 |
35.3189250000887 |
6501 |
tran, bach |
1255461646 |
Dentist |
UNKNOWN |
6300 White Ln, Ste. C |
Bakersfield |
Kern |
93309 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1649424532 |
21250 |
21250 |
35.318925 |
-119.0716875 |
-117.867477936358 |
33.7790861138332 |
6504 |
Jhang, Alexander |
1255462339 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.443346549004 |
34.0637399640282 |
6513 |
McDiarmid, Suzanne |
1255445508 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0637399643 |
-118.443346549 |
-118.504692000136 |
34.2575564851437 |
6514 |
Barizo, Doris |
1255479721 |
Dentist |
UNKNOWN |
17075 Devonshire St, Suite 208 |
Northridge |
Los Angeles |
91325 |
California |
2013 |
2014 |
1 |
AIU |
Doris A Barizo |
1255479721 |
21250 |
21250 |
34.2575564855 |
-118.504692 |
-118.249757999732 |
33.9747784543623 |
6515 |
Jacob, Leena |
1255479556 |
Dentist |
UNKNOWN |
1357 E Florence Ave |
Los Angeles |
Los Angeles |
90001 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1841503646 |
21250 |
21250 |
33.9747784544 |
-118.249758 |
-121.301325000249 |
37.9717740002699 |
6520 |
Bermudez, Maria Luisa |
1255485736 |
Dentist |
UNKNOWN |
221 TUXEDO CT., Ste D |
STOCKTON |
San Joaquin |
95204 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1255485736 |
21250 |
21250 |
37.971774 |
-121.301325 |
-118.346630493802 |
33.8138597587209 |
6521 |
Samet, Dana |
1255486676 |
Dentist |
UNKNOWN |
3500 Lomita Blvd, Ste 303 |
Torrance |
Los Angeles |
90505 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336287671 |
21250 |
21250 |
33.8138597588 |
-118.346630494 |
-122.014480500275 |
37.3525109998828 |
6523 |
MEHTA, NIRAV |
1255486700 |
Dentist |
UNKNOWN |
895 E Fremont Ave, Suite 101 |
Sunnyvale |
Santa Clara |
94087 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1255486700 |
21250 |
21250 |
37.352511 |
-122.0144805 |
-118.098584999898 |
34.0148970003963 |
6525 |
Khan, Deanna |
1255488821 |
Physician |
UNKNOWN |
101 E Beverly Blvd, 404 |
Montebello |
Los Angeles |
90640 |
California |
2013 |
2014 |
2 |
MU |
DEANNA Y MD KHAN |
1255488821 |
29750 |
8500 |
34.014897 |
-118.098585 |
-118.187343371599 |
33.8090145901513 |
6529 |
Castillo, Carmen |
1255495354 |
Dentist |
UNKNOWN |
455 East Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
5 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
55250 |
8500 |
33.8090145898 |
-118.187343372 |
-117.867477936358 |
33.7790861138332 |
6536 |
Rahimzadeh, Parviz |
1255515102 |
Dentist |
UNKNOWN |
530 South Main St., suite 200 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.225223986198 |
33.9735510002785 |
6546 |
Lee, Esther |
1255527081 |
Dentist |
UNKNOWN |
7218 Pacific Blvd |
Huntington Park |
Los Angeles |
90255 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1609163849 |
21250 |
21250 |
33.973551 |
-118.225223986 |
-121.977238187592 |
37.5484010455718 |
6548 |
Saxena, Meeta |
1255527479 |
Physician |
UNKNOWN |
39500 Liberty Street |
Fremont |
Alameda |
94538 |
California |
2014 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1255527479 |
29750 |
8500 |
37.5484010458 |
-121.977238188 |
-117.606971733858 |
33.4747298443069 |
6549 |
moura, carolina |
1255526893 |
Dentist |
UNKNOWN |
1 Calle Saltamontes |
San Clemente |
Orange |
92673 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
33.4747298438 |
-117.606971734 |
-118.000341000137 |
33.8312339996494 |
6551 |
LE, michael |
1255533972 |
Dentist |
UNKNOWN |
3174 W Lincoln Ave, Suite 102 |
ANAHEIM |
Orange |
92801 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1558798223 |
21250 |
21250 |
33.831234 |
-118.000341 |
-117.867477936358 |
33.7790861138332 |
6559 |
Nguyen, Dan |
1255549853 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
6567 |
Lehnhof, Monica |
1255583241 |
Dentist |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2013 |
2013 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.024925319948 |
34.1266096410222 |
6573 |
LEE, JULIANNE |
1255590527 |
Physician |
UNKNOWN |
1212 S 2nd Ave |
Arcadia |
Los Angeles |
91006 |
California |
2016 |
2018 |
3 |
MU |
Designated Payee Name not Found |
1255590527 |
38250 |
8500 |
34.1266096414 |
-118.02492532 |
-120.827405971908 |
38.706282365339 |
6576 |
Mehra, Neal |
1255592721 |
Physician |
UNKNOWN |
4327 Golden Center Dr |
Placerville |
El Dorado |
95667 |
California |
2016 |
2017 |
1 |
AIU |
DORADO COUNTY COMM EL |
1316050107 |
21250 |
21250 |
38.706282365 |
-120.827405972 |
-118.605927964304 |
34.1893799995873 |
6587 |
Shokouhi, Ghazal |
1255631131 |
Dentist |
UNKNOWN |
6543 Topanga Cyn Blvd |
Woodland Hills |
Los Angeles |
91303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
34.18938 |
-118.605927964 |
-119.99625835374 |
38.9123594716124 |
6589 |
Villaret, Amy |
1255638870 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
2201 South Ave Ste B |
South Lake Tahoe |
El Dorado |
96150 |
California |
2012 |
2014 |
1 |
MU |
Designated Payee Name not Found |
1255638870 |
21250 |
21250 |
38.9123594716 |
-119.996258354 |
-124.146181542444 |
40.8024420806375 |
6592 |
Mehta, Rohan |
1255642427 |
Physician |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2018 |
2019 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
38250 |
8500 |
40.802442081 |
-124.146181542 |
-118.102776775927 |
34.1707883473044 |
6598 |
Fields, Danthanh |
1255653598 |
Dentist |
UNKNOWN |
1430 North Roosevelt Ave. |
Pasadena |
Los Angeles |
91104 |
California |
2015 |
2015 |
1 |
AIU |
Danthanh Hoang Nguyen Fields |
1255653598 |
21250 |
21250 |
34.1707883469 |
-118.102776776 |
-118.443346549004 |
34.0637399640282 |
6602 |
Chang, Vivian |
1255595229 |
Nurse Practitioner |
UNKNOWN |
10833 Le Conte Ave, MDCC A2-312 |
Los Angeles |
Los Angeles |
90095 |
California |
2016 |
2017 |
4 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
46750 |
8500 |
34.0637399643 |
-118.443346549 |
-116.074152000414 |
33.5692744864285 |
6608 |
Knutzen, Victor |
1255679320 |
Physician |
UNKNOWN |
91275 66th Ave, Suite 500 |
Mecca |
Riverside |
92254 |
California |
2016 |
2017 |
2 |
MU |
DE SALUD DEL CLINICAS |
1932280633 |
29750 |
8500 |
33.5692744859 |
-116.074152 |
-116.32904549985 |
33.1939799996773 |
6613 |
Solis Padilla, Claudia |
1255696209 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4343 Yaqui Pass Rd. |
Borrego Springs |
San Diego |
92004 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1255696209 |
21250 |
21250 |
33.19398 |
-116.3290455 |
-118.376972653765 |
34.0535177282606 |
6616 |
Hakhamjani, Assal |
1255699955 |
Dentist |
UNKNOWN |
8525 Pico Blvd |
Los Angeles |
Los Angeles |
90035 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1124464508 |
21250 |
21250 |
34.0535177277 |
-118.376972654 |
-117.867477936358 |
33.7790861138332 |
6635 |
Sian, Manjeet |
1255770038 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.151738999555 |
34.1315605338916 |
6649 |
DeOliveira, Elizabeth |
1265414833 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
50 Bellefontaine St, Ste 405 |
Pasadena |
Los Angeles |
91105 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1265414833 |
29750 |
8500 |
34.1315605337 |
-118.151739 |
-120.491111179238 |
37.3252442488231 |
6651 |
Mattos, Natalie |
1265415525 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1208 Paseo Verde Dr. |
Merced |
Merced |
95348 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1184674582 |
21250 |
21250 |
37.3252442495 |
-120.491111179 |
-121.551722325625 |
39.5023306563348 |
6653 |
Rippy, Steven |
1265418776 |
Dentist |
UNKNOWN |
2800 Lincoln Blvd. |
Oroville |
Butte |
95966 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.5023306564 |
-121.551722326 |
-121.446589500105 |
38.5497450003315 |
6657 |
Boyadjiev Boyd, Simeon |
1265400337 |
Physician |
PEDIATRIC MEDICINE |
2825 50th St, M.I.N.D. Institute |
Sacramento |
Sacramento |
95817 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1831182856 |
21250 |
21250 |
38.549745 |
-121.4465895 |
-115.492890693051 |
32.667713488187 |
6658 |
Ghoreyshi, Kamran |
1265407928 |
Dentist |
UNKNOWN |
408 E 3rd St, Suite C |
Calexico |
Imperial |
92231 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1265407928 |
21250 |
21250 |
32.6677134885 |
-115.492890693 |
-118.171286999895 |
33.7829129998351 |
6695 |
Guerrero, Annette |
1265476162 |
Physician |
FAMILY PRACTICE |
1627 E Anaheim St |
Long Beach |
Los Angeles |
90813 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1891067500 |
21250 |
21250 |
33.782913 |
-118.171287 |
-118.468534500067 |
34.2010925351924 |
6697 |
Wang, Andrew |
1265487524 |
Physician |
UNKNOWN |
15400 Sherman Way #220 |
Van Nuys |
UNKNOWN |
91406 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1265487524 |
21250 |
21250 |
34.2010925345 |
-118.4685345 |
-117.943190165094 |
34.0642911540136 |
6702 |
nguyen, chi |
1265492771 |
Physician |
PEDIATRIC MEDICINE |
933 S. Sunset AVE, 201 |
West Covina |
Los Angeles |
91790 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1265492771 |
21250 |
21250 |
34.0642911544 |
-117.943190165 |
-122.458201395978 |
37.7634459889413 |
6709 |
Vargervik, Karin |
1265499842 |
Dentist |
UNKNOWN |
513 Parnassus Ave, S747, BOX 0442 |
San Francisco |
UNKNOWN |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1265499842 |
21250 |
21250 |
37.7634459887 |
-122.458201396 |
-121.931844043068 |
37.3128740632874 |
6711 |
Jones, Joanne |
1265496467 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave, PEP Lab |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588721500 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.033575447249 |
33.9626359465917 |
6725 |
LAMIN, TAYAR |
1265517361 |
Dentist |
UNKNOWN |
8317 Painter Ave Ste 4 |
Whittier |
Los Angeles |
90602 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1265517361 |
21250 |
21250 |
33.9626359473 |
-118.033575447 |
-117.396432000037 |
33.9473970001715 |
6726 |
Mackey, Timothy |
1265519557 |
Physician |
UNKNOWN |
6950 Brockton Ave |
Riverside |
Riverside |
92506 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336227362 |
14166.67 |
14166.67 |
33.947397 |
-117.396432 |
-118.072726795805 |
33.9193052542341 |
6728 |
Talleff, Jennifer |
1265521686 |
Nurse Practitioner |
UNKNOWN |
12311 Norwalk Blvd |
Norwalk |
Los Angeles |
90650 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1265521686 |
21250 |
21250 |
33.9193052536 |
-118.072726796 |
-115.502452563835 |
32.6940522126396 |
6738 |
Wu, Allan |
1265538912 |
Physician |
UNKNOWN |
233 W Cole Blvd |
Calexico |
Imperial |
92231 |
California |
2018 |
2019 |
4 |
MU |
DE SALUD DEL CLINICAS |
1962599266 |
46750 |
8500 |
32.6940522127 |
-115.502452564 |
-118.2601169999 |
34.0282619997915 |
6744 |
Souchitski, Andrei |
1265543920 |
Dentist |
UNKNOWN |
514 E Washington Blvd |
Los Angeles |
Los Angeles |
90015 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1265543920 |
21250 |
21250 |
34.028262 |
-118.260117 |
-118.913707029256 |
34.4003067143834 |
6747 |
Anees, Nasr |
1265545321 |
Physician |
FAMILY PRACTICE |
355 Central Avenue, Clinicas Del Camino Real, Inc |
Fillmore |
Ventura |
93015 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
55250 |
8500 |
34.4003067141 |
-118.913707029 |
-122.574208657304 |
38.1083783139081 |
6752 |
Elloway, Norman |
1265558332 |
Dentist |
UNKNOWN |
1316 Grant Ave |
Novato |
Marin |
94945 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1265558332 |
21250 |
21250 |
38.1083783145 |
-122.574208657 |
-118.602035999762 |
34.2009994733471 |
6763 |
Rassibi, Edmond |
1265571350 |
Dentist |
UNKNOWN |
21712 sherman way |
canoga park |
Los Angeles |
91303 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1265571350 |
21250 |
21250 |
34.2009994726 |
-118.602036 |
-117.867477936358 |
33.7790861138332 |
6767 |
Sareh, Atefeh |
1265573950 |
Dentist |
UNKNOWN |
530 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.941448371645 |
33.8158419877176 |
6770 |
PHAN, DIEU |
1265576854 |
Dentist |
UNKNOWN |
1307 S. Euclid Street |
Anaheim |
Orange |
92802 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598979775 |
21250 |
21250 |
33.8158419883 |
-117.941448372 |
-117.867477936358 |
33.7790861138332 |
6771 |
Kennedy, David |
1265580351 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
6774 |
Moreno, Iban |
1265582258 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.677933539401 |
34.0192242646881 |
6778 |
HEO-KIM, MI SUNG |
1265594881 |
Dentist |
UNKNOWN |
5814 Riverside Dr |
Chino |
San Bernardino |
91710 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1730310962 |
21250 |
21250 |
34.0192242646 |
-117.677933539 |
-118.409584500224 |
34.0307100002664 |
6785 |
altman, emily |
1265566814 |
Physician |
PSYCHIATRY |
3200 Motor Ave, Vista del Mar |
Los Angeles |
Los Angeles |
90034 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
34.03071 |
-118.4095845 |
-117.867477936358 |
33.7790861138332 |
6789 |
Tolooei, Khatereh |
1265616270 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
6792 |
MERCADO, MARIA LUISA |
1265618771 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.487607883197 |
34.1568763595564 |
6803 |
Salehrabi, Shay |
1265632145 |
Dentist |
UNKNOWN |
16260 Ventura Blvd, Suite 410 |
Encino |
Los Angeles |
91436 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1265632145 |
21250 |
21250 |
34.1568763597 |
-118.487607883 |
-117.926590500351 |
33.6992914783191 |
6812 |
Reis, Frances |
1265653802 |
Physician |
UNKNOWN |
1665 Scenic Ave. Suite #100 |
Costa Mesa |
Orange |
92626 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1265653802 |
21250 |
21250 |
33.6992914784 |
-117.9265905 |
-119.018416499822 |
35.3738699996009 |
6827 |
Arreaza, Amy |
1265684914 |
Nurse Practitioner |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.867045984884 |
39.7533913837054 |
6829 |
Allen, Stanley |
1265689095 |
Physician |
PHYSICAL MEDICINE AND REHABILITATION |
340 W East Ave |
Chico |
Butte |
95926 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1265689095 |
21250 |
21250 |
39.7533913839 |
-121.867045985 |
-118.434165434088 |
34.0672257920367 |
6836 |
Moore, Jeremy |
1265676274 |
Physician |
PEDIATRIC MEDICINE |
19833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1265676274 |
21250 |
21250 |
34.0672257916 |
-118.434165434 |
-122.408336258412 |
37.793988954027 |
6840 |
Lee, Katherine |
1265714281 |
Doctor of Optometry |
UNKNOWN |
929 Clay Street #503 |
San Francisco |
San Francisco |
94108 |
California |
2015 |
2017 |
1 |
MU |
Designated Payee Name not Found |
1972835452 |
21250 |
21250 |
37.7939889545 |
-122.408336258 |
-118.072726795805 |
33.9193052542341 |
6866 |
Granados, Angela |
1265784698 |
Nurse Practitioner |
UNKNOWN |
12311 S. Norwalk Blvd |
Norwalk |
Los Angeles |
90650 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1265784698 |
21250 |
21250 |
33.9193052536 |
-118.072726796 |
-117.365763080402 |
33.882495016332 |
6876 |
Kalyani, Harsh |
1265832786 |
Dentist |
UNKNOWN |
17024 Van Buren Blvd, Suite B |
Riverside |
Riverside |
92504 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1154786648 |
21250 |
21250 |
33.8824950157 |
-117.36576308 |
-119.159698864611 |
34.2931563264034 |
6878 |
Pech, Christina |
1265816110 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-118.537244387019 |
34.2207560399593 |
6912 |
BAZZY, ABDUL |
1275535684 |
Dentist |
UNKNOWN |
18525 Roscoe Blvd |
Northridge |
Los Angeles |
91324 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1275535684 |
21250 |
21250 |
34.2207560403 |
-118.537244387 |
-121.414598999744 |
38.5772760000874 |
6916 |
Gould, Richard |
1275547705 |
Physician |
UNKNOWN |
650 Howe Avenue., Suite 100 |
Sacramento |
Sacramento |
95825 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1275547705 |
14166.67 |
14166.67 |
38.577276 |
-121.414599 |
-119.18225465293 |
34.1511742063246 |
6919 |
Hooda, Shams |
1275547549 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
450 West Clara Street, Clinicas Del Camino Real Inc |
Oxnard |
Ventura |
93033 |
California |
2013 |
2014 |
2 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
29750 |
8500 |
34.1511742062 |
-119.182254653 |
-117.954694203675 |
33.7360635004302 |
6933 |
Duong, Hong |
1275561417 |
Physician |
UNKNOWN |
15606 Brookhurst Street, Suite B |
Westminster |
Orange |
92683 |
California |
2018 |
2019 |
3 |
MU |
DEAN B MD INC NGO |
1508990664 |
38250 |
8500 |
33.7360635 |
-117.954694204 |
-118.443346549004 |
34.0637399640282 |
6936 |
Lerner, Jason |
1275557191 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
56666.67 |
8500 |
34.0637399643 |
-118.443346549 |
-120.827405971908 |
38.706282365339 |
6937 |
Collins, Clinton |
1275568651 |
Physician |
FAMILY PRACTICE |
4327 Golden Center Drive |
Placerville |
El Dorado |
95667 |
California |
2018 |
2019 |
6 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
63750 |
8500 |
38.706282365 |
-120.827405972 |
-118.443346549004 |
34.0637399640282 |
6944 |
Vilain, Eric |
1275557423 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2016 |
2017 |
3 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
38250 |
8500 |
34.0637399643 |
-118.443346549 |
-119.13169066839 |
36.2988754701269 |
6947 |
Caballes, Peter |
1275591521 |
Physician |
FAMILY PRACTICE |
1014 San Juan Avenue |
Exeter |
Tulare |
93221 |
California |
2015 |
2017 |
3 |
MU |
DELTA HEALTHCARE KAWEAH |
1043272172 |
38250 |
8500 |
36.2988754701 |
-119.131690668 |
-117.101447999925 |
32.749584509018 |
6954 |
McLeod, Renee |
1275601684 |
Nurse Practitioner |
NURSE PRACTITIONER |
4305 University Ave. # 150 |
San Diego |
San Diego |
92105 |
California |
2014 |
2015 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1962483040 |
38250 |
8500 |
32.7495845093 |
-117.101448 |
-120.827405971908 |
38.706282365339 |
6959 |
Mostofi, Afsheen |
1275607848 |
Physician |
FAMILY PRACTICE |
4327 Golden Center Drive |
Placerville |
El Dorado |
95667 |
California |
2011 |
2012 |
1 |
AIU |
DORADO COUNTY COMM EL |
1316050107 |
21250 |
21250 |
38.706282365 |
-120.827405972 |
-117.166527000021 |
33.5208689998046 |
6976 |
Luther, Michael |
1275633570 |
Dentist |
UNKNOWN |
41593 WINCHESTER RD, Suite 214 |
TEMECULA |
Riverside |
92590 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1104162130 |
21250 |
21250 |
33.520869 |
-117.166527 |
-117.852587999736 |
33.6841739997304 |
6994 |
Calilung, Xerxez |
1275649600 |
Dentist |
UNKNOWN |
1920 Main St #970 |
Irvine |
UNKNOWN |
92614 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL, INC BADII |
1467711358 |
21250 |
21250 |
33.684174 |
-117.852588 |
-118.28765700007 |
34.047271532855 |
7006 |
tena, martha |
1275657975 |
Dentist |
UNKNOWN |
2326 W PICO BLVD |
LOS ANGELES |
Los Angeles |
90006 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1174863161 |
21250 |
21250 |
34.0472715326 |
-118.287657 |
-117.102181499576 |
32.7550424891196 |
7012 |
Young, Todd |
1275672206 |
Physician |
PSYCHIATRY |
4283 El Cajon Blvd, Suite 115 |
San Diego |
San Diego |
92105 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760431670 |
21250 |
21250 |
32.7550424893 |
-117.1021815 |
-124.141090919211 |
40.7859195138745 |
7013 |
Villasenor, David |
1275673584 |
Physician |
PSYCHIATRY |
2412 Buhne Street |
Eureka |
Humboldt |
95501 |
California |
2013 |
2014 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
38250 |
8500 |
40.785919514 |
-124.141090919 |
-120.450314581253 |
34.6382361617695 |
7017 |
Mikowicz, Edward |
1275675902 |
Dentist |
UNKNOWN |
112 South B St |
Lompoc |
Santa Barbara |
93436 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1710029442 |
21250 |
21250 |
34.6382361618 |
-120.450314581 |
-117.327545999748 |
33.66886499972 |
7023 |
nguyen, Thien |
1275681868 |
Dentist |
UNKNOWN |
141 N MAIN ST |
LAKE ELSINORE |
Riverside |
92530 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740572197 |
21250 |
21250 |
33.668865 |
-117.327546 |
-119.177694134177 |
34.1747738863058 |
7026 |
HAHN, HWI |
1275690349 |
Dentist |
UNKNOWN |
2689A Saviers Rd |
Oxnard |
Ventura |
93033 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1073670634 |
21250 |
21250 |
34.1747738857 |
-119.177694134 |
-117.892062403657 |
34.0752898266642 |
7031 |
satyarahardja, yintawati |
1275695553 |
Dentist |
UNKNOWN |
2520 E Workman Ave |
West Covina |
Los Angeles |
91791 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1508296450 |
21250 |
21250 |
34.0752898275 |
-117.892062404 |
-116.185734000124 |
33.6921570000455 |
7032 |
PANDEY, MANIKA |
1275690653 |
Physician |
UNKNOWN |
49111 Highway 111, 4 |
Coachella |
Riverside |
92236 |
California |
2014 |
2015 |
3 |
MU |
DE SALUD DEL CLINICAS |
1932280633 |
38250 |
8500 |
33.692157 |
-116.185734 |
-117.276825604218 |
34.0921106850601 |
7043 |
DANG, THUY |
1275723983 |
Dentist |
UNKNOWN |
385 East Mill St., Suite 15 |
San Bernardino |
San Bernardino |
92408 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1275723983 |
21250 |
21250 |
34.0921106855 |
-117.276825604 |
-118.781904601616 |
34.147760360952 |
7047 |
Choroomi, Amir |
1275733172 |
Dentist |
UNKNOWN |
30313 CANWOOD ST, STE 36 |
AGOURA HILLS |
Los Angeles |
91301 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1235576869 |
21250 |
21250 |
34.1477603611 |
-118.781904602 |
-120.576734784083 |
37.3667888030608 |
7048 |
Bachour, Mounzer |
1275735821 |
Dentist |
UNKNOWN |
3605 Hospital Rd Ste A |
Atwater |
Merced |
95301 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1275735821 |
21250 |
21250 |
37.3667888032 |
-120.576734784 |
-117.698139918123 |
33.5933894932306 |
7049 |
Soliman, Ashraf |
1275738353 |
Dentist |
UNKNOWN |
25401 Alicia Pkwy, Suite J |
Laguna Hills |
Orange |
92653 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700192903 |
21250 |
21250 |
33.5933894925 |
-117.698139918 |
-118.012048796315 |
33.917894737752 |
7077 |
Hassanizadeh, Yasaman |
1275780264 |
Dentist |
UNKNOWN |
12271 La Mirada Blvd, suite 202 |
LA Mirada |
Los Angeles |
90638 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1275780264 |
21250 |
21250 |
33.917894738 |
-118.012048796 |
-119.159698864611 |
34.2931563264034 |
7085 |
Ehrenburg, Menashe |
1275791436 |
Physician |
OBSTETRICS/GYNECOLOGY |
200 S Wells Rd Ste 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.936602791186 |
34.0570395381442 |
7094 |
sarkisian, armond |
1275817074 |
Dentist |
UNKNOWN |
1024 S Glendora Ave |
West Covina |
Los Angeles |
91790 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1770995920 |
21250 |
21250 |
34.0570395376 |
-117.936602791 |
-117.164385000168 |
32.745120000088 |
7100 |
Torosian, Karo |
1275822082 |
Physician |
UNKNOWN |
4020 Fifih Ave. |
San Diego |
San Diego |
92103 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1275822082 |
21250 |
21250 |
32.74512 |
-117.164385 |
-118.605927964304 |
34.1893799995873 |
7104 |
Boonmee, Palarb |
1275841496 |
Dentist |
UNKNOWN |
6543 Topanga Cyn Blvd |
Woodland Hills |
Los Angeles |
91303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
34.18938 |
-118.605927964 |
-118.264014622976 |
34.0306219386516 |
7105 |
Khilla, Ayad |
1275842536 |
Nurse Practitioner |
UNKNOWN |
122 E. Washington Blvd |
Los Angeles |
Los Angeles |
90015 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1275842536 |
21250 |
21250 |
34.0306219387 |
-118.264014623 |
-118.29522600018 |
34.0692840002565 |
7106 |
Lim, Daniel |
1275833204 |
Dentist |
UNKNOWN |
3631 West 3rd Street |
Los Angeles |
Los Angeles |
90020 |
California |
2013 |
2013 |
1 |
AIU |
Daniel Y Lim |
1275833204 |
21250 |
21250 |
34.069284 |
-118.295226 |
-121.373315999833 |
38.6614710003864 |
7114 |
Youn, Tae Lim |
1275858169 |
Dentist |
UNKNOWN |
3901 MADISON AVE, STE 5 |
NORTH HIGHLANDS |
Sacramento |
95660 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1326437666 |
21250 |
21250 |
38.661471 |
-121.373316 |
-117.867477936358 |
33.7790861138332 |
7117 |
Yoo, Jenny |
1275856817 |
Dentist |
UNKNOWN |
530 South Main St., Suite I |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
7119 |
Youn, Eun Ju |
1275860538 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.698139918123 |
33.5933894932306 |
7123 |
Mai, Victor |
1275875619 |
Dentist |
UNKNOWN |
25401 Alicia Pkwy, Suite J |
Laguna Hills |
Orange |
92653 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1275875619 |
21250 |
21250 |
33.5933894925 |
-117.698139918 |
-117.435738296385 |
34.0755468592002 |
7126 |
Kohan, Bita |
1275884314 |
Dentist |
UNKNOWN |
9810 Sierra Ave #D |
Fontana |
San Bernardino |
92335 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1902185846 |
21250 |
21250 |
34.0755468591 |
-117.435738296 |
-117.867477936358 |
33.7790861138332 |
7130 |
Singh, Rupinderpal |
1275889354 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
7132 |
Dhillon, Rashminder |
1275893000 |
Dentist |
UNKNOWN |
530 south main street, 111 |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.416348105381 |
37.7647677873036 |
7133 |
Bennett, Simone |
1275893190 |
Physician |
UNKNOWN |
240 Shotwell St |
San Francisco |
San Francisco |
94110 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1275893190 |
21250 |
21250 |
37.7647677871 |
-122.416348105 |
-118.025319283258 |
34.071763094791 |
7143 |
Methasani, Eda |
1275933343 |
Dentist |
UNKNOWN |
3551 Peck Rd, Unit 101 |
El Monte |
Los Angeles |
91731 |
California |
2016 |
2016 |
1 |
AIU |
DDS, INC Zaghi |
1306242631 |
21250 |
21250 |
34.0717630952 |
-118.025319283 |
-117.867477936358 |
33.7790861138332 |
7148 |
Sagman, Aseel |
1275938789 |
Dentist |
UNKNOWN |
530 south main street, Apt 9 |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.018416499822 |
35.3738699996009 |
7161 |
Salek, Mirhamid |
1275969156 |
Dentist |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
7162 |
Contreras, Dina |
1275959843 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.291514493599 |
33.9902842629085 |
7178 |
Farzam, Danielle |
1285043075 |
Dentist |
UNKNOWN |
5703 S. Vermont Ave. |
Los Angeles |
Los Angeles |
90037 |
California |
2017 |
2018 |
2 |
MU |
DANIELLE DDS FARZAM |
1285043075 |
29750 |
8500 |
33.9902842631 |
-118.291514494 |
-119.159122499903 |
34.2188014938939 |
7185 |
keihani, kourosh |
1285043893 |
Dentist |
UNKNOWN |
1730 E. Gonzales Road |
Oxnard |
Ventura |
93036 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1811359615 |
21250 |
21250 |
34.2188014943 |
-119.1591225 |
-117.867477936358 |
33.7790861138332 |
7197 |
Kim, Ji Hyun |
1285072835 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.352789685196 |
33.8742692296413 |
7218 |
Benlavi, John |
1285642173 |
Dentist |
UNKNOWN |
4401 Redondo Beach Blvd, Suite B |
Lawndale |
Los Angeles |
90260 |
California |
2019 |
2020 |
2 |
MU |
DENTISTRY@IMPERIAL AAA |
1427336221 |
29750 |
8500 |
33.8742692295 |
-118.352789685 |
-121.616497654343 |
39.1447874467833 |
7244 |
Genobaga, James |
1285687715 |
Dentist |
UNKNOWN |
367 Del Norte Ave, SUITE 1 |
Yuba City |
Sutter |
95991 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1285687715 |
21250 |
21250 |
39.1447874474 |
-121.616497654 |
-121.351838092154 |
37.984139160394 |
7246 |
Mora, Noe |
1285693168 |
Dentist |
UNKNOWN |
3133 W March Ln Ste 1080 |
Stockton |
San Joaquin |
95219 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1285693168 |
21250 |
21250 |
37.9841391602 |
-121.351838092 |
-121.414140000161 |
38.4610229999116 |
7257 |
Darwish, Fouad |
1285698902 |
Physician |
OBSTETRICS/GYNECOLOGY |
8120 Timberlake Way, Suite 208 |
Sacramento |
Sacramento |
95823 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1285698902 |
21250 |
21250 |
38.461023 |
-121.41414 |
-118.181785500201 |
33.9699149998774 |
7264 |
Montoya, Maia |
1285705475 |
Dentist |
UNKNOWN |
4805 Florence Ave |
Bell |
Los Angeles |
90201 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1285705475 |
21250 |
21250 |
33.969915 |
-118.1817855 |
-118.184548499913 |
34.0185420003131 |
7272 |
Lee, Shauna |
1285711556 |
Dentist |
UNKNOWN |
4146 E Olympic Blvd, Suite F |
Los Angeles |
Los Angeles |
90023 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1285711556 |
21250 |
21250 |
34.018542 |
-118.1845485 |
-118.265051524208 |
34.1635780480885 |
7279 |
ATAKHANIAN, CLARISSE |
1285716431 |
Dentist |
UNKNOWN |
1201 N. Pacific Ave, 104 |
Glendale |
Los Angeles |
91203 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1881008605 |
21250 |
21250 |
34.163578048 |
-118.265051524 |
-118.126464828689 |
34.094580140661 |
7289 |
YEE, HENRY |
1285724724 |
Physician |
UNKNOWN |
35 S Garfield Ave |
Alhambra |
Los Angeles |
91801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1285724724 |
21250 |
21250 |
34.094580141 |
-118.126464829 |
-117.169517934705 |
32.7876688614289 |
7298 |
Sabin, Nancy |
1285732586 |
Nurse Practitioner |
NURSE PRACTITIONER |
6973 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2013 |
2014 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1780665877 |
38250 |
8500 |
32.7876688612 |
-117.169517935 |
-121.287425272059 |
37.9390219620939 |
7299 |
Manak, Davinder |
1285732396 |
Dentist |
UNKNOWN |
1334 S Center St |
Stockton |
San Joaquin |
95206 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1841414067 |
21250 |
21250 |
37.9390219623 |
-121.287425272 |
-120.263410753004 |
37.1212882187763 |
7308 |
HADWEH, YOUSSEF |
1285749937 |
Physician |
FAMILY PRACTICE |
129 NORTH 5TH STREET |
CHOWCHILLA |
Madera |
93610 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1285749937 |
29750 |
8500 |
37.121288219 |
-120.263410753 |
-116.961791977218 |
33.2771591455781 |
7309 |
Primosch, Sandra |
1285756122 |
Dentist |
UNKNOWN |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1285756122 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-117.163974713262 |
32.7328816281847 |
7310 |
Chen, Max |
1285750356 |
Physician |
UNKNOWN |
2630 First Avenue |
San Diego |
San Diego |
92103 |
California |
2013 |
2014 |
1 |
AIU |
DIEGO AMERICAN SAN |
1003902917 |
21250 |
21250 |
32.7328816275 |
-117.163974713 |
-117.846265389836 |
33.745616840245 |
7311 |
ABDALI HAJIABADI, Abdol Hamid |
1285747964 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1617 E 1st St, SUITE A |
Santa Ana |
Orange |
92701 |
California |
2012 |
2013 |
1 |
AIU |
DOCTORS MEDICAL GLOBAL |
1538367115 |
21250 |
21250 |
33.7456168404 |
-117.84626539 |
-117.967531499779 |
33.7738725083096 |
7321 |
Lee, Douglas |
1285774679 |
Dentist |
UNKNOWN |
9432 Garden Grove Blvd |
Garden Grove |
Orange |
92844 |
California |
2015 |
2016 |
1 |
AIU |
DOUGLAS GU DDS LEE |
1285774679 |
21250 |
21250 |
33.7738725079 |
-117.9675315 |
-122.38123557706 |
40.5497524220367 |
7327 |
Sager, Michelle |
1285789107 |
Physician |
UNKNOWN |
2640 Breslauer Way |
Redding |
Shasta |
96002 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881692390 |
21250 |
21250 |
40.5497524221 |
-122.381235577 |
-118.217727000201 |
34.0504919997061 |
7328 |
Doss, R Philip |
1285782847 |
Physician |
UNKNOWN |
1700 E Cesar E Chavez Ave, Suite 2400 |
Los Angeles |
Los Angeles |
90033 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1285782847 |
21250 |
21250 |
34.050492 |
-118.217727 |
-118.286770499659 |
34.0469639997888 |
7330 |
Kim, Joowon |
1285790220 |
Dentist |
UNKNOWN |
2300 W. Pico Blvd Ste #204 |
Los Angeles |
Los Angeles |
90006 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1285790220 |
21250 |
21250 |
34.046964 |
-118.2867705 |
-117.867477936358 |
33.7790861138332 |
7343 |
BUI, CALVIN |
1285796441 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.877744902705 |
37.3259090312768 |
7344 |
GUERRERO, ALMA |
1285796029 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
195 E VIRGINA ST |
San Jose |
Santa Clara |
95112 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1407985534 |
21250 |
21250 |
37.3259090311 |
-121.877744903 |
-119.175344999772 |
34.2196830003702 |
7352 |
Lim, Jiin |
1285805317 |
Dentist |
UNKNOWN |
183 East Gonzales Road |
Oxnard |
Ventura |
93036 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1104034842 |
21250 |
21250 |
34.219683 |
-119.175345 |
-119.313677285179 |
36.3070879099791 |
7357 |
Saldarriaga, Jose |
1285827709 |
Dentist |
UNKNOWN |
2626 S Mooney Blvd, Suite A |
Visalia |
Tulare |
93277 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740348093 |
21250 |
21250 |
36.3070879104 |
-119.313677285 |
-121.918297500229 |
37.3180679997384 |
7379 |
Zhu, Xiaoling |
1285882274 |
Physician |
UNKNOWN |
1555 Parkmoor avenue |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1861445306 |
21250 |
21250 |
37.318068 |
-121.9182975 |
-117.867477936358 |
33.7790861138332 |
7382 |
Javia, Rupal |
1285890111 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.027645518026 |
36.0724764447322 |
7383 |
Patel, Neilesh |
1285890368 |
Dentist |
UNKNOWN |
365 Pearson Drive, Ste 2 |
Porterville |
Tulare |
93257 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1285890368 |
21250 |
21250 |
36.0724764446 |
-119.027645518 |
-117.867477936358 |
33.7790861138332 |
7384 |
Arabo, Zina |
1285890251 |
Dentist |
UNKNOWN |
530 South Main Street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.070082786291 |
34.0809595440477 |
7400 |
DUONG, MARGARETTE |
1285931790 |
Nurse Practitioner |
NURSE PRACTITIONER |
9143 Valley Blvd, 101B |
Rosemead |
Los Angeles |
91770 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1285931790 |
21250 |
21250 |
34.0809595443 |
-118.070082786 |
-117.867477936358 |
33.7790861138332 |
7405 |
Utudjian, Garen |
1285933119 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.221830235277 |
33.9646680915592 |
7406 |
Al-Hashimi, Adil |
1285943597 |
Dentist |
UNKNOWN |
2711 Santa Ana Street, Suite A |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1285943597 |
21250 |
21250 |
33.9646680924 |
-118.221830235 |
-121.016298749787 |
37.3147940933728 |
7408 |
Gupta, Hanika |
1285946228 |
Physician |
UNKNOWN |
637 Merced St |
Newman |
Stanislaus |
95360 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1285946228 |
21250 |
21250 |
37.3147940927 |
-121.01629875 |
-118.193300999741 |
33.7782149999223 |
7412 |
Esguerra, Jethro John |
1285945576 |
Nurse Practitioner |
UNKNOWN |
920 S. Pacific Avenue |
Long Beach |
Los Angeles |
90813 |
California |
2014 |
2016 |
3 |
MU |
Designated Payee Name not Found |
1104193358 |
38250 |
8500 |
33.778215 |
-118.193301 |
-117.867477936358 |
33.7790861138332 |
7413 |
Alani, wesam |
1285954354 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
7415 |
KAUR, RUBINA |
1285959320 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.142041500215 |
34.5861180003455 |
7418 |
sagisi, randall |
1285976795 |
Dentist |
UNKNOWN |
38750 Trade Center Dr, Suite J |
Palmdale |
Los Angeles |
93551 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1013396423 |
21250 |
21250 |
34.586118 |
-118.1420415 |
-121.376389500375 |
38.5562970003064 |
7421 |
Nguyen, Christine |
1285987123 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2017 |
2018 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-119.773106999688 |
36.7852859998491 |
7422 |
OHANESIAN, JACK |
1285986505 |
Dentist |
UNKNOWN |
3727 N First st., Suite 102 |
Fresno |
Fresno |
93726 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1285986505 |
21250 |
21250 |
36.785286 |
-119.773107 |
-117.161098636393 |
32.7504236969961 |
7430 |
Phan, Kim |
1295001592 |
Physician |
UNKNOWN |
4020 Fifth Avenue |
San Diego |
San Diego |
92103 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1295001592 |
21250 |
21250 |
32.7504236966 |
-117.161098636 |
-118.575332175739 |
34.4365280762098 |
7436 |
Kievsky, Alina |
1295009306 |
Nurse Practitioner |
UNKNOWN |
25115 Avenue Stanford, Suite A-104 |
Valencia |
Los Angeles |
91355 |
California |
2016 |
2017 |
1 |
AIU |
DIXON FAMILY SAMUEL |
1154402675 |
21250 |
21250 |
34.4365280758 |
-118.575332176 |
-118.300326098671 |
34.2568166317822 |
7437 |
Avanessian, Evlyn |
1295020709 |
Physician |
UNKNOWN |
7709 Foothill Blvd |
Tujunga |
Los Angeles |
91042 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1295020709 |
21250 |
21250 |
34.2568166323 |
-118.300326099 |
-122.268916812261 |
37.8637921117166 |
7438 |
Delisle, Annie |
1295017093 |
Physician |
FAMILY PRACTICE |
Berkeley Primary Care, 2001 Dwight Way, Room 1363 |
Berkeley |
Alameda |
94704 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1295017093 |
21250 |
21250 |
37.8637921119 |
-122.268916812 |
-117.893588983045 |
34.0874639806782 |
7445 |
korando, nolan |
1295034692 |
Dentist |
UNKNOWN |
246 West College Street, Suite 200 |
Covina |
Los Angeles |
91723 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1295034692 |
21250 |
21250 |
34.0874639806 |
-117.893588983 |
-117.867477936358 |
33.7790861138332 |
7463 |
Mahmoodi, Mona |
1295076768 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
7467 |
Vu, Khoa |
1295081404 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.435738296385 |
34.0755468592002 |
7488 |
Kohan, Farnaz |
1295160638 |
Dentist |
UNKNOWN |
9810 Sierra Ave #D |
Fontana |
San Bernardino |
92335 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1902185846 |
21250 |
21250 |
34.0755468591 |
-117.435738296 |
-119.245114102834 |
35.7725065285535 |
7492 |
Galerio, Peter John |
1295163400 |
Nurse Practitioner |
UNKNOWN |
1215 Jeffersons Street |
Delano |
Kern |
93215 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1295163400 |
21250 |
21250 |
35.772506529 |
-119.245114103 |
-121.376389500375 |
38.5562970003064 |
7499 |
Nguyen, Anthony |
1295288512 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-115.502452563835 |
32.6940522126396 |
7504 |
ANQUE, VICENTA |
1295707743 |
Nurse Practitioner |
UNKNOWN |
233 W Cole Road |
Calexico |
Imperial |
92231 |
California |
2016 |
2017 |
3 |
MU |
Designated Payee Name not Found |
1295707743 |
38250 |
8500 |
32.6940522127 |
-115.502452564 |
-119.573297999903 |
36.7057710004314 |
7505 |
Walters, James |
1295714111 |
Physician |
GENERAL SURGERY |
2535 Jensen Avenue |
Sanger |
Fresno |
93657 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1295714111 |
21250 |
21250 |
36.705771 |
-119.573298 |
-121.906003499862 |
37.3334310004404 |
7506 |
Sahai, Namita |
1295714731 |
Physician |
INTERNAL MEDICINE |
299 Stockton Ave |
San Jose |
Santa Clara |
95126 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.333431 |
-121.9060035 |
-119.018416499822 |
35.3738699996009 |
7516 |
Shah, Arvind |
1295734218 |
Physician |
NEPHROLOGY |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.850739520712 |
37.3613619790721 |
7531 |
Khay, Darith |
1295761609 |
Physician |
FAMILY PRACTICE |
200 Jose Figueres Ave, Suite 315 |
San Jose |
Santa Clara |
95116 |
California |
2015 |
2017 |
3 |
MU |
DARITH S MD INC KHAY |
1295761609 |
38250 |
8500 |
37.3613619789 |
-121.850739521 |
-118.264793092327 |
34.0642139499139 |
7534 |
Doan, Yen |
1295767010 |
Physician |
UNKNOWN |
1663 Beverly Blvd Ste 201 |
Los Angeles |
Los Angeles |
90026 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1295767010 |
21250 |
21250 |
34.0642139501 |
-118.264793092 |
-118.446236463742 |
34.0652250001337 |
7540 |
wang, claudia |
1295746915 |
Physician |
UNKNOWN |
200 medical plaza, #265 |
los angeles |
Los Angeles |
90024 |
California |
2014 |
2015 |
2 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
29750 |
8500 |
34.065225 |
-118.446236464 |
-117.950349602252 |
33.7594530825937 |
7547 |
Tran, Lynn |
1295789063 |
Dentist |
UNKNOWN |
10272 Westminster Ave |
Garden Grove |
Orange |
92843 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1295789063 |
21250 |
21250 |
33.7594530834 |
-117.950349602 |
-118.448220893379 |
35.130052562176 |
7552 |
Polletta, Janice |
1295796100 |
Nurse Practitioner |
UNKNOWN |
115 W E ST |
TEHACHAPI |
Kern |
93561 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1275841629 |
21250 |
21250 |
35.1300525623 |
-118.448220893 |
-118.443346549004 |
34.0637399640282 |
7556 |
Dipple, Katrina |
1295755783 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2015 |
2016 |
4 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
46750 |
8500 |
34.0637399643 |
-118.443346549 |
-121.433314500364 |
38.5063290000833 |
7565 |
Cao, Dung |
1295812444 |
Physician |
UNKNOWN |
6665 Stockton Blvd, Suite 8 |
Sacramento |
Sacramento |
95823 |
California |
2016 |
2017 |
5 |
MU |
DUNG TP MD INC CAO |
1295812444 |
55250 |
8500 |
38.506329 |
-121.4333145 |
-117.867477936358 |
33.7790861138332 |
7572 |
Lum, Garrett |
1295815447 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.626878573687 |
36.6796192540254 |
7589 |
Kowalski, Keith |
1295845642 |
Dentist |
UNKNOWN |
950 Circle Drive |
Salinas |
Monterey |
93905 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.6796192539 |
-121.626878574 |
-118.193679000086 |
33.9425640003284 |
7604 |
ZARGARPOUR, SIAVASH |
1295871986 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-117.867477936358 |
33.7790861138332 |
7605 |
Hull, Donald |
1295871515 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.950088796261 |
37.3006954738171 |
7611 |
Nguyen, Ngocdung |
1295874303 |
Dentist |
UNKNOWN |
1315 S Winchester Blvd |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1932316270 |
21250 |
21250 |
37.3006954739 |
-121.950088796 |
-122.305108500057 |
37.5447240001126 |
7621 |
Tang, Yao-Lin |
1295888337 |
Dentist |
UNKNOWN |
14 E. 25th Avenue |
San Mateo |
San Mateo |
94403 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1710199195 |
21250 |
21250 |
37.544724 |
-122.3051085 |
-121.646867788618 |
36.6601614385996 |
7628 |
King, Don |
1295893824 |
Physician |
UNKNOWN |
505 E Romie Ln Ste K |
Salinas |
Monterey |
93901 |
California |
2013 |
2014 |
3 |
MU |
DON R MD KING |
1295893824 |
38250 |
8500 |
36.6601614394 |
-121.646867789 |
-117.867477936358 |
33.7790861138332 |
7633 |
Tirtawidjaja, Santoso |
1295896850 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.941986935249 |
37.7221679056244 |
7636 |
Lardizabal, Chona |
1295903557 |
Dentist |
UNKNOWN |
8935 San Ramon Rd |
Dublin |
Alameda |
94568 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1225338270 |
21250 |
21250 |
37.7221679063 |
-121.941986935 |
-117.933448500048 |
33.7163235362023 |
7639 |
Singh, Harpreet |
1295914216 |
Physician |
UNKNOWN |
11180 Warner Ave # 165 |
Fountain Valley |
UNKNOWN |
92620 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1295914216 |
21250 |
21250 |
33.7163235359 |
-117.9334485 |
-118.471280721128 |
34.1546877964047 |
7642 |
Sharif, Ahoo |
1295924611 |
Physician |
UNKNOWN |
15477 Ventura Blvd, Third Floor |
Sherman Oaks |
Los Angeles |
91403 |
California |
2014 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1295924611 |
29750 |
8500 |
34.1546877963 |
-118.471280721 |
-118.249208999596 |
34.1415360001863 |
7643 |
Ghazarian, Anahit |
1295918951 |
Dentist |
UNKNOWN |
400 S Glendale Ave, Suite B |
Glendale |
Los Angeles |
91205 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1043623051 |
21250 |
21250 |
34.141536 |
-118.249209 |
-121.199728172317 |
37.7942720237349 |
7645 |
Hsu, Victoria |
1295930527 |
Physician |
UNKNOWN |
1144 Norman drive, Suite 102 |
Manteca |
San Joaquin |
95336 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1295930527 |
21250 |
21250 |
37.7942720238 |
-121.199728172 |
-118.443346549004 |
34.0637399640282 |
7649 |
COKER, TUMAINI |
1295892149 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2015 |
2016 |
4 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
46750 |
8500 |
34.0637399643 |
-118.443346549 |
-119.071325073593 |
34.3465451327517 |
7651 |
Lim, Renee |
1295936870 |
Dentist |
UNKNOWN |
125 E Harvard Blvd, #E |
Santa Paula |
Ventura |
93060 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1295936870 |
21250 |
21250 |
34.3465451327 |
-119.071325074 |
-118.044484652645 |
33.9388517688941 |
7659 |
ALI, Alija |
1295955938 |
Physician |
UNKNOWN |
13470 Telegraph Rd |
Whittier |
Los Angeles |
90605 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1295955938 |
21250 |
21250 |
33.9388517685 |
-118.044484653 |
-118.39585287511 |
33.9186042893565 |
7663 |
TORRES, EDWIN |
1295960870 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
222 N Sepulveda Blvd, Suite 1800 |
El Segundo |
Los Angeles |
90245 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336384619 |
21250 |
21250 |
33.9186042888 |
-118.395852875 |
-117.968515841033 |
33.7595165918173 |
7664 |
tran, thu |
1295966489 |
Nurse Practitioner |
NURSE PRACTITIONER |
9191 Westminster Blvd |
Garden Grove |
Orange |
92844 |
California |
2011 |
2012 |
1 |
AIU |
DAO MD INC MICHAEL |
1689797920 |
21250 |
21250 |
33.7595165916 |
-117.968515841 |
-118.397132908057 |
34.2763209151781 |
7689 |
Lee, Jean |
1306030465 |
Dentist |
UNKNOWN |
11998 Foothill Blvd |
Sylmar |
Los Angeles |
91342 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1306030465 |
21250 |
21250 |
34.2763209147 |
-118.397132908 |
-117.959778000155 |
33.9277950000393 |
7692 |
Lu, Sheldon |
1306039169 |
Dentist |
UNKNOWN |
501 S. Idaho Street, Suite 120 |
La Habra |
Orange |
90631 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1306039169 |
21250 |
21250 |
33.927795 |
-117.959778 |
-118.309274999642 |
34.0531469998342 |
7693 |
Kwak, Kyoung |
1306035746 |
Dentist |
UNKNOWN |
981 S Western Ave, Suite 200A |
Los Angeles |
Los Angeles |
90006 |
California |
2015 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1306035746 |
21250 |
21250 |
34.053147 |
-118.309275 |
-118.443346549004 |
34.0637399640282 |
7694 |
Federman, Noah |
1306045398 |
Physician |
UNKNOWN |
10833 Le Conte Ave |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0637399643 |
-118.443346549 |
-116.876815796112 |
33.9295781748929 |
7701 |
Berhanu, Jale |
1306066501 |
Dentist |
UNKNOWN |
471 N San Gorgonio Ave |
Banning |
Riverside |
92220 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1306066501 |
21250 |
21250 |
33.9295781755 |
-116.876815796 |
-121.125886367062 |
37.4673292000826 |
7707 |
Shikaripur Nadig, Pallavi |
1306073309 |
Physician |
UNKNOWN |
200 C Street |
Patterson |
Stanislaus |
95363 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1306073309 |
21250 |
21250 |
37.4673292001 |
-121.125886367 |
-116.952862499805 |
32.8077314592395 |
7712 |
tran, johnathan |
1306079413 |
Dentist |
UNKNOWN |
742 BROADWAY |
EL CAJON |
San Diego |
92021 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1114143310 |
21250 |
21250 |
32.8077314591 |
-116.9528625 |
-122.153565841091 |
37.7052153019447 |
7718 |
Lui, Jennifer |
1306101076 |
Nurse Practitioner |
UNKNOWN |
3081 Teagarden St |
San Leandro |
Alameda |
94577 |
California |
2016 |
2016 |
1 |
AIU |
DAVIS STREET COMMUNITY THE |
1215358924 |
21250 |
21250 |
37.7052153025 |
-122.153565841 |
-121.831712711672 |
37.2920288502513 |
7732 |
Carranza, Gabriela |
1306112933 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3200 Senter Road, Room S-104 |
San Jose |
Santa Clara |
95111 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1104244821 |
21250 |
21250 |
37.2920288499 |
-121.831712712 |
-118.309008829094 |
33.7370109371051 |
7737 |
abdelnaby, brigida |
1306123369 |
Dentist |
UNKNOWN |
1441 W 8th St |
San Pedro |
Los Angeles |
90732 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1306123369 |
21250 |
21250 |
33.737010937 |
-118.309008829 |
-119.159698864611 |
34.2931563264034 |
7742 |
Mehta, AMEE |
1306133376 |
Physician |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2015 |
2015 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1679631907 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
7744 |
Santos, Maria |
1306137641 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.193679000086 |
33.9425640003284 |
7754 |
Kaleel, Rana |
1306173158 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-122.132916000373 |
38.0065680004129 |
7781 |
Draper, Danielle |
1306276241 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2014 |
2015 |
1 |
AIU |
DANIELLE D MD DRAPER |
1306276241 |
21250 |
21250 |
38.006568 |
-122.132916 |
-117.867477936358 |
33.7790861138332 |
7789 |
Tung, Christopher |
1306277934 |
Dentist |
UNKNOWN |
530 South Main St., Suite Q |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.396129500276 |
34.0539839997618 |
7798 |
Harounian, Angel |
1306399910 |
Dentist |
UNKNOWN |
1440 Reeves Street, #108 |
Los Angeles |
Los Angeles |
90035 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1306399910 |
21250 |
21250 |
34.053984 |
-118.3961295 |
-121.55149361274 |
39.0972587433964 |
7803 |
Schill, Diane |
1306821343 |
Dentist |
UNKNOWN |
4941 Olivehurst Ave |
Olivehurst |
Yuba |
95961 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.0972587427 |
-121.551493613 |
-120.439197412131 |
34.6395240511941 |
7809 |
ENOCH, DUARD |
1306838131 |
Physician |
DIAGNOSTIC RADIOLOGY |
1515 East Ocean Ave |
Lompoc |
Santa Barbara |
93436 |
California |
2013 |
2014 |
2 |
MU |
DUARD W III MD ENOCH |
1306838131 |
29750 |
8500 |
34.6395240509 |
-120.439197412 |
-122.38123557706 |
40.5497524220367 |
7831 |
KRUEGER, LINDA |
1306862172 |
Nurse Practitioner |
UNKNOWN |
2640 Breslauer Way |
Redding |
Shasta |
96001 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881692390 |
21250 |
21250 |
40.5497524221 |
-122.381235577 |
-121.376389500375 |
38.5562970003064 |
7855 |
Laparra, Freddy |
1306896022 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-118.534700545794 |
34.2207646743503 |
7867 |
Woods, Marianne |
1306917299 |
Physician |
UNKNOWN |
18433 Roscoe Blvd, #106 |
Northridge |
Los Angeles |
91325 |
California |
2020 |
2020 |
4 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
46750 |
8500 |
34.2207646736 |
-118.534700546 |
-118.147401000056 |
34.0769609999502 |
7870 |
Mo, Matthew |
1306919899 |
Physician |
UNKNOWN |
2140 W Valley Blvd |
Alhambra |
Los Angeles |
91803 |
California |
2014 |
2016 |
3 |
MU |
Designated Payee Name not Found |
1306919899 |
8500 |
8500 |
34.076961 |
-118.147401 |
-121.071214854082 |
38.6353628387241 |
7873 |
Bughao, Rodney |
1306923545 |
Dentist |
UNKNOWN |
1035 Suncast Lane, Suite 110 |
El Dorado HIlls |
El Dorado |
95762 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1306923545 |
29750 |
8500 |
38.6353628387 |
-121.071214854 |
-122.50173677763 |
37.961119740084 |
7887 |
Lanes, Lawrence |
1306944475 |
Physician |
PSYCHIATRY |
3270 Kerner Blvd, Suite B |
San Rafael |
Marin |
94901 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1568525699 |
21250 |
21250 |
37.9611197397 |
-122.501736778 |
-118.167214500049 |
34.0226999996053 |
7895 |
CHO, DAVID |
1306955455 |
Dentist |
UNKNOWN |
4633 Whittier Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1306955455 |
21250 |
21250 |
34.0227 |
-118.1672145 |
-118.123090059758 |
34.0877629279169 |
7896 |
Chen, Luning |
1306956529 |
Physician |
FAMILY PRACTICE |
737 S. Garfield Ave., #A |
Alhambra |
Los Angeles |
91801 |
California |
2018 |
2019 |
6 |
MU |
Designated Payee Name not Found |
1306956529 |
63750 |
8500 |
34.0877629278 |
-118.12309006 |
-118.003990517348 |
33.94811743717 |
7900 |
GHIYA, DINESH |
1306959333 |
Physician |
UNKNOWN |
15141 Whittier Blvd Ste 350 |
Whittier |
Los Angeles |
90603 |
California |
2013 |
2014 |
2 |
MU |
DINESH C MD GHIYA |
1306959333 |
29750 |
8500 |
33.9481174374 |
-118.003990517 |
-117.867477936358 |
33.7790861138332 |
7904 |
Alzate, Juan |
1306964366 |
Dentist |
UNKNOWN |
530 South Main St., Suite 101 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.800285406746 |
36.808582083996 |
7907 |
Um, Karam |
1306971205 |
Dentist |
UNKNOWN |
430 West Shaw Avenue |
Fresno |
Fresno |
93704 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1396173373 |
21250 |
21250 |
36.8085820838 |
-119.800285407 |
-117.092565000374 |
32.7565530003208 |
7910 |
NGUYEN, HUNG |
1306976121 |
Dentist |
UNKNOWN |
4712 El Cajon Blvd, Suite G |
San Diego |
San Diego |
92115 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1306976121 |
21250 |
21250 |
32.756553 |
-117.092565 |
-118.410844499874 |
33.8853689995797 |
7912 |
Dupee, Suzanne |
1306977350 |
Physician |
PSYCHIATRY |
1148 Manhattan Ave Ste 9 |
Manhattan Beach |
Los Angeles |
90266 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
33.885369 |
-118.4108445 |
-118.354580999813 |
33.9528689998045 |
7914 |
Aragon, Charles |
1306979182 |
Dentist |
UNKNOWN |
832 S. Grevillea Ave |
Inglewood |
Los Angeles |
90301 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1306979182 |
21250 |
21250 |
33.952869 |
-118.354581 |
-118.202156999846 |
33.9309449996121 |
7921 |
Echeverry-Franck, Diana |
1306981196 |
Physician |
ENDOCRINOLOGY |
3621 Martin Luther King Jr Blvd Suite 1 |
Lynwood |
Los Angeles |
90262 |
California |
2014 |
2015 |
3 |
MU |
DIANA MD ECHEVERRY-FRANKCK |
1306981196 |
38250 |
8500 |
33.930945 |
-118.202157 |
-117.867477936358 |
33.7790861138332 |
7923 |
Mullins, Joseph |
1306984141 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.406923882131 |
37.7949362477097 |
7930 |
CHEUNG, PATRICK |
1306995345 |
Dentist |
UNKNOWN |
160 Waverly Pl, Suite 302 |
San Francisco |
San Francisco |
94108 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1326145509 |
21250 |
21250 |
37.7949362479 |
-122.406923882 |
-121.877744902705 |
37.3259090312768 |
7948 |
DEMARTINI, VICTORIA |
1316015688 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
195 EAST VIRGINIA STREET |
San Jose |
Santa Clara |
95112 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1407985534 |
21250 |
21250 |
37.3259090311 |
-121.877744903 |
-117.082664498867 |
32.6133029350825 |
7952 |
Gomez, Hector |
1316018922 |
Dentist |
UNKNOWN |
1010 Broadway, Ste #5 |
Chula Vista |
San Diego |
91911 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1588914956 |
21250 |
21250 |
32.6133029348 |
-117.082664499 |
-122.067686127313 |
38.2373643301997 |
7953 |
Luo, Xing-Xing |
1316025216 |
Physician |
PSYCHIATRY |
2101 Courage Dr |
Fairfield |
Solano |
94533 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1316025216 |
21250 |
21250 |
38.2373643305 |
-122.067686127 |
-117.893588983045 |
34.0874639806782 |
7955 |
Kim, Jinsoo |
1316019995 |
Dentist |
UNKNOWN |
246 West College Street, Suite 200 |
Covina |
Los Angeles |
91723 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1316019995 |
21250 |
21250 |
34.0874639806 |
-117.893588983 |
-117.935162999972 |
34.0739189999619 |
7958 |
Barajas, Daniel |
1316029317 |
Physician |
UNKNOWN |
222 N Sunset Ave, Suite E |
West Covina |
Los Angeles |
91790 |
California |
2013 |
2014 |
2 |
MU |
DANIEL MD INC BARAJAS |
1316029317 |
29750 |
8500 |
34.073919 |
-117.935163 |
-118.312361722016 |
34.0616663558177 |
7975 |
siron, june |
1316044019 |
Dentist |
UNKNOWN |
3932 Wilshire Blvd, Suite 100 |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1528070703 |
21250 |
21250 |
34.0616663563 |
-118.312361722 |
-117.72334799961 |
33.6091590000879 |
7980 |
MARFATIA, RIKIM |
1316054240 |
Dentist |
UNKNOWN |
24310 Moulton Pkwy, Suite C1 |
Laguna Woods |
Orange |
92637 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1831239888 |
21250 |
21250 |
33.609159 |
-117.723348 |
-118.257155286887 |
34.0560391952527 |
7983 |
QUARLES, STEPHANIE |
1316048051 |
Physician |
PEDIATRIC MEDICINE |
333 s. beaudry ave, 29th floor- cost recovery unit |
Los Angeles |
Los Angeles |
90017 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1316048051 |
29750 |
8500 |
34.0560391948 |
-118.257155287 |
-117.962572500421 |
33.8321250002686 |
7990 |
Lai, Hai |
1316078686 |
Dentist |
UNKNOWN |
2270 W Lincoln Ave, B |
Anaheim |
Orange |
92801 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1316078686 |
21250 |
21250 |
33.832125 |
-117.9625725 |
-117.907804509071 |
33.8740608837029 |
7992 |
DOAN, DUC |
1316079809 |
Dentist |
UNKNOWN |
1120 E CHAPMAN AVE |
FULLERTON |
Orange |
92831 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1255483152 |
21250 |
21250 |
33.8740608837 |
-117.907804509 |
-118.443346549004 |
34.0637399640282 |
8000 |
Kuo, Alice |
1316056146 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1316056146 |
14166.67 |
14166.67 |
34.0637399643 |
-118.443346549 |
-118.059620546651 |
33.8177129633826 |
8015 |
Cartagena, Sonia |
1316124753 |
Dentist |
UNKNOWN |
4183 Ball Rd |
Cypress |
Orange |
90630 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1316124753 |
21250 |
21250 |
33.8177129634 |
-118.059620547 |
-121.950088796261 |
37.3006954738171 |
8017 |
vyas, rachana |
1316126246 |
Dentist |
UNKNOWN |
1315 S Winchester Blvd |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1932316270 |
21250 |
21250 |
37.3006954739 |
-121.950088796 |
-118.081375801652 |
34.0085962296324 |
8019 |
HERNANDEZ, MARIA |
1316135742 |
Physician |
UNKNOWN |
4530 ROSEMEAD BLVD |
PICO RIVERA |
Los Angeles |
90660 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1316135742 |
21250 |
21250 |
34.0085962301 |
-118.081375802 |
-118.246191531314 |
33.9426899692667 |
8030 |
Howlett, Steven |
1316149545 |
Doctor of Optometry |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1316149545 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
-121.849064073848 |
37.365840860967 |
8041 |
Bunuan, Miltiades |
1316164031 |
Dentist |
UNKNOWN |
2340 MCKEE RD, SUITE 22 |
SAN JOSE |
Santa Clara |
95116 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1144370214 |
21250 |
21250 |
37.3658408609 |
-121.849064074 |
-117.845220417188 |
33.88851957292 |
8054 |
Pham, Mary |
1316188030 |
Dentist |
UNKNOWN |
1041 E Yorba Linda Blvd, Suite 206 |
Placentia |
UNKNOWN |
92870 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1326309329 |
21250 |
21250 |
33.8885195732 |
-117.845220417 |
-117.954791346643 |
33.7296064041123 |
8055 |
Bui, Phong |
1316177462 |
Physician |
UNKNOWN |
16055 Brookhurst St, Suite #C |
Fountain Valley |
Orange |
92708 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1316177462 |
21250 |
21250 |
33.7296064042 |
-117.954791347 |
-118.375592124277 |
34.0701411791721 |
8059 |
Ghostine, Samer |
1316150600 |
Physician |
NEUROSURGERY |
444 S San Vicente Blvd, suite # 800, c/o Dr. J. Patrick Johnson |
Los Angeles |
Los Angeles |
90048 |
California |
2011 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1407058787 |
0 |
0 |
34.0701411787 |
-118.375592124 |
-117.102494782908 |
33.4833851562 |
8074 |
Anderson, Rebecca |
1316232671 |
Nurse Practitioner |
UNKNOWN |
44054 Margarita Rd, Suite 1 |
Temecula |
Riverside |
92592 |
California |
2016 |
2017 |
1 |
AIU |
DO Rawson |
1053751941 |
21250 |
21250 |
33.4833851555 |
-117.102494783 |
-117.867477936358 |
33.7790861138332 |
8079 |
Sariaslani, Yasamin |
1316234842 |
Dentist |
UNKNOWN |
530 South Main St., Ste. A |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.376389500375 |
38.5562970003064 |
8081 |
Aslani, Ashkan |
1316241367 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2017 |
2018 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-118.122825951357 |
34.06393481474 |
8094 |
Yau, Edwin |
1316291925 |
Physician |
UNKNOWN |
210 N Garfield Ave Ste 203 |
Monterey Park |
Los Angeles |
91754 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1316291925 |
21250 |
21250 |
34.0639348149 |
-118.122825951 |
-124.146181542444 |
40.8024420806375 |
8097 |
West, Christopher |
1316293467 |
Nurse Practitioner |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2018 |
2019 |
6 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
63750 |
8500 |
40.802442081 |
-124.146181542 |
-122.158763385622 |
37.7065264622265 |
8133 |
Sim, Gloria |
1316488620 |
Nurse Practitioner |
UNKNOWN |
3801 Teagarden St |
San Leandro |
Alameda |
94577 |
California |
2017 |
2018 |
2 |
MU |
DAVIS STREET COMMUNITY THE |
1215358924 |
29750 |
8500 |
37.7065264617 |
-122.158763386 |
-121.376389500375 |
38.5562970003064 |
8134 |
Lee, Ga Yeun |
1316495112 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2017 |
2018 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-118.39585287511 |
33.9186042893565 |
8135 |
Rastegar, Andrew |
1316904832 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
222 N Sepulveda Blvd, Suite 1800 |
El Segundo |
Los Angeles |
90245 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336384619 |
21250 |
21250 |
33.9186042888 |
-118.395852875 |
-118.415582443175 |
34.0108336007901 |
8139 |
Eftekhari, Abbas |
1316915382 |
Dentist |
UNKNOWN |
3909 S. Sepulveda Blvd |
Culver City |
Los Angeles |
90230 |
California |
2020 |
2020 |
3 |
MU |
DDS INC EFTEKHARI |
1780651810 |
38250 |
8500 |
34.0108336009 |
-118.415582443 |
-121.931844043068 |
37.3128740632874 |
8144 |
Moritz, Friedrich |
1316909435 |
Physician |
ANESTHESIOLOGY |
751 S Bascom Ave, Anesthesiology Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1316909435 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-122.408336258412 |
37.793988954027 |
8159 |
Leung, Lai-Sung |
1316958440 |
Physician |
OPHTHALMOLOGY |
929 Clay St Suite 503 |
San Francisco |
San Francisco |
94108 |
California |
2015 |
2017 |
3 |
MU |
Designated Payee Name not Found |
1972835452 |
38250 |
8500 |
37.7939889545 |
-122.408336258 |
-124.086124204668 |
40.8698001399645 |
8174 |
Zwerling, Alden |
1316987852 |
Physician |
UNKNOWN |
770 10th St |
Arcata |
Humboldt |
95521 |
California |
2018 |
2019 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
38250 |
8500 |
40.8698001396 |
-124.086124205 |
-117.956395363955 |
33.7016155926855 |
8204 |
Erickson, Amelia |
1326044769 |
Physician |
OBSTETRICS/GYNECOLOGY |
9930 Talbert Avenue |
Fountain Valley |
Orange |
92708 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1326044769 |
21250 |
21250 |
33.7016155931 |
-117.956395364 |
-119.702853000166 |
36.8157445078028 |
8206 |
Bavin, Roberta |
1326047499 |
Nurse Practitioner |
UNKNOWN |
510 Barstow |
Clovis |
Fresno |
93612 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1154410280 |
21250 |
21250 |
36.8157445081 |
-119.702853 |
-121.285793138343 |
38.1235274396397 |
8231 |
Fleming, Kevin |
1326082363 |
Dentist |
UNKNOWN |
828 S Fairmont Ave |
Lodi |
San Joaquin |
95240 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1700179066 |
21250 |
21250 |
38.1235274401 |
-121.285793138 |
-118.486588499859 |
34.186643504694 |
8239 |
Alejandro, Lourdes |
1326089608 |
Dentist |
UNKNOWN |
16221 Victory Blvd |
Van Nuys |
Los Angeles |
91406 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1326089608 |
21250 |
21250 |
34.1866435046 |
-118.4865885 |
-117.267259500326 |
34.5411810001031 |
8276 |
RAJASEKHAR, DAMODARA |
1326135328 |
Physician |
UNKNOWN |
18182 US Highway 18, STE # 103 |
Apple Valley |
San Bernardino |
92307 |
California |
2016 |
2017 |
6 |
MU |
Designated Payee Name not Found |
1639449960 |
63750 |
8500 |
34.541181 |
-117.2672595 |
-119.018416499822 |
35.3738699996009 |
8280 |
Perez, Noel |
1326141979 |
Dentist |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
8290 |
Phan, Nancy |
1326151606 |
Dentist |
UNKNOWN |
530 South Main St., Ste 113 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.319991524389 |
33.7956729884177 |
8291 |
Warren, Sonia |
1326158759 |
Dentist |
UNKNOWN |
25209 Narbonne Ave |
Lomita |
Los Angeles |
90717 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1568625770 |
21250 |
21250 |
33.7956729883 |
-118.319991524 |
-118.145131580658 |
34.0271503675954 |
8294 |
Lotfy, Lilian |
1326160250 |
Dentist |
UNKNOWN |
5711 E. Beverly Blvd. |
Los Angeles |
Los Angeles |
90022 |
California |
2020 |
2020 |
3 |
MU |
Designated Payee Name not Found |
1326160250 |
38250 |
8500 |
34.0271503683 |
-118.145131581 |
-121.634037000008 |
36.697248000395 |
8296 |
tucholska, margaret |
1326161001 |
Physician |
PSYCHIATRY |
1270 Natividad Rd Rm 200 |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730211178 |
21250 |
21250 |
36.697248 |
-121.634037 |
-118.389257999957 |
33.8045295128268 |
8298 |
milestone, ronald |
1326163049 |
Physician |
UNKNOWN |
102 Calle De Arboles |
Redondo Beach |
Los Angeles |
90277 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
33.8045295134 |
-118.389258 |
-117.867477936358 |
33.7790861138332 |
8305 |
nouri, abbas |
1326168444 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.033344112841 |
34.0928590891757 |
8310 |
behjou, shahriyar |
1326174236 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
10755 Lower Azusa Rd, #B |
El Monte |
Los Angeles |
91731 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1326174236 |
21250 |
21250 |
34.092859089 |
-118.033344113 |
-118.54629018994 |
34.4203729166768 |
8314 |
liberman, daniel |
1326180209 |
Dentist |
UNKNOWN |
23501 Cinema Dr, Ste 112 |
Santa Clarita |
Los Angeles |
91355 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1033394523 |
21250 |
21250 |
34.4203729173 |
-118.54629019 |
-118.443346549004 |
34.0637399640282 |
8318 |
Roberts, Robert |
1326157421 |
Physician |
ALLERGY/IMMUNOLOGY |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1326157421 |
14166.67 |
14166.67 |
34.0637399643 |
-118.443346549 |
-117.585634499932 |
34.0993034915629 |
8327 |
MOBILIA, ADRIAN |
1326203571 |
Dentist |
UNKNOWN |
10064 ARROW RTE |
Rancho Cucamonga |
San Bernardino |
91730 |
California |
2016 |
2017 |
1 |
AIU |
DENTAL CORPORATION MOBILIA |
1679916233 |
21250 |
21250 |
34.0993034916 |
-117.5856345 |
-121.446589500105 |
38.5497450003315 |
8334 |
Moghaddam, Billur |
1326209461 |
Physician |
PEDIATRIC MEDICINE |
2825 50th St |
Sacramento |
Sacramento |
95817 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1831182856 |
21250 |
21250 |
38.549745 |
-121.4465895 |
-121.324171810081 |
37.9983812919631 |
8335 |
De Jesus, Rolando |
1326211871 |
Dentist |
UNKNOWN |
1350 W. Robinhood Dr., Suite #4 |
Stockton |
San Joaquin |
95207 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1326211871 |
21250 |
21250 |
37.9983812917 |
-121.32417181 |
-119.159698864611 |
34.2931563264034 |
8336 |
Anwar, Lubna |
1326209586 |
Dentist |
UNKNOWN |
200 S Wells Rd, Ste 100 |
Ventura |
Ventura |
93004 |
California |
2014 |
2015 |
2 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-119.159698864611 |
34.2931563264034 |
8338 |
Shu, Tiffany |
1326213612 |
Physician |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2014 |
2014 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1023234465 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.445773499947 |
34.061318999872 |
8341 |
Moreno, Kathleen |
1326217662 |
Physician |
PSYCHIATRY |
1081 Westwood Blvd, Suite 212 |
Los Angeles |
Los Angeles |
90024 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
34.061319 |
-118.4457735 |
-116.232533999944 |
33.708338999845 |
8352 |
SHARP, EDWARD |
1326242512 |
Dentist |
UNKNOWN |
46900 MONROE ST., suite B-201 |
INDIO |
Riverside |
92201 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1609090968 |
21250 |
21250 |
33.708339 |
-116.232534 |
-117.926413557839 |
34.0094014807938 |
8357 |
Ho, Stanley |
1326245671 |
Dentist |
UNKNOWN |
17311 Valley Blvd |
La Puente |
Los Angeles |
91744 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1326245671 |
21250 |
21250 |
34.0094014811 |
-117.926413558 |
-118.159352999941 |
34.0210800004417 |
8361 |
velloze, mary-jo |
1326262544 |
Dentist |
UNKNOWN |
5109 Whittier Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1326262544 |
21250 |
21250 |
34.02108 |
-118.159353 |
-117.867477936358 |
33.7790861138332 |
8378 |
farshidpour, mary |
1326294125 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
8383 |
Ailawadhi, Meghna |
1326293093 |
Physician |
INTERNAL MEDICINE |
200 S. Wells Road, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2013 |
2013 |
2 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-118.434992609821 |
34.038169045665 |
8385 |
Klein, Raymond |
1326300591 |
Dentist |
UNKNOWN |
2345 S Bentley Ave, 402 |
Los Angeles |
Los Angeles |
90064 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1326300591 |
21250 |
21250 |
34.0381690458 |
-118.43499261 |
-117.947213582641 |
34.0621575996935 |
8387 |
Grigg, Janette |
1326305418 |
Nurse Practitioner |
UNKNOWN |
1433 W MERCED AVE #103 |
West Covina |
Los Angeles |
91790 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1326305418 |
21250 |
21250 |
34.0621576001 |
-117.947213583 |
-118.45985271663 |
34.0420484610677 |
8396 |
Hazany, Susan |
1326319534 |
Dentist |
UNKNOWN |
11870 Santa Monica Blvd Ste 212 |
Los Angeles |
Los Angeles |
90025 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1508923707 |
21250 |
21250 |
34.042048461 |
-118.459852717 |
-118.393975957624 |
34.2395150830547 |
8402 |
Jaffe, Robert |
1326328444 |
Physician |
UNKNOWN |
9375 San Fernando Road |
Sun Valley |
Los Angeles |
91352 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1326328444 |
21250 |
21250 |
34.2395150827 |
-118.393975958 |
-117.867477936358 |
33.7790861138332 |
8409 |
Moattar, Ali-Raad |
1326351974 |
Dentist |
UNKNOWN |
530 South Main St., Apt. 211 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.169517934705 |
32.7876688614289 |
8417 |
Battle, Yvonne |
1326371683 |
Nurse Practitioner |
NURSE PRACTITIONER |
6973 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2011 |
2012 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-119.018416499822 |
35.3738699996009 |
8420 |
Vue, Wa |
1326413675 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.159698864611 |
34.2931563264034 |
8421 |
Wilkerson, Kristin |
1326387556 |
Nurse Practitioner |
UNKNOWN |
200 S Wells Rd, #200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
2 |
MU |
DEL CAMINO REAL CLINICAS |
1134369366 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-118.27496502002 |
34.05751803413 |
8428 |
Liu, Denise |
1326462573 |
Dentist |
UNKNOWN |
2007 WILSHIRE BLVD, Suite 525 |
Los Angeles |
Los Angeles |
90057 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1417349556 |
21250 |
21250 |
34.0575180339 |
-118.27496502 |
-117.169517934705 |
32.7876688614289 |
8456 |
Cherry, Eileen |
1336121698 |
Nurse Practitioner |
NURSE PRACTITIONER |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2011 |
2012 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-117.889884000146 |
33.8468310003504 |
8469 |
Mann, Depinder |
1336162817 |
Physician |
FAMILY PRACTICE |
555 N State College Blvd, Ste 100 |
Anaheim |
Orange |
92806 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1497759005 |
38250 |
8500 |
33.846831 |
-117.889884 |
-119.018416499822 |
35.3738699996009 |
8482 |
Hardy, Billiana |
1336176908 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.262964499712 |
34.4426759999974 |
8483 |
Mahurin, Paulette |
1336160407 |
Nurse Practitioner |
NURSE PRACTITIONER |
1200 Maricopa Highway, Ojai Valley Community Health Center |
Ojai |
Ventura |
93023 |
California |
2012 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.442676 |
-119.2629645 |
-119.018416499822 |
35.3738699996009 |
8485 |
HERRIOTT, DALE |
1336188143 |
Physician |
INTERNAL MEDICINE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.931844043068 |
37.3128740632874 |
8486 |
De HOYOS, JUAN |
1336181411 |
Physician |
PSYCHIATRY |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336181411 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.112629500051 |
34.1515529998711 |
8491 |
Franco, Pacita |
1336200237 |
Dentist |
UNKNOWN |
324 N Allen Ave |
Pasadena |
Los Angeles |
91106 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336200237 |
21250 |
21250 |
34.151553 |
-118.1126295 |
-121.199728172317 |
37.7942720237349 |
8494 |
Wong, Keith |
1336201615 |
Doctor of Optometry |
UNKNOWN |
1144 Norman Dr, Suite 102 |
Manteca |
San Joaquin |
95336 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1336201615 |
21250 |
21250 |
37.7942720238 |
-121.199728172 |
-117.246770999782 |
33.593247000149 |
8496 |
semrien, ziad |
1336200963 |
Dentist |
UNKNOWN |
32100 Clinton Keith Rd #E |
Wildomar |
Riverside |
92595 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1235489303 |
21250 |
21250 |
33.593247 |
-117.246771 |
-117.867477936358 |
33.7790861138332 |
8497 |
Marcos, Faten |
1336200468 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.29862958159 |
33.8131529275656 |
8509 |
Davtian, Pargev |
1336215219 |
Dentist |
UNKNOWN |
1306 W Sepulveda Blvd |
Harbor City |
Los Angeles |
90710 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336215219 |
21250 |
21250 |
33.8131529275 |
-118.298629582 |
-119.071687500378 |
35.3189250000887 |
8511 |
Nguyen, Jason |
1336219047 |
Dentist |
UNKNOWN |
6300 White Ln, Ste C |
Bakersfield |
Kern |
93309 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1649424532 |
21250 |
21250 |
35.318925 |
-119.0716875 |
-118.277658000316 |
34.0035390000249 |
8513 |
zouein, georgette |
1336216837 |
Dentist |
UNKNOWN |
4400 S Broadway, suite 103 |
Los Angeles |
Los Angeles |
90037 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1336216837 |
21250 |
21250 |
34.003539 |
-118.277658 |
-118.437428094431 |
34.2861731437756 |
8519 |
PARTOVI, ELHAM |
1336233063 |
Dentist |
UNKNOWN |
321 N Maclay Ave Ste A |
San Fernando |
Los Angeles |
91340 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1730367004 |
21250 |
21250 |
34.2861731441 |
-118.437428094 |
-122.414230994265 |
37.7839970184477 |
8524 |
KHONG, DOAN |
1336238310 |
Physician |
FAMILY PRACTICE |
324 Leavenworth St |
San Francisco |
San Francisco |
94102 |
California |
2013 |
2014 |
1 |
AIU |
DOAN M MD KHONG |
1336238310 |
21250 |
21250 |
37.7839970184 |
-122.414230994 |
-121.565801673608 |
39.1195374389017 |
8525 |
Pena-Pridmore, Mary |
1336240837 |
Physician |
FAMILY PRACTICE |
5730 Packard Ave, Suite 600 |
Marysville |
Yuba |
95901 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1336240837 |
29750 |
8500 |
39.1195374394 |
-121.565801674 |
-118.14108300008 |
34.1577294960195 |
8529 |
Ng, Lionel |
1336244094 |
Physician |
UNKNOWN |
456 East Orange Grove Blvd, #120 |
Pasadena |
Los Angeles |
91104 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1336244094 |
29750 |
8500 |
34.1577294962 |
-118.141083 |
-118.178423999868 |
34.0864650002596 |
8532 |
Chen, Randy |
1336245364 |
Dentist |
UNKNOWN |
4857 Huntington Dr N |
Los Angeles |
Los Angeles |
90032 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336245364 |
21250 |
21250 |
34.086465 |
-118.178424 |
-117.24472349979 |
33.9182640002834 |
8534 |
Desai, Sandip |
1336246016 |
Dentist |
UNKNOWN |
23962 Alessandro Blvd, # R |
Moreno Valley |
Riverside |
92553 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336246016 |
21250 |
21250 |
33.918264 |
-117.2447235 |
-117.019183499619 |
34.8977789997011 |
8535 |
Demagno, Elizabeth |
1336245778 |
Physician |
UNKNOWN |
121 S SEVENTH AVE, SUITE A |
BARSTOW |
San Bernardino |
92311 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336245778 |
21250 |
21250 |
34.897779 |
-117.0191835 |
-121.846830167778 |
37.3618653404132 |
8540 |
Phan, Kenneth |
1336250836 |
Physician |
OBSTETRICS/GYNECOLOGY |
150 N Jackson Ave, Suite 209 |
San Jose |
Santa Clara |
95116 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1336250836 |
21250 |
21250 |
37.3618653403 |
-121.846830168 |
-117.835815296439 |
33.7657184956121 |
8545 |
Tran, Lily |
1336255041 |
Dentist |
UNKNOWN |
2126 N Tustin Avenue |
Santa Ana |
Orange |
92705 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1336255041 |
21250 |
21250 |
33.7657184962 |
-117.835815296 |
-119.800377524303 |
36.8843745979094 |
8550 |
Heragu, Narakesari |
1336259670 |
Physician |
PEDIATRIC MEDICINE |
9300 Valley Childrens Pl, Cardiology |
Madera |
Madera |
93636 |
California |
2018 |
2019 |
6 |
MU |
Designated Payee Name not Found |
1336259670 |
63750 |
8500 |
36.8843745978 |
-119.800377524 |
-118.456949410087 |
34.4162348076903 |
8553 |
SHAHINYAN, IRINA |
1336268531 |
Dentist |
UNKNOWN |
18520 Soledad Canyon Road, Ste G |
Canyon Country |
Los Angeles |
91351 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1245567734 |
21250 |
21250 |
34.4162348085 |
-118.45694941 |
-119.058448499599 |
35.3530889999574 |
8554 |
Keni, Shreedevi |
1336273804 |
Physician |
PSYCHIATRY |
5121 Stockdale Hwy, Suite 150 |
Bakersfield |
Kern |
93309 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336273804 |
21250 |
21250 |
35.353089 |
-119.0584485 |
-117.886346999814 |
33.7319460003077 |
8562 |
desai, rajiv |
1336281872 |
Dentist |
UNKNOWN |
1212 S Bristol St, Suite 17C |
Santa Ana |
Orange |
92704 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1104212059 |
21250 |
21250 |
33.731946 |
-117.886347 |
-117.867477936358 |
33.7790861138332 |
8565 |
Kim, Katie |
1336288893 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
8567 |
Picache, Oscar |
1336290535 |
Dentist |
UNKNOWN |
530 South Main St., Suite A |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.304586000144 |
34.0984079997294 |
8568 |
BENJI BEHROOZAN, EHTERAM |
1336291517 |
Dentist |
UNKNOWN |
5255 W SUNSET BLVD |
LOS ANGELES |
Los Angeles |
90027 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1225346919 |
21250 |
21250 |
34.098408 |
-118.304586 |
-117.348450437638 |
33.9737816925711 |
8571 |
Patel, Dipti |
1336295773 |
Dentist |
UNKNOWN |
4028 Chicago Avenue |
Riverside |
Riverside |
92507 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831412279 |
21250 |
21250 |
33.9737816934 |
-117.348450438 |
-117.145279661427 |
33.5052337842118 |
8572 |
Park, Won |
1336296508 |
Dentist |
UNKNOWN |
29700 Rancho California Rd, Ste G5 |
Temecula |
Riverside |
92591 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1588863526 |
21250 |
21250 |
33.5052337839 |
-117.145279661 |
-117.867477936358 |
33.7790861138332 |
8591 |
Gao, Yuhao |
1336334978 |
Dentist |
UNKNOWN |
530 South Main St., Suite 108 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.619037983716 |
39.1439340989795 |
8597 |
Sekhon, Amandeep |
1336338342 |
Dentist |
UNKNOWN |
439 Del Norte Ave |
Yuba City |
Sutter |
95991 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336338342 |
21250 |
21250 |
39.1439340991 |
-121.619037984 |
-117.867477936358 |
33.7790861138332 |
8605 |
Martinez, Norma |
1336349646 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.308918870809 |
33.751809704954 |
8608 |
Namvar Nami, Tandis |
1336359405 |
Dentist |
UNKNOWN |
946 N Western Ave |
San Pedro |
Los Angeles |
90732 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336359405 |
21250 |
21250 |
33.7518097051 |
-118.308918871 |
-121.837545000401 |
37.9982699999606 |
8614 |
Xie, Hong |
1336371947 |
Dentist |
UNKNOWN |
2225 Buchanan Road |
Antioch |
Contra Costa |
94509 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1295035095 |
21250 |
21250 |
37.99827 |
-121.837545 |
-121.931844043068 |
37.3128740632874 |
8615 |
Snyder, Liat |
1336361021 |
Physician |
UNKNOWN |
751 S Bascom Ave, Pediatrics Dept |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1336361021 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.020456999891 |
32.6191139998113 |
8617 |
Kim, James |
1336378371 |
Physician |
UNKNOWN |
765 Medical Center Ct Suite 211 |
Chula Vista |
San Diego |
91911 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1336378371 |
21250 |
21250 |
32.619114 |
-117.020457 |
-117.288468487331 |
34.0658593324423 |
8620 |
Morgan, Daniel |
1336391994 |
Dentist |
UNKNOWN |
225 W Hospitality Ln, Ste 104 |
San Bernardino |
San Bernardino |
92408 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1023409190 |
21250 |
21250 |
34.0658593316 |
-117.288468487 |
-124.261684529617 |
40.5785368087268 |
8624 |
Cutler, Lori |
1336393776 |
Nurse Practitioner |
UNKNOWN |
638 Main Street |
Ferndale |
Humboldt |
95536 |
California |
2016 |
2017 |
1 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1598178915 |
21250 |
21250 |
40.5785368088 |
-124.26168453 |
-117.867477936358 |
33.7790861138332 |
8636 |
Chau, Christopher |
1336428994 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.096649475593 |
32.6724439653168 |
8663 |
Bebal, Brenda |
1336508506 |
Nurse Practitioner |
UNKNOWN |
1428 Highland Ave |
National City |
San Diego |
91950 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1336508506 |
21250 |
21250 |
32.6724439651 |
-117.096649476 |
-118.551477957941 |
34.4139458792989 |
8666 |
Soliman, Christina |
1336536127 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
23823 Valencia Blvd |
Valencia |
Los Angeles |
91355 |
California |
2018 |
2019 |
2 |
MU |
DIXON FAMILY SAMUEL |
1154402675 |
29750 |
8500 |
34.4139458785 |
-118.551477958 |
-117.867477936358 |
33.7790861138332 |
8676 |
Tariq, Maryum |
1336557396 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.646489753 |
41.7186503676204 |
8695 |
Smith, Joann |
1336586999 |
Certified Nurse - Midwife |
UNKNOWN |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1336586999 |
21250 |
21250 |
41.7186503677 |
-122.646489753 |
-117.867477936358 |
33.7790861138332 |
8696 |
Lee, Andrew |
1336585793 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.968858999843 |
33.760151999715 |
8702 |
DOAN, BAN |
1346201696 |
Physician |
UNKNOWN |
9191 Westminster Ave. #203 |
Garden Grove |
Orange |
92844 |
California |
2020 |
2020 |
4 |
MU |
DUC DOAN MD INC APC BAN |
1255562641 |
46750 |
8500 |
33.760152 |
-117.968859 |
-117.063373499587 |
32.561442000448 |
8728 |
Gamez, Yadira |
1346251535 |
Dentist |
UNKNOWN |
2004 Dairy Mart Rd, Ste 120 |
San Ysidro |
San Diego |
92173 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1346251535 |
21250 |
21250 |
32.561442 |
-117.0633735 |
-118.090917554601 |
34.090742927744 |
8735 |
Tu, Bill |
1346260502 |
Physician |
INTERNAL MEDICINE |
923 S. San Gabriel Blvd |
San Gabriel |
Los Angeles |
91776 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1346260502 |
21250 |
21250 |
34.0907429285 |
-118.090917555 |
-122.457565467372 |
37.7859105761123 |
8750 |
WONG, PATRICK |
1346279932 |
Physician |
GASTROENTEROLOGY |
3838 California St, SUITE #514 |
San Francisco |
San Francisco |
94118 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1609168368 |
29750 |
8500 |
37.7859105765 |
-122.457565467 |
-117.912298499576 |
33.7753079998644 |
8754 |
Newsome, Ann |
1346285509 |
Physician |
UNKNOWN |
12665 Garden Grove Blvd, #502-A |
Garden Grove |
Orange |
92843 |
California |
2015 |
2016 |
3 |
MU |
Designated Payee Name not Found |
1346285509 |
38250 |
8500 |
33.775308 |
-117.9122985 |
-117.906566602167 |
33.8137141234081 |
8755 |
Shek, David |
1346289915 |
Physician |
GENERAL PRACTICE |
1401 S Anaheim Blvd |
Anaheim |
Orange |
92805 |
California |
2011 |
2013 |
1 |
AIU |
DAVID MD SHEK |
1346289915 |
21250 |
21250 |
33.8137141229 |
-117.906566602 |
-118.305603000278 |
33.7388574521098 |
8758 |
NOVOM, ANDREW |
1346295391 |
Physician |
UNKNOWN |
1294 W 6th St, STE#102 |
San Pedro |
Los Angeles |
90731 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1346295391 |
21250 |
21250 |
33.7388574522 |
-118.305603 |
-117.752839452179 |
34.0829421867326 |
8760 |
Block, David |
1346302064 |
Physician |
UNKNOWN |
2008 N Garey Ave |
Pomona |
Los Angeles |
91767 |
California |
2015 |
2016 |
1 |
AIU |
David Robert Block |
1346302064 |
21250 |
21250 |
34.0829421865 |
-117.752839452 |
-119.808630000174 |
36.832265999876 |
8765 |
kumar, Devinder |
1346305414 |
Dentist |
UNKNOWN |
6535 N. Palm Ave, Suite #102 |
Fresno |
Fresno |
93704 |
California |
2012 |
2013 |
1 |
AIU |
Devinder kumar |
1346305414 |
21250 |
21250 |
36.832266 |
-119.80863 |
-118.291248000195 |
33.9448319996971 |
8769 |
LaValley, Cherokee |
1346306917 |
Nurse Practitioner |
UNKNOWN |
10024 S Vermont Ave |
Los Angeles |
Los Angeles |
90044 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1346306917 |
29750 |
8500 |
33.944832 |
-118.291248 |
-118.309002031119 |
34.0438320001467 |
8771 |
chung, jae |
1346306396 |
Dentist |
UNKNOWN |
1570 S Western Ave, Suite 201 |
Los Angeles |
Los Angeles |
90006 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1245490671 |
21250 |
21250 |
34.043832 |
-118.309002031 |
-117.952438499837 |
33.7456710001166 |
8782 |
DANG, LONG |
1346324613 |
Physician |
UNKNOWN |
10161 Bolsa Ave, SUITE C-206 |
Westminster |
Orange |
92683 |
California |
2012 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1346324613 |
21250 |
21250 |
33.745671 |
-117.9524385 |
-117.085087381278 |
32.7072053083783 |
8784 |
DESTA, TADDESE |
1346326246 |
Physician |
UNKNOWN |
292 Euclid Ave, SUITE 115 |
San Diego |
San Diego |
92114 |
California |
2017 |
2018 |
6 |
MU |
DIGESTIVE DISEASE DESTA |
1073699971 |
63750 |
8500 |
32.7072053084 |
-117.085087381 |
-124.083714126805 |
40.8760468021183 |
8790 |
Sweitzer, Deborah |
1346335700 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
785 18th Street |
Arcata |
Humboldt |
95521 |
California |
2017 |
2018 |
6 |
MU |
DOOR COMM HLTH CTRS OPEN |
1689778813 |
63750 |
8500 |
40.8760468021 |
-124.083714127 |
-118.19379551625 |
33.7963230004062 |
8800 |
Wan, Chok |
1346346616 |
Physician |
UNKNOWN |
2153 Pacific Avenue |
Long Beach |
Los Angeles |
90806 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1346346616 |
21250 |
21250 |
33.796323 |
-118.193795516 |
-118.217147667731 |
34.0349822656191 |
8818 |
DOMINGO-FORASTE, DIANNE |
1346376803 |
Physician |
INTERNAL MEDICINE |
2256 Whittier Blvd |
Los Angeles |
Los Angeles |
90023 |
California |
2012 |
2013 |
1 |
AIU |
DIANNE DOMINGO-FORASTE |
1346376803 |
21250 |
21250 |
34.0349822664 |
-118.217147668 |
-121.268626281078 |
37.9500747874216 |
8834 |
Vaishampayan, Julie |
1346401080 |
Physician |
UNKNOWN |
1601 E Hazelton Ave |
Stockton |
San Joaquin |
95205 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1346401080 |
21250 |
21250 |
37.9500747869 |
-121.268626281 |
-117.867477936358 |
33.7790861138332 |
8839 |
Patino, Aurora |
1346401163 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.63151699981 |
36.7040969996768 |
8847 |
Lindly, Maurice |
1346430634 |
Dentist |
UNKNOWN |
631 E. Alvin Drive, Suite C |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1033242144 |
21250 |
21250 |
36.704097 |
-121.631517 |
-117.090416572167 |
32.7495637697522 |
8855 |
petros, dhafir |
1346451812 |
Dentist |
UNKNOWN |
4844 University Ave, Suit B |
San Diego |
San Diego |
92105 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1104988088 |
21250 |
21250 |
32.7495637702 |
-117.090416572 |
-117.370376975717 |
34.0930831849411 |
8859 |
LEMOS, LUIS |
1346458718 |
Dentist |
UNKNOWN |
436 S RIVERSIDE AVE, Suite B |
Rialto |
San Bernardino |
92376 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1235286758 |
21250 |
21250 |
34.0930831851 |
-117.370376976 |
-117.867477936358 |
33.7790861138332 |
8867 |
Okamoto, Vance |
1346465051 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.266870986007 |
33.1036351510414 |
8872 |
Adams, Daniel |
1346481496 |
Dentist |
UNKNOWN |
6965 El Camino Real #201 |
Carlsbad |
San Diego |
92009 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1346481496 |
21250 |
21250 |
33.1036351514 |
-117.266870986 |
-117.867477936358 |
33.7790861138332 |
8884 |
Potdar, Sandeep |
1346508355 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.827405971908 |
38.706282365339 |
8885 |
Gowdey, Eugene |
1346511185 |
Dentist |
UNKNOWN |
4327 Golden Center Drive |
Placerville |
El Dorado |
95667 |
California |
2019 |
2020 |
4 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
46750 |
8500 |
38.706282365 |
-120.827405972 |
-117.94275450022 |
33.8507004539628 |
8889 |
Ayala Arizmendi, Marcela |
1346519782 |
Dentist |
UNKNOWN |
1719 W Romneya Dr |
Anaheim |
Orange |
92801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1346519782 |
21250 |
21250 |
33.8507004538 |
-117.9427545 |
-117.941835295962 |
33.8507312962124 |
8890 |
Lee, James |
1346516952 |
Dentist |
UNKNOWN |
1201 N. Euclid Street |
Anaheim |
Orange |
92801 |
California |
2014 |
2016 |
1 |
AIU |
DDS INC YOUNG |
1285904763 |
21250 |
21250 |
33.8507312957 |
-117.941835296 |
-120.861830776969 |
37.062616768649 |
8892 |
Lee, Christina |
1346520046 |
Dentist |
UNKNOWN |
725 W I Street |
Los Banos |
Merced |
93635 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1346520046 |
21250 |
21250 |
37.0626167685 |
-120.861830777 |
-118.57552200014 |
34.4368169996049 |
8893 |
Olsen, Sharon |
1346527462 |
Nurse Practitioner |
UNKNOWN |
25115 Avenue Stanford, a-104 |
Valencia |
Los Angeles |
91355 |
California |
2012 |
2013 |
1 |
AIU |
DIXON FAMILY SAMUEL |
1154402675 |
21250 |
21250 |
34.436817 |
-118.575522 |
-117.867477936358 |
33.7790861138332 |
8895 |
Lopez del Aguila, Victor |
1346528676 |
Dentist |
UNKNOWN |
530 South Main St., Apt. 403 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.594560992596 |
39.1398243060469 |
8897 |
Giolitti, Dino |
1346530557 |
Nurse Practitioner |
UNKNOWN |
724 5th St |
Marysville |
Yuba |
95901 |
California |
2012 |
2013 |
1 |
AIU |
Dino Joseph Giolitti |
1346530557 |
21250 |
21250 |
39.139824306 |
-121.594560993 |
-117.867477936358 |
33.7790861138332 |
8918 |
Morshed, Nazy |
1346568326 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.066076999954 |
33.8878104790704 |
8930 |
Guadian, Hugo |
1346640984 |
Nurse Practitioner |
UNKNOWN |
12507 E Alondra Blvd. |
Norwalk |
Los Angeles |
90650 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1346640984 |
21250 |
21250 |
33.8878104788 |
-118.066077 |
-117.867477936358 |
33.7790861138332 |
8938 |
Patel, Pragnesh |
1346656600 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.169517934705 |
32.7876688614289 |
8954 |
Ansfield, Joseph |
1356323612 |
Physician |
PSYCHIATRY |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2011 |
2012 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-114.618297768427 |
34.832575225866 |
8959 |
Moza, Joseph |
1356336127 |
Physician |
UNKNOWN |
1401 Bailey Ave, Bldg A |
Needles |
UNKNOWN |
92363 |
California |
2016 |
2018 |
2 |
MU |
Designated Payee Name not Found |
1356336127 |
29750 |
8500 |
34.8325752259 |
-114.618297768 |
-119.777724000362 |
36.8389980000577 |
8960 |
Madireddy, Nagaratnamma |
1356337505 |
Physician |
UNKNOWN |
568 E HERNDON AVE, SUITE 101 |
FRESNO |
Fresno |
93720 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1356337505 |
38250 |
8500 |
36.838998 |
-119.777724 |
-117.425832201994 |
34.0062708688056 |
8967 |
nasser, Anwar |
1356349500 |
Dentist |
UNKNOWN |
6326 Mission Blvd, #B |
Riverside |
Riverside |
92509 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1144419334 |
21250 |
21250 |
34.0062708689 |
-117.425832202 |
-120.827405971908 |
38.706282365339 |
8968 |
Hutchings, Mathew |
1356348403 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4327 Golden Center Dr |
Placerville |
El Dorado |
95667 |
California |
2018 |
2019 |
6 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
63750 |
8500 |
38.706282365 |
-120.827405972 |
-117.300894661959 |
34.1053921680142 |
8977 |
patel, vijay |
1356364301 |
Dentist |
UNKNOWN |
322 North H Street |
San Bernardino |
San Bernardino |
92410 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1992818033 |
21250 |
21250 |
34.1053921682 |
-117.300894662 |
-118.27633502744 |
34.0444093819875 |
8998 |
Anaraki, Hengemeh |
1356390520 |
Dentist |
UNKNOWN |
1561 West Pico Blvd |
Los Angeles |
Los Angeles |
90015 |
California |
2020 |
2020 |
3 |
MU |
DENTAL CORPORATION ANARAKI |
1306154380 |
38250 |
8500 |
34.0444093816 |
-118.276335027 |
-118.282621642874 |
34.0638930322377 |
8999 |
Sevilla, Brett |
1356393151 |
Physician |
UNKNOWN |
520 So. LaFayette Pk. Pl., 3rd Floor |
LA |
Los Angeles |
90057 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1356393151 |
21250 |
21250 |
34.0638930325 |
-118.282621643 |
-117.169517934705 |
32.7876688614289 |
9005 |
CULLEN, JEFFREY |
1356409411 |
Physician |
UNKNOWN |
6973 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2016 |
2017 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-117.867477936358 |
33.7790861138332 |
9018 |
Ziadeh, Faher |
1356418065 |
Dentist |
UNKNOWN |
530 South Main St., #200 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.212525456385 |
33.972853423147 |
9021 |
Romero, Jesusa |
1356426076 |
Physician |
OBSTETRICS/GYNECOLOGY |
3100 E. Florence Ave., Ste 5 |
Huntington Park |
Los Angeles |
90255 |
California |
2014 |
2015 |
4 |
MU |
Designated Payee Name not Found |
1356426076 |
46750 |
8500 |
33.972853423 |
-118.212525456 |
-117.888678000289 |
33.7883670004368 |
9026 |
DRAKE, MICHAEL V |
1356421499 |
Physician |
OPHTHALMOLOGY |
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH |
ORANGE |
Orange |
92868 |
California |
2011 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1407058787 |
0 |
0 |
33.788367 |
-117.888678 |
-118.309008829094 |
33.7370109371051 |
9030 |
Velasco, Lois |
1356439673 |
Dentist |
UNKNOWN |
1441 W 8th Street |
San Pedro |
Los Angeles |
90732 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1124442850 |
21250 |
21250 |
33.737010937 |
-118.309008829 |
-120.982234500022 |
37.6472045360605 |
9044 |
Gonzales, Ricardo |
1356453864 |
Physician |
PSYCHIATRY |
800 Scenic Dr |
Modesto |
Stanislaus |
95350 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831227974 |
21250 |
21250 |
37.6472045364 |
-120.9822345 |
-118.443346549004 |
34.0637399640282 |
9046 |
Pennisi, Alfred |
1356444855 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2014 |
2015 |
2 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
29750 |
8500 |
34.0637399643 |
-118.443346549 |
-116.289847686921 |
33.7060331444141 |
9050 |
tran, lawrence |
1356454946 |
Dentist |
UNKNOWN |
78795 VIA AVANTE, suite #3 |
LA QUINTA |
Riverside |
92253 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1356454946 |
21250 |
21250 |
33.7060331441 |
-116.289847687 |
-118.605927964304 |
34.1893799995873 |
9054 |
hinojosa, alfonso |
1356462378 |
Dentist |
UNKNOWN |
6543 Topanga Cyn Blvd |
Woodland Hills |
Los Angeles |
91303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
34.18938 |
-118.605927964 |
-117.867477936358 |
33.7790861138332 |
9067 |
Dela Rosa, Alfredo |
1356478788 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.296373500037 |
34.1020260001998 |
9071 |
Lanier, Jerry |
1356489660 |
Dentist |
UNKNOWN |
4905 Hollywood Blvd |
Los Angeles |
Los Angeles |
90027 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1982738803 |
21250 |
21250 |
34.102026 |
-118.2963735 |
-121.931844043068 |
37.3128740632874 |
9072 |
Le, Viet |
1356480891 |
Physician |
PSYCHIATRY |
751 S Bascom Ave, Psychiatry |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1356480891 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.142630544664 |
33.5073773776639 |
9079 |
baker, bruce |
1356499644 |
Dentist |
UNKNOWN |
42210 Lyndie Ln, Suite 100 |
Temecula |
Riverside |
92591 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1073935912 |
21250 |
21250 |
33.5073773775 |
-117.142630545 |
-119.091519447265 |
34.2433075906728 |
9082 |
Nguyen, Danny |
1356503890 |
Dentist |
UNKNOWN |
2868 Diamond Dr |
Camarillo |
Ventura |
93010 |
California |
2016 |
2017 |
1 |
AIU |
Danny Nguyen |
1356503890 |
21250 |
21250 |
34.2433075906 |
-119.091519447 |
-118.14108300008 |
34.1577294960195 |
9085 |
Lynn, Aaron |
1356503916 |
Physician |
UNKNOWN |
456 East Orange Grove Blvd, #120 |
Pasadena |
Los Angeles |
91104 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1356503916 |
21250 |
21250 |
34.1577294962 |
-118.141083 |
-119.556427258811 |
36.7050968623304 |
9088 |
Lee, Linda |
1356509087 |
Dentist |
UNKNOWN |
1329 8th St |
Sanger |
Fresno |
93657 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1356509087 |
21250 |
21250 |
36.705096862 |
-119.556427259 |
-118.308918870809 |
33.751809704954 |
9095 |
Avaness, Armound |
1356516397 |
Dentist |
UNKNOWN |
946 N Western Ave |
San Pedro |
Los Angeles |
90732 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1356516397 |
21250 |
21250 |
33.7518097051 |
-118.308918871 |
-117.4540982959 |
33.9436137043091 |
9099 |
patel, bhavnaben |
1356525299 |
Dentist |
UNKNOWN |
6112 Van Buren Blvd |
Riverside |
Riverside |
92503 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1356525299 |
21250 |
21250 |
33.9436137043 |
-117.454098296 |
-122.238282176581 |
38.1026090712517 |
9105 |
Wang, Jen-Hsiung |
1356544324 |
Physician |
PSYCHIATRY |
355 Tuolumne St |
Vallejo |
Solano |
94590 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1356544324 |
21250 |
21250 |
38.102609071 |
-122.238282177 |
-117.280898999789 |
34.1359165342207 |
9106 |
Sanders, Rita |
1356541676 |
Certified Nurse - Midwife |
UNKNOWN |
249 E Highland Ave |
San Bernardino |
San Bernardino |
92404 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1871553347 |
21250 |
21250 |
34.1359165342 |
-117.280899 |
-118.187343371599 |
33.8090145901513 |
9108 |
Shang, Chun-Ting |
1356545883 |
Dentist |
UNKNOWN |
455 East Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
4 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
46750 |
8500 |
33.8090145898 |
-118.187343372 |
-117.24505199965 |
34.0475760001323 |
9111 |
ojukwu, chinwe |
1356548093 |
Physician |
UNKNOWN |
11306 Mountain View Ave, Suite E |
Loma Linda |
San Bernardino |
92354 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1588967749 |
29750 |
8500 |
34.047576 |
-117.245052 |
-118.281501000371 |
34.0501049998459 |
9117 |
ABDIAN, LOGHMAN |
1356554802 |
Physician |
UNKNOWN |
1107 S Alvarado St Ste 102 |
Los Angeles |
Los Angeles |
90006 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1356554802 |
21250 |
21250 |
34.050105 |
-118.281501 |
-117.748901865029 |
34.077042683573 |
9120 |
Wu, James |
1356571731 |
Physician |
UNKNOWN |
1818 N Orange Grove Ave, #200 |
Pomona |
Los Angeles |
91767 |
California |
2015 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1356571731 |
29750 |
8500 |
34.0770426836 |
-117.748901865 |
-119.159698864611 |
34.2931563264034 |
9133 |
Kondal, Udit |
1356583819 |
Physician |
FAMILY PRACTICE |
200 S. Wells Road, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2013 |
2013 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-121.456678500412 |
38.5551810001031 |
9151 |
Kim, Eunice |
1356662928 |
Physician |
UNKNOWN |
2315 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1356662928 |
21250 |
21250 |
38.555181 |
-121.4566785 |
-119.018416499822 |
35.3738699996009 |
9160 |
logan, john |
1356672703 |
Physician |
INTERNAL MEDICINE |
1430 Truxtun Ave, Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
9166 |
GHULARYAN, MARIANNA |
1356694061 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
9169 |
Rubio, Edgardo |
1356697718 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.852587999736 |
33.6841739997304 |
9181 |
Goude, Crismon |
1356746713 |
Dentist |
UNKNOWN |
1920 Main St #970 |
Irvine |
UNKNOWN |
92614 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL, INC BADII |
1467711358 |
21250 |
21250 |
33.684174 |
-117.852588 |
-121.376389500375 |
38.5562970003064 |
9187 |
buckins, april |
1356762934 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-119.159698864611 |
34.2931563264034 |
9192 |
Al Kuraishi, Mayce |
1356773360 |
Physician |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1679631907 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-124.100958397712 |
40.9351139998113 |
9197 |
Ebel, Valerie |
1356784532 |
Physician |
UNKNOWN |
1644 Central Avenue |
McKinleyville |
Humboldt |
95519 |
California |
2018 |
2019 |
4 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
46750 |
8500 |
40.935114 |
-124.100958398 |
-120.840142499876 |
37.503998999854 |
9198 |
Houser, Melanie |
1356786123 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1141 N Olive Ave |
Turlock |
Stanislaus |
95380 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1356786123 |
21250 |
21250 |
37.503999 |
-120.8401425 |
-117.279418499864 |
33.9318089998855 |
9207 |
Ruppert, James |
1366437667 |
Physician |
UNKNOWN |
6485 Day St, Suite 206 |
Riverside |
Riverside |
92507 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1366437667 |
21250 |
21250 |
33.931809 |
-117.2794185 |
-121.626707703398 |
36.6771240931025 |
9214 |
Erni, Guillermina |
1366453094 |
Physician |
UNKNOWN |
219 N Sanborn Rd |
Salinas |
Monterey |
93905 |
California |
2015 |
2016 |
4 |
MU |
DE SALUD DEL CLINICAS |
1477694263 |
46750 |
8500 |
36.677124093 |
-121.626707703 |
-117.300635999851 |
34.5267180004354 |
9227 |
Africa, Jo-ann Carol |
1366466716 |
Dentist |
UNKNOWN |
15165 Seventh St Ste I |
Victorville |
San Bernardino |
92395 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1366466716 |
21250 |
21250 |
34.526718 |
-117.300636 |
-117.740715750132 |
34.0552738443125 |
9233 |
Makadia, Pravinchandra |
1366476327 |
Dentist |
UNKNOWN |
826 E Mission Blvd |
Pomona |
Los Angeles |
91766 |
California |
2017 |
2018 |
6 |
MU |
DDS MAKADIAPRAVINCHANDRA |
1366476327 |
63750 |
8500 |
34.0552738438 |
-117.74071575 |
-122.034797564856 |
37.5920984346951 |
9254 |
Diep, Claire |
1366508707 |
Physician |
INTERNAL MEDICINE |
33509 Western Avenue |
Union City |
Alameda |
94587 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1366508707 |
21250 |
21250 |
37.592098435 |
-122.034797565 |
-118.301296500433 |
34.0523999995604 |
9260 |
Lim, Myoza |
1366515942 |
Physician |
GENERAL PRACTICE |
3030 W Olympic Blvd, #206 |
Los Angeles |
Los Angeles |
90006 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1366515942 |
21250 |
21250 |
34.0524 |
-118.3012965 |
-124.146181542444 |
40.8024420806375 |
9268 |
Hatch, Deborah |
1366528390 |
Nurse Practitioner |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2018 |
2019 |
5 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
55250 |
8500 |
40.802442081 |
-124.146181542 |
-119.77202517732 |
36.8058025322611 |
9272 |
Relucio, Antonio |
1366526576 |
Dentist |
UNKNOWN |
4844 N 1st St, Suite 106 |
Fresno |
Fresno |
93726 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1497909261 |
21250 |
21250 |
36.8058025321 |
-119.772025177 |
-118.101109500303 |
34.1376029995788 |
9275 |
jackson, peter |
1366536328 |
Physician |
UNKNOWN |
504 S Sierra Madre Blvd |
Pasadena |
Los Angeles |
91107 |
California |
2020 |
2020 |
5 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
55250 |
8500 |
34.137603 |
-118.1011095 |
-119.018416499822 |
35.3738699996009 |
9278 |
Kocsis, Tamas |
1366546798 |
Physician |
OBSTETRICS/GYNECOLOGY |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.018416499822 |
35.3738699996009 |
9288 |
Ike, Charles |
1366555799 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.131214500049 |
34.1860590002227 |
9294 |
DERBOGHOSSIANS, NATALIE |
1366567430 |
Dentist |
UNKNOWN |
2340 N. Lake Ave |
altadena |
Los Angeles |
91001 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1366567430 |
21250 |
21250 |
34.186059 |
-118.1312145 |
-117.867477936358 |
33.7790861138332 |
9298 |
Russell, Elisa |
1366568859 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.707953019017 |
33.6135069613772 |
9303 |
Garcia, Dean |
1366574295 |
Dentist |
UNKNOWN |
24012 Avenida De La Carlota, Ste. 200 |
Laguna Hills |
Orange |
92653 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1962503599 |
21250 |
21250 |
33.6135069615 |
-117.707953019 |
-117.959778000155 |
33.9277950000393 |
9312 |
Vasquez, Eduardo |
1366584146 |
Dentist |
UNKNOWN |
501 S. Idaho Street, Suite 120 |
La Habra |
Orange |
90631 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1366584146 |
21250 |
21250 |
33.927795 |
-117.959778 |
-117.867477936358 |
33.7790861138332 |
9318 |
Kirsch, Kenneth |
1366588634 |
Dentist |
UNKNOWN |
530 South Main Street, 6th Floor |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.277706499655 |
36.3421529999611 |
9322 |
KIM, JI-HYUN |
1366592842 |
Dentist |
UNKNOWN |
1404 N Ben Maddox Way |
Visalia |
Tulare |
93292 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1366592842 |
21250 |
21250 |
36.342153 |
-119.2777065 |
-115.558425529814 |
32.7706346298843 |
9324 |
Shirey, Rita |
1366598633 |
Nurse Practitioner |
UNKNOWN |
651 Wake Ave, Suite B |
El Centro |
Imperial |
92243 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1487741773 |
21250 |
21250 |
32.77063463 |
-115.55842553 |
-118.540237516948 |
34.1705142267502 |
9329 |
Nikjoo, Ebi |
1366603425 |
Dentist |
UNKNOWN |
18663 Ventura Blvd, Suite 200 |
Tarzana |
Los Angeles |
91356 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1285055145 |
21250 |
21250 |
34.1705142273 |
-118.540237517 |
-119.018416499822 |
35.3738699996009 |
9342 |
Lopez-Moore, Jessica |
1366623407 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.049985338253 |
37.6978277040853 |
9351 |
Nguyen, Emily |
1366641896 |
Dentist |
UNKNOWN |
4048 Dale Road, Suite 203 |
Modesto |
Stanislaus |
95350 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1417072729 |
21250 |
21250 |
37.6978277041 |
-121.049985338 |
-115.528558499675 |
32.9786155433727 |
9352 |
shalaby, Mohsen |
1366642522 |
Physician |
UNKNOWN |
900 Main St |
Brawley |
Imperial |
92227 |
California |
2018 |
2019 |
5 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
55250 |
8500 |
32.9786155434 |
-115.5285585 |
-122.421966306 |
37.6444518695582 |
9359 |
Miranda, Noel |
1366655235 |
Dentist |
UNKNOWN |
1486 Huntington Avenue, Suite 302 |
So San Francisco |
San Mateo |
94080 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1174996516 |
21250 |
21250 |
37.6444518698 |
-122.421966306 |
-117.948737117824 |
34.0371825820106 |
9362 |
Dao, Loan |
1366655524 |
Dentist |
UNKNOWN |
15431 Amar Road |
La Puente |
Los Angeles |
91744 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1366655524 |
21250 |
21250 |
34.0371825815 |
-117.948737118 |
-121.634118436317 |
39.1417541261521 |
9382 |
sekhon, ajaipal |
1366693939 |
Dentist |
UNKNOWN |
1262 COLUSA AVE |
Yuba City |
Sutter |
95991 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1366693939 |
21250 |
21250 |
39.1417541259 |
-121.634118436 |
-117.867477936358 |
33.7790861138332 |
9384 |
Mercado, Lulette |
1366698268 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.295825500147 |
34.1082784881618 |
9399 |
Agustin, Jeffrey |
1366756991 |
Dentist |
UNKNOWN |
575 W 5th St |
San Bernardino |
San Bernardino |
92401 |
California |
2013 |
2013 |
1 |
AIU |
Dr. Sam Daniel Dason DDS |
1831226695 |
21250 |
21250 |
34.1082784876 |
-117.2958255 |
-118.351246562779 |
34.0448732657886 |
9401 |
Mercado, Gerardo |
1366757999 |
Dentist |
UNKNOWN |
5114 venice blvd. |
los angeles |
Los Angeles |
90019 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1366757999 |
21250 |
21250 |
34.0448732664 |
-118.351246563 |
-117.867240000026 |
33.7768010588218 |
9404 |
Lowe-Ching, Joan |
1366739484 |
Dentist |
UNKNOWN |
530 south main street, E |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7768010591 |
-117.86724 |
-118.138449779733 |
34.5812706347321 |
9406 |
Loring, Catherine |
1366761611 |
Nurse Practitioner |
UNKNOWN |
38440 5th St West |
Palmdale |
Los Angeles |
93551 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1366761611 |
21250 |
21250 |
34.5812706349 |
-118.13844978 |
-118.101109500303 |
34.1376029995788 |
9423 |
Tam, Cze-Ja |
1366826547 |
Nurse Practitioner |
UNKNOWN |
504 S Sierra Madre Blvd |
Pasadena |
Los Angeles |
91107 |
California |
2020 |
2020 |
4 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
46750 |
8500 |
34.137603 |
-118.1011095 |
-118.094401165781 |
34.1680101355594 |
9451 |
Kelly-Dokubo, Iduama |
1376503144 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
2750 E Washington Blvd, Suite #370 |
Pasadena |
Los Angeles |
91107 |
California |
2012 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1902045040 |
21250 |
21250 |
34.1680101357 |
-118.094401166 |
-123.633614421668 |
40.9399290491863 |
9453 |
Bensky, Norman |
1376506725 |
Physician |
FAMILY PRACTICE |
38883 Highway 299 |
Willow Creek |
Humboldt |
95573 |
California |
2017 |
2018 |
6 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1730330739 |
63750 |
8500 |
40.9399290492 |
-123.633614422 |
-119.018416499822 |
35.3738699996009 |
9458 |
Ronquillo, Florentina |
1376532531 |
Physician |
UNKNOWN |
1430 Truxtun Ave, suite400 |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.18225465293 |
34.1511742063246 |
9477 |
Rios-Rios, Guillermo |
1376556035 |
Physician |
PEDIATRIC MEDICINE |
450 W Clara Street, Clinicas Del Camino Real Inc |
Oxnard |
Ventura |
93033 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
55250 |
8500 |
34.1511742062 |
-119.182254653 |
-118.200469500267 |
33.9291630001724 |
9478 |
Dakak, Chafik |
1376563957 |
Physician |
UNKNOWN |
3737 Martin Luther King Blvd., Suite 205 |
Lynwood |
Los Angeles |
90262 |
California |
2016 |
2017 |
4 |
MU |
DARAK MD INC CHAFIK |
1376563957 |
46750 |
8500 |
33.929163 |
-118.2004695 |
-118.317883072846 |
33.9038639999237 |
9483 |
Gole, Steven |
1376565432 |
Dentist |
UNKNOWN |
14017 Van Ness Ave |
Gardena |
Los Angeles |
90249 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1376565432 |
21250 |
21250 |
33.903864 |
-118.317883073 |
-117.941976000292 |
33.8431860004336 |
9489 |
dholakiya, pragnesh |
1376577544 |
Dentist |
UNKNOWN |
815 North Euclid Street |
Anaheim |
Orange |
92801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1770768327 |
21250 |
21250 |
33.843186 |
-117.941976 |
-117.918941704296 |
33.6448214998124 |
9499 |
De Leon, Maria |
1376601211 |
Dentist |
UNKNOWN |
1942 Harbor Blvd |
Costa Mesa |
Orange |
92627 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1376601211 |
21250 |
21250 |
33.6448215 |
-117.918941704 |
-122.236999565278 |
37.4867480316964 |
9501 |
Shah, Darshini |
1376603027 |
Dentist |
UNKNOWN |
193 Arch St, Suite B-C |
Redwood City |
San Mateo |
94062 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1124093752 |
21250 |
21250 |
37.4867480317 |
-122.236999565 |
-121.931844043068 |
37.3128740632874 |
9503 |
Siegel, John |
1376589150 |
Physician |
GENERAL SURGERY |
751 S Bascom Ave, General Surgery Department |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1376589150 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.867477936358 |
33.7790861138332 |
9504 |
Yuliongsiu, Rey |
1376606954 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.634118436317 |
39.1417541261521 |
9506 |
sekhon, daljit |
1376608174 |
Dentist |
UNKNOWN |
1262 COLUSA AVE |
Yuba City |
Sutter |
95991 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1376608174 |
21250 |
21250 |
39.1417541259 |
-121.634118436 |
-118.476847204435 |
34.0243502906334 |
9510 |
Begel, Daniel |
1376609149 |
Physician |
UNKNOWN |
1642 19th St |
Santa Monica |
Los Angeles |
90404 |
California |
2016 |
2018 |
1 |
AIU |
Daniel Begel |
1376609149 |
21250 |
21250 |
34.0243502906 |
-118.476847204 |
-122.227597870945 |
37.778473654036 |
9511 |
Lovato, Esteban |
1376610923 |
Physician |
INTERNAL MEDICINE |
3022 International Blvd Ste 312 |
Oakland |
Alameda |
94601 |
California |
2015 |
2017 |
3 |
MU |
Designated Payee Name not Found |
1124165055 |
38250 |
8500 |
37.7784736542 |
-122.227597871 |
-117.867477936358 |
33.7790861138332 |
9512 |
Assad, Bassem |
1376611509 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.308811499851 |
33.9433739999102 |
9522 |
CLARK, STEVAN |
1376616227 |
Physician |
UNKNOWN |
10220 S Western Ave |
Los Angeles |
Los Angeles |
90047 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1376616227 |
21250 |
21250 |
33.943374 |
-118.3088115 |
-117.662683160799 |
33.4942925773406 |
9526 |
MEHTAR, GHASSAN |
1376620971 |
Dentist |
UNKNOWN |
32281 Camino Capistrano, 101-C |
San Juan Capistrano |
Orange |
92675 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1376620971 |
21250 |
21250 |
33.4942925773 |
-117.662683161 |
-121.645808999686 |
36.6576570002704 |
9543 |
Blakemore, Tonya |
1376644336 |
Physician |
UNKNOWN |
260 San Jose St |
Salinas |
Monterey |
93901 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1376644336 |
21250 |
21250 |
36.657657 |
-121.645809 |
-118.246191531314 |
33.9426899692667 |
9548 |
Bernard, Dawn |
1376648956 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2012 |
2014 |
1 |
AIU |
Dawn Deneeze Bernard |
1376648956 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
-118.164064499577 |
33.7826374772378 |
9550 |
vu, dan |
1376658096 |
Physician |
UNKNOWN |
2315 E Anaheim St |
Long Beach |
Los Angeles |
90804 |
California |
2011 |
2013 |
1 |
AIU |
dan vu |
1376658096 |
21250 |
21250 |
33.7826374766 |
-118.1640645 |
-118.446236463742 |
34.0652250001337 |
9553 |
Sankar, Raman |
1376629063 |
Physician |
UNKNOWN |
200 Medical Plaza, Suite 265 |
Los Angeles |
UNKNOWN |
90095 |
California |
2018 |
2019 |
4 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
46750 |
8500 |
34.065225 |
-118.446236464 |
-118.167034499842 |
33.7753735325625 |
9557 |
Ragins, Mark |
1376662361 |
Physician |
UNKNOWN |
2025 E 7th St |
Long Beach |
Los Angeles |
90804 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1104942044 |
21250 |
21250 |
33.7753735335 |
-118.1670345 |
-123.633614421668 |
40.9399290491863 |
9561 |
Manning, Jane |
1376674598 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
38883 Hwy 299, Box 726 |
Willow Creek |
Humboldt |
95573 |
California |
2017 |
2018 |
6 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1730330739 |
63750 |
8500 |
40.9399290492 |
-123.633614422 |
-119.05530393373 |
35.3530691249402 |
9562 |
Hughes, Carroll |
1376673152 |
Dentist |
UNKNOWN |
200 S. Montclair St., Suite D |
Bakersfield |
UNKNOWN |
93309 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1366771412 |
21250 |
21250 |
35.3530691252 |
-119.055303934 |
-117.652863945415 |
34.0658521648456 |
9568 |
Chirinos, Renan |
1376687574 |
Dentist |
UNKNOWN |
212 W C Street, Suite A |
Ontario |
San Bernardino |
91762 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1609204056 |
21250 |
21250 |
34.0658521647 |
-117.652863945 |
-120.469263940678 |
37.3261435555807 |
9571 |
MIYATA, KENICHI |
1376687772 |
Physician |
UNKNOWN |
3393 G St, D |
Merced |
Merced |
95340 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1376687772 |
21250 |
21250 |
37.3261435562 |
-120.469263941 |
-117.867477936358 |
33.7790861138332 |
9574 |
Takla, Paul |
1376688044 |
Dentist |
UNKNOWN |
530 South Main St., Suite 1E |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.49494949962 |
34.0515089998405 |
9575 |
imankhan, hamid |
1376695825 |
Dentist |
UNKNOWN |
13100 Pontoon Pl |
Los Angeles |
Los Angeles |
90049 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1376695825 |
21250 |
21250 |
34.051509 |
-118.4949495 |
-117.867477936358 |
33.7790861138332 |
9576 |
Youssef, Basem |
1376695312 |
Dentist |
UNKNOWN |
530 South Main St., Suite 100 |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.39585287511 |
33.9186042893565 |
9577 |
Chowdhary, Anil |
1376701920 |
Dentist |
UNKNOWN |
222 N Sepulveda Blvd, Suite 1800 |
El Segundo |
Los Angeles |
90245 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336384619 |
21250 |
21250 |
33.9186042888 |
-118.395852875 |
-122.407852499593 |
37.7896860002088 |
9588 |
Santos, Edna |
1376722553 |
Dentist |
UNKNOWN |
450 Sutter St, Suite 1114 |
San Francisco |
San Francisco |
94108 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1164661773 |
21250 |
21250 |
37.789686 |
-122.4078525 |
-117.867477936358 |
33.7790861138332 |
9594 |
ELIAS, NANCY |
1376736801 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.264904345659 |
33.8801516285948 |
9597 |
Jones, Donna |
1376754853 |
Nurse Practitioner |
UNKNOWN |
16627 Avalon Blvd |
Carson |
Los Angeles |
90746 |
California |
2011 |
2012 |
1 |
AIU |
Donna Marva Jones |
1376754853 |
21250 |
21250 |
33.8801516292 |
-118.264904346 |
-120.823715927648 |
38.6957791157137 |
9604 |
Dusek, Vaughna |
1376758359 |
Nurse Practitioner |
UNKNOWN |
4641 Missouri Flat Road |
Placerville |
El Dorado |
95667 |
California |
2016 |
2017 |
6 |
MU |
DORADO COUNTY COMM EL |
1609029362 |
63750 |
8500 |
38.6957791157 |
-120.823715928 |
-118.535467500225 |
34.1958870001849 |
9605 |
tabib, kamran |
1376762393 |
Dentist |
UNKNOWN |
6900 Reseda Blvd Ste C |
Reseda |
Los Angeles |
91335 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1376762393 |
21250 |
21250 |
34.195887 |
-118.5354675 |
-115.570014224277 |
32.8247189997821 |
9614 |
Cervantes, Richard |
1376767038 |
Dentist |
UNKNOWN |
2387 US Highway 86 |
Imperial |
Imperial |
92251 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1154566743 |
21250 |
21250 |
32.824719 |
-115.570014224 |
-119.018416499822 |
35.3738699996009 |
9622 |
Martinez, Robert |
1376790527 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.442685909727 |
33.9832385522175 |
9626 |
lipeles, jamie |
1376794966 |
Physician |
GENERAL SURGERY |
4560 Admiralty Way, STE 105 |
Marina Del Rey |
Los Angeles |
90292 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1376794966 |
21250 |
21250 |
33.9832385519 |
-118.44268591 |
-117.293877000223 |
33.6597569996858 |
9629 |
pourshirazi, homayoun |
1376797621 |
Dentist |
UNKNOWN |
31500 Grape st., Suite 8 |
Lake Elsinore |
Riverside |
92532 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1255606547 |
21250 |
21250 |
33.659757 |
-117.293877 |
-119.159698864611 |
34.2931563264034 |
9630 |
Oparin, Alexander |
1376791152 |
Physician |
FAMILY PRACTICE |
200 S Wells Rd # 200 |
Ventura |
Ventura |
93004 |
California |
2013 |
2014 |
2 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-117.169517934705 |
32.7876688614289 |
9645 |
Ki, Trish |
1376840199 |
Nurse Practitioner |
UNKNOWN |
6973 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2014 |
2015 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-119.018416499822 |
35.3738699996009 |
9655 |
Murialdo, Martina |
1376853879 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.876145844655 |
36.9226889995977 |
9656 |
Deol, Gurmit |
1376854943 |
Nurse Practitioner |
UNKNOWN |
11976 RD 37 |
MADERA |
Madera |
93636 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1376854943 |
29750 |
8500 |
36.922689 |
-119.876145845 |
-118.066140474104 |
34.0626538384039 |
9659 |
Pan, Anthony |
1376858811 |
Dentist |
UNKNOWN |
9328 Garvey Ave STE A |
South El Monte |
Los Angeles |
91733 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1396189114 |
21250 |
21250 |
34.0626538378 |
-118.066140474 |
-119.018416499822 |
35.3738699996009 |
9662 |
Sharma, Geetanjali |
1376872143 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
UNKNOWN |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.432261500368 |
38.626370999622 |
9666 |
Hashemi, Ladan |
1376887935 |
Nurse Practitioner |
UNKNOWN |
3234 Marysville Blvd |
Sacramento |
Sacramento |
95815 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1326451592 |
21250 |
21250 |
38.626371 |
-121.4322615 |
-118.471280721128 |
34.1546877964047 |
9669 |
Pedoeim, Panthea |
1376895847 |
Nurse Practitioner |
UNKNOWN |
15477 Ventura Blvd, Third Floor |
Sherman Oaks |
Los Angeles |
91403 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1376895847 |
21250 |
21250 |
34.1546877963 |
-118.471280721 |
-117.867477936358 |
33.7790861138332 |
9694 |
Borna, Neda |
1376968784 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
9697 |
Tillema, Sarah |
1376979211 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2015 |
2016 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1912123431 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
9700 |
Pandher, Gagandeep |
1376984690 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.975801296593 |
33.8112136097204 |
9714 |
Vu, Diana |
1386049971 |
Dentist |
UNKNOWN |
10425 S. Magnolia Ave, # A |
Anaheim |
Orange |
92804 |
California |
2016 |
2016 |
1 |
AIU |
Diana Vu |
1386049971 |
21250 |
21250 |
33.81121361 |
-117.975801297 |
-117.852587999736 |
33.6841739997304 |
9716 |
Shin, Michelle |
1386052306 |
Dentist |
UNKNOWN |
1920 Main St #970 |
Irvine |
UNKNOWN |
92614 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL, INC BADII |
1467711358 |
21250 |
21250 |
33.684174 |
-117.852588 |
-117.867477936358 |
33.7790861138332 |
9718 |
Vu, Rebecca |
1386058592 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
9725 |
Pham, Philong |
1386066629 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.110419999783 |
34.5795854554045 |
9729 |
Saidian, Shahrooz |
1386071546 |
Dentist |
UNKNOWN |
1037 E Palmdale Blvd, Suite 203 |
Palmdale |
Los Angeles |
93550 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1275950818 |
21250 |
21250 |
34.5795854546 |
-118.11042 |
-117.867477936358 |
33.7790861138332 |
9736 |
Zhang, Ling |
1386086437 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.931844043068 |
37.3128740632874 |
9749 |
Levitt, Lee |
1386600211 |
Physician |
HEMATOLOGY/ONCOLOGY |
751 S Bascom Ave, Oncology/Hematology Department |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1588721500 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.210159916747 |
32.875616667875 |
9750 |
Rudolph, Charles |
1386636348 |
Physician |
UNKNOWN |
4510 Executive Drive, Suite 125 |
San Diego |
San Diego |
92121 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1386636348 |
38250 |
8500 |
32.8756166676 |
-117.210159917 |
-122.448363437822 |
37.7824684596517 |
9757 |
Wu, Hong |
1386653657 |
Physician |
UNKNOWN |
2700 Geary Blvd. |
San Francisco |
San Francisco |
94118 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.7824684596 |
-122.448363438 |
-117.908701666449 |
33.8199960272948 |
9762 |
Santos, Joey |
1386656114 |
Physician |
INTERNAL MEDICINE |
1020 S Anaheim Blvd, Ste 220 |
Anaheim |
Orange |
92805 |
California |
2018 |
2019 |
5 |
MU |
Designated Payee Name not Found |
1386656114 |
55250 |
8500 |
33.8199960272 |
-117.908701666 |
-115.579118302368 |
32.7814444772808 |
9775 |
Affue, Theodore |
1386674000 |
Physician |
UNKNOWN |
2061 Ross Ave, Suite A |
El Centro |
Imperial |
92243 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1386674000 |
21250 |
21250 |
32.7814444774 |
-115.579118302 |
-121.699511648744 |
37.9467553897495 |
9776 |
Fejarang, Cecilia |
1386668911 |
Dentist |
UNKNOWN |
141 Sand Creek Rd, Suite G |
Brentwood |
Contra Costa |
94513 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1386668911 |
21250 |
21250 |
37.9467553903 |
-121.699511649 |
-118.290925845951 |
34.1721677544384 |
9782 |
Kechechyan, Anush |
1386679876 |
Dentist |
UNKNOWN |
1741 W Glenoaks Blvd, Unit B |
Glendale |
Los Angeles |
91201 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1417357740 |
21250 |
21250 |
34.1721677544 |
-118.290925846 |
-121.649026499673 |
36.6600059997771 |
9783 |
Martinez-Ornum, Josephine |
1386681435 |
Nurse Practitioner |
UNKNOWN |
335 Katherine Ave |
Salinas |
Monterey |
93901 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1386681435 |
21250 |
21250 |
36.660006 |
-121.6490265 |
-118.443346549004 |
34.0637399640282 |
9787 |
Kornblum, Harley |
1386651115 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-118.178266499799 |
34.0837289999934 |
9790 |
Show, Wei Der |
1386686889 |
Physician |
GENERAL PRACTICE |
3301 N Eastern Ave |
Los Angeles |
Los Angeles |
90032 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1386686889 |
21250 |
21250 |
34.083729 |
-118.1782665 |
-117.955768499617 |
33.7513769997488 |
9801 |
Nguyen, Anhtuan |
1386698660 |
Physician |
UNKNOWN |
14541 Brookhurst St., Ste D2 |
Westminster |
Orange |
92683 |
California |
2019 |
2020 |
5 |
MU |
Designated Payee Name not Found |
1386698660 |
55250 |
8500 |
33.751377 |
-117.9557685 |
-117.867477936358 |
33.7790861138332 |
9802 |
Panem, Sherwin |
1386703650 |
Dentist |
UNKNOWN |
530 South Main St., Ste. C |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
9810 |
Pangilinan, Roderick |
1386711901 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.88502231193 |
33.7550232263409 |
9822 |
Manchandia, Chandrakan |
1386727212 |
Dentist |
UNKNOWN |
1111 N Bristol St Ste K |
Santa Ana |
Orange |
92703 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1386727212 |
21250 |
21250 |
33.7550232259 |
-117.885022312 |
-117.59316750018 |
33.4584629997677 |
9823 |
Tran, Nhu |
1386730828 |
Dentist |
UNKNOWN |
1171 Puerta del Sol, Suite A |
San Clemente |
Orange |
92673 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1386730828 |
21250 |
21250 |
33.458463 |
-117.5931675 |
-116.958648781016 |
33.7559720605622 |
9827 |
Nguyen, Minhchau |
1386731131 |
Dentist |
UNKNOWN |
560 N San Jacinto St |
Hemet |
Riverside |
92543 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1053408898 |
21250 |
21250 |
33.7559720605 |
-116.958648781 |
-118.451493000202 |
34.2011495000494 |
9828 |
MOHAMADI, DAVID |
1386732931 |
Physician |
UNKNOWN |
14624 Sherman Way, Suite 406 |
Van Nuys |
Los Angeles |
91405 |
California |
2015 |
2016 |
1 |
AIU |
DAVID MD MOHAMADI |
1386732931 |
21250 |
21250 |
34.2011494995 |
-118.451493 |
-117.867477936358 |
33.7790861138332 |
9831 |
Vu, Nguyenkhanh |
1386733103 |
Dentist |
UNKNOWN |
530 South Main St., #C |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.954178172684 |
34.0387729089426 |
9832 |
Galindo, Jorge |
1386733947 |
Physician |
UNKNOWN |
15115 Amar Rd |
LA Puente |
Los Angeles |
91744 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1386733947 |
21250 |
21250 |
34.0387729087 |
-117.954178173 |
-119.600098574789 |
36.5891309914022 |
9835 |
Barron, John |
1386738367 |
Doctor of Optometry |
UNKNOWN |
1217 Tammy St |
Selma |
Fresno |
93662 |
California |
2016 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1386738367 |
29750 |
8500 |
36.5891309908 |
-119.600098575 |
-117.304928999973 |
33.1229159996737 |
9839 |
Maghsoudy, Afsaneh |
1386742401 |
Physician |
UNKNOWN |
6010 Hidden Valley Rd Suite 125 |
Carlsbad |
San Diego |
92011 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1386742401 |
21250 |
21250 |
33.122916 |
-117.304929 |
-115.522960499627 |
32.9730805030628 |
9842 |
Roderick, Thomas |
1386752574 |
Dentist |
UNKNOWN |
1166 K Street |
Brawley |
Imperial |
92227 |
California |
2017 |
2018 |
2 |
MU |
DE SALUD DEL CLINICAS |
1699859421 |
29750 |
8500 |
32.9730805029 |
-115.5229605 |
-120.046562527738 |
36.9454285032229 |
9843 |
Bohlman, Michael |
1386756799 |
Physician |
UNKNOWN |
1100 E Almond Ave, Suite 101 |
Madera |
Madera |
93637 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1386756799 |
21250 |
21250 |
36.9454285029 |
-120.046562528 |
-121.125230308932 |
36.212197099017 |
9846 |
Williams, Bruce |
1386757433 |
Dentist |
UNKNOWN |
223 Bassett St |
King City |
Monterey |
93930 |
California |
2015 |
2016 |
3 |
MU |
DE SALUD DEL VALLE CLINICA |
1376684456 |
38250 |
8500 |
36.2121970985 |
-121.125230309 |
-119.018416499822 |
35.3738699996009 |
9847 |
Schnell, Cheri |
1386757623 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
NURSE PRACTITIONER |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-120.060259635973 |
36.7316212113499 |
9852 |
Vu, Thomas |
1386772366 |
Dentist |
UNKNOWN |
275 S Madera Ave, Suite #200 |
Kerman |
Fresno |
93630 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1265692446 |
21250 |
21250 |
36.7316212107 |
-120.060259636 |
-121.295376000202 |
38.254113000015 |
9859 |
Ho, Thanh |
1386780294 |
Dentist |
UNKNOWN |
1067 C Street, Suite 125 |
Galt |
Orange |
92708 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1801213442 |
21250 |
21250 |
38.254113 |
-121.295376 |
-117.867477936358 |
33.7790861138332 |
9861 |
Tran, Tam |
1386782985 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.083714126805 |
40.8760468021183 |
9879 |
Vu, Kelvin |
1386806081 |
Physician |
FAMILY PRACTICE |
785 18th St |
Arcata |
Humboldt |
95521 |
California |
2017 |
2018 |
6 |
MU |
DOOR COMM HLTH CTRS OPEN |
1689778813 |
63750 |
8500 |
40.8760468021 |
-124.083714127 |
-118.070973000004 |
34.1049959995658 |
9883 |
Ma, Jack |
1386814424 |
Dentist |
UNKNOWN |
9093 Las Tunas Dr. |
Temple City |
Los Angeles |
91780 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1457407512 |
21250 |
21250 |
34.104996 |
-118.070973 |
-119.159698864611 |
34.2931563264034 |
9894 |
JOHNSTON, CHRISTINE |
1386831188 |
Physician |
UNKNOWN |
200 S. Wells Road, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
4 |
MU |
DEL CAMINO REAL CLINICAS |
1023234465 |
46750 |
8500 |
34.2931563259 |
-119.159698865 |
-119.018416499822 |
35.3738699996009 |
9897 |
Ebrahimi, Nadereh |
1386839538 |
Dentist |
UNKNOWN |
1430 Truxtun Ave, Suite 204 |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-115.56148168693 |
32.7942179997609 |
9900 |
Ibrahim, Aalamgeer |
1386838795 |
Physician |
UNKNOWN |
202 N 8th St |
El Centro |
Imperial |
92243 |
California |
2014 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1225258841 |
21250 |
21250 |
32.794218 |
-115.561481687 |
-117.295825500147 |
34.1082784881618 |
9909 |
LIN, JASON |
1386862225 |
Dentist |
UNKNOWN |
575 W 5th St |
San Bernardino |
San Bernardino |
92401 |
California |
2013 |
2013 |
1 |
AIU |
Dr. Sam Daniel Dason DDS |
1831226695 |
21250 |
21250 |
34.1082784876 |
-117.2958255 |
-118.449692999932 |
34.1929135132481 |
9911 |
Yadidi, Orli |
1386866259 |
Dentist |
UNKNOWN |
14520 ARCHWOOD ST |
VAN NUYS |
Los Angeles |
91405 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1386866259 |
21250 |
21250 |
34.1929135126 |
-118.449693 |
-117.871910999593 |
34.1338500000775 |
9917 |
Thai, Bao Khanhminh |
1386872489 |
Physician |
UNKNOWN |
210 S Grand Ave, STE 415 |
Glendora |
Los Angeles |
91741 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1386872489 |
21250 |
21250 |
34.13385 |
-117.871911 |
-121.329139499588 |
37.9880279997924 |
9920 |
Louie, Deanna |
1386886141 |
Physician |
UNKNOWN |
1899 W March Ln |
Stockton |
San Joaquin |
95207 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1386886141 |
21250 |
21250 |
37.988028 |
-121.3291395 |
-119.159698864611 |
34.2931563264034 |
9927 |
KHATIB, SHADI |
1386901593 |
Physician |
PEDIATRIC MEDICINE |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
4 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
46750 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
9932 |
Huynh, Tai |
1386923134 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
9938 |
Khazaii-Tabari, Sheida |
1386932812 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.39585287511 |
33.9186042893565 |
9957 |
Khorramian, Michael |
1386964344 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
222 N Sepulveda Blvd, Suite 1800 |
El Segundo |
Los Angeles |
90245 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336384619 |
21250 |
21250 |
33.9186042888 |
-118.395852875 |
-117.101447999925 |
32.749584509018 |
9959 |
NOCEDA, ANA |
1386971760 |
Nurse Practitioner |
UNKNOWN |
4305 University Ave, Suite 150 |
San Diego |
San Diego |
92105 |
California |
2014 |
2015 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1962483040 |
38250 |
8500 |
32.7495845093 |
-117.101448 |
-121.823279687907 |
37.3195440003554 |
9965 |
BUI, QUYNH |
1386979706 |
Dentist |
UNKNOWN |
2569 S King Rd, Suite C6 |
SAN JOSE |
Santa Clara |
95122 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1922430305 |
21250 |
21250 |
37.319544 |
-121.823279688 |
-117.941448371645 |
33.8158419877176 |
9972 |
Hoang, Anne |
1386993087 |
Dentist |
UNKNOWN |
1307 S. Euclid Street |
Anaheim |
Orange |
92802 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598979775 |
21250 |
21250 |
33.8158419883 |
-117.941448372 |
-117.867477936358 |
33.7790861138332 |
9976 |
Gordon, David |
1386994440 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.46118324571 |
37.7624926958812 |
9978 |
Shaffer, Adam |
1396006110 |
Dentist |
UNKNOWN |
707 parnassus ave |
san francisco |
San Francisco |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1396006110 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-119.159698864611 |
34.2931563264034 |
9990 |
Padilla, Yvette |
1396032702 |
Physician |
UNKNOWN |
200 S. Wells Road |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1912123431 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.854158500215 |
33.7614749995716 |
9993 |
zegarra, david |
1396025227 |
Dentist |
UNKNOWN |
1125 E 17th St, E227 |
Santa Ana |
Orange |
92701 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1316321375 |
21250 |
21250 |
33.761475 |
-117.8541585 |
-117.278125573337 |
34.0686575675927 |
9999 |
Manzoor, Javeeria |
1396038691 |
Physician |
UNKNOWN |
303 E Vanderbilt Way |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
Department of Behavioral Health |
1164467023 |
21250 |
21250 |
34.0686575683 |
-117.278125573 |
-116.961791977218 |
33.2771591455781 |
10001 |
Fallon, Sean |
1396049755 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1396049755 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-119.159698864611 |
34.2931563264034 |
10003 |
SUEN, SIUCHI |
1396052643 |
Doctor of Optometry |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
2 |
MU |
DEL CAMINO REAL INC CLINICAS |
1255620209 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-115.569162842391 |
32.8311276918895 |
10010 |
Babkina, Natalia |
1396066635 |
Physician |
UNKNOWN |
2435 Marshall Rd |
Imperial |
Imperial |
92251 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1396066635 |
21250 |
21250 |
32.8311276922 |
-115.569162842 |
-119.800377524303 |
36.8843745979094 |
10011 |
BALL, DARLENE |
1396070702 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2015 |
2017 |
3 |
MU |
Designated Payee Name not Found |
1396070702 |
38250 |
8500 |
36.8843745978 |
-119.800377524 |
-118.187343371599 |
33.8090145901513 |
10013 |
Chung, Christine |
1396074233 |
Dentist |
UNKNOWN |
455 E. Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
21250 |
21250 |
33.8090145898 |
-118.187343372 |
-117.169275794942 |
32.7879564007673 |
10028 |
Fauth, Jamie |
1396098455 |
Nurse Practitioner |
UNKNOWN |
7011 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2016 |
2017 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1457724858 |
21250 |
21250 |
32.787956401 |
-117.169275795 |
-121.626878573687 |
36.6796192540254 |
10035 |
MARCHEVSKY, SEBASTIAN |
1396155685 |
Physician |
UNKNOWN |
950 Circle Dr |
Salinas |
Monterey |
93905 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.6796192539 |
-121.626878574 |
-117.867477936358 |
33.7790861138332 |
10036 |
Iravani, Gowhar |
1396151387 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
10038 |
Liu, Hao Yi |
1396153060 |
Dentist |
UNKNOWN |
200 S Wells Rd Ste 200 |
Ventura |
Ventura |
93004 |
California |
2017 |
2018 |
2 |
MU |
DEL CAMINO REAL INC CLINICAS |
1912135179 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-121.565801673608 |
39.1195374389017 |
10044 |
Tharp, Melissa |
1396187662 |
Nurse Practitioner |
UNKNOWN |
5730 Packard Ave, Suite 600 |
Marysville |
Yuba |
95901 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1396187662 |
21250 |
21250 |
39.1195374394 |
-121.565801674 |
-119.018416499822 |
35.3738699996009 |
10046 |
KAUR, HARNEET |
1396290979 |
Dentist |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-120.857025520311 |
37.0634269687797 |
10062 |
Arif, Muhammad |
1396728564 |
Physician |
FAMILY PRACTICE |
311 W I St |
Los Banos |
Merced |
93635 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1396728564 |
21250 |
21250 |
37.0634269686 |
-120.85702552 |
-115.528558499675 |
32.9786155433727 |
10071 |
Martinez, Lene |
1396748059 |
Physician |
OBSTETRICS/GYNECOLOGY |
900 Main Street |
Brawley |
Imperial |
92227 |
California |
2014 |
2015 |
3 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
38250 |
8500 |
32.9786155434 |
-115.5285585 |
-117.490342499607 |
34.0123950001292 |
10075 |
Shah, Pratik |
1396751939 |
Dentist |
UNKNOWN |
9415 Mission Blvd, Ste# L |
Riverside |
Riverside |
92509 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1396751939 |
21250 |
21250 |
34.012395 |
-117.4903425 |
-117.06448402202 |
32.5964610001751 |
10078 |
Swartz, John |
1396754131 |
Physician |
PSYCHIATRY |
1637 3rd Ave |
Chula Vista |
San Diego |
91911 |
California |
2016 |
2017 |
5 |
MU |
DE SALUD DE LA CENTRO |
1922051812 |
55250 |
8500 |
32.596461 |
-117.064484022 |
-118.972018818913 |
35.3821130442816 |
10082 |
Obrocea, Gabriela |
1396766580 |
Physician |
PSYCHIATRY |
1830 Flower St |
Bakersfield |
Kern |
93305 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1396766580 |
21250 |
21250 |
35.382113044 |
-118.972018819 |
-118.217271027736 |
34.0510708069722 |
10087 |
Lau, Alan |
1396768446 |
Physician |
INTERNAL MEDICINE |
1701 E Cesar E Chavez Ave, Suite #100 |
Los Angeles |
Los Angeles |
90033 |
California |
2016 |
2017 |
6 |
MU |
Designated Payee Name not Found |
1396768446 |
42500 |
8500 |
34.0510708071 |
-118.217271028 |
-121.877744902705 |
37.3259090312768 |
10093 |
LOPEZ, RICARDO |
1396773172 |
Physician |
UNKNOWN |
195 E. VIRGINIA ST |
SAN JOSE |
Santa Clara |
95112 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1407985534 |
21250 |
21250 |
37.3259090311 |
-121.877744903 |
-121.376389500375 |
38.5562970003064 |
10101 |
SARKARI, CHERAG |
1396780813 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95838 |
California |
2017 |
2018 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-117.867477936358 |
33.7790861138332 |
10102 |
Albik, Mohamad |
1396803342 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.018416499822 |
35.3738699996009 |
10107 |
Nelson, Lisa |
1396809372 |
Physician |
OBSTETRICS/GYNECOLOGY |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.279363790307 |
34.0524258172977 |
10109 |
Jeong, Wonjung |
1396809240 |
Dentist |
UNKNOWN |
936 S. Alvarado Street |
Los Angeles |
Los Angeles |
90006 |
California |
2020 |
2020 |
4 |
MU |
Designated Payee Name not Found |
1396809240 |
46750 |
8500 |
34.0524258174 |
-118.27936379 |
-117.867477936358 |
33.7790861138332 |
10110 |
Steinbrecher, Eric |
1396806394 |
Dentist |
UNKNOWN |
530 South Main St., 4-A |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.983559048211 |
33.8028600482527 |
10113 |
Nonahal, Behnaz |
1396813572 |
Dentist |
UNKNOWN |
8516 Katella Ave |
Anaheim |
Orange |
92804 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1770800823 |
21250 |
21250 |
33.8028600485 |
-117.983559048 |
-117.047429999994 |
32.558750999559 |
10118 |
FERNANDEZ, ANDREW |
1396815775 |
Nurse Practitioner |
UNKNOWN |
4004 Beyer Blvd |
San Ysidro |
San Diego |
92173 |
California |
2013 |
2014 |
1 |
AIU |
DE SALUD DE LA COMUNI CENTRO |
1184801433 |
21250 |
21250 |
32.558751 |
-117.04743 |
-121.9380974996 |
37.3131719996881 |
10121 |
Raghuraman, Sangeetha |
1396814356 |
Physician |
UNKNOWN |
2425 Enborg Ln, Puentes Clinic |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1396814356 |
21250 |
21250 |
37.313172 |
-121.9380975 |
-122.086743712053 |
37.6957627653394 |
10130 |
Lien, Kenneth |
1396823092 |
Physician |
UNKNOWN |
20400 Lake Chabot Rd Ste 304 |
Castro Valley |
Alameda |
94546 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1396823092 |
21250 |
21250 |
37.6957627652 |
-122.086743712 |
-119.189038499927 |
34.1962560001144 |
10132 |
pansini, duilio |
1396827242 |
Dentist |
UNKNOWN |
973 W 7th St |
Oxnard |
Ventura |
93030 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1396827242 |
21250 |
21250 |
34.196256 |
-119.1890385 |
-117.440802000212 |
33.9275969999017 |
10133 |
BEDOY, JUDITH |
1396831145 |
Physician |
UNKNOWN |
3975 Jackson St, STE 207 |
Riverside |
Riverside |
92503 |
California |
2013 |
2014 |
3 |
MU |
DOCTOR PROF CORP CHILDRENS |
1194974972 |
38250 |
8500 |
33.927597 |
-117.440802 |
-117.965785500201 |
33.7453469995644 |
10134 |
LE, CAM |
1396831210 |
Physician |
GENERAL PRACTICE |
9341 Bolsa Ave |
Westminster |
Orange |
92683 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1144598897 |
21250 |
21250 |
33.745347 |
-117.9657855 |
-117.867477936358 |
33.7790861138332 |
10140 |
DALAL, CHIRAG |
1396834800 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.005471025368 |
33.9505077506323 |
10148 |
Lim, Kheng |
1396844379 |
Physician |
UNKNOWN |
9209 Colima Rd Ste 4200 |
Whittier |
Los Angeles |
90605 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1396844379 |
21250 |
21250 |
33.9505077511 |
-118.005471025 |
-118.090785295805 |
34.0775825762749 |
10151 |
Lwin, Min |
1396849659 |
Dentist |
UNKNOWN |
1739 S San Gabriel Blvd |
San Gabriel |
Los Angeles |
91776 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1356731699 |
21250 |
21250 |
34.0775825762 |
-118.090785296 |
-118.34938896363 |
33.8253661175523 |
10153 |
Lee, Hyunchan |
1396847737 |
Dentist |
UNKNOWN |
3746 Sepulvelda Blvd |
Torrance |
Los Angeles |
90505 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1396847737 |
21250 |
21250 |
33.8253661179 |
-118.349388964 |
-117.941448371645 |
33.8158419877176 |
10165 |
Pereira-Howell, Valeria |
1396864013 |
Dentist |
UNKNOWN |
1307 S. Euclid Street |
Anaheim |
Orange |
92802 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598979775 |
21250 |
21250 |
33.8158419883 |
-117.941448372 |
-119.181693603677 |
34.2192183287629 |
10174 |
Cubillos, Luz |
1396873303 |
Dentist |
UNKNOWN |
451 W Gonzales Rd, Ste 160 |
Oxnard |
Ventura |
93036 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1396873303 |
21250 |
21250 |
34.2192183289 |
-119.181693604 |
-117.278125573337 |
34.0686575675927 |
10177 |
Kimura, Marilyn |
1396876264 |
Physician |
UNKNOWN |
303 E Vanderbilt Way |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
Department of Behavioral Health |
1164467023 |
21250 |
21250 |
34.0686575683 |
-117.278125573 |
-118.443346549004 |
34.0637399640282 |
10180 |
Lotstein, Debra |
1396858783 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1396858783 |
29750 |
8500 |
34.0637399643 |
-118.443346549 |
-121.931844043068 |
37.3128740632874 |
10184 |
Khan, Kulsoom |
1396884151 |
Physician |
PSYCHIATRY |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1396884151 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.177217349801 |
33.9692361736106 |
10185 |
naujoks, andrea |
1396884482 |
Dentist |
UNKNOWN |
5021 Florence Ave |
City of Bell |
Los Angeles |
90201 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700083078 |
21250 |
21250 |
33.9692361739 |
-118.17721735 |
-118.443346549004 |
34.0637399640282 |
10191 |
Zaritsky, Joshua |
1396871844 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-119.781868499931 |
36.7406459998131 |
10210 |
echaverry-centeno, maria |
1396925921 |
Dentist |
UNKNOWN |
2841 Tulare St |
Fresno |
Fresno |
93721 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1275824013 |
21250 |
21250 |
36.740646 |
-119.7818685 |
-117.557216999765 |
34.0750530000959 |
10214 |
NOORI, MOJGAN |
1396931341 |
Dentist |
UNKNOWN |
4323 Mills Cir, Ste 101 |
Ontario |
San Bernardino |
91764 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1154620995 |
21250 |
21250 |
34.075053 |
-117.557217 |
-118.022133553621 |
33.831684678705 |
10230 |
Tewfik, Gamal |
1396954681 |
Dentist |
UNKNOWN |
6334 Lincoln Ave |
Cypress |
Orange |
90630 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1396954681 |
21250 |
21250 |
33.8316846788 |
-118.022133554 |
-117.871910999593 |
34.1338500000775 |
10241 |
Moya, Paul |
1396973699 |
Physician |
UNKNOWN |
210 S Grand Ave, STE 415 |
Glendora |
Los Angeles |
91741 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1396973699 |
21250 |
21250 |
34.13385 |
-117.871911 |
-117.096649475593 |
32.6724439653168 |
10257 |
Dewart, Elizabeth |
1407027618 |
Nurse Practitioner |
UNKNOWN |
1428 Highland Ave |
National City |
San Diego |
91950 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1407027618 |
21250 |
21250 |
32.6724439651 |
-117.096649476 |
-118.536004203931 |
34.208959099383 |
10263 |
kim, soo-hyun |
1407037773 |
Dentist |
UNKNOWN |
7604 RESEDA BLVD |
RESEDA |
Los Angeles |
91335 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1932424686 |
21250 |
21250 |
34.2089590986 |
-118.536004204 |
-118.216804238225 |
33.9734006875917 |
10264 |
SADIGHIM, KAMYAR |
1407040165 |
Dentist |
UNKNOWN |
2915 E. Florence Avenue |
Huntington Park |
Los Angeles |
90255 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1962574459 |
21250 |
21250 |
33.9734006877 |
-118.216804238 |
-118.225136358056 |
33.9639353734188 |
10266 |
Jacobs, Leticia |
1407037906 |
Dentist |
UNKNOWN |
8200 Long Beach Blvd, Suite E |
South Gate |
Los Angeles |
90280 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1407037906 |
21250 |
21250 |
33.9639353726 |
-118.225136358 |
-118.373260499672 |
33.9274979998329 |
10270 |
vu, son |
1407045271 |
Dentist |
UNKNOWN |
5220 Pacific Concourse Drive, Suite 120 |
Los Angeles |
Los Angeles |
90045 |
California |
2015 |
2016 |
1 |
AIU |
DENNIS R DDS INC. HARDIN |
1336384619 |
21250 |
21250 |
33.927498 |
-118.3732605 |
-119.018416499822 |
35.3738699996009 |
10275 |
Tan, Jeffrey |
1407059751 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.007278613417 |
32.7844548382203 |
10279 |
RONQUILLO, RINA |
1407047749 |
Physician |
UNKNOWN |
8881 FLETCHER PARKWAY, SUITE 200 |
LA MESA |
San Diego |
91942 |
California |
2019 |
2020 |
4 |
MU |
D. SZOLD, MD, INC PHILIP |
1427268747 |
43916.67 |
5666.67 |
32.7844548376 |
-117.007278613 |
-118.187343371599 |
33.8090145901513 |
10281 |
Tu, Wei Chen |
1407071806 |
Dentist |
UNKNOWN |
455 East Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
4 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
46750 |
8500 |
33.8090145898 |
-118.187343372 |
-121.828454975117 |
37.3663321066414 |
10286 |
mojica, francisca |
1407075419 |
Dentist |
UNKNOWN |
22 N White Rd, Suite 40 |
San Jose |
Santa Clara |
95127 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1053741579 |
21250 |
21250 |
37.3663321069 |
-121.828454975 |
-119.170682999721 |
34.2310949996346 |
10303 |
Judge, Natasha |
1407120017 |
Dentist |
UNKNOWN |
221 Ventura Blvd., 126 |
Oxnard |
Ventura |
93036 |
California |
2012 |
2013 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.231095 |
-119.170683 |
-117.867477936358 |
33.7790861138332 |
10307 |
Guindy, Awny |
1407127749 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.952862499805 |
32.8077314592395 |
10309 |
Lu, Weiwei |
1407150360 |
Dentist |
UNKNOWN |
742 BROADWAY |
EL CAJON |
San Diego |
92021 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1114143310 |
21250 |
21250 |
32.8077314591 |
-116.9528625 |
-119.021264808324 |
35.3557015152128 |
10311 |
Collazos, Luis |
1407130040 |
Dentist |
UNKNOWN |
116 H St |
Bakersfield |
Kern |
93304 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1114338514 |
21250 |
21250 |
35.3557015146 |
-119.021264808 |
-117.298453499929 |
34.1357939997933 |
10319 |
Zambrano, Freddy |
1407172356 |
Dentist |
UNKNOWN |
695 W Highland Ave |
San Bernardino |
San Bernardino |
92405 |
California |
2016 |
2016 |
1 |
AIU |
DDS INC ZAMBRANOandALVARADO |
1447593330 |
21250 |
21250 |
34.135794 |
-117.2984535 |
-122.418999000104 |
37.7885970003513 |
10327 |
Liu, Dandan |
1407182694 |
Physician |
UNKNOWN |
1333 Bush Street |
San Francisco |
San Francisco |
94109 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1407182694 |
21250 |
21250 |
37.788597 |
-122.418999 |
-117.163972108826 |
32.7327398068966 |
10332 |
OLeary Searles, Michelle |
1407229172 |
Nurse Practitioner |
UNKNOWN |
2602 1st Ave |
San Diego |
San Diego |
92103 |
California |
2016 |
2017 |
1 |
AIU |
DIEGO AMERICAN SAN |
1003902917 |
21250 |
21250 |
32.7327398068 |
-117.163972109 |
-115.558425529814 |
32.7706346298843 |
10335 |
McNeil, Felicia |
1407239262 |
Nurse Practitioner |
UNKNOWN |
651 Wake Avenue |
El Centro |
UNKNOWN |
92243 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1487741773 |
21250 |
21250 |
32.77063463 |
-115.55842553 |
-117.867477936358 |
33.7790861138332 |
10349 |
Karimian, Ehsan |
1407281041 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.146181542444 |
40.8024420806375 |
10354 |
Silveira, Gina |
1407302300 |
Nurse Practitioner |
UNKNOWN |
2200 Tydd St |
Eureka |
Humboldt |
95501 |
California |
2016 |
2017 |
1 |
AIU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
21250 |
21250 |
40.802442081 |
-124.146181542 |
-118.301391887026 |
33.8730472884017 |
10359 |
Avendano-Galvez, Teresa |
1407801871 |
Dentist |
UNKNOWN |
1451 W Artesia Blvd, Suite #6 |
Gardena |
Los Angeles |
90248 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1407801871 |
21250 |
21250 |
33.873047288 |
-118.301391887 |
-121.890737660115 |
37.393299587606 |
10380 |
Deshmukh, Rashmi |
1407845852 |
Physician |
PSYCHIATRY |
1885 Lundy Ave, Suite 223 |
San Jose |
UNKNOWN |
95131 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1306938402 |
21250 |
21250 |
37.3932995878 |
-121.89073766 |
-122.418999000104 |
37.7885970003513 |
10386 |
Pham, Teresa |
1407850977 |
Physician |
UNKNOWN |
1333 Bush St |
San Francisco |
San Francisco |
94109 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.788597 |
-122.418999 |
-117.06448402202 |
32.5964610001751 |
10393 |
Nurse, Lesley |
1407865348 |
Physician |
OBSTETRICS/GYNECOLOGY |
1637 3rd Ave |
Chula Vista |
San Diego |
91911 |
California |
2014 |
2015 |
3 |
MU |
DE SALUD DE LA CENTRO |
1922051812 |
38250 |
8500 |
32.596461 |
-117.064484022 |
-121.626707703398 |
36.6771240931025 |
10394 |
Yoshiyama, Jon |
1407868375 |
Physician |
UNKNOWN |
219 N Sanborn Rd |
Salinas |
Monterey |
93905 |
California |
2015 |
2016 |
3 |
MU |
DE SALUD DEL CLINICAS |
1477694263 |
38250 |
8500 |
36.677124093 |
-121.626707703 |
-118.193134500157 |
33.9424919997061 |
10396 |
Le, Tolan |
1407869639 |
Physician |
PEDIATRIC MEDICINE |
4476 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1407869639 |
46750 |
8500 |
33.942492 |
-118.1931345 |
-119.159698864611 |
34.2931563264034 |
10397 |
Manthena, Padmaja |
1407864473 |
Dentist |
UNKNOWN |
200 S Wells Rd, Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO CLINICAS |
1982820221 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.101447999925 |
32.749584509018 |
10412 |
Fuzail, Anjum |
1407886419 |
Physician |
PEDIATRIC MEDICINE |
4305 University Ave. # 150 |
San Diego |
San Diego |
92105 |
California |
2012 |
2013 |
2 |
MU |
DIEGO FAMILY CARE SAN |
1962483040 |
29750 |
8500 |
32.7495845093 |
-117.101448 |
-118.443346549004 |
34.0637399640282 |
10416 |
Levi, Daniel |
1407869977 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0637399643 |
-118.443346549 |
-116.473621500332 |
32.6085389995752 |
10417 |
Cool, Jay |
1407887227 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
31115 Hwy 94 |
Campo |
San Diego |
91906 |
California |
2016 |
2017 |
1 |
AIU |
DESERT FAMILY HIGH |
1982658142 |
21250 |
21250 |
32.608539 |
-116.4736215 |
-121.80880797201 |
38.0124180003905 |
10432 |
Partovi, Farhad |
1407913577 |
Dentist |
UNKNOWN |
800 C Street |
Antioch |
Contra Costa |
94509 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1316326358 |
21250 |
21250 |
38.012418 |
-121.808807972 |
-121.125230308932 |
36.212197099017 |
10439 |
Bredy, Brunel |
1407925860 |
Physician |
UNKNOWN |
223 Bassett Street |
King City |
Monterey |
93930 |
California |
2012 |
2013 |
2 |
MU |
DE SALUD DEL VALLE CLINICA |
1376684456 |
29750 |
8500 |
36.2121970985 |
-121.125230309 |
-118.404140999208 |
34.001435334673 |
10442 |
Monaghan, Melissa |
1407926546 |
Nurse Practitioner |
NURSE PRACTITIONER |
4760 Sepulveda Blvd |
Culver City |
Los Angeles |
90230 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
34.001435335 |
-118.404140999 |
-122.38123557706 |
40.5497524220367 |
10443 |
Champlin, John |
1407927999 |
Physician |
UNKNOWN |
2640 Breslauer Way |
Redding |
Shasta |
96001 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881692390 |
21250 |
21250 |
40.5497524221 |
-122.381235577 |
-117.864017030362 |
33.7594679996485 |
10449 |
GARCIA, ROSALVA |
1407934086 |
Dentist |
UNKNOWN |
1614 N. French |
Santa Ana |
Orange |
92707 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1164839650 |
21250 |
21250 |
33.759468 |
-117.86401703 |
-118.134518584965 |
34.1114774045586 |
10450 |
Peng, Luon |
1407937105 |
Physician |
INTERNAL MEDICINE |
520 Winthrop Rd |
San Marino |
Los Angeles |
91108 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1407937105 |
21250 |
21250 |
34.1114774049 |
-118.134518585 |
-115.558425529814 |
32.7706346298843 |
10456 |
ESPERANZA, BONIFACIO |
1407940570 |
Physician |
UNKNOWN |
651 Wake Avenue |
El Centro |
Imperial |
92243 |
California |
2017 |
2018 |
2 |
MU |
DE SALUD DEL CLINICAS |
1487741773 |
29750 |
8500 |
32.77063463 |
-115.55842553 |
-116.927867073806 |
32.7861347601112 |
10459 |
Loye, James |
1407940158 |
Dentist |
UNKNOWN |
767 Jamacha Road |
El Cajon |
San Diego |
92019 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1245499029 |
21250 |
21250 |
32.7861347603 |
-116.927867074 |
-120.97571381624 |
37.6729216239339 |
10469 |
Manosov, Lenmara |
1407961089 |
Dentist |
UNKNOWN |
2020 Coffee RD, Ste E |
Modesto |
Stanislaus |
95355 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1407961089 |
21250 |
21250 |
37.6729216239 |
-120.975713816 |
-117.921163500095 |
33.7444650002596 |
10474 |
Phan, Yen |
1407965486 |
Dentist |
UNKNOWN |
120 S Harbor Blvd, Suite A |
Santa Ana |
Orange |
92704 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1841353695 |
21250 |
21250 |
33.744465 |
-117.9211635 |
-121.645808999686 |
36.6576570002704 |
10477 |
Maitland, Lindsay |
1407968720 |
Physician |
UNKNOWN |
260 San Jose St |
Salinas |
Monterey |
93901 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1407968720 |
21250 |
21250 |
36.657657 |
-121.645809 |
-117.751097692904 |
34.0730705381749 |
10478 |
Liou, Estelle |
1407970817 |
Dentist |
UNKNOWN |
1524 N Orange Grove Ave |
Pomona |
Los Angeles |
91767 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1285015321 |
21250 |
21250 |
34.0730705384 |
-117.751097693 |
-117.567876714339 |
33.8560065808391 |
10489 |
Patel, Rajnikant |
1407986805 |
Dentist |
UNKNOWN |
260 E Ontario Ave, Suite 102 |
Corona |
Riverside |
92879 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1457775686 |
21250 |
21250 |
33.8560065814 |
-117.567876714 |
-118.291383000125 |
34.0675019999174 |
10491 |
SANTANA, RUBEN |
1407988793 |
Dentist |
UNKNOWN |
356 S Vermont Ave |
Los Angeles |
Los Angeles |
90020 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1407988793 |
21250 |
21250 |
34.067502 |
-118.291383 |
-121.260381531283 |
38.1221460000379 |
10493 |
dinh, david |
1407997802 |
Dentist |
UNKNOWN |
920 S Cherokee Ln, suit # G |
Lodi |
San Joaquin |
95240 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1043473408 |
21250 |
21250 |
38.122146 |
-121.260381531 |
-119.800377524303 |
36.8843745979094 |
10516 |
Fisher, Stephanie |
1417018060 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93638 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1417018060 |
29750 |
8500 |
36.8843745978 |
-119.800377524 |
-117.867477936358 |
33.7790861138332 |
10522 |
Amanfu, Emmanuel |
1417025677 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-115.528558499675 |
32.9786155433727 |
10523 |
Baig, Afshan |
1417028630 |
Physician |
UNKNOWN |
900 Main St |
Brawley |
Imperial |
92227 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1649269747 |
21250 |
21250 |
32.9786155434 |
-115.5285585 |
-121.6322074687 |
36.7036735826698 |
10532 |
Cardenas, Jose |
1417036468 |
Dentist |
UNKNOWN |
620 E. Alvin Drive |
Salinas |
Monterey |
93906 |
California |
2013 |
2014 |
2 |
MU |
DE SALUD DEL VALLE CLINICA |
1508994930 |
29750 |
8500 |
36.7036735825 |
-121.632207469 |
-118.345050000057 |
33.9644794938336 |
10545 |
Albury, Denise |
1417053257 |
Physician |
UNKNOWN |
644 E Regent St, Suite 104 |
Inglewood |
Los Angeles |
90301 |
California |
2018 |
2019 |
6 |
MU |
DENISE A MD ALBURY |
1417053257 |
63750 |
8500 |
33.9644794937 |
-118.34505 |
-117.827964472183 |
33.7322187188188 |
10550 |
nguyen, thien trang |
1417055864 |
Dentist |
UNKNOWN |
14520 Newport Ave, Ste A |
Tustin |
Orange |
92780 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1245409077 |
21250 |
21250 |
33.7322187186 |
-117.827964472 |
-117.280898999789 |
34.1359165342207 |
10566 |
Donley Kimble, Irene |
1417047960 |
Physician |
OBSTETRICS/GYNECOLOGY |
249 E Highland Ave, Woman to Woman Ob Gyn Medical Group |
San Bernardino |
San Bernardino |
92404 |
California |
2012 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1871553347 |
29750 |
8500 |
34.1359165342 |
-117.280899 |
-119.056560974609 |
35.3234429997947 |
10576 |
Parti, Arpana |
1417085267 |
Dentist |
UNKNOWN |
3450 Stine Rd |
Bakersfield |
Kern |
93309 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1831321033 |
21250 |
21250 |
35.323443 |
-119.056560975 |
-122.457623746139 |
37.7635096951164 |
10581 |
Nelson, Bergen |
1417089491 |
Physician |
UNKNOWN |
M691 Pediatric Housestaff, 505 Parnassus Avenue |
San Francisco |
San Francisco |
94143 |
California |
2014 |
2015 |
3 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
38250 |
8500 |
37.7635096949 |
-122.457623746 |
-119.221061037737 |
34.1986410003819 |
10597 |
Kim, Youngsun |
1417110669 |
Dentist |
UNKNOWN |
480 S VICTORIA AVE, SUITE D |
Oxnard |
Ventura |
93030 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1417110669 |
21250 |
21250 |
34.198641 |
-119.221061038 |
-119.159698864611 |
34.2931563264034 |
10598 |
Pawar, Gagan |
1417110586 |
Physician |
FAMILY PRACTICE |
200 S Wells Rd # 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-119.018416499822 |
35.3738699996009 |
10599 |
Naeni, Ila |
1417101593 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.669917467417 |
34.0548466600454 |
10600 |
FIGUEROA, MANUEL |
1417110800 |
Dentist |
UNKNOWN |
802 S MOUNTAIN AVE |
ONTARIO |
San Bernardino |
91762 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1356359236 |
21250 |
21250 |
34.05484666 |
-117.669917467 |
-117.942686115772 |
34.0515951773756 |
10610 |
nguyen, my linh |
1417125188 |
Dentist |
UNKNOWN |
1840 N Hacienda Blvd, Suite 5 |
LA Puente |
Los Angeles |
91744 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1376610717 |
21250 |
21250 |
34.0515951768 |
-117.942686116 |
-121.40568449964 |
38.5977510000087 |
10614 |
Underwood, Dayna |
1417138959 |
Nurse Practitioner |
UNKNOWN |
1750 Wright St Ste 4 |
Sacramento |
Sacramento |
95825 |
California |
2014 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1417138959 |
29750 |
8500 |
38.597751 |
-121.4056845 |
-118.224063393111 |
33.9834676536094 |
10616 |
Loo, Milagros |
1417140047 |
Dentist |
UNKNOWN |
2634 Clarendon Ave |
Huntington Park |
Los Angeles |
90255 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1669895793 |
21250 |
21250 |
33.9834676544 |
-118.224063393 |
-117.867477936358 |
33.7790861138332 |
10617 |
Gill, Jasmine |
1417138835 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.175882289236 |
37.4330948192705 |
10622 |
Rivera, Frain |
1417144049 |
Physician |
ANESTHESIOLOGY |
300 Pasteur Dr, Department of Anesthesia |
Stanford |
Santa Clara |
94305 |
California |
2018 |
2019 |
2 |
MU |
Designated Payee Name not Found |
1417144049 |
29750 |
8500 |
37.4330948191 |
-122.175882289 |
-117.853081792291 |
33.7905339052156 |
10631 |
Correa, Eduardo |
1417167487 |
Dentist |
UNKNOWN |
245 N GLASSELL ST |
ORANGE |
Orange |
92866 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1396052734 |
21250 |
21250 |
33.7905339045 |
-117.853081792 |
-118.2601169999 |
34.0282619997915 |
10643 |
Sycamore, Michael |
1417184912 |
Dentist |
UNKNOWN |
514 E Washington Blvd |
Los Angeles |
Los Angeles |
90015 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1417184912 |
21250 |
21250 |
34.028262 |
-118.260117 |
-118.326598795798 |
33.8904277436455 |
10645 |
CHUKWUDI, UCHE |
1417192063 |
Physician |
FAMILY PRACTICE |
15425 Crenshaw Blvd |
Gardena |
Los Angeles |
90249 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1417192063 |
21250 |
21250 |
33.8904277437 |
-118.326598796 |
-120.497941448339 |
37.2882465310526 |
10653 |
Razmazma, Afsoun |
1417209503 |
Nurse Practitioner |
UNKNOWN |
847 W Childs Ave |
Merced |
Merced |
95341 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1417209503 |
21250 |
21250 |
37.288246531 |
-120.497941448 |
-118.292543999706 |
33.8812830000105 |
10659 |
Kahen, Dan |
1417226234 |
Physician |
UNKNOWN |
1030 W Gardena Blvd |
Gardena |
Los Angeles |
90247 |
California |
2014 |
2015 |
2 |
MU |
DAN M DO KAHEN |
1417226234 |
29750 |
8500 |
33.881283 |
-118.292544 |
-117.836052658104 |
33.8204514044089 |
10665 |
Amini, Farhad |
1417244039 |
Dentist |
UNKNOWN |
1916 N Tustin St |
Orange |
Orange |
92865 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1831222611 |
21250 |
21250 |
33.8204514043 |
-117.836052658 |
-119.816973000004 |
36.8101170000995 |
10670 |
Chen, Tsu Ping |
1417255894 |
Dentist |
UNKNOWN |
5094 N Fruit Ave, Suite 102 |
Fresno |
Fresno |
93711 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1417255894 |
21250 |
21250 |
36.810117 |
-119.816973 |
-117.867477936358 |
33.7790861138332 |
10679 |
chang, chen |
1417276296 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.445313619928 |
34.0660881190715 |
10682 |
Newcomer, Charles |
1417248428 |
Physician |
UNKNOWN |
757 Westwood Plz, B711 RRUMC |
Los Angeles |
UNKNOWN |
90095 |
California |
2016 |
2017 |
2 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
29750 |
8500 |
34.0660881191 |
-118.44531362 |
-119.018416499822 |
35.3738699996009 |
10684 |
Figge, Leslie |
1417292368 |
Nurse Practitioner |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.018416499822 |
35.3738699996009 |
10689 |
Yazdizadeh, Maryam |
1417322744 |
Dentist |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.090578296151 |
34.0525919409653 |
10695 |
Han, Jun |
1417331323 |
Dentist |
UNKNOWN |
2111 N. San Gabriel Blvd, Suite I |
Rosemead |
Los Angeles |
91770 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1356717565 |
21250 |
21250 |
34.0525919409 |
-118.090578296 |
-122.416348105381 |
37.7647677873036 |
10703 |
Garrett, Lisa |
1417367715 |
Nurse Practitioner |
UNKNOWN |
240 Shotwell St |
San Francisco |
San Francisco |
94110 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1417367715 |
21250 |
21250 |
37.7647677871 |
-122.416348105 |
-117.867477936358 |
33.7790861138332 |
10708 |
Hu, Christina |
1417385055 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.101447999925 |
32.749584509018 |
10734 |
Morales, Anne |
1417931668 |
Nurse Practitioner |
NURSE PRACTITIONER |
4305 University Ave, Ste 150 |
San Diego |
San Diego |
92105 |
California |
2013 |
2014 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1962483040 |
38250 |
8500 |
32.7495845093 |
-117.101448 |
-117.845323985813 |
33.8092079569817 |
10735 |
PARKER, SANDRA |
1417932047 |
Dentist |
UNKNOWN |
807 E Katella Ave |
Orange |
Orange |
92867 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1558680264 |
21250 |
21250 |
33.8092079565 |
-117.845323986 |
-118.443346549004 |
34.0637399640282 |
10744 |
Bryson, Yvonne |
1417903949 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0637399643 |
-118.443346549 |
-117.956229994818 |
33.7016171907808 |
10746 |
OKAWA, MARCIA |
1417956327 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
9940 Talbert Ave |
Fountain Valley |
Orange |
92708 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.7016171909 |
-117.956229995 |
-117.106134141377 |
32.6768337648664 |
10780 |
Dongo, Carlos |
1427018332 |
Dentist |
UNKNOWN |
705 A Avenue |
National City |
San Diego |
91950 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1437554060 |
21250 |
21250 |
32.6768337655 |
-117.106134141 |
-119.159698864611 |
34.2931563264034 |
10795 |
Walin, Susan |
1427061183 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1679631907 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-119.308226171401 |
36.3274698597463 |
10797 |
SALEH, MOHAMED |
1427066471 |
Dentist |
UNKNOWN |
1502 W Mineral King Ave |
Visalia |
Tulare |
93291 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1427066471 |
21250 |
21250 |
36.3274698604 |
-119.308226171 |
-118.105128000357 |
34.0184699996908 |
10799 |
ALIKSANIAN, Zabyour |
1427067966 |
Nurse Practitioner |
UNKNOWN |
540 N Montebello Blvd, STE D |
Montebello |
Los Angeles |
90640 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1316241946 |
21250 |
21250 |
34.01847 |
-118.105128 |
-118.464268500291 |
34.1937089995707 |
10802 |
ALONSO, LAZARO |
1427073576 |
Physician |
GENERAL PRACTICE |
15216 Vanowen St |
Van Nuys |
Los Angeles |
91405 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1427073576 |
29750 |
8500 |
34.193709 |
-118.4642685 |
-117.962019000077 |
33.8330069995734 |
10803 |
Le, Chuck |
1427072545 |
Dentist |
UNKNOWN |
2265 W Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1225132483 |
21250 |
21250 |
33.833007 |
-117.962019 |
-117.902300932442 |
33.753448320084 |
10804 |
SALCEDO, MAGDALENA |
1427059112 |
Physician |
UNKNOWN |
1002 N Fairview |
Santa Ana |
Orange |
92703 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.75344832 |
-117.902300932 |
-118.272095108902 |
34.0526044838099 |
10809 |
Suhardjo, Didik |
1427078211 |
Dentist |
UNKNOWN |
749 S UNION AVE |
LOS ANGELES |
Los Angeles |
90017 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1427078211 |
21250 |
21250 |
34.0526044843 |
-118.272095109 |
-118.30455449959 |
34.1843489996067 |
10818 |
Kirakosyan, Karine |
1427092071 |
Physician |
GENERAL PRACTICE |
500 E Olive Ave, 315 |
Burbank |
Los Angeles |
91501 |
California |
2014 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1427092071 |
29750 |
8500 |
34.184349 |
-118.3045545 |
-118.437428094431 |
34.2861731437756 |
10820 |
Naffas, Shahriar |
1427104223 |
Dentist |
UNKNOWN |
321 N. Maclay Ave., Suite A |
San Fernando |
Los Angeles |
91340 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1730367004 |
21250 |
21250 |
34.2861731441 |
-118.437428094 |
-118.193679000086 |
33.9425640003284 |
10821 |
GUERRERO, JOSE |
1427104785 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-121.263884819629 |
38.1161013921655 |
10824 |
banh, hoa |
1427106038 |
Dentist |
UNKNOWN |
420 E Kettleman Ln, ste 6 |
Lodi |
San Joaquin |
95240 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1427106038 |
21250 |
21250 |
38.1161013919 |
-121.26388482 |
-122.021001173266 |
37.589262294919 |
10825 |
Tran, Cybelle |
1427106509 |
Dentist |
UNKNOWN |
1755 Decoto Rd |
Union City |
Alameda |
94587 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1437207099 |
21250 |
21250 |
37.5892622945 |
-122.021001173 |
-122.208117631823 |
39.5205284757087 |
10841 |
DORJEE, KUNCHOK |
1427125814 |
Physician |
UNKNOWN |
1133 W Sycamore St |
Willows |
Glenn |
95988 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.5205284761 |
-122.208117632 |
-117.867477936358 |
33.7790861138332 |
10870 |
Wells, Adam |
1427153642 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
10872 |
CHEN, WILLIAM |
1427155779 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.698268131569 |
34.1557364265948 |
10876 |
Heydari, Cameron |
1427159748 |
Dentist |
UNKNOWN |
26339 West Plata Lane |
Calabasas |
Los Angeles |
91302 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1427159748 |
21250 |
21250 |
34.1557364269 |
-118.698268132 |
-117.95965199974 |
33.8236830003702 |
10877 |
Khabaz, Farhan |
1427159458 |
Physician |
INTERNAL MEDICINE |
631 S. BROOKHURST ST., SUITE 101 |
ANAHEIM |
Orange |
92804 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1427159458 |
21250 |
21250 |
33.823683 |
-117.959652 |
-119.018416499822 |
35.3738699996009 |
10879 |
Ferrer, Maria |
1427162304 |
Physician |
PEDIATRIC MEDICINE |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.629448531824 |
34.2034560002942 |
10887 |
Pabst Hayes, Judith |
1427170158 |
Dentist |
UNKNOWN |
7345 Medical Center Dr, #330 |
West Hills |
Los Angeles |
91307 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598013427 |
21250 |
21250 |
34.203456 |
-118.629448532 |
-118.245140999957 |
34.1502839998068 |
10890 |
Aghadjanian, Pauline |
1427171222 |
Dentist |
UNKNOWN |
310 N Glendale Ave |
Glendale |
Los Angeles |
91206 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1427171222 |
21250 |
21250 |
34.150284 |
-118.245141 |
-121.862700000305 |
36.5863950001292 |
10891 |
Bennett, James |
1427173061 |
Physician |
UNKNOWN |
1900 Garden Rd, Suite 110 |
Monterey |
Monterey |
93940 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1427173061 |
14166.67 |
14166.67 |
36.586395 |
-121.8627 |
-118.441443531394 |
34.059425292943 |
10893 |
Martin, Wansoon |
1427178680 |
Physician |
PSYCHIATRY |
10850 Wilshire Blvd, Suite 1150 |
Los Angeles |
Los Angeles |
90024 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
34.0594252925 |
-118.441443531 |
-121.634037000008 |
36.697248000395 |
10897 |
Kasparek, Christopher |
1427188671 |
Physician |
PSYCHIATRY |
1270 Natividad Rd, Room 200 |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730211178 |
21250 |
21250 |
36.697248 |
-121.634037 |
-118.18742440771 |
33.9669313164272 |
10899 |
Zinati, Ladan |
1427191923 |
Dentist |
UNKNOWN |
7607-9 Atlantic Ave. |
Cudahy |
Los Angeles |
90201 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1427191923 |
21250 |
21250 |
33.966931316 |
-118.187424408 |
-117.291876744316 |
34.1282995984478 |
10900 |
lee, kwang |
1427186345 |
Dentist |
UNKNOWN |
1579 N D St |
San Bernardino |
San Bernardino |
92405 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1427186345 |
21250 |
21250 |
34.1282995984 |
-117.291876744 |
-117.227279938219 |
33.9390389375969 |
10902 |
Naikmaganlal, Premalkumar |
1427196492 |
Dentist |
UNKNOWN |
24941 SUNNYMEAD BLVD |
MORENO VALLEY |
Riverside |
92553 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730320078 |
21250 |
21250 |
33.9390389384 |
-117.227279938 |
-121.553145000042 |
39.521700000055 |
10903 |
Lundberg, Mark |
1427195916 |
Physician |
UNKNOWN |
78 Table Mountain Blvd |
Oroville |
Butte |
95965 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1427195916 |
21250 |
21250 |
39.5217 |
-121.553145 |
-117.893983500338 |
33.6796200001629 |
10921 |
Pham, Gabriella |
1427206622 |
Dentist |
UNKNOWN |
891 West Baker Street, Suite A12 |
Costa Mesa |
Orange |
92626 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1295081107 |
21250 |
21250 |
33.67962 |
-117.8939835 |
-117.245705738429 |
32.9441282336311 |
10931 |
Bloomgarden, Robert |
1427252212 |
Physician |
PSYCHIATRY |
13465 Mango Dr |
Del Mar |
San Diego |
92014 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760431670 |
21250 |
21250 |
32.944128234 |
-117.245705738 |
-117.959778000155 |
33.9277950000393 |
10932 |
WANG, SUSAN |
1427251222 |
Dentist |
UNKNOWN |
501 S Idaho Street, Suite 190 |
La Habra |
Orange |
90631 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1427251222 |
21250 |
21250 |
33.927795 |
-117.959778 |
-118.111506682088 |
34.6894133175706 |
10935 |
Flores, Amelia |
1427254416 |
Dentist |
UNKNOWN |
1020 E Ave J |
Lancaster |
Los Angeles |
93535 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1427254416 |
21250 |
21250 |
34.6894133183 |
-118.111506682 |
-117.235022764689 |
33.9183867838231 |
10945 |
Huang, Kevin |
1427280197 |
Dentist |
UNKNOWN |
13925 INDIAN ST |
MORENO VALLEY |
Riverside |
92553 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1720322449 |
21250 |
21250 |
33.9183867835 |
-117.235022765 |
-121.937102999604 |
37.3160815169485 |
10954 |
Jeffery, Jason |
1427293836 |
Physician |
INTERNAL MEDICINE |
2400 Moorpark Ave, Suite 220 |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1427293836 |
29750 |
8500 |
37.3160815173 |
-121.937103 |
-117.867477936358 |
33.7790861138332 |
10971 |
Shen, Jianxiong |
1427335421 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.259848000285 |
33.9187320002816 |
10986 |
Olague, Gilberto |
1427363514 |
Dentist |
UNKNOWN |
23080 Alessandro Blvd, Suite 201 |
Moreno Valley |
Riverside |
92553 |
California |
2016 |
2017 |
1 |
AIU |
DR. DEZAS DENTAL OFFICE INC. |
1548612856 |
21250 |
21250 |
33.918732 |
-117.259848 |
-118.023183979757 |
34.0653476712581 |
10999 |
Naing, Win |
1427381565 |
Dentist |
UNKNOWN |
11766 Valley Blvd |
El Monte |
Los Angeles |
91732 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1609059070 |
21250 |
21250 |
34.0653476709 |
-118.02318398 |
-118.396493540445 |
34.1889840002115 |
11003 |
Aframian, Danny |
1427383496 |
Dentist |
UNKNOWN |
6512 Laurel Canyon Blvd. |
North Hollywood |
Los Angeles |
91606 |
California |
2015 |
2016 |
1 |
AIU |
Danny Aframian |
1427383496 |
21250 |
21250 |
34.188984 |
-118.39649354 |
-119.159698864611 |
34.2931563264034 |
11016 |
Chang, Kai |
1427400688 |
Dentist |
UNKNOWN |
200 S Wells Rd, Suite 150 |
Ventura |
Ventura |
93004 |
California |
2016 |
2017 |
1 |
AIU |
DEL CAMINO CLINICAS |
1982820221 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-117.489771000231 |
34.1192609999952 |
11018 |
Cho, jinhyun |
1427434307 |
Dentist |
UNKNOWN |
7426 Cherry Ave, Suite 250 |
Fontana |
San Bernardino |
92336 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1841488632 |
21250 |
21250 |
34.119261 |
-117.489771 |
-117.867477936358 |
33.7790861138332 |
11025 |
SUNKARA, DIVYARUPA |
1427457175 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.158763385622 |
37.7065264622265 |
11029 |
Nazareno, Napoleon |
1427466465 |
Nurse Practitioner |
UNKNOWN |
3801 Teagarden St |
San Leandro |
Alameda |
94577 |
California |
2016 |
2017 |
1 |
AIU |
DAVIS STREET COMMUNITY THE |
1215358924 |
21250 |
21250 |
37.7065264617 |
-122.158763386 |
-117.867477936358 |
33.7790861138332 |
11030 |
Kim, Dae |
1427466598 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.131840000116 |
34.1404739997753 |
11031 |
Dyal, Kiranjot |
1427463470 |
Dentist |
UNKNOWN |
310 S. LAKE AVE., LOWER LEVEL |
PASADENA |
Los Angeles |
91101 |
California |
2016 |
2017 |
1 |
AIU |
DDS Rouhani |
1497020119 |
21250 |
21250 |
34.140474 |
-118.13184 |
-117.867477936358 |
33.7790861138332 |
11042 |
Lee, Richard |
1427489525 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.198708499697 |
41.7727514757001 |
11047 |
Pope, Melody |
1427503796 |
Nurse Practitioner |
UNKNOWN |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2018 |
2019 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
38250 |
8500 |
41.7727514761 |
-124.1987085 |
-121.285873429815 |
38.1213938754271 |
11049 |
Nahl, Gursharan |
1437117322 |
Physician |
UNKNOWN |
975 S FAIRMONT AVE |
Lodi |
UNKNOWN |
95241 |
California |
2016 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1437117322 |
29750 |
8500 |
38.1213938751 |
-121.28587343 |
-119.096155158334 |
36.2137461308793 |
11060 |
Bolado, Asbel |
1437128824 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
839 N Sequoia Ave |
Lindsay |
Tulare |
93247 |
California |
2015 |
2017 |
3 |
MU |
DELTA HLTH CARE DIST KAWEAH |
1104067636 |
38250 |
8500 |
36.2137461306 |
-119.096155158 |
-117.669843340798 |
35.6418000003698 |
11069 |
Schumacher, Robert |
1437152253 |
Physician |
UNKNOWN |
1111 N China Lake Blvd, STE 120 |
Ridgecrest |
Kern |
93555 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1861561391 |
21250 |
21250 |
35.6418 |
-117.669843341 |
-119.597717262642 |
36.5688629137925 |
11109 |
Engstrom, David |
1437208071 |
Dentist |
UNKNOWN |
1122 Rose Ave, Suite 1 |
Selma |
Fresno |
93662 |
California |
2014 |
2015 |
1 |
AIU |
David Melvin Engstrom |
1437208071 |
21250 |
21250 |
36.568862914 |
-119.597717263 |
-117.007278613417 |
32.7844548382203 |
11110 |
CLAY, CORRIE |
1437207750 |
Physician |
UNKNOWN |
8881 Fletcher Parkway, Ste. 200 |
LA Mesa |
UNKNOWN |
91942 |
California |
2019 |
2020 |
5 |
MU |
D. SZOLD, MD, INC PHILIP |
1427268747 |
52416.67 |
5666.67 |
32.7844548376 |
-117.007278613 |
-117.867477936358 |
33.7790861138332 |
11111 |
DABBAGH, SARKIS |
1437207107 |
Dentist |
UNKNOWN |
530 South Main St., #B |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.125987150187 |
34.5800791966976 |
11114 |
Sadek, Yasser |
1437211349 |
Dentist |
UNKNOWN |
247 E. Palmdale, Blvd.Ste. B |
Palmdale |
Los Angeles |
93550 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1326341371 |
21250 |
21250 |
34.5800791974 |
-118.12598715 |
-115.502840999912 |
32.6940194764177 |
11117 |
RICHARDSON, ALBERT |
1437216678 |
Dentist |
UNKNOWN |
223 W Cole Rd |
Calexico |
Imperial |
92231 |
California |
2017 |
2018 |
2 |
MU |
DE SALUD DEL CLINICAS |
1962599266 |
29750 |
8500 |
32.6940194761 |
-115.502841 |
-117.867477936358 |
33.7790861138332 |
11119 |
Katbamna, Dhanesh |
1437217544 |
Dentist |
UNKNOWN |
530 South Main St., # 446 |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
11120 |
HANA, ATEF |
1437219003 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.290462000221 |
38.0025270002209 |
11128 |
Nouged, Ehab |
1437226099 |
Dentist |
UNKNOWN |
1503 E March Ln, Suite B |
Stockton |
San Joaquin |
95210 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1508025826 |
21250 |
21250 |
38.002527 |
-121.290462 |
-122.270357064827 |
37.8007418292721 |
11138 |
Liang, Yick-Yan |
1437250669 |
Dentist |
UNKNOWN |
1018 Webster St |
Oakland |
Alameda |
94607 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1013030931 |
21250 |
21250 |
37.8007418286 |
-122.270357065 |
-118.291365000195 |
33.9299010000312 |
11140 |
Vidal, Martha |
1437248630 |
Physician |
UNKNOWN |
11502 S Vermont Ave Ste B |
Los Angeles |
Los Angeles |
90044 |
California |
2014 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1437248630 |
21250 |
21250 |
33.929901 |
-118.291365 |
-119.770599604388 |
36.8012902126732 |
11143 |
LIM, GRACE |
1437256211 |
Physician |
UNKNOWN |
3128 E Gettysburg Ave |
Fresno |
Fresno |
93726 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1437256211 |
21250 |
21250 |
36.8012902134 |
-119.770599604 |
-118.352775296043 |
33.937890056381 |
11144 |
Kang, Jean |
1437256435 |
Dentist |
UNKNOWN |
10823 Hawthorne blvd, Ste A |
Lennox |
Los Angeles |
90304 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1437256435 |
21250 |
21250 |
33.9378900564 |
-118.352775296 |
-121.931844043068 |
37.3128740632874 |
11153 |
Pinero, Julia |
1437254794 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave, OB/GYN Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1437254794 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-121.867933499731 |
38.0063880002061 |
11154 |
Andal, Galicano |
1437263571 |
Physician |
INTERNAL MEDICINE |
2250 Gladstone Dr, Ste. 3 |
Pittsburg |
Contra Costa |
94565 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1437263571 |
21250 |
21250 |
38.006388 |
-121.8679335 |
-121.016298749787 |
37.3147940933728 |
11157 |
Erickson, Kendra |
1437267846 |
Dentist |
UNKNOWN |
637 Merced Street |
Newman |
Stanislaus |
95360 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1437267846 |
21250 |
21250 |
37.3147940927 |
-121.01629875 |
-119.759768999739 |
36.8375594750897 |
11158 |
Lea, Cara |
1437271160 |
Nurse Practitioner |
NURSE PRACTITIONER |
1570 E Herndon Ave |
Fresno |
Fresno |
93720 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1437271160 |
21250 |
21250 |
36.8375594746 |
-119.759769 |
-121.931844043068 |
37.3128740632874 |
11159 |
Mehta, Hansa |
1437273844 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1437273844 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.352974500373 |
33.9492330003028 |
11160 |
Hardy, Bernard |
1437274941 |
Physician |
UNKNOWN |
1091 S La Brea Ave |
Inglewood |
Los Angeles |
90301 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1437274941 |
21250 |
21250 |
33.949233 |
-118.3529745 |
-119.018416499822 |
35.3738699996009 |
11163 |
Wobbe, Paul |
1437284320 |
Physician |
NURSE PRACTITIONER |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
11165 |
Brizendine, Steven |
1437278496 |
Dentist |
UNKNOWN |
530 South Main St., Suite A |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
11166 |
merat, sheila |
1437265493 |
Dentist |
UNKNOWN |
200 S. Wells Road, Suite 225 |
Ventura |
Ventura |
93004 |
California |
2011 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.152917999966 |
33.7825684668613 |
11169 |
Komoc, Bashar |
1437290897 |
Dentist |
UNKNOWN |
3318 E ANAHEIM ST |
LONG BEACH |
Los Angeles |
90804 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1114181260 |
21250 |
21250 |
33.7825684665 |
-118.152918 |
-117.867477936358 |
33.7790861138332 |
11176 |
Herbly, Basel |
1437296050 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.277967458032 |
37.8482371687104 |
11187 |
Kumbhani, Shimul |
1437318813 |
Physician |
PSYCHIATRY |
Over 60 Health Center, 3260 Sacramento Street |
Berkeley |
Alameda |
94702 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1437318813 |
21250 |
21250 |
37.8482371694 |
-122.277967458 |
-117.867477936358 |
33.7790861138332 |
11196 |
Malhotra, Angela |
1437340312 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.956395363955 |
33.7016155926855 |
11202 |
Varner, Corry |
1437347937 |
Certified Nurse - Midwife |
UNKNOWN |
9930 Talbert Avenue |
Fountain Valley |
Orange |
92708 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1437347937 |
29750 |
8500 |
33.7016155931 |
-117.956395364 |
-118.187343371599 |
33.8090145901513 |
11205 |
Lin, Eleanor |
1437351814 |
Dentist |
UNKNOWN |
455 East Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
5 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
55250 |
8500 |
33.8090145898 |
-118.187343372 |
-117.922543910873 |
33.7126410903141 |
11206 |
Phan, Duke |
1437352630 |
Physician |
NEUROLOGY |
17220 Newhope St, Suite 217 |
Fountain Valley |
Orange |
92708 |
California |
2012 |
2013 |
1 |
AIU |
DUKE A MD PHAN |
1437352630 |
21250 |
21250 |
33.7126410897 |
-117.922543911 |
-121.931844043068 |
37.3128740632874 |
11208 |
Cozzolino, Anthony |
1437355948 |
Physician |
UNKNOWN |
751 S. Bascom Ave. |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
2 |
MU |
Designated Payee Name not Found |
1437355948 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.041937999939 |
35.3405609995905 |
11209 |
gill, sukhwinder |
1437358538 |
Dentist |
UNKNOWN |
3512 Ming Ave |
Bakersfield |
Kern |
93309 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1437358538 |
21250 |
21250 |
35.340561 |
-119.041938 |
-118.160014499869 |
34.1812169999646 |
11216 |
Kushner, Mitchell |
1437376258 |
Physician |
UNKNOWN |
455 West Montana Street |
Pasadena |
Los Angeles |
91103 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1437376258 |
21250 |
21250 |
34.181217 |
-118.1600145 |
-118.085526000225 |
33.8584795033265 |
11222 |
Ibe, Amanche |
1437377108 |
Dentist |
UNKNOWN |
11635 East South St |
Artesia |
Los Angeles |
90701 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1659591931 |
21250 |
21250 |
33.8584795027 |
-118.085526 |
-117.088521631368 |
33.1293908009447 |
11223 |
zandkarimi, shahriyar |
1437375417 |
Dentist |
UNKNOWN |
240 W Mission Ave, suites A&B |
Escondido |
San Diego |
92025 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1548488489 |
21250 |
21250 |
33.129390801 |
-117.088521631 |
-117.867477936358 |
33.7790861138332 |
11238 |
Abbasi, Farnoosh |
1437423407 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.160377516809 |
32.7500307121477 |
11247 |
Cone, Stephanie |
1437444858 |
Physician |
UNKNOWN |
550 Washington St, Suite 300 |
San Diego |
San Diego |
92103 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1437444858 |
21250 |
21250 |
32.7500307119 |
-117.160377517 |
-118.067408623409 |
34.1057702331098 |
11248 |
Lu, Benjamin |
1437447117 |
Dentist |
UNKNOWN |
9216 Las Tunas Dr |
Temple City |
Los Angeles |
91780 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1750418224 |
21250 |
21250 |
34.1057702326 |
-118.067408623 |
-117.867477936358 |
33.7790861138332 |
11253 |
Cheung, Warren |
1437453867 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
11259 |
Tur, Damandeep |
1437465721 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.450293714683 |
34.228127461713 |
11262 |
Sherf, Carolin |
1437478880 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
8727 Van Nuys Blvd |
Panorama City |
Los Angeles |
91402 |
California |
2016 |
2017 |
1 |
MU |
Designated Payee Name not Found |
1437478880 |
21250 |
21250 |
34.2281274621 |
-118.450293715 |
-117.545690516804 |
34.1039519999849 |
11263 |
Faher, Diane |
1437472164 |
Physician |
UNKNOWN |
8235 Rochester Ave Ste #120 |
Rancho Cucamonga |
San Bernardino |
91730 |
California |
2013 |
2013 |
1 |
AIU |
DIANE J MD FAHER |
1437472164 |
21250 |
21250 |
34.103952 |
-117.545690517 |
-119.159698864611 |
34.2931563264034 |
11266 |
McKay, Philip |
1437485281 |
Physician |
PHYSICIAN ASSISTANT |
200 S. Wells Road |
Ventura |
Ventura |
93004 |
California |
2013 |
2014 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
11297 |
SHAH, NIRAJ |
1437599339 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.091173499857 |
34.0940249999538 |
11312 |
NIU, SHI-LIN |
1447244983 |
Dentist |
UNKNOWN |
701 S San Gabriel Blvd, STE C |
San Gabriel |
Los Angeles |
91776 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1194857466 |
21250 |
21250 |
34.094025 |
-118.0911735 |
-121.565780502668 |
39.1195746978141 |
11313 |
Wy, Tomas |
1447243811 |
Physician |
UNKNOWN |
5370 Packard Ave, Suite 600 |
Marysville |
Yuba |
95901 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1447243811 |
21250 |
21250 |
39.1195746976 |
-121.565780503 |
-119.777575499809 |
36.8387640000586 |
11315 |
Narala, Madhava |
1447246699 |
Physician |
UNKNOWN |
568 E Herndon Ave, Suite 102 |
Fresno |
Fresno |
93720 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1447246699 |
38250 |
8500 |
36.838764 |
-119.7775755 |
-121.768989039612 |
36.9275347293444 |
11318 |
Whitman, Thorpe |
1447257696 |
Dentist |
UNKNOWN |
98 Mariposa Avenue |
Watsonville |
Santa Cruz |
95076 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1447257696 |
21250 |
21250 |
36.9275347291 |
-121.76898904 |
-121.291874999731 |
37.8186749997515 |
11331 |
Krueger, Kyle |
1447275623 |
Physician |
UNKNOWN |
15810 S Harlan Rd Ste A |
Lathrop |
San Joaquin |
95330 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1447275623 |
21250 |
21250 |
37.818675 |
-121.291875 |
-121.376389500375 |
38.5562970003064 |
11334 |
Le, Steve |
1447276357 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-118.450270905178 |
34.2295968622055 |
11337 |
Boostanfar, Rachel |
1447283486 |
Physician |
GENERAL PRACTICE |
8781 Van Nuys Blvd |
Panorama City |
Los Angeles |
91402 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1871779777 |
21250 |
21250 |
34.2295968615 |
-118.450270905 |
-117.954851703743 |
33.7515704996788 |
11345 |
nguyen, thai |
1447293493 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
14558 Brookhurst St |
Westminster |
Orange |
92683 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1639484348 |
29750 |
8500 |
33.7515705 |
-117.954851704 |
-116.526798000128 |
33.8240880001611 |
11348 |
putrasahan, perri |
1447302005 |
Dentist |
UNKNOWN |
160 N Luring Dr, Ste F |
Palm Springs |
Riverside |
92262 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831386168 |
21250 |
21250 |
33.824088 |
-116.526798 |
-121.849064073848 |
37.365840860967 |
11351 |
Pineda, Mary Ann |
1447314208 |
Dentist |
UNKNOWN |
2340 MCKEE RD, SUITE 22 |
SAN JOSE |
Santa Clara |
95116 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1144370214 |
21250 |
21250 |
37.3658408609 |
-121.849064074 |
-117.835713042623 |
33.8037519832675 |
11352 |
Heidari, Babak |
1447316864 |
Dentist |
UNKNOWN |
980 N Tustin St |
Orange |
Orange |
92867 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1447316864 |
21250 |
21250 |
33.8037519827 |
-117.835713043 |
-118.291823999778 |
34.0266599996593 |
11370 |
Gulino, Joseph |
1447331699 |
Physician |
UNKNOWN |
3031 South Vermont, Ave. |
los angeles |
Los Angeles |
90007 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1821112764 |
21250 |
21250 |
34.02666 |
-118.291824 |
-118.164521824622 |
33.9684767150284 |
11371 |
Kim, Jae-youn |
1447333943 |
Dentist |
UNKNOWN |
7118 Eastern Ave |
Bell Gardens |
Los Angeles |
90201 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1669650768 |
21250 |
21250 |
33.9684767146 |
-118.164521825 |
-118.182694499851 |
33.7830570001805 |
11374 |
Dang, Loan |
1447339874 |
Dentist |
UNKNOWN |
801 E Anaheim St |
Long Beach |
Los Angeles |
90813 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1447339874 |
21250 |
21250 |
33.783057 |
-118.1826945 |
-117.867477936358 |
33.7790861138332 |
11379 |
FAJARDO, MARIA |
1447346614 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
11380 |
MINASYAN, KHAREN |
1447346762 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.888678000289 |
33.7883670004368 |
11384 |
WILLIAMS, RUSSELL A |
1447344718 |
Physician |
GENERAL SURGERY |
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH |
ORANGE |
Orange |
92868 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1407058787 |
21250 |
21250 |
33.788367 |
-117.888678 |
-119.086826670614 |
34.3347415219038 |
11390 |
Yoon, Richard |
1447356480 |
Dentist |
UNKNOWN |
957 Faulkner Rd, Suite 104 |
Santa Paula |
Ventura |
93060 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1225240120 |
21250 |
21250 |
34.3347415221 |
-119.086826671 |
-119.170302428214 |
34.2045332010464 |
11395 |
NGUYEN, BA |
1447366109 |
Physician |
UNKNOWN |
815 Cooper Rd |
Oxnard |
Ventura |
93030 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1447366109 |
21250 |
21250 |
34.204533201 |
-119.170302428 |
-117.66381299977 |
33.5611710003415 |
11409 |
Tran, Tiffany |
1447370218 |
Physician |
OBSTETRICS/GYNECOLOGY |
27800 Medical Center Road, Suite 230 |
Mission Viejo |
Orange |
92691 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1447370218 |
21250 |
21250 |
33.561171 |
-117.663813 |
-118.291678519148 |
34.0584570000905 |
11423 |
park, sherie |
1447405030 |
Dentist |
UNKNOWN |
753 S Vermont Ave |
Los Angeles |
UNKNOWN |
90005 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881900157 |
21250 |
21250 |
34.058457 |
-118.291678519 |
-117.949790163685 |
34.0375809789791 |
11425 |
Padua, Alvina |
1447408950 |
Dentist |
UNKNOWN |
1014 N. Hacienda Blvd. |
La Puente |
Los Angeles |
91744 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1447408950 |
21250 |
21250 |
34.0375809791 |
-117.949790164 |
-119.159698864611 |
34.2931563264034 |
11428 |
Sivaramakrishnan, Ranjini |
1447407648 |
Dentist |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1427276278 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-120.475574999686 |
37.3186169998747 |
11436 |
MUNNANGI, SIVAKUMAR |
1447432463 |
Physician |
UNKNOWN |
386 W Olive Ave, Suite A |
Merced |
Merced |
95348 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1902980675 |
21250 |
21250 |
37.318617 |
-120.475575 |
-119.018416499822 |
35.3738699996009 |
11439 |
Murthy, Rowena |
1447416029 |
Physician |
INTERNAL MEDICINE |
1430 Truxton Ave, Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.931844043068 |
37.3128740632874 |
11440 |
Sundberg, Sharla |
1447446430 |
Physician |
GENERAL SURGERY |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1447446430 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.954770703605 |
33.7542103768075 |
11449 |
Le, Bich |
1447455431 |
Dentist |
UNKNOWN |
14364 Brookhurst ST. |
Garden grove |
Orange |
92843 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1447455431 |
21250 |
21250 |
33.7542103774 |
-117.954770704 |
-117.867477936358 |
33.7790861138332 |
11469 |
Han, Woo Daniel |
1447494059 |
Dentist |
UNKNOWN |
530 South Main St., Suite 103 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.381823999778 |
34.054227000176 |
11479 |
edalatpajouh, faramarz |
1447527569 |
Dentist |
UNKNOWN |
8704 West Pico Blvd |
Los Angeles |
Los Angeles |
90035 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1346483914 |
21250 |
21250 |
34.054227 |
-118.381824 |
-118.014505449167 |
33.9528266938968 |
11482 |
Dalal, Shibani |
1447539275 |
Dentist |
UNKNOWN |
14544 E Whittier Blvd |
Whittier |
Los Angeles |
90605 |
California |
2018 |
2018 |
2 |
MU |
DR SHIBANI M DDS DALAL |
1447539275 |
29750 |
8500 |
33.9528266941 |
-118.014505449 |
-121.383216000418 |
38.6296560000245 |
11492 |
vo, nguyen |
1447557368 |
Physician |
EMERGENCY MEDICINE |
3525 Watt Ave |
Sacramento |
Sacramento |
95821 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1447557368 |
21250 |
21250 |
38.629656 |
-121.383216 |
-117.867477936358 |
33.7790861138332 |
11499 |
Liou, Jia-Kae |
1447574413 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.649026499673 |
36.6600059997771 |
11500 |
Grayson, Andrea |
1447577671 |
Nurse Practitioner |
UNKNOWN |
335 Katherine Ave |
Salinas |
Monterey |
93901 |
California |
2015 |
2017 |
1 |
MU |
Designated Payee Name not Found |
1447577671 |
21250 |
21250 |
36.660006 |
-121.6490265 |
-118.446236463742 |
34.0652250001337 |
11504 |
MURATA, KRISTINA |
1447550579 |
Nurse Practitioner |
UNKNOWN |
200 Medical Plz, Suite 265 |
Los Angeles |
UNKNOWN |
90095 |
California |
2016 |
2017 |
2 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
29750 |
8500 |
34.065225 |
-118.446236464 |
-118.193679000086 |
33.9425640003284 |
11518 |
yeung, jack |
1447664578 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-117.867477936358 |
33.7790861138332 |
11520 |
Oushy Eissa, Noha |
1447667001 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
11523 |
KAUR, MANPREET |
1447672738 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.626878573687 |
36.6796192540254 |
11530 |
Kolasa-Lenarz, Anastasia |
1447693916 |
Physician |
UNKNOWN |
950 Circle Dr |
Salinas |
Monterey |
93905 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.6796192539 |
-121.626878574 |
-122.238282176581 |
38.1026090712517 |
11535 |
Fowler, Elena |
1457303869 |
Physician |
PSYCHIATRY |
355 Tuolumne St |
Vallejo |
Solano |
94590 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1457303869 |
21250 |
21250 |
38.102609071 |
-122.238282177 |
-118.193744495912 |
33.807590800575 |
11546 |
Gartsman, Alla |
1457317133 |
Physician |
UNKNOWN |
2777 Pacific Ave, Suite E |
Long Beach |
Los Angeles |
90806 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1457317133 |
38250 |
8500 |
33.807590801 |
-118.193744496 |
-117.663813532169 |
33.6745049009804 |
11548 |
Bawa, Ratandeep |
1457319188 |
Dentist |
UNKNOWN |
26700 Towne Centre Dr, Suite 260 |
Foothill Ranch |
Orange |
92610 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1760744734 |
21250 |
21250 |
33.6745049009 |
-117.663813532 |
-121.931844043068 |
37.3128740632874 |
11555 |
Garabedian, Wendy |
1457337347 |
Physician |
INTERNAL MEDICINE |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1457337347 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.443346549004 |
34.0637399640282 |
11593 |
Lee, Kuk-Wha |
1457361891 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2014 |
2015 |
2 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
22666.67 |
8500 |
34.0637399643 |
-118.443346549 |
-117.085087040435 |
32.7071425599812 |
11613 |
Moore, Gene |
1457424699 |
Dentist |
UNKNOWN |
286 Euclid Ave, Ste 201 |
San Diego |
San Diego |
92114 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1154442911 |
21250 |
21250 |
32.7071425598 |
-117.08508704 |
-118.291248000195 |
33.9448319996971 |
11622 |
Beasley, Jesse |
1457434409 |
Doctor of Optometry |
UNKNOWN |
10024 S Vermont Ave # 2 |
Los Angeles |
Los Angeles |
90044 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1457434409 |
21250 |
21250 |
33.944832 |
-118.291248 |
-121.759469999941 |
38.548575000336 |
11635 |
WATTS-WHITE, PAULA |
1457451494 |
Physician |
UNKNOWN |
635 Anderson Rd Ste 12A |
Davis |
Yolo |
95616 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1457451494 |
14166.67 |
14166.67 |
38.548575 |
-121.75947 |
-117.833377499672 |
33.8084009998063 |
11643 |
Ruiz, Cara |
1457458135 |
Physician |
UNKNOWN |
1920 E Katella Ave, Suite M |
Orange |
Orange |
92867 |
California |
2018 |
2019 |
2 |
MU |
Designated Payee Name not Found |
1457458135 |
29750 |
8500 |
33.808401 |
-117.8333775 |
-117.888678000289 |
33.7883670004368 |
11647 |
VUCHINICH, KEVIN |
1457445710 |
Physician |
OBSTETRICS/GYNECOLOGY |
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH |
ORANGE |
Orange |
92868 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1407058787 |
21250 |
21250 |
33.788367 |
-117.888678 |
-119.028609952787 |
35.3723701138897 |
11649 |
Lavadia, Elsa |
1457469157 |
Physician |
UNKNOWN |
2323 16th Street Suite 108 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1093081119 |
21250 |
21250 |
35.3723701138 |
-119.028609953 |
-117.961723347055 |
34.0865311076246 |
11655 |
Paz casanova, Rody |
1457482069 |
Dentist |
UNKNOWN |
14323 E RAMONA BLVD |
BALDWIN PARK |
Los Angeles |
91706 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1033554787 |
21250 |
21250 |
34.0865311084 |
-117.961723347 |
-119.159698864611 |
34.2931563264034 |
11656 |
Pascual, Rosa |
1457465247 |
Doctor of Optometry |
UNKNOWN |
200 S. Wells Rd, Suite 200 |
Ventura |
Ventura |
93030 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL INC CLINICAS |
1841556404 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.435623703871 |
34.0763868151994 |
11658 |
GRAUE, GEORGE |
1457482085 |
Dentist |
UNKNOWN |
9765 Sierra Ave Ste A, 9765 SIERRA AVE#A |
Fontana |
San Bernardino |
92335 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1457482085 |
21250 |
21250 |
34.0763868147 |
-117.435623704 |
-121.837396880262 |
39.7405538151065 |
11662 |
Tatla, Navtej |
1457490914 |
Dentist |
UNKNOWN |
1046 Mangrove Ave, Suite D |
Chico |
Butte |
95926 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1215250154 |
21250 |
21250 |
39.7405538155 |
-121.83739688 |
-118.187951513851 |
33.7800419996386 |
11664 |
Takla, Roger |
1457494643 |
Physician |
UNKNOWN |
1040 Elm Ave, Suite 301 |
Long Beach |
Los Angeles |
90813 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1457494643 |
38250 |
8500 |
33.780042 |
-118.187951514 |
-123.80193838235 |
39.4305807092324 |
11670 |
McMillen, Roderick |
1457503310 |
Dentist |
UNKNOWN |
825 Sequoia Circle |
Fort Bragg |
Mendocino |
95437 |
California |
2018 |
2018 |
2 |
MU |
Designated Payee Name not Found |
1215037684 |
29750 |
8500 |
39.4305807094 |
-123.801938382 |
-118.381576500055 |
34.0768744662836 |
11673 |
Hyams, Botagoz |
1457513210 |
Physician |
UNKNOWN |
8733 Beverly Blvd Ste 200 |
West Hollywood |
Los Angeles |
90048 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1457513210 |
21250 |
21250 |
34.0768744663 |
-118.3815765 |
-117.867477936358 |
33.7790861138332 |
11676 |
Manukyan, Gary |
1457517906 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.221706408624 |
40.1492038237975 |
11678 |
Schultz, Lena |
1457522864 |
Physician |
UNKNOWN |
2450 Sister Mary Columba Dr |
Red Bluff |
Tehama |
96080 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1457522864 |
21250 |
21250 |
40.1492038235 |
-122.221706409 |
-117.867477936358 |
33.7790861138332 |
11685 |
ROSAS CARRILLO, RAMIRO |
1457533440 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.857025520311 |
37.0634269687797 |
11693 |
Kadam, Brijesh |
1457545832 |
Physician |
PEDIATRIC MEDICINE |
311 W I St |
Los Banos |
Merced |
93635 |
California |
2014 |
2015 |
3 |
MU |
DEVIREDDY MD KARTHIKEYA |
1518089507 |
38250 |
8500 |
37.0634269686 |
-120.85702552 |
-118.286770499659 |
34.0469639997888 |
11703 |
Kim, DongWhoon |
1457558587 |
Dentist |
UNKNOWN |
2300 W. Pico blvd. #204 |
Los Angeles |
Los Angeles |
90006 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1457558587 |
21250 |
21250 |
34.046964 |
-118.2867705 |
-118.334362500029 |
33.8797890003621 |
11706 |
Zamora, Franciss |
1457572687 |
Dentist |
UNKNOWN |
3578 Redondo Beach Blvd |
Torrance |
Los Angeles |
90504 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1225358914 |
21250 |
21250 |
33.879789 |
-118.3343625 |
-119.159698864611 |
34.2931563264034 |
11713 |
Rajpara, Chetna |
1457579195 |
Dentist |
UNKNOWN |
200 S. WELLS RD., SUITE 250 |
VENTURA |
Ventura |
93004 |
California |
2011 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
11716 |
Sibia, Karanvir |
1457582892 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.291719369953 |
34.0889602942822 |
11718 |
Ganjian, Shahrouz |
1457582934 |
Physician |
UNKNOWN |
954 N Vermont Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1871779777 |
21250 |
21250 |
34.0889602945 |
-118.29171937 |
-122.384433076126 |
37.5959915827454 |
11724 |
BANGERA, NATASHA |
1457599946 |
Physician |
UNKNOWN |
1828 El Camino Real, Suite 701 |
Burlingame |
San Mateo |
94010 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1457599946 |
21250 |
21250 |
37.5959915826 |
-122.384433076 |
-117.891119817925 |
34.0875151817802 |
11734 |
patel, falgooni |
1457659369 |
Physician |
UNKNOWN |
147 W College St |
Covina |
Los Angeles |
91723 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1457659369 |
21250 |
21250 |
34.0875151824 |
-117.891119818 |
-117.577899000239 |
34.1396645478806 |
11736 |
Salhab, Rene |
1457664120 |
Physician |
UNKNOWN |
10399 Lemon Ave, Suite 101 |
Rancho Cucamonga |
San Bernardino |
91737 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1093060238 |
21250 |
21250 |
34.1396645484 |
-117.577899 |
-117.605830499578 |
34.1074529995564 |
11738 |
Velasquez, Magaly |
1457658338 |
Dentist |
UNKNOWN |
9130 Foothill Blv, 9130 Foothill Blv |
Rancho Cucamonga |
San Bernardino |
91730 |
California |
2016 |
2017 |
1 |
MU |
Designated Payee Name not Found |
1053652396 |
21250 |
21250 |
34.107453 |
-117.6058305 |
-117.934209000045 |
33.6260969996769 |
11742 |
Oganesyan, Tevan |
1457669046 |
Dentist |
UNKNOWN |
1419 Superior ave, #6 |
Newport Beach |
Orange |
92663 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1457669046 |
21250 |
21250 |
33.626097 |
-117.934209 |
-121.376389500375 |
38.5562970003064 |
11765 |
Kelly, Jacob |
1457769457 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
UNKNOWN |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-124.100958397712 |
40.9351139998113 |
11768 |
Miller, Beth |
1457778151 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1644 Central Ave |
McKinleyville |
Humboldt |
95519 |
California |
2016 |
2017 |
2 |
MU |
DOOR COMM HLTH CTRS OPEN |
1598858169 |
29750 |
8500 |
40.935114 |
-124.100958398 |
-118.221830235277 |
33.9646680915592 |
11769 |
khoshroozeh, sara |
1457771149 |
Dentist |
UNKNOWN |
2711 Santa Ana St |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1689023996 |
21250 |
21250 |
33.9646680924 |
-118.221830235 |
-119.159698864611 |
34.2931563264034 |
11776 |
Nguyen, Vivian |
1457787467 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2015 |
2016 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1023234465 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-124.092387024941 |
40.8980790420142 |
11779 |
McAtasney, Grace |
1457804619 |
Nurse Practitioner |
UNKNOWN |
1600 Weeot Way |
Arcata |
Humboldt |
95521 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1457804619 |
21250 |
21250 |
40.898079042 |
-124.092387025 |
-118.038824999574 |
33.9785640003284 |
11780 |
ahmed, shahenaz |
1457795544 |
Dentist |
UNKNOWN |
12826 PHILADELPHIA ST, Suite B |
Whittier |
Los Angeles |
90601 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1669576955 |
21250 |
21250 |
33.978564 |
-118.038825 |
-117.663637499771 |
34.0617780003545 |
11783 |
NAGRA, DEVINDERPAL |
1467400374 |
Dentist |
UNKNOWN |
815 W Holt Blvd, STE#402 |
Ontario |
San Bernardino |
91762 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1467400374 |
21250 |
21250 |
34.061778 |
-117.6636375 |
-121.289711499786 |
38.0024469830419 |
11791 |
de la Riva, Juan |
1467409664 |
Physician |
UNKNOWN |
1523 E March Ln |
Stockton |
San Joaquin |
95210 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1467409664 |
21250 |
21250 |
38.0024469831 |
-121.2897115 |
-117.101447999925 |
32.749584509018 |
11805 |
Andree, Gregor |
1467436063 |
Physician |
UNKNOWN |
4305 University Ave, Ste 150 |
San Diego |
San Diego |
92105 |
California |
2013 |
2014 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1962483040 |
38250 |
8500 |
32.7495845093 |
-117.101448 |
-117.169517934705 |
32.7876688614289 |
11806 |
Hill, Linda |
1467434811 |
Physician |
PREVENTATIVE MEDICINE |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2013 |
2014 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1780665877 |
38250 |
8500 |
32.7876688612 |
-117.169517935 |
-118.124676660799 |
33.9510118242363 |
11814 |
LEE, LI |
1467449082 |
Nurse Practitioner |
NURSE PRACTITIONER |
8311 Florence Ave. |
Downey |
Los Angeles |
90240 |
California |
2014 |
2016 |
3 |
MU |
Designated Payee Name not Found |
1497759005 |
38250 |
8500 |
33.9510118235 |
-118.124676661 |
-119.159698864611 |
34.2931563264034 |
11827 |
Cernaianu, Mirela |
1467465120 |
Physician |
UNKNOWN |
200 S. Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2013 |
2014 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-118.186901999628 |
34.0238934916914 |
11830 |
Tran, Ngoc-Mai |
1467470823 |
Physician |
FAMILY PRACTICE |
3968 Whittier Blvd |
Los Angeles |
Los Angeles |
90023 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1467470823 |
21250 |
21250 |
34.0238934915 |
-118.186902 |
-118.1040389996 |
33.9572519995802 |
11831 |
PAREDES, FRANCISCO |
1467472035 |
Physician |
GENERAL PRACTICE |
9315 Telegraph Rd |
Pico Rivera |
Los Angeles |
90660 |
California |
2018 |
2019 |
6 |
MU |
Designated Payee Name not Found |
1467472035 |
63750 |
8500 |
33.957252 |
-118.104039 |
-118.113619855972 |
34.0187907752741 |
11840 |
de la Rocha, Hector |
1467483115 |
Physician |
UNKNOWN |
1417 W Beverly Blvd, Suite 102 |
Montebello |
Los Angeles |
90640 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1467483115 |
21250 |
21250 |
34.0187907749 |
-118.113619856 |
-117.867477936358 |
33.7790861138332 |
11850 |
Jauregui, Hector |
1467502815 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.626696551704 |
34.0777321740007 |
11852 |
Shahzad ghajar, Ali |
1467504944 |
Dentist |
UNKNOWN |
1361 E 4th St |
Ontario |
San Bernardino |
91764 |
California |
2018 |
2018 |
2 |
MU |
Designated Payee Name not Found |
1801038252 |
29750 |
8500 |
34.0777321744 |
-117.626696552 |
-118.168543491189 |
33.8607449998819 |
11857 |
Zamiri, Leila |
1467510248 |
Dentist |
UNKNOWN |
5828 Cherry Ave |
Long Beach |
Los Angeles |
90805 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1467510248 |
21250 |
21250 |
33.860745 |
-118.168543491 |
-117.867477936358 |
33.7790861138332 |
11860 |
D'Aloisio, Chad |
1467510487 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
11864 |
nguyen, anh-tuyet |
1467514042 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
11866 |
wang, David |
1467520411 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.443346549004 |
34.0637399640282 |
11870 |
Giza, Christopher |
1467488528 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1467488528 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-117.867477936358 |
33.7790861138332 |
11877 |
Cheng, Janice |
1467529420 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.100958397712 |
40.9351139998113 |
11885 |
Humphry, Theodore |
1467537415 |
Physician |
UNKNOWN |
1644 Central Avenue |
McKinleyville |
Humboldt |
95519 |
California |
2015 |
2016 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
38250 |
8500 |
40.935114 |
-124.100958398 |
-119.018416499822 |
35.3738699996009 |
11905 |
Matera, Vincent |
1467565887 |
Physician |
OBSTETRICS/GYNECOLOGY |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.957654681918 |
33.8592929967745 |
11909 |
Jang, Kenny |
1467572230 |
Dentist |
UNKNOWN |
1657 W. Orangethorpe Ave |
Fullerton |
Orange |
92833 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1467572230 |
21250 |
21250 |
33.859292997 |
-117.957654682 |
-121.931844043068 |
37.3128740632874 |
11911 |
Pham, Teri |
1467557702 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave, Internal Medicine Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1467557702 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-121.265991255792 |
37.9620250273332 |
11912 |
Thind, Ravi |
1467574905 |
Dentist |
UNKNOWN |
2043 E Fremont St, Ste 1 |
Stockton |
San Joaquin |
95205 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164622882 |
21250 |
21250 |
37.9620250272 |
-121.265991256 |
-116.321490644278 |
34.1349214856381 |
11919 |
Baek, Jin Nam |
1467585448 |
Dentist |
UNKNOWN |
61325 29 Palms Highway, Suite A |
Joshua Tree |
San Bernardino |
92252 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1609018381 |
21250 |
21250 |
34.1349214857 |
-116.321490644 |
-117.846265389836 |
33.745616840245 |
11925 |
SHEIKHAN, FATEMEH |
1467593434 |
Physician |
FAMILY PRACTICE |
1617 E 1st St, A |
Santa Ana |
Orange |
92701 |
California |
2012 |
2013 |
1 |
AIU |
DOCTORS MEDICAL GLOBAL |
1538367115 |
21250 |
21250 |
33.7456168404 |
-117.84626539 |
-122.823883943089 |
38.4000355517993 |
11928 |
Jang, Eun Sub |
1467599274 |
Dentist |
UNKNOWN |
7138 Willow St |
Sebastopol |
Sonoma |
95472 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1255474946 |
21250 |
21250 |
38.4000355521 |
-122.823883943 |
-118.361324475344 |
33.9465420003131 |
11929 |
Mbagwu, K N |
1467599605 |
Physician |
UNKNOWN |
1218 S Inglewood Ave |
Inglewood |
Los Angeles |
90301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1467599605 |
21250 |
21250 |
33.946542 |
-118.361324475 |
-117.083254011663 |
32.638078788905 |
11936 |
Oliveri, Tara |
1467606913 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
340 4th Ave |
Chula Vista |
San Diego |
91910 |
California |
2012 |
2013 |
1 |
AIU |
DE SALUD DE LA COMUNI CENTRO |
1184801433 |
21250 |
21250 |
32.6380787888 |
-117.083254012 |
-120.413076960333 |
34.9528340951175 |
11939 |
Ng, Douglas |
1467620682 |
Dentist |
UNKNOWN |
1430 E. Main Street, #203 |
Santa Maria |
Santa Barbara |
93454 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1467620682 |
21250 |
21250 |
34.9528340951 |
-120.41307696 |
-117.301895051615 |
34.1360404446109 |
11950 |
Deza, Anthony |
1467641159 |
Dentist |
UNKNOWN |
850 W HIGHLAND AVE, STE B |
SAN BERNARDINO |
San Bernardino |
92405 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700050507 |
21250 |
21250 |
34.1360404452 |
-117.301895052 |
-117.139486500402 |
34.0713900002484 |
11951 |
Patel, Neil |
1467646539 |
Dentist |
UNKNOWN |
1785 E Lugonia Ave, Ste 103 |
Redlands |
San Bernardino |
92374 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1447692488 |
21250 |
21250 |
34.07139 |
-117.1394865 |
-121.815684864665 |
39.7352688600699 |
11965 |
Price, Susan |
1467668590 |
Nurse Practitioner |
UNKNOWN |
1469 Humboldt Rd, Suite 200 |
Chico |
Butte |
95928 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1467668590 |
21250 |
21250 |
39.7352688595 |
-121.815684865 |
-117.990828000312 |
33.8314949999943 |
11966 |
Han, Thomas |
1467671693 |
Dentist |
UNKNOWN |
2940 W Lincoln Ave, Suite L |
Anaheim |
Orange |
92801 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1376954412 |
21250 |
21250 |
33.831495 |
-117.990828 |
-116.508708600322 |
32.6815999999401 |
11967 |
Zanotti, Daniel |
1467651976 |
Physician |
FAMILY PRACTICE |
31115 Hwy. 94, Mountain Health & Community Services, Inc. |
Campo |
San Diego |
91906 |
California |
2011 |
2012 |
1 |
AIU |
DESERT FAMILY HIGH |
1982658142 |
21250 |
21250 |
32.6816 |
-116.5087086 |
-117.863946000108 |
33.7601064544494 |
11969 |
NGUYEN, THANH |
1467676312 |
Dentist |
UNKNOWN |
319 E 17th St |
Santa Ana |
Orange |
92706 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1659598852 |
21250 |
21250 |
33.7601064544 |
-117.863946 |
-117.867477936358 |
33.7790861138332 |
11970 |
aldouri, thaar |
1467682815 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.852587999736 |
33.6841739997304 |
11972 |
Lee, Erina |
1467690636 |
Dentist |
UNKNOWN |
1920 Main St #970 |
Irvine |
UNKNOWN |
92614 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL, INC BADII |
1467711358 |
21250 |
21250 |
33.684174 |
-117.852588 |
-119.018416499822 |
35.3738699996009 |
11983 |
Samuel, Jeannie |
1467719807 |
Nurse Practitioner |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.435685293042 |
34.0868837246043 |
11996 |
Guindi, Daniel |
1467747394 |
Dentist |
UNKNOWN |
9193 SIERRA AVE, STE D |
FONTANA |
San Bernardino |
92335 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP FONTANA |
1205051000 |
21250 |
21250 |
34.0868837252 |
-117.435685293 |
-117.169275794942 |
32.7879564007673 |
11999 |
Dixon, Sarah |
1467751131 |
Physician |
UNKNOWN |
7011 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2016 |
2017 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1457724858 |
21250 |
21250 |
32.787956401 |
-117.169275795 |
-120.066612722999 |
36.9570895904123 |
12005 |
Huaman, Juan |
1467776450 |
Dentist |
UNKNOWN |
620 W Yosemite Ave |
Madera |
Madera |
93637 |
California |
2016 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1124419122 |
29750 |
8500 |
36.9570895898 |
-120.066612723 |
-118.129563021017 |
34.0623421567652 |
12025 |
Do, Christine |
1467846352 |
Dentist |
UNKNOWN |
516 W GARVEY AVE |
MONTEREY PARK |
Los Angeles |
91754 |
California |
2016 |
2017 |
1 |
AIU |
DAT-MINH DO, DDS PROFESSIONAL DENTAL CORP. |
1346371820 |
21250 |
21250 |
34.0623421565 |
-118.129563021 |
-117.852587999736 |
33.6841739997304 |
12029 |
Contreras, Trishia |
1467866921 |
Dentist |
UNKNOWN |
1920 Main St #970 |
Irvine |
UNKNOWN |
92614 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL, INC BADII |
1467711358 |
21250 |
21250 |
33.684174 |
-117.852588 |
-117.092241406316 |
32.7551777921215 |
12037 |
Nguyen, Dung |
1467887943 |
Dentist |
UNKNOWN |
4310 Euclid Ave, Suite A |
San Diego |
San Diego |
92115 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1922170612 |
21250 |
21250 |
32.7551777916 |
-117.092241406 |
-117.104439143252 |
32.6607242027598 |
12040 |
Khoudari, Khalid |
1467892703 |
Dentist |
UNKNOWN |
2405 Hoover Ave |
National City |
San Diego |
91950 |
California |
2014 |
2015 |
1 |
AIU |
DENTAL GROUP CROWN |
1538487640 |
21250 |
21250 |
32.6607242035 |
-117.104439143 |
-117.489033000373 |
34.1122230000914 |
12059 |
Bembi, Atul |
1477524320 |
Physician |
FAMILY PRACTICE |
7798 Cherry Ave. |
Fontana |
San Bernardino |
92336 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1477524320 |
21250 |
21250 |
34.112223 |
-117.489033 |
-121.376389500375 |
38.5562970003064 |
12065 |
Mo, Douglas |
1477526648 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
UNKNOWN |
95826 |
California |
2017 |
2018 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-119.018416499822 |
35.3738699996009 |
12071 |
harms, janice |
1477537728 |
Physician |
NURSE PRACTITIONER |
1430 Truxtun Ave, Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.159954038448 |
33.8827229998666 |
12079 |
Weinstein, Philip |
1477553568 |
Physician |
INTERNAL MEDICINE |
16660 Paramount Blvd, #201 |
Paramount |
Los Angeles |
90723 |
California |
2016 |
2017 |
3 |
MU |
Designated Payee Name not Found |
1477553568 |
38250 |
8500 |
33.882723 |
-118.159954038 |
-118.44878666857 |
34.1964836302154 |
12085 |
Hong, Anna |
1477563260 |
Dentist |
UNKNOWN |
6931 Van Nuys Blvd, Suite 100 |
Van Nuys |
Los Angeles |
91405 |
California |
2014 |
2015 |
1 |
AIU |
DENTAL CENTER VANOWEN |
1417142050 |
21250 |
21250 |
34.1964836298 |
-118.448786669 |
-117.296435770195 |
34.1099561734387 |
12101 |
Bolivar, Alvaro |
1477578698 |
Physician |
UNKNOWN |
598 N F St |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1215991534 |
21250 |
21250 |
34.1099561735 |
-117.29643577 |
-122.42713500028 |
37.785545999948 |
12108 |
Murray, Kateri |
1477583029 |
Physician |
GERIATRIC MEDICINE |
1400 Geary Blvd |
San Francisco |
San Francisco |
94109 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.785546 |
-122.427135 |
-121.626878573687 |
36.6796192540254 |
12109 |
POMPAN, DONALD |
1477586279 |
Physician |
UNKNOWN |
950 Circle Dr |
Salinas |
Monterey |
93905 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.6796192539 |
-121.626878574 |
-124.141090919211 |
40.7859195138745 |
12111 |
Hunter, Willard |
1477589323 |
Physician |
INTERNAL MEDICINE |
2412 Buhne Street |
Eureka |
Humboldt |
95501 |
California |
2016 |
2017 |
6 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
63750 |
8500 |
40.785919514 |
-124.141090919 |
-118.282621642874 |
34.0638930322377 |
12112 |
YEN, GENE |
1477581379 |
Physician |
UNKNOWN |
520 So. Lafayette Park Place 3rd Fl |
LA |
Los Angeles |
90057 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1477581379 |
21250 |
21250 |
34.0638930325 |
-118.282621643 |
-119.820274098271 |
36.8082076080947 |
12121 |
joseph, nabeel |
1477610582 |
Dentist |
UNKNOWN |
1515 W Shaw Ave, Ste 101 |
Fresno |
Fresno |
93711 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1437455722 |
21250 |
21250 |
36.8082076075 |
-119.820274098 |
-115.560872192997 |
32.788808452648 |
12124 |
Ansari, Athar |
1477612877 |
Physician |
UNKNOWN |
790 W Orange Ave, Ste. B |
El Centro |
Imperial |
92243 |
California |
2015 |
2016 |
1 |
MU |
Designated Payee Name not Found |
1477612877 |
21250 |
21250 |
32.7888084533 |
-115.560872193 |
-118.225181984261 |
33.9861330004377 |
12127 |
Fransis, Adel |
1477615151 |
Dentist |
UNKNOWN |
6040 Pacific Blvd |
Huntington Park |
Los Angeles |
90255 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1619131307 |
21250 |
21250 |
33.986133 |
-118.225181984 |
-117.867477936358 |
33.7790861138332 |
12131 |
karamanian, hermineh |
1477617033 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.844337487585 |
36.7947360003662 |
12135 |
Virk, Sukhpal |
1477602829 |
Dentist |
UNKNOWN |
4007 N Marks Ave Suite #102, Ashlan Dental Center |
Fresno |
Fresno |
93722 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1477602829 |
21250 |
21250 |
36.794736 |
-119.844337488 |
-121.958427455063 |
37.2913380000487 |
12145 |
Solway, Karen |
1477635738 |
Physician |
UNKNOWN |
251 Llwellyn Ave |
Campbell |
Santa Clara |
95008 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1255496105 |
21250 |
21250 |
37.291338 |
-121.958427455 |
-118.006841823292 |
33.7307431192996 |
12152 |
Nguyen, Brian |
1477640290 |
Dentist |
UNKNOWN |
15921 Goldenwest St |
Huntington Beach |
Orange |
92647 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1649674755 |
21250 |
21250 |
33.7307431195 |
-118.006841823 |
-122.50173677763 |
37.961119740084 |
12153 |
Quezada, Rebeca |
1477641033 |
Physician |
PSYCHIATRY |
3270 Kerner Blvd, Suite B |
San Rafael |
Marin |
94901 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1891968855 |
21250 |
21250 |
37.9611197397 |
-122.501736778 |
-118.275583499979 |
33.7975290002632 |
12166 |
Perez, Angel |
1477654440 |
Physician |
FAMILY PRACTICE |
1721 N Wilmington Blvd |
Wilmington |
Los Angeles |
90744 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1477654440 |
21250 |
21250 |
33.797529 |
-118.2755835 |
-120.857025520311 |
37.0634269687797 |
12170 |
Kumar, Vikram |
1477656932 |
Physician |
PEDIATRIC MEDICINE |
311 West I Street |
Los Banos |
Merced |
93635 |
California |
2012 |
2013 |
1 |
AIU |
DEVIREDDY MD KARTHIKEYA |
1518089507 |
21250 |
21250 |
37.0634269686 |
-120.85702552 |
-118.443346549004 |
34.0637399640282 |
12178 |
WOO, MARLYN |
1477651842 |
Physician |
UNKNOWN |
10833 Leconte Ave, 22-387 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
5 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
55250 |
8500 |
34.0637399643 |
-118.443346549 |
-117.66986793186 |
34.0413567331268 |
12184 |
Billedo, Princesita |
1477675668 |
Dentist |
UNKNOWN |
1755 S Mountain Ave, Ste A |
Ontario |
San Bernardino |
91762 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1376722595 |
21250 |
21250 |
34.0413567331 |
-117.669867932 |
-118.448220893379 |
35.130052562176 |
12191 |
Meyer, Bobbi |
1477690352 |
Nurse Practitioner |
UNKNOWN |
115 W E ST |
TEHACHAPI |
Kern |
93561 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1275841629 |
21250 |
21250 |
35.1300525623 |
-118.448220893 |
-118.148101018847 |
33.8026105106666 |
12201 |
Riano, Nancy |
1477698520 |
Nurse Practitioner |
UNKNOWN |
2525 Grand Ave |
Long Beach |
Los Angeles |
90815 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1477698520 |
21250 |
21250 |
33.802610511 |
-118.148101019 |
-121.370993999773 |
38.4045029997137 |
12208 |
Woodson McGee, Erika |
1477700458 |
Dentist |
UNKNOWN |
9727 Elk Grove Florin Road, Suite 155 |
Elk Grove |
Sacramento |
95624 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1558763771 |
21250 |
21250 |
38.404503 |
-121.370994 |
-117.867477936358 |
33.7790861138332 |
12209 |
Olety, Raghavendra |
1477704104 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.877744902705 |
37.3259090312768 |
12222 |
Rivera, Veronica |
1477734754 |
Physician |
OBSTETRICS/GYNECOLOGY |
195 E VIRGINIA STREET |
San Jose |
Santa Clara |
95112 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1407985534 |
21250 |
21250 |
37.3259090311 |
-121.877744903 |
-118.045231630435 |
33.9394880158593 |
12224 |
Edalat, Saman |
1477744795 |
Dentist |
UNKNOWN |
13431 Telegraph Rd |
Whittier |
Los Angeles |
90605 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1063752079 |
21250 |
21250 |
33.9394880163 |
-118.04523163 |
-117.941835295962 |
33.8507312962124 |
12232 |
Hoang, Christine |
1477757623 |
Dentist |
UNKNOWN |
1201 N. Euclid St. |
Anaheim |
Orange |
92801 |
California |
2014 |
2016 |
1 |
AIU |
DDS INC YOUNG |
1285904763 |
21250 |
21250 |
33.8507312957 |
-117.941835296 |
-117.867477936358 |
33.7790861138332 |
12234 |
Ngo, Phuong |
1477758167 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
12235 |
Nguyen, Quy |
1477758985 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.905629499602 |
33.6801605205916 |
12237 |
Nguyen, Keren |
1477761708 |
Dentist |
UNKNOWN |
1170 Baker St, Suite E |
Costa Mesa |
Orange |
92626 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1871785428 |
21250 |
21250 |
33.6801605213 |
-117.9056295 |
-117.867477936358 |
33.7790861138332 |
12248 |
Waite, William |
1477788164 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
12255 |
Merkerson, Deshara |
1477816916 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.839819997295 |
34.0917832859699 |
12274 |
Ruffolo, Daniel |
1477855245 |
Dentist |
UNKNOWN |
1575 Middleton Rd |
San Dimas |
Los Angeles |
91773 |
California |
2016 |
2017 |
1 |
AIU |
Daniel Ruffolo |
1477855245 |
21250 |
21250 |
34.0917832862 |
-117.839819997 |
-117.703009058121 |
33.6276130129302 |
12289 |
Bretches, Lisa |
1477890242 |
Nurse Practitioner |
UNKNOWN |
24432 Muirlands Blvd, Suite 111 |
Lake Forest |
Orange |
92630 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1477890242 |
21250 |
21250 |
33.6276130133 |
-117.703009058 |
-119.018416499822 |
35.3738699996009 |
12294 |
Bonesteel, Ayako |
1477925147 |
Nurse Practitioner |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
12304 |
Ram, Peggy |
1477968253 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.844502414055 |
37.4980947482741 |
12317 |
Soroushian, Vasna |
1477994770 |
Dentist |
UNKNOWN |
241 N PALM ST |
TURLOCK |
Stanislaus |
95380 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1962894170 |
21250 |
21250 |
37.498094748 |
-120.844502414 |
-122.158763385622 |
37.7065264622265 |
12327 |
Fraino, Joan |
1487025375 |
Nurse Practitioner |
UNKNOWN |
3801 Teagarden St |
San Leandro |
Alameda |
94577 |
California |
2018 |
2019 |
3 |
MU |
DAVIS STREET COMMUNITY THE |
1215358924 |
38250 |
8500 |
37.7065264617 |
-122.158763386 |
-122.436505290287 |
37.7224238247997 |
12328 |
Sethi, Amrit |
1487037362 |
Dentist |
UNKNOWN |
4747 Mission St |
San Francisco |
San Francisco |
94112 |
California |
2016 |
2016 |
1 |
AIU |
DENTISTRY TODAY'S |
1629303144 |
21250 |
21250 |
37.7224238254 |
-122.43650529 |
-118.12290276605 |
34.0691540608113 |
12329 |
Chin, Kevin |
1487039459 |
Dentist |
UNKNOWN |
616 North Garfield Ave, #102 |
Monterey Park |
Los Angeles |
91754 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1023379732 |
21250 |
21250 |
34.0691540605 |
-118.122902766 |
-119.027645518026 |
36.0724764447322 |
12330 |
Finley, Andrew |
1487061677 |
Dentist |
UNKNOWN |
365 Pearson Drive, Ste. 2 |
Porterville |
Tulare |
93257 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1215230610 |
21250 |
21250 |
36.0724764446 |
-119.027645518 |
-117.867477936358 |
33.7790861138332 |
12335 |
Lin, Chen-Kai |
1487084752 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.282621642874 |
34.0638930322377 |
12356 |
Oh, JaeHoon |
1487606356 |
Physician |
UNKNOWN |
520 So. Lafayette Park Place 3rd Fl |
LA |
Los Angeles |
90057 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1487606356 |
21250 |
21250 |
34.0638930325 |
-118.282621643 |
-120.827405971908 |
38.706282365339 |
12365 |
Yorba, Carla |
1487639126 |
Nurse Practitioner |
UNKNOWN |
4327 Golden Center Dr |
Placerville |
El Dorado |
95667 |
California |
2013 |
2014 |
3 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
38250 |
8500 |
38.706282365 |
-120.827405972 |
-121.55149361274 |
39.0972587433964 |
12367 |
Kondo, Lauren |
1487639787 |
Dentist |
UNKNOWN |
4941 Olivehurst Ave |
Olivehurst |
Yuba |
95961 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.0972587427 |
-121.551493613 |
-120.439197412131 |
34.6395240511941 |
12368 |
MCANINCH, DAVID |
1487646212 |
Physician |
DIAGNOSTIC RADIOLOGY |
1515 EAST OCEAN AVE |
Lompoc |
Santa Barbara |
93436 |
California |
2013 |
2014 |
2 |
MU |
DAVID L MD MCANINCH |
1487646212 |
29750 |
8500 |
34.6395240509 |
-120.439197412 |
-117.169517934705 |
32.7876688614289 |
12369 |
Dye, Judy |
1487640686 |
Nurse Practitioner |
NURSE PRACTITIONER |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2011 |
2012 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-121.289971500085 |
37.9695690002092 |
12374 |
Pennisi, Vincent |
1487653341 |
Physician |
UNKNOWN |
1617 N California St, Suite 2A |
Stockton |
San Joaquin |
95204 |
California |
2015 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1487653341 |
29750 |
8500 |
37.969569 |
-121.2899715 |
-119.018416499822 |
35.3738699996009 |
12394 |
Jow, Kami |
1487668703 |
Physician |
UNKNOWN |
1430 Truxton Ave, Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.240610499875 |
33.9434820003941 |
12396 |
Harrison, James |
1487678827 |
Physician |
GENERAL PRACTICE |
24318 Hemlock Ave, Suite # E1 |
Moreno Valley |
Riverside |
92557 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1487678827 |
21250 |
21250 |
33.943482 |
-117.2406105 |
-118.113694982637 |
34.0111365104416 |
12408 |
Arevalo, Rodolfo |
1487692372 |
Physician |
FAMILY PRACTICE |
1217 W Whittier Blvd |
Montebello |
Los Angeles |
90640 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1487692372 |
29750 |
8500 |
34.0111365104 |
-118.113694983 |
-124.083714126805 |
40.8760468021183 |
12413 |
Spetzler, Maria |
1487698494 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
785 18th Street |
Arcata |
Humboldt |
95521 |
California |
2016 |
2017 |
6 |
MU |
DOOR COMM HLTH CTRS OPEN |
1689778813 |
63750 |
8500 |
40.8760468021 |
-124.083714127 |
-121.305135016768 |
38.1229111711137 |
12414 |
ratilal, jay |
1487698585 |
Physician |
UNKNOWN |
2415 W Vine St, Suite 100 |
Lodi |
San Joaquin |
95242 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1487698585 |
21250 |
21250 |
38.1229111706 |
-121.305135017 |
-117.867477936358 |
33.7790861138332 |
12425 |
Ahmed, Mohammad |
1487713210 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
12426 |
Khan, Farooq |
1487716510 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.449658225846 |
34.2267660212349 |
12428 |
Karsh, Gary |
1487716833 |
Dentist |
UNKNOWN |
8628 van nuys blvd suite 200 |
Panorama City |
Los Angeles |
91402 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1487716833 |
21250 |
21250 |
34.2267660205 |
-118.449658226 |
-121.50481950002 |
38.4966000001899 |
12429 |
CHANG, DAVID |
1487716585 |
Dentist |
UNKNOWN |
1355 Florin Rd, SUITE 15 |
Sacramento |
Sacramento |
95822 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1487716585 |
21250 |
21250 |
38.4966 |
-121.5048195 |
-117.935801999762 |
33.7162904987076 |
12442 |
Ranaei, Rodney |
1487730123 |
Physician |
UNKNOWN |
11100 Warner Avenue, Suite 220 |
Fountain Valley |
Orange |
92708 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1487730123 |
21250 |
21250 |
33.7162904993 |
-117.935802 |
-118.471280721128 |
34.1546877964047 |
12454 |
Salimpour, Pedram |
1487747382 |
Physician |
UNKNOWN |
15477 Ventura Blvd Fl 3 |
Sherman Oaks |
Los Angeles |
91403 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1487747382 |
21250 |
21250 |
34.1546877963 |
-118.471280721 |
-118.600514999767 |
34.1940150001922 |
12473 |
rabizadeh, shawn |
1487770558 |
Dentist |
UNKNOWN |
21601 Vanowen St, #100 |
Canoga Park |
Los Angeles |
91303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1346303542 |
21250 |
21250 |
34.194015 |
-118.600515 |
-120.934856824283 |
37.735989151778 |
12480 |
antypas, joseph |
1487786356 |
Dentist |
UNKNOWN |
3324 Santa Fe St, Ste B |
Riverbank |
Stanislaus |
95367 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1487786356 |
21250 |
21250 |
37.7359891523 |
-120.934856824 |
-117.101447999925 |
32.749584509018 |
12508 |
MAHENDRAN, SRIVIDYA |
1487843454 |
Physician |
PEDIATRIC MEDICINE |
4305 University Ave. # 150 |
San Diego |
San Diego |
92105 |
California |
2013 |
2014 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1962483040 |
38250 |
8500 |
32.7495845093 |
-117.101448 |
-119.78158802207 |
36.7698060000469 |
12520 |
Vo, Van |
1487856423 |
Dentist |
UNKNOWN |
2051 N Fresno St |
Fresno |
Fresno |
93703 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1417069071 |
21250 |
21250 |
36.769806 |
-119.781588022 |
-116.074152000414 |
33.5692744864285 |
12521 |
Gibbs, Randolph |
1487859294 |
Physician |
FAMILY PRACTICE |
91275 66th Ave, Suite 500 |
Mecca |
Riverside |
92254 |
California |
2018 |
2019 |
6 |
MU |
DE SALUD DEL CLINICAS |
1932280633 |
63750 |
8500 |
33.5692744859 |
-116.074152 |
-117.90596249967 |
33.7595580002016 |
12522 |
nguyen, khoi |
1487864856 |
Dentist |
UNKNOWN |
2708 Westminster Ave, #100 |
Santa Ana |
Orange |
92706 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1487864856 |
21250 |
21250 |
33.759558 |
-117.9059625 |
-117.309973406148 |
34.4708538524234 |
12529 |
JOE, JINHO |
1487865747 |
Dentist |
UNKNOWN |
16200 Bear Valley Rd, Ste 105 |
Victorville |
San Bernardino |
92395 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1487865747 |
21250 |
21250 |
34.4708538524 |
-117.309973406 |
-118.193679000086 |
33.9425640003284 |
12534 |
Pham, Trinh |
1487886594 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-116.473621500332 |
32.6085389995752 |
12539 |
Lieber, Carol |
1487889846 |
Nurse Practitioner |
UNKNOWN |
31115 Highway 94 |
Campo |
San Diego |
91906 |
California |
2014 |
2016 |
2 |
MU |
DESERT FAMILY HIGH |
1982658142 |
29750 |
8500 |
32.608539 |
-116.4736215 |
-117.280898999789 |
34.1359165342207 |
12543 |
EAST, DEIRDRE |
1487898128 |
Certified Nurse - Midwife |
UNKNOWN |
249 E highland ave |
San Bernardino |
San Bernardino |
92404 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1871553347 |
21250 |
21250 |
34.1359165342 |
-117.280899 |
-118.212475499944 |
33.9320789997461 |
12547 |
sabbaghian, ramona |
1487901682 |
Dentist |
UNKNOWN |
11035 Long Beach Blvd, Suite 5 |
Lynwood |
Los Angeles |
90262 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1356560494 |
21250 |
21250 |
33.932079 |
-118.2124755 |
-117.236440714967 |
33.2040515720225 |
12559 |
Miller, Yaron |
1487932307 |
Dentist |
UNKNOWN |
138 CIVIC CENTER DR, SUITE 115 |
VISTA |
San Diego |
92084 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1205263084 |
21250 |
21250 |
33.2040515718 |
-117.236440715 |
-118.22389168915 |
33.974827071712 |
12563 |
Shenouda, Sameh |
1487936902 |
Physician |
GENERAL PRACTICE |
7119 Rita Ave |
Huntington Park |
Los Angeles |
90255 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1871779777 |
21250 |
21250 |
33.9748270722 |
-118.223891689 |
-118.395345979433 |
33.9941467818485 |
12565 |
Faeldan-Suarez, Marissa |
1487941340 |
Dentist |
UNKNOWN |
5432 Sepulveda Blvd Ste B |
Culver City |
Los Angeles |
90230 |
California |
2018 |
2019 |
2 |
MU |
Designated Payee Name not Found |
1770929747 |
29750 |
8500 |
33.9941467821 |
-118.395345979 |
-117.370376975717 |
34.0930831849411 |
12571 |
bravo-espinoza, maria virginia |
1487953949 |
Dentist |
UNKNOWN |
436 S RIVERSIDE AVE, Suite B |
Rialto |
San Bernardino |
92376 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1235286758 |
21250 |
21250 |
34.0930831851 |
-117.370376976 |
-117.867477936358 |
33.7790861138332 |
12575 |
Looyzadeh, Melina |
1487957874 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.376389500375 |
38.5562970003064 |
12582 |
Parel, Sarah |
1487975611 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
UNKNOWN |
95826 |
California |
2017 |
2018 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-117.203205662611 |
33.5545305961102 |
12585 |
Ziegler, Linda |
1487983375 |
Nurse Practitioner |
UNKNOWN |
25102 Jefferson Ave, Suite A |
Murrieta |
Riverside |
92562 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1457442121 |
21250 |
21250 |
33.5545305963 |
-117.203205663 |
-124.100958397712 |
40.9351139998113 |
12586 |
Jacobs, Molly |
1487983433 |
Nurse Practitioner |
UNKNOWN |
1644 Central Avenue |
McKinleyville |
Humboldt |
95519 |
California |
2018 |
2019 |
5 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1922318047 |
55250 |
8500 |
40.935114 |
-124.100958398 |
-119.245114102834 |
35.7725065285535 |
12593 |
Park, Hyun-Joo |
1497003750 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1215 Jeffersons Street |
Delano |
Kern |
93215 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1497003750 |
21250 |
21250 |
35.772506529 |
-119.245114103 |
-121.330939499858 |
38.6179919999309 |
12594 |
Dhawan, Pabina |
1497003107 |
Dentist |
UNKNOWN |
5723 Marconi Ave, Suite A |
Carmichael |
Sacramento |
95608 |
California |
2017 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1134465651 |
29750 |
8500 |
38.617992 |
-121.3309395 |
-119.17556099984 |
34.1953289996337 |
12628 |
Ta, Thuc |
1497072128 |
Physician |
OBSTETRICS/GYNECOLOGY |
650 Meta Street |
Oxnard |
Ventura |
93030 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
55250 |
8500 |
34.195329 |
-119.175561 |
-117.867477936358 |
33.7790861138332 |
12664 |
Gupta, Nidhi |
1497196737 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.752591499698 |
36.8381159998536 |
12677 |
Pham, Giai |
1497723670 |
Dentist |
UNKNOWN |
7090 N Cedar Ave |
Fresno |
Fresno |
93720 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1497723670 |
21250 |
21250 |
36.838116 |
-119.7525915 |
-117.169517934705 |
32.7876688614289 |
12684 |
Blake, Gary |
1497738439 |
Physician |
OBSTETRICS/GYNECOLOGY |
6973 Linda Vista Rd. |
San Diego |
San Diego |
92111 |
California |
2011 |
2012 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-117.072859499966 |
33.020144999792 |
12687 |
Driver, Eric |
1497741672 |
Dentist |
UNKNOWN |
11968 Bernardo Plaza Dr |
San Diego |
San Diego |
92128 |
California |
2016 |
2017 |
1 |
AIU |
DENTAL GROUP CROWN |
1538487640 |
21250 |
21250 |
33.020145 |
-117.0728595 |
-115.552551676219 |
32.7865319996521 |
12702 |
huynh, anthony |
1497766364 |
Physician |
UNKNOWN |
718 S 4th St |
El Centro |
Imperial |
92243 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1497766364 |
21250 |
21250 |
32.786532 |
-115.552551676 |
-118.448728023779 |
34.1607779999048 |
12703 |
Anwar, Muhammad |
1497769145 |
Physician |
UNKNOWN |
4955 Van Nuys Blvd, #502 |
Sherman Oaks |
Los Angeles |
91403 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1497769145 |
21250 |
21250 |
34.160778 |
-118.448728024 |
-119.353363574769 |
36.3294981852931 |
12721 |
STANIC, MIROSLAV |
1497802789 |
Dentist |
UNKNOWN |
5601 W Hillsdale Ave |
Visalia |
Tulare |
93291 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1023169216 |
21250 |
21250 |
36.3294981845 |
-119.353363575 |
-119.110166999607 |
35.367093000042 |
12723 |
Mousa, Nasr |
1497807168 |
Dentist |
UNKNOWN |
1014 Calloway Dr., Bldg. F |
Bakersfield |
Kern |
93312 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1497807168 |
29750 |
8500 |
35.367093 |
-119.110167 |
-121.626878573687 |
36.6796192540254 |
12725 |
Sinnhuber, Victoria |
1497817811 |
Nurse Practitioner |
UNKNOWN |
950 Circle Dr |
Salinas |
Monterey |
93905 |
California |
2014 |
2015 |
4 |
MU |
DE SALUD DEL CLINICA |
1023159811 |
46750 |
8500 |
36.6796192539 |
-121.626878574 |
-118.032277499807 |
33.9829019998275 |
12726 |
Purdom, Kenneth |
1497819361 |
Physician |
UNKNOWN |
6354 Painter Ave |
Whittier |
Los Angeles |
90601 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1497819361 |
29750 |
8500 |
33.982902 |
-118.0322775 |
-115.528558499675 |
32.9786155433727 |
12727 |
VELAZQUEZ, JUAN |
1497812895 |
Physician |
UNKNOWN |
900 Main St |
Brawley |
Imperial |
92227 |
California |
2017 |
2018 |
5 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
55250 |
8500 |
32.9786155434 |
-115.5285585 |
-118.185075988266 |
33.780257999707 |
12732 |
Onyeador, Ejike |
1497821516 |
Physician |
UNKNOWN |
1045 Atlantic Ave, Suite 715 |
Long Beach |
Los Angeles |
90813 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1497821516 |
21250 |
21250 |
33.780258 |
-118.185075988 |
-117.86065200019 |
33.7815089998405 |
12742 |
Velez, Juan |
1497822902 |
Physician |
UNKNOWN |
805 W La Veta, Suite 101 |
Orange |
Orange |
92868 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1497822902 |
21250 |
21250 |
33.781509 |
-117.860652 |
-121.9380974996 |
37.3131719996881 |
12747 |
Cherukuri, Sudhakar |
1497827745 |
Physician |
OPHTHALMOLOGY |
2425 Enborg Lane, Santa Clara Valley Medical Center |
Santa Clara |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1497827745 |
21250 |
21250 |
37.313172 |
-121.9380975 |
-117.169517934705 |
32.7876688614289 |
12751 |
Steinberg, Deborah |
1497839773 |
Physician |
PSYCHIATRY |
6973 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2014 |
2015 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1780665877 |
38250 |
8500 |
32.7876688612 |
-117.169517935 |
-117.989779499624 |
33.7263120003985 |
12769 |
Nguyen, Christina |
1497864250 |
Dentist |
UNKNOWN |
16261 Beach Blvd. |
Huntington Beach |
Orange |
92647 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1306038278 |
21250 |
21250 |
33.726312 |
-117.9897795 |
-117.968515841033 |
33.7595165918173 |
12772 |
Hoang, Hanh |
1497868715 |
Physician |
UNKNOWN |
9191 Westminster Blvd |
Garden Grove |
Orange |
92844 |
California |
2013 |
2014 |
2 |
MU |
DAO MD INC MICHAEL |
1689797920 |
29750 |
8500 |
33.7595165916 |
-117.968515841 |
-119.785817714416 |
36.3005087028145 |
12780 |
Rafisolyman, Karmell |
1497887046 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
353 C St |
Lemoore |
Kings |
93245 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1497887046 |
21250 |
21250 |
36.3005087033 |
-119.785817714 |
-118.193679000086 |
33.9425640003284 |
12781 |
SIAZON, ELEANOR |
1497891261 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-118.438353000391 |
34.0518330003927 |
12785 |
Sayedna, Shahram |
1497890768 |
Dentist |
UNKNOWN |
1700 Westwood Blvd |
Los Angeles |
Los Angeles |
90024 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1902077365 |
21250 |
21250 |
34.051833 |
-118.438353 |
-118.187538868924 |
33.921274638214 |
12786 |
kim, steve |
1497904122 |
Dentist |
UNKNOWN |
11395 Atlantic Ave |
Lynwood |
Los Angeles |
90262 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1215225008 |
21250 |
21250 |
33.9212746378 |
-118.187538869 |
-117.333660652217 |
34.1636929355806 |
12790 |
Lee, Sean |
1497912281 |
Dentist |
UNKNOWN |
4016 University Pkwy |
San Bernardino |
San Bernardino |
92407 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1497912281 |
21250 |
21250 |
34.1636929357 |
-117.333660652 |
-117.867477936358 |
33.7790861138332 |
12792 |
Rehayel, Mouna |
1497907091 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.031121000434 |
34.0628214684361 |
12799 |
Kim, Hyunwoo |
1497930457 |
Dentist |
UNKNOWN |
11230 GARVEY AVE, Suite H |
EL MONTE |
Los Angeles |
91733 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1104245810 |
21250 |
21250 |
34.0628214685 |
-118.031121 |
-119.159698864611 |
34.2931563264034 |
12801 |
BAL, JASPREET |
1497938641 |
Dentist |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
VENTURA |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.435685293042 |
34.0868837246043 |
12804 |
Martinez, Chris |
1497942072 |
Dentist |
UNKNOWN |
9193 SIERRA AVE., Suite D |
FONTANA |
San Bernardino |
92335 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP FONTANA |
1205051000 |
21250 |
21250 |
34.0868837252 |
-117.435685293 |
-119.018416499822 |
35.3738699996009 |
12805 |
Llamas, Katrina |
1497943823 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.289687875395 |
34.1340908214343 |
12807 |
Fronda, Melquiades |
1497947378 |
Dentist |
UNKNOWN |
2102 N Arrowhead Ave, SUITE #B |
San Bernardino |
San Bernardino |
92405 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1497947378 |
21250 |
21250 |
34.1340908207 |
-117.289687875 |
-117.94388964699 |
33.8506775392371 |
12811 |
Trent, Jannette |
1497958623 |
Dentist |
UNKNOWN |
1751 W Romneya Dr, Suite D |
Anaheim |
Orange |
92801 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1780906784 |
21250 |
21250 |
33.8506775387 |
-117.943889647 |
-118.239053491725 |
33.9268319996971 |
12821 |
Hernandez, Elsa |
1497938401 |
Dentist |
UNKNOWN |
11724 SOUTH WILMINGTON AVE |
Los Angeles |
Los Angeles |
90059 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1437580644 |
21250 |
21250 |
33.926832 |
-118.239053492 |
-118.623321028942 |
34.1798669997623 |
12822 |
hasany, ely |
1497970719 |
Dentist |
UNKNOWN |
6024 Fallbrook Ave Ste 102 |
Woodland Hills |
Los Angeles |
91367 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1134469315 |
21250 |
21250 |
34.179867 |
-118.623321029 |
-122.403712500232 |
37.7984970000365 |
12825 |
Suksang, Chanatip |
1497977102 |
Physician |
UNKNOWN |
1000 Montgomery Street |
San Francisco |
San Francisco |
94133 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.798497 |
-122.4037125 |
-116.961791977218 |
33.2771591455781 |
12827 |
mueller, raymond |
1497976658 |
Dentist |
UNKNOWN |
50100 Golsh Road |
Valley Center |
San Diego |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1497976658 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-118.247719500155 |
34.1348565455932 |
12829 |
Sahakyan, Gurgen |
1497985618 |
Dentist |
UNKNOWN |
610 E Acacia Ave Apt 10 |
Glendale |
Los Angeles |
91205 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
34.1348565459 |
-118.2477195 |
-117.075665608681 |
33.0276331337622 |
12830 |
Gonzales, Thomas |
1497972871 |
Dentist |
UNKNOWN |
11968 Bernardo |
San Diego |
San Diego |
92128 |
California |
2016 |
2017 |
1 |
AIU |
DENTAL GROUP CROWN |
1538487640 |
21250 |
21250 |
33.027633134 |
-117.075665609 |
-117.885446682219 |
33.7111736116729 |
12833 |
LEE, BYONG-HWI |
1497991483 |
Dentist |
UNKNOWN |
2650 S Bristol St, suite 107 |
Santa Ana |
Orange |
92704 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1174945794 |
21250 |
21250 |
33.7111736123 |
-117.885446682 |
-117.867477936358 |
33.7790861138332 |
12834 |
Opinga, Ronaldo |
1497991020 |
Dentist |
UNKNOWN |
530 South Main St., Apt. 6103 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.617132126047 |
39.1445064940795 |
12854 |
Toland, Pamela |
1508023599 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
370 Del Norte Ave Ste 201 |
Yuba City |
Sutter |
95991 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.1445064937 |
-121.617132126 |
-121.634037000008 |
36.697248000395 |
12856 |
Moreno, Arnoldo |
1508031147 |
Physician |
PSYCHIATRY |
1441 Constitution Blvd, Bldg 400, Suite 202 |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730211178 |
21250 |
21250 |
36.697248 |
-121.634037 |
-122.407149450087 |
37.7614542154398 |
12862 |
Morse, Jessica |
1508040684 |
Physician |
OBSTETRICS/GYNECOLOGY |
625 Potrero Ave., |
San Francisco |
San Francisco |
94110 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1407821523 |
21250 |
21250 |
37.7614542151 |
-122.40714945 |
-117.867477936358 |
33.7790861138332 |
12864 |
Makhsida, Mhd Hazem |
1508042599 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.393311813789 |
40.5773966590286 |
12865 |
Lee, David |
1508045733 |
Dentist |
UNKNOWN |
2138 Court Street, Suite A |
Redding |
Shasta |
96001 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1528112265 |
21250 |
21250 |
40.5773966586 |
-122.393311814 |
-118.334833652151 |
34.0069528400016 |
12879 |
Wong, Eric |
1508071358 |
Dentist |
UNKNOWN |
4251 Crenshaw Boulevard |
Los Angeles |
Los Angeles |
90008 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1295943603 |
21250 |
21250 |
34.0069528401 |
-118.334833652 |
-117.104439143252 |
32.6607242027598 |
12882 |
DREVNA, DONALD |
1508076498 |
Dentist |
UNKNOWN |
2405 Hoover Avenue |
National City |
San Diego |
91950 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL GROUP CROWN |
1538487640 |
21250 |
21250 |
32.6607242035 |
-117.104439143 |
-121.931844043068 |
37.3128740632874 |
12890 |
Lee Anderson, Andrea |
1508091257 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1508091257 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.193679000086 |
33.9425640003284 |
12893 |
Rakow, Rana |
1508099268 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-119.159698864611 |
34.2931563264034 |
12894 |
Sarransingh, Marta |
1508097288 |
Physician |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL INC CLINICAS |
1093933194 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-119.018416499822 |
35.3738699996009 |
12911 |
Senkyrikova, Pavla |
1508148792 |
Dentist |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.159698864611 |
34.2931563264034 |
12924 |
Vela, Damian |
1508168816 |
Physician |
FAMILY PRACTICE |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2012 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.04707799975 |
33.9413310001256 |
12930 |
Bernal, Daniel |
1508190919 |
Dentist |
UNKNOWN |
13345 Telegraph Rd, Suite L |
Whittier |
Los Angeles |
90605 |
California |
2016 |
2016 |
1 |
AIU |
Daniel Bernal |
1508190919 |
21250 |
21250 |
33.941331 |
-118.047078 |
-119.159698864611 |
34.2931563264034 |
12937 |
Zhang, Min |
1508203969 |
Dentist |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1912123431 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-122.416348105381 |
37.7647677873036 |
12954 |
Finkmoore, Brooke |
1508275249 |
Nurse Practitioner |
UNKNOWN |
240 Shotwell St |
San Francisco |
San Francisco |
94110 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1508275249 |
21250 |
21250 |
37.7647677871 |
-122.416348105 |
-116.952862499805 |
32.8077314592395 |
12955 |
Phan, Linh |
1508286410 |
Dentist |
UNKNOWN |
742 BROADWAY |
EL CAJON |
San Diego |
92021 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1114143310 |
21250 |
21250 |
32.8077314591 |
-116.9528625 |
-117.903097397227 |
33.7345888973598 |
12956 |
KIM, SO YEON |
1508290495 |
Dentist |
UNKNOWN |
2509 W McFadden Ave |
Santa Ana |
Orange |
92704 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1386054674 |
21250 |
21250 |
33.7345888965 |
-117.903097397 |
-117.867477936358 |
33.7790861138332 |
12957 |
RANDHAWA, MUHAMMAD |
1508288424 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.912298499576 |
33.7753079998644 |
12964 |
Gendler, Samuel |
1508801770 |
Physician |
UNKNOWN |
12665 Garden Grove Blvd, #502-B |
Garden Grove |
Orange |
92843 |
California |
2015 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1508801770 |
29750 |
8500 |
33.775308 |
-117.9122985 |
-118.363990490369 |
34.0632900296112 |
12969 |
Vizel, David |
1508809856 |
Physician |
INTERNAL MEDICINE |
6221 Wilshire Blvd, Suite 312 |
Los Angeles |
Los Angeles |
90048 |
California |
2018 |
2019 |
6 |
MU |
DAVID MD VIZEL |
1508809856 |
63750 |
8500 |
34.0632900297 |
-118.36399049 |
-118.042463973134 |
34.0522140494389 |
12999 |
TIO, DELFIN |
1508866625 |
Dentist |
UNKNOWN |
2001 Santa Anita Ave, Suite 204 |
South El Monte |
Los Angeles |
91733 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1639229123 |
21250 |
21250 |
34.0522140488 |
-118.042463973 |
-122.418999000104 |
37.7885970003513 |
13002 |
gould, caren |
1508867128 |
Physician |
UNKNOWN |
1333 Bush St |
San Francisco |
San Francisco |
94109 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.788597 |
-122.418999 |
-121.759613094669 |
36.7669253905943 |
13004 |
Nkwocha, Oguchi |
1508874017 |
Physician |
UNKNOWN |
10561 Merritt Street |
Castroville |
Monterey |
95012 |
California |
2015 |
2016 |
5 |
MU |
DE SALUD DEL CLINICA |
1013058106 |
55250 |
8500 |
36.7669253905 |
-121.759613095 |
-118.44878666857 |
34.1964836302154 |
13006 |
Sutanto, Yeni |
1508876277 |
Dentist |
UNKNOWN |
6931 Van Nuys Blvd, Suite 100 |
Van Nuys |
Los Angeles |
91405 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1417142050 |
21250 |
21250 |
34.1964836298 |
-118.448786669 |
-118.27510614883 |
34.0557289732136 |
13013 |
cohen, catreen |
1508881012 |
Dentist |
UNKNOWN |
1919 West 7th St. Unit 2B |
Los Angeles |
Los Angeles |
90057 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1558561886 |
21250 |
21250 |
34.0557289725 |
-118.275106149 |
-118.122825951357 |
34.06393481474 |
13018 |
Cherlin, Angela |
1508890567 |
Physician |
FAMILY PRACTICE |
210 N Garfield Ave., Ste. 203 |
Monterey Park |
Los Angeles |
91754 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1508890567 |
21250 |
21250 |
34.0639348149 |
-118.122825951 |
-118.443346549004 |
34.0637399640282 |
13027 |
Szilagyi, Peter |
1508897265 |
Physician |
UNKNOWN |
10833 Le Conte Ave |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
25500 |
8500 |
34.0637399643 |
-118.443346549 |
-117.169517934705 |
32.7876688614289 |
13035 |
Romero, Camila |
1508912130 |
Physician |
UNKNOWN |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2015 |
2016 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-118.193679000086 |
33.9425640003284 |
13037 |
NGUYEN, LISA |
1508912874 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-118.131262702811 |
33.9361443508811 |
13038 |
Park, Jung |
1508872243 |
Physician |
OBSTETRICS/GYNECOLOGY |
11480 Brookshire Ave |
Downey |
Los Angeles |
90241 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1508872243 |
46750 |
8500 |
33.936144351 |
-118.131262703 |
-121.338013499623 |
38.6616869995555 |
13041 |
Cummings, Doris |
1508917881 |
Certified Nurse - Midwife |
UNKNOWN |
5440 Laurel Hills Dr |
Sacramento |
Sacramento |
95841 |
California |
2012 |
2012 |
1 |
AIU |
DORIS R NMW CUMMINGS |
1508917881 |
21250 |
21250 |
38.661687 |
-121.3380135 |
-117.867583203802 |
33.7471289999035 |
13044 |
soe, pyi |
1508918699 |
Dentist |
UNKNOWN |
301 1/2 N Main St |
Santa Ana |
Orange |
92701 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1164632923 |
21250 |
21250 |
33.747129 |
-117.867583204 |
-118.355547734141 |
34.090726535801 |
13055 |
Geylikman, Yury |
1508932039 |
Dentist |
UNKNOWN |
7614 Santa Monica Blvd |
West Hollywood |
Los Angeles |
90046 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1417070806 |
21250 |
21250 |
34.090726536 |
-118.355547734 |
-115.522960499627 |
32.9730805030628 |
13056 |
Espana, Carlos |
1508936709 |
Dentist |
UNKNOWN |
1166 K Street |
Brawley |
Imperial |
92227 |
California |
2017 |
2018 |
2 |
MU |
DE SALUD DEL CLINICAS |
1699859421 |
29750 |
8500 |
32.9730805029 |
-115.5229605 |
-121.660433362909 |
37.1306337315615 |
13057 |
Vemuri, Indira |
1508938358 |
Physician |
UNKNOWN |
17705 Hale Ave, Ste I-1 |
Morgan Hill |
Santa Clara |
95037 |
California |
2015 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1508938358 |
46750 |
8500 |
37.1306337324 |
-121.660433363 |
-120.722579999567 |
35.5544255180233 |
13058 |
balke, debra |
1508940081 |
Physician |
UNKNOWN |
1320 Las Tablas Rd, Suite E |
Templeton |
San Luis Obispo |
93465 |
California |
2011 |
2012 |
1 |
AIU |
DEBRA L MD BALKE |
1508940081 |
21250 |
21250 |
35.5544255177 |
-120.72258 |
-117.867477936358 |
33.7790861138332 |
13060 |
BOSEOVSKI, CHRIS |
1508940107 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.1074878288 |
33.1472510651845 |
13068 |
thompson, marlene |
1508953001 |
Dentist |
UNKNOWN |
1018 W El Norte Pkwy |
Escondido |
San Diego |
92026 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1417009861 |
21250 |
21250 |
33.147251065 |
-117.107487829 |
-119.182054499815 |
34.1977405173111 |
13069 |
YU, DUAN |
1508952839 |
Dentist |
UNKNOWN |
449 W 5th St |
Oxnard |
Ventura |
93030 |
California |
2016 |
2016 |
1 |
AIU |
DUAN YU |
1508952839 |
21250 |
21250 |
34.1977405165 |
-119.1820545 |
-118.225126761391 |
33.9747309377826 |
13091 |
khalili, emil |
1508983891 |
Dentist |
UNKNOWN |
7136 Pacific Blvd, 210 |
Huntington Park |
Los Angeles |
90255 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1154450005 |
21250 |
21250 |
33.9747309379 |
-118.225126761 |
-117.867477936358 |
33.7790861138332 |
13095 |
Touni, Walied |
1508984022 |
Dentist |
UNKNOWN |
530 south main street, Suite 100 |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
13097 |
Munoz, Eloy |
1508989930 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.933097158407 |
37.3110853926768 |
13103 |
Colbert, Heather |
1518000546 |
Physician |
PSYCHIATRY |
2221 Enborg Ln |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1518000546 |
21250 |
21250 |
37.3110853932 |
-121.933097158 |
-117.867477936358 |
33.7790861138332 |
13112 |
Tsang, Kenneth |
1518004191 |
Dentist |
UNKNOWN |
530 South Main St., Orthodontics Dept |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.078831000151 |
32.6604510004134 |
13114 |
Paniccia, Gregory |
1518022920 |
Physician |
PSYCHIATRY |
1908 Sweetwater Rd |
National City |
San Diego |
91950 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1518022920 |
21250 |
21250 |
32.660451 |
-117.078831 |
-119.159698864611 |
34.2931563264034 |
13125 |
Ganesh, Praveena |
1518028752 |
Dentist |
UNKNOWN |
200 S Wells Rd, #150 |
Ventura |
Ventura |
93004 |
California |
2016 |
2017 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1134369366 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
13128 |
nguyen, david |
1518035906 |
Dentist |
UNKNOWN |
530 South Main Street |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1518035906 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.351246562779 |
34.0448732657886 |
13136 |
Guevara, ana |
1518039650 |
Dentist |
UNKNOWN |
5114 Venice Blvd |
Los Angeles |
Los Angeles |
90019 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1265639421 |
21250 |
21250 |
34.0448732664 |
-118.351246563 |
-122.454743348027 |
37.7816107042706 |
13137 |
Lemesh, Russell |
1518044593 |
Physician |
UNKNOWN |
3330 Geary Blvd. |
San Francisco |
San Francisco |
94115 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.7816107039 |
-122.454743348 |
-117.288726851763 |
34.4710166144253 |
13138 |
Shin, Hyun Joon |
1518039510 |
Dentist |
UNKNOWN |
17100 Bear Valley Rd, Suite N |
Victorville |
San Bernardino |
92395 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1518039510 |
21250 |
21250 |
34.4710166143 |
-117.288726852 |
-118.443346549004 |
34.0637399640282 |
13151 |
Purdy, Isabell |
1518066042 |
Nurse Practitioner |
UNKNOWN |
10833 Le Conte Ave |
Los Angeles |
Los Angeles |
90095 |
California |
2016 |
2017 |
3 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
38250 |
8500 |
34.0637399643 |
-118.443346549 |
-117.941448371645 |
33.8158419877176 |
13154 |
Mai, ChauLinh |
1518068816 |
Dentist |
UNKNOWN |
1307 S. Euclid Street |
Anaheim |
Orange |
92802 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598979775 |
21250 |
21250 |
33.8158419883 |
-117.941448372 |
-119.018416499822 |
35.3738699996009 |
13155 |
Erickson, Mary Ann |
1518070945 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.443346549004 |
34.0637399640282 |
13156 |
Tu, Marinda |
1518069608 |
Physician |
UNKNOWN |
10833 Le Conte Ave |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
5 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
55250 |
8500 |
34.0637399643 |
-118.443346549 |
-119.018416499822 |
35.3738699996009 |
13158 |
Davis, Jane |
1518071497 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.262725564433 |
33.7831557169628 |
13161 |
Garcia, Marco |
1518075209 |
Physician |
UNKNOWN |
1009 N. Avalon Blvd |
Wilmington |
Los Angeles |
90744 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1518075209 |
21250 |
21250 |
33.7831557172 |
-118.262725564 |
-117.846265389836 |
33.745616840245 |
13165 |
SASSANI, SOHRAB |
1518078054 |
Physician |
PEDIATRIC MEDICINE |
1617 e. first st. #a |
Santa Ana |
Orange |
92701 |
California |
2012 |
2013 |
1 |
AIU |
DOCTORS MEDICAL GLOBAL |
1538367115 |
21250 |
21250 |
33.7456168404 |
-117.84626539 |
-117.392522415977 |
33.9598599300917 |
13184 |
PAYDAR, AZITA |
1518120377 |
Dentist |
UNKNOWN |
6071 Magnolia Ave |
Riverside |
Riverside |
92506 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1669747192 |
21250 |
21250 |
33.9598599304 |
-117.392522416 |
-117.239210541433 |
33.9404251049347 |
13196 |
ZAKI, IRENE |
1518144625 |
Dentist |
UNKNOWN |
24266 POSTAL AVE, STE 100 |
MORENO VALLEY |
Riverside |
92553 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1841485646 |
21250 |
21250 |
33.9404251049 |
-117.239210541 |
-117.867477936358 |
33.7790861138332 |
13213 |
Jandali, Azza |
1518172667 |
Dentist |
UNKNOWN |
530 South Main St., ste 100 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.889378796095 |
33.8486864303346 |
13214 |
kang, David |
1518171594 |
Dentist |
UNKNOWN |
1053 N State College Blvd |
Anaheim |
Orange |
92806 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336370840 |
21250 |
21250 |
33.8486864295 |
-117.889378796 |
-118.39585287511 |
33.9186042893565 |
13219 |
Beneli, Leonard |
1518188077 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
222 N Sepulveda Blvd, Suite 1800 |
El Segundo |
Los Angeles |
90245 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336384619 |
21250 |
21250 |
33.9186042888 |
-118.395852875 |
-118.219607522169 |
34.0270125707736 |
13221 |
Lim, Riska |
1518183599 |
Dentist |
UNKNOWN |
1241 S Soto St, Suite 117 |
Los Angeles |
Los Angeles |
90023 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1164793899 |
21250 |
21250 |
34.0270125715 |
-118.219607522 |
-117.867477936358 |
33.7790861138332 |
13222 |
BUDARAPU, SHIRISHA |
1518192624 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.146181542444 |
40.8024420806375 |
13247 |
Steinberg, Miriam |
1518263227 |
Physician |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2016 |
2017 |
4 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
46750 |
8500 |
40.802442081 |
-124.146181542 |
-117.867477936358 |
33.7790861138332 |
13253 |
Santos, Rubencillo |
1518267871 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.018416499822 |
35.3738699996009 |
13265 |
Tamondong, Ronald Eric |
1518300466 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.575332175739 |
34.4365280762098 |
13293 |
Deignan, Julie |
1518409861 |
Nurse Practitioner |
UNKNOWN |
25115 Avenue Stanford, Suite A-104 |
Valencia |
Los Angeles |
91355 |
California |
2016 |
2017 |
1 |
AIU |
DIXON FAMILY SAMUEL |
1154402675 |
21250 |
21250 |
34.4365280758 |
-118.575332176 |
-117.383839645084 |
33.9776814047731 |
13297 |
CARCAMO, MARIO |
1518916725 |
Physician |
UNKNOWN |
4440 Brockton Ave, SUITE 420 |
Riverside |
Riverside |
92501 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1518916725 |
21250 |
21250 |
33.9776814046 |
-117.383839645 |
-118.125536053846 |
34.0913705915796 |
13301 |
SAKHRANI, LAKHI |
1518913037 |
Physician |
NEPHROLOGY |
328 S 1st St, 2ND FLOOR |
Alhambra |
Los Angeles |
91801 |
California |
2015 |
2017 |
3 |
MU |
Designated Payee Name not Found |
1518913037 |
38250 |
8500 |
34.0913705919 |
-118.125536054 |
-117.752136692255 |
34.0700016007933 |
13304 |
Schoenberg, Robert |
1518921436 |
Doctor of Optometry |
UNKNOWN |
1204 N Garey Ave |
Pomona |
Los Angeles |
91767 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1518921436 |
21250 |
21250 |
34.0700016006 |
-117.752136692 |
-121.847879656821 |
37.3630390402196 |
13312 |
DAM, DINH |
1518936616 |
Physician |
UNKNOWN |
200 N Jackson Ave, SUITE C |
San Jose |
Santa Clara |
95116 |
California |
2014 |
2016 |
3 |
MU |
Designated Payee Name not Found |
1518936616 |
38250 |
8500 |
37.3630390397 |
-121.847879657 |
-118.443346549004 |
34.0637399640282 |
13323 |
Yazdani, Sharam |
1518905033 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2014 |
2015 |
2 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
26916.67 |
5666.67 |
34.0637399643 |
-118.443346549 |
-117.956395363955 |
33.7016155926855 |
13326 |
RUIZ, GERALD |
1518967330 |
Physician |
OBSTETRICS/GYNECOLOGY |
9930 Talbert Avenue |
Fountain Valley |
Orange |
92708 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1518967330 |
29750 |
8500 |
33.7016155931 |
-117.956395364 |
-118.078949195149 |
34.0805591227054 |
13338 |
nguyen, duc |
1518992544 |
Physician |
INTERNAL MEDICINE |
8748 Valley Blvd, suite h |
Rosemead |
Los Angeles |
91770 |
California |
2016 |
2017 |
2 |
MU |
DUC V MD NGUYEN |
1518992544 |
29750 |
8500 |
34.0805591227 |
-118.078949195 |
-118.575332175739 |
34.4365280762098 |
13346 |
Dixon, Samuel |
1518996974 |
Physician |
UNKNOWN |
25115 Avenue Stanford, Suite A-104 |
Valencia |
Los Angeles |
91355 |
California |
2018 |
2019 |
2 |
MU |
DIXON FAMILY SAMUEL |
1154402675 |
29750 |
8500 |
34.4365280758 |
-118.575332176 |
-117.749060035093 |
34.0302726977268 |
13363 |
suarez, Hernando |
1528025798 |
Dentist |
UNKNOWN |
2280 S GAREY AVE |
POMONA |
Los Angeles |
91766 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1770601502 |
21250 |
21250 |
34.0302726983 |
-117.749060035 |
-121.931844043068 |
37.3128740632874 |
13364 |
Gregor, Peter |
1528021235 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
751 S Bascom Ave, Cardiology Department |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1528021235 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.38123557706 |
40.5497524220367 |
13366 |
Swanson, Thomas |
1528030061 |
Physician |
UNKNOWN |
2640 Breslauer Way |
Redding |
Shasta |
96001 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881692390 |
21250 |
21250 |
40.5497524221 |
-122.381235577 |
-118.443346549004 |
34.0637399640282 |
13371 |
Alejos, Juan |
1518993914 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0637399643 |
-118.443346549 |
-119.018416499822 |
35.3738699996009 |
13373 |
Russell, Sudha |
1528037892 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.284196499669 |
34.0321769995689 |
13376 |
khalili, suzanne |
1528035839 |
Dentist |
UNKNOWN |
1105 W Adams Blvd, Ste 114 |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1528035839 |
21250 |
21250 |
34.032177 |
-118.2841965 |
-121.131334772082 |
36.2197163837042 |
13383 |
Hostetter, Robert |
1528048931 |
Physician |
GENERAL PRACTICE |
122 San Antonio Drive |
King City |
Monterey |
93930 |
California |
2015 |
2016 |
3 |
MU |
DE SALUD DEL CLINICA |
1588601041 |
38250 |
8500 |
36.2197163835 |
-121.131334772 |
-118.146982499643 |
34.587917999716 |
13396 |
paik, richard |
1528069259 |
Dentist |
UNKNOWN |
849 W Palmdale Blvd |
Palmdale |
Los Angeles |
93551 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1528069259 |
21250 |
21250 |
34.587918 |
-118.1469825 |
-118.133902204023 |
33.797345704041 |
13398 |
Hashmy, Arshia |
1528073269 |
Physician |
PEDIATRIC MEDICINE |
2220 Clark Ave |
Long Beach |
Los Angeles |
90241 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1528073269 |
46750 |
8500 |
33.7973457043 |
-118.133902204 |
-118.307025000204 |
33.9598079996395 |
13402 |
Eldessouky, Amani |
1528074044 |
Physician |
UNKNOWN |
1704 W Manchester Ave, Suite 109 |
Los Angeles |
Los Angeles |
90047 |
California |
2012 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1518236017 |
29750 |
8500 |
33.959808 |
-118.307025 |
-117.972729000243 |
33.7157144748432 |
13411 |
Al-Sadek, Ahmed |
1528097730 |
Physician |
UNKNOWN |
8970 Warner Ave |
Fountain Valley |
Orange |
92708 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1528097730 |
29750 |
8500 |
33.7157144754 |
-117.972729 |
-118.193679000086 |
33.9425640003284 |
13415 |
BERGER, ROSANNE |
1528104403 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-118.193679000086 |
33.9425640003284 |
13417 |
Mizraji, Gabriel |
1528105277 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-118.163994133922 |
33.9742487545764 |
13425 |
Kim, Bock |
1528112968 |
Dentist |
UNKNOWN |
6501 Eastern Ave, Suite B |
Bell Gardens |
Los Angeles |
90201 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1376858175 |
21250 |
21250 |
33.9742487552 |
-118.163994134 |
-118.443346549004 |
34.0637399640282 |
13428 |
Pawlikowska Haddal, Anna |
1528081601 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0637399643 |
-118.443346549 |
-121.376389500375 |
38.5562970003064 |
13446 |
NGUYEN, AN |
1528138286 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-117.867477936358 |
33.7790861138332 |
13464 |
Hanna, ihab |
1528156049 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.370492999752 |
34.1810999999651 |
13467 |
Alvarez Batlle, Marina |
1528162641 |
Physician |
UNKNOWN |
6063 Vineland Ave #A |
North Hollywood |
Los Angeles |
91606 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1285032102 |
21250 |
21250 |
34.1811 |
-118.370493 |
-121.931761542861 |
37.3141238808125 |
13468 |
Yamamoto, Deanna |
1528154150 |
Nurse Practitioner |
NURSE PRACTITIONER |
750 S Bascom Ave, VHC Bascom Rheumatology Clinic |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1528154150 |
29750 |
8500 |
37.314123881 |
-121.931761543 |
-119.027623499925 |
35.317753482937 |
13475 |
Queiroz, Luciane |
1528181641 |
Dentist |
UNKNOWN |
2160 White Ln |
Bakersfield |
Kern |
93304 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760678650 |
21250 |
21250 |
35.317753483 |
-119.0276235 |
-121.931844043068 |
37.3128740632874 |
13481 |
Roman, Heidi |
1528188182 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1528188182 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.867477936358 |
33.7790861138332 |
13482 |
Henken, Edmond |
1528183316 |
Dentist |
UNKNOWN |
530 South Main St., Suite B |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.225728999793 |
34.064235000345 |
13486 |
banez, feliza helen |
1528194289 |
Dentist |
UNKNOWN |
2094 W REDLANDS BLVD, STE F |
REDLANDS |
San Bernardino |
92373 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1508006586 |
21250 |
21250 |
34.064235 |
-117.225729 |
-119.194028999838 |
34.2140850003225 |
13488 |
Monroe, Todd |
1528192754 |
Physician |
OBSTETRICS/GYNECOLOGY |
1200 N. Ventura Road, Suite E |
Oxnard |
Ventura |
93030 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
55250 |
8500 |
34.214085 |
-119.194029 |
-117.959019148615 |
33.832027924749 |
13496 |
Huynh, Tu |
1528205804 |
Dentist |
UNKNOWN |
111 S Brookhurst St |
Anaheim |
Orange |
92804 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1639305451 |
21250 |
21250 |
33.8320279253 |
-117.959019149 |
-117.88951050001 |
33.7271855047073 |
13516 |
Hong, Brian |
1528272093 |
Dentist |
UNKNOWN |
1610 W EDINGER AVE, SUITE C |
SANTA ANA |
Orange |
92704 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1518995109 |
21250 |
21250 |
33.7271855051 |
-117.8895105 |
-116.961791977218 |
33.2771591455781 |
13518 |
O'Connor, Kyomi |
1528272366 |
Dentist |
UNKNOWN |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1528272366 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-119.81951550034 |
36.8377829997856 |
13523 |
Sorensen, Jerry |
1528286226 |
Dentist |
UNKNOWN |
1480 W Herndon Ave |
Fresno |
Fresno |
93711 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1528286226 |
21250 |
21250 |
36.837783 |
-119.8195155 |
-117.867477936358 |
33.7790861138332 |
13524 |
Dowling, David |
1528286119 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.085526000225 |
33.8584795033265 |
13526 |
Chung, Chris |
1528283645 |
Dentist |
UNKNOWN |
11635 E South St |
ARTESIA |
Los Angeles |
90702 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1659591931 |
21250 |
21250 |
33.8584795027 |
-118.085526 |
-117.867477936358 |
33.7790861138332 |
13541 |
Babayan, Tamar |
1528316205 |
Dentist |
UNKNOWN |
530 South Main St., Suite 200 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.453470242658 |
33.9165392363967 |
13544 |
Trejo Canchola, Juan Antonio |
1528336906 |
Dentist |
UNKNOWN |
9867 Magnolia Ave Ste.E |
Riverside |
Riverside |
92503 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1215344783 |
21250 |
21250 |
33.9165392359 |
-117.453470243 |
-118.942080736037 |
35.376091750434 |
13546 |
Behdin, Varahram |
1528342573 |
Dentist |
UNKNOWN |
3800 NILES ST, SUITE 3 |
BAKERSFIELD |
Kern |
93306 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1194132001 |
21250 |
21250 |
35.3760917502 |
-118.942080736 |
-117.867477936358 |
33.7790861138332 |
13549 |
Nasibi, Pejman |
1528346657 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.150419465686 |
34.1348850001427 |
13550 |
Melnichenko, Vladislav |
1528348273 |
Nurse Practitioner |
UNKNOWN |
625 S Fair Oaks Ave Ste 245 |
Pasadena |
UNKNOWN |
91105 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1003857434 |
21250 |
21250 |
34.134885 |
-118.150419466 |
-119.159698864611 |
34.2931563264034 |
13552 |
Agarwal, Arunima |
1528361540 |
Physician |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1679631907 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-119.018416499822 |
35.3738699996009 |
13560 |
Cabatbat, Ryan |
1528393535 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.376389500375 |
38.5562970003064 |
13567 |
Tran, John |
1528409075 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2015 |
2016 |
1 |
AIU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
21250 |
21250 |
38.556297 |
-121.3763895 |
-121.411845000446 |
38.5732529998261 |
13602 |
Haddadan, Kayvan |
1538127832 |
Physician |
UNKNOWN |
1 Scripps Drive, 102 |
Sacramento |
Sacramento |
95825 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1427322635 |
21250 |
21250 |
38.573253 |
-121.411845 |
-120.453417723449 |
34.638971530212 |
13609 |
Southaphanh, Pinhkeo |
1538139381 |
Doctor of Optometry |
UNKNOWN |
415 E. Ocean Ave. Suite B |
Lompoc |
Santa Barbara |
93436 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1538139381 |
21250 |
21250 |
34.6389715299 |
-120.453417723 |
-120.605882372773 |
35.1324876573796 |
13617 |
Tran, Don |
1538146618 |
Dentist |
UNKNOWN |
871 Oak Park Blvd |
Pismo Beach |
San Luis Obispo |
93449 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1538146618 |
21250 |
21250 |
35.1324876574 |
-120.605882373 |
-121.660005540124 |
39.2746859997591 |
13622 |
Pope, Bruce |
1538162425 |
Dentist |
UNKNOWN |
9900 Larkin Rd |
Live Oak |
Sutter |
95953 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1538162425 |
21250 |
21250 |
39.274686 |
-121.66000554 |
-117.396765469551 |
33.950411999814 |
13626 |
Salazar, Serafin |
1538167713 |
Physician |
OBSTETRICS/GYNECOLOGY |
6767 Brockton Ave |
Riverside |
Riverside |
92506 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1538167713 |
21250 |
21250 |
33.950412 |
-117.39676547 |
-118.376594999659 |
34.0648920000658 |
13637 |
Peck, Leon |
1538185376 |
Dentist |
UNKNOWN |
8500 Wilshire Blvd, Suite 815 |
Beverly Hills |
Los Angeles |
90211 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1497980874 |
21250 |
21250 |
34.064892 |
-118.376595 |
-117.289718391191 |
33.0486943783429 |
13639 |
Chong, Carlos |
1538188263 |
Dentist |
UNKNOWN |
142 Encinitas Blvd |
Encinitas |
San Diego |
92024 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1154525590 |
21250 |
21250 |
33.0486943778 |
-117.289718391 |
-118.448778518913 |
34.2040139999462 |
13643 |
sinairad, joseph |
1538188149 |
Dentist |
UNKNOWN |
7335 van nuys, 101 |
Van Nuys |
Los Angeles |
91405 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1851562102 |
21250 |
21250 |
34.204014 |
-118.448778519 |
-118.448799494701 |
34.2160290000384 |
13654 |
Pezeshki, Kevin |
1538207089 |
Physician |
OBSTETRICS/GYNECOLOGY |
7963 VAN NUYS BLVD UNIT 101 |
PANORAMA CITY |
Los Angeles |
91402 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1538207089 |
21250 |
21250 |
34.216029 |
-118.448799495 |
-119.18058201285 |
34.15577400027 |
13656 |
Karimi, Reza |
1538207907 |
Dentist |
UNKNOWN |
4938 South C Street |
Oxnard |
Ventura |
93033 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1841601689 |
21250 |
21250 |
34.155774 |
-119.180582013 |
-117.420698612751 |
33.7193395161058 |
13664 |
GROSSMAN, JOHN |
1538214846 |
Dentist |
UNKNOWN |
27569 Hopi Springs Ct |
Corona |
Riverside |
92883 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1538214846 |
21250 |
21250 |
33.7193395157 |
-117.420698613 |
-118.217727000201 |
34.0504919997061 |
13666 |
BARUA, SOMA |
1538200860 |
Physician |
INTERNAL MEDICINE |
1700 Cesar Chavez Ave 3900, SENIOR CARE CLINIC AMC |
LOS ANGELES |
Los Angeles |
90033 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1538200860 |
21250 |
21250 |
34.050492 |
-118.217727 |
-117.867667742772 |
33.7401424538112 |
13670 |
Kim, Yohan |
1538217344 |
Dentist |
UNKNOWN |
615 S Main St |
Santa Ana |
Orange |
92701 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1538217344 |
21250 |
21250 |
33.7401424541 |
-117.867667743 |
-119.353363574769 |
36.3294981852931 |
13671 |
Bui, Vinh |
1538218821 |
Dentist |
UNKNOWN |
5601 W Hillsdale Ave |
Visalia |
Tulare |
93291 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1023169216 |
21250 |
21250 |
36.3294981845 |
-119.353363575 |
-118.187343371599 |
33.8090145901513 |
13672 |
wong, lowry |
1538220314 |
Dentist |
UNKNOWN |
455 East Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
5 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
55250 |
8500 |
33.8090145898 |
-118.187343372 |
-115.558425529814 |
32.7706346298843 |
13679 |
mccoll, sandra |
1538224274 |
Physician |
UNKNOWN |
651 Wake Ave, Suite A |
El Centro |
Imperial |
92243 |
California |
2014 |
2015 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1487741773 |
21250 |
21250 |
32.77063463 |
-115.55842553 |
-117.867477936358 |
33.7790861138332 |
13682 |
ZHONG, WEIQIANG |
1538224456 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.370376975717 |
34.0930831849411 |
13687 |
Lee, Mike |
1538228820 |
Dentist |
UNKNOWN |
436 S RIVERSIDE AVE, Suite B |
Rialto |
San Bernardino |
92376 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1235286758 |
21250 |
21250 |
34.0930831851 |
-117.370376976 |
-117.628533273092 |
34.0380246217389 |
13690 |
Cruz Agustin, Maria |
1538233093 |
Dentist |
UNKNOWN |
1950 S Grove Ave, Ste. 106 A |
Ontario |
San Bernardino |
91761 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1205053220 |
21250 |
21250 |
34.0380246217 |
-117.628533273 |
-117.527485500156 |
34.1049599997042 |
13693 |
etemadi, khashayar |
1538240247 |
Dentist |
UNKNOWN |
12729 FOOTHILL BLVD, STE A |
RANCHO CUCAMONGA |
San Bernardino |
91739 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL GROUP INC STAR |
1699842492 |
21250 |
21250 |
34.10496 |
-117.5274855 |
-117.280898999789 |
34.1359165342207 |
13701 |
DANIELS, BETTY |
1538245071 |
Physician |
OBSTETRICS/GYNECOLOGY |
249 E Highland Ave |
San Bernardino |
San Bernardino |
92404 |
California |
2012 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1871553347 |
29750 |
8500 |
34.1359165342 |
-117.280899 |
-121.696420499906 |
39.3661079996845 |
13704 |
Carlin, Greg |
1538252382 |
Dentist |
UNKNOWN |
800 Spruce St |
Gridley |
Butte |
95948 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1538252382 |
21250 |
21250 |
39.366108 |
-121.6964205 |
-118.133902204023 |
33.797345704041 |
13722 |
Dabu, Dionisio |
1538272885 |
Physician |
FAMILY PRACTICE |
2220 Clark Ave |
Long Beach |
Los Angeles |
90815 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1538272885 |
38250 |
8500 |
33.7973457043 |
-118.133902204 |
-121.376389500375 |
38.5562970003064 |
13725 |
Mejia Molina, Jose |
1538274998 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-117.968858999843 |
33.760151999715 |
13728 |
Nguyen, Trini |
1538278288 |
Nurse Practitioner |
UNKNOWN |
9191 Westminster Ave |
Garden Grove |
Orange |
92844 |
California |
2011 |
2012 |
1 |
AIU |
DAO MD INC MICHAEL |
1689797920 |
21250 |
21250 |
33.760152 |
-117.968859 |
-117.960365095573 |
34.0874023312526 |
13745 |
Villatoro, Jasmin |
1538301841 |
Physician |
UNKNOWN |
4126 N. Maine Ave |
Baldwin Park |
Los Angeles |
91706 |
California |
2014 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1538301841 |
21250 |
21250 |
34.087402331 |
-117.960365096 |
-117.959778000155 |
33.9277950000393 |
13748 |
SADRI, IMAN |
1538308473 |
Dentist |
UNKNOWN |
501 S. Idaho Street, Suite 120 |
La Habra |
Orange |
90631 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1538308473 |
21250 |
21250 |
33.927795 |
-117.959778 |
-118.352956500442 |
33.9134850002326 |
13757 |
yashari, soheil |
1538323837 |
Dentist |
UNKNOWN |
13109 HAWTHORNE BLVD |
HAWTHORNE |
Los Angeles |
90250 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1174953517 |
21250 |
21250 |
33.913485 |
-118.3529565 |
-115.528558499675 |
32.9786155433727 |
13764 |
Aguirre, Nickolas |
1538341243 |
Nurse Practitioner |
UNKNOWN |
900 Main Street |
Brawley |
Imperial |
92227 |
California |
2014 |
2015 |
3 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
38250 |
8500 |
32.9786155434 |
-115.5285585 |
-119.052841500035 |
35.3546099999516 |
13772 |
Thomas, Mark |
1538359377 |
Dentist |
UNKNOWN |
4000 Stockdale Hwy |
Bakersfield |
Kern |
93309 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1538359377 |
21250 |
21250 |
35.35461 |
-119.0528415 |
-120.84063750022 |
37.5076259998401 |
13776 |
gesicho, gladys |
1538360235 |
Dentist |
UNKNOWN |
711 E Hawkeye Ave, Suite 2 |
Turlock |
Stanislaus |
95380 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1922421379 |
21250 |
21250 |
37.507626 |
-120.8406375 |
-118.354700970274 |
34.0414225158365 |
13784 |
shaw, walter |
1538368071 |
Dentist |
UNKNOWN |
5220 W Washington Blvd, 103 |
Los Angeles |
Los Angeles |
90016 |
California |
2017 |
2018 |
3 |
MU |
DDS DENTAL CORP SHAW |
1154765899 |
38250 |
8500 |
34.0414225157 |
-118.35470097 |
-118.141736684001 |
34.6962178408807 |
13785 |
Collantes, Ana Maria |
1538376520 |
Dentist |
UNKNOWN |
44810 ELM AVE |
LANCASTER |
Los Angeles |
93534 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1295092278 |
21250 |
21250 |
34.6962178415 |
-118.141736684 |
-118.193679000086 |
33.9425640003284 |
13791 |
Sapir, Benjamin |
1538391263 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-117.435653270882 |
34.0786220612592 |
13803 |
Chhotu, Krupal |
1538427182 |
Dentist |
UNKNOWN |
9647 Sierra Ave. |
Fontana |
San Bernardino |
92335 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1508250010 |
21250 |
21250 |
34.0786220605 |
-117.435653271 |
-120.413076960333 |
34.9528340951175 |
13821 |
VanSicklen, Andrew |
1538457775 |
Dentist |
UNKNOWN |
1430 E MAIN ST, SUITE 203 |
SANTA MARIA |
Santa Barbara |
93454 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1588672695 |
21250 |
21250 |
34.9528340951 |
-120.41307696 |
-117.941448371645 |
33.8158419877176 |
13826 |
Kim, Hyun-Jung |
1538464771 |
Dentist |
UNKNOWN |
1307 S. Euclid Street |
Anaheim |
Orange |
92802 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598979775 |
21250 |
21250 |
33.8158419883 |
-117.941448372 |
-121.759613094669 |
36.7669253905943 |
13832 |
Magnussen, Lesley |
1538479225 |
Nurse Practitioner |
UNKNOWN |
10561 Merritt St |
Castroville |
Monterey |
95012 |
California |
2013 |
2014 |
2 |
MU |
DE SALUD DEL CLINICA |
1013058106 |
29750 |
8500 |
36.7669253905 |
-121.759613095 |
-117.846265389836 |
33.745616840245 |
13852 |
Gardner, Michael |
1538507322 |
Dentist |
UNKNOWN |
1617 E 1st St, Suite A |
Santa Ana |
Orange |
92701 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1538507322 |
21250 |
21250 |
33.7456168404 |
-117.84626539 |
-118.191109500303 |
33.8055299996099 |
13860 |
Kaur, chetan deep |
1538552351 |
Dentist |
UNKNOWN |
United Family Dental, 141-P E. Willow st. |
Long Beach |
Los Angeles |
90806 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1952641755 |
21250 |
21250 |
33.80553 |
-118.1911095 |
-117.296435770195 |
34.1099561734387 |
13870 |
Soto, Abigail |
1538592506 |
Physician |
UNKNOWN |
598 N F St |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1215991534 |
21250 |
21250 |
34.1099561735 |
-117.29643577 |
-117.975025762629 |
33.7446040687228 |
13876 |
Vu, Michael |
1548201122 |
Physician |
OPHTHALMOLOGY |
8860 Bolsa Ave, Suite B2 |
Westminster |
Orange |
92683 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1407058787 |
21250 |
21250 |
33.7446040693 |
-117.975025763 |
-118.39585287511 |
33.9186042893565 |
13886 |
Pellegrini, Maria |
1548227184 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
222 N Sepulveda Blvd, Suite 1800 |
El Segundo |
Los Angeles |
90245 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336384619 |
21250 |
21250 |
33.9186042888 |
-118.395852875 |
-121.613430264695 |
39.1443745680319 |
13896 |
Bal, Jagdeep |
1548252703 |
Physician |
INTERNAL MEDICINE |
1000 Sutter St |
Yuba City |
Sutter |
95991 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.1443745679 |
-121.613430265 |
-118.42736279126 |
34.2622291646443 |
13907 |
cohen, gregory |
1548283468 |
Physician |
UNKNOWN |
13500 Van Nuys Blvd |
Pacoima |
Los Angeles |
91331 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1548283468 |
21250 |
21250 |
34.2622291651 |
-118.427362791 |
-118.222617428052 |
33.9595534816079 |
13908 |
Salwan, Ranjeev |
1548282411 |
Dentist |
UNKNOWN |
8536 Long Beach Blvd, Suite B |
South Gate |
Los Angeles |
90280 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1548282411 |
21250 |
21250 |
33.9595534821 |
-118.222617428 |
-119.783592000271 |
36.7415280000172 |
13916 |
Balasubramanian, Vijay |
1548289093 |
Physician |
UNKNOWN |
2828 FRESNO STREET, SUITE 203 |
Fresno |
Fresno |
93721 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1548289093 |
21250 |
21250 |
36.741528 |
-119.783592 |
-118.258162998823 |
33.7802388027786 |
13932 |
Shadaiee Yashmerani, Farjam |
1548310790 |
Dentist |
UNKNOWN |
445 E Anaheim St, M |
Wilmington |
Los Angeles |
90744 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1548310790 |
21250 |
21250 |
33.7802388032 |
-118.258162999 |
-117.867477936358 |
33.7790861138332 |
13933 |
Nguyen, Tu-Uyen |
1548306996 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.295376000202 |
38.254113000015 |
13949 |
Lee, James |
1548329311 |
Dentist |
UNKNOWN |
1067 C Street, Suite 125 |
Galt |
Sacramento |
95632 |
California |
2016 |
2016 |
1 |
AIU |
DDS MPH INC PARK |
1801213442 |
21250 |
21250 |
38.254113 |
-121.295376 |
-117.989306908587 |
33.7091451593217 |
13961 |
Lam, Laura |
1548336548 |
Dentist |
UNKNOWN |
17435 Beach Blvd |
Huntington Beach |
Orange |
92647 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1346513421 |
21250 |
21250 |
33.7091451586 |
-117.989306909 |
-121.287658500439 |
38.7850049999808 |
13962 |
Jawale, Shailesh |
1548335615 |
Dentist |
UNKNOWN |
928 PLEASANT GROVE BLVD, Suite 100 |
ROSEVILLE |
Placer |
95678 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1851632707 |
21250 |
21250 |
38.785005 |
-121.2876585 |
-117.867477936358 |
33.7790861138332 |
13967 |
SAMMAN, MOUHAB |
1548338148 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-115.569749298391 |
32.8068803606402 |
13978 |
gocke, stephen |
1548351513 |
Physician |
UNKNOWN |
1503 N Imperial Ave, suite 203 |
El Centro |
Imperial |
92243 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1548351513 |
21250 |
21250 |
32.8068803608 |
-115.569749298 |
-117.897956417355 |
34.0725451614301 |
13980 |
rodef, fariborz |
1548357262 |
Dentist |
UNKNOWN |
2233 E Garvey Ave N |
West Covina |
Los Angeles |
91791 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1548357262 |
21250 |
21250 |
34.0725451614 |
-117.897956417 |
-117.154498161161 |
32.8069706966404 |
13981 |
Pokala, Parvathi |
1548356686 |
Dentist |
UNKNOWN |
8031 Linda Vista Rd, Ste 200 |
San Diego |
San Diego |
92111 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1013190172 |
21250 |
21250 |
32.8069706972 |
-117.154498161 |
-117.954802204158 |
33.7610495276136 |
13987 |
Nguyen, Khanh |
1548359474 |
Physician |
FAMILY PRACTICE |
13830 Brookhurst St |
Garden Grove |
Orange |
92843 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1548359474 |
21250 |
21250 |
33.7610495282 |
-117.954802204 |
-118.446236463742 |
34.0652250001337 |
14000 |
Vargas, Jorge |
1548362361 |
Physician |
UNKNOWN |
200 Medical Plaza, Suite 265 |
Los Angeles |
UNKNOWN |
90095 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.065225 |
-118.446236464 |
-118.098584999898 |
34.0148970003963 |
14002 |
Thornhill-Joynes, Monica |
1548370638 |
Physician |
UNKNOWN |
101 E Beverly Blvd, # 304 |
Montebello |
Los Angeles |
90640 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1548370638 |
21250 |
21250 |
34.014897 |
-118.098585 |
-117.867735379884 |
33.7397301928941 |
14015 |
DOAN, LAMMAN |
1548384902 |
Dentist |
UNKNOWN |
630 S Main St, Suite C |
Santa Ana |
Orange |
92701 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1871808568 |
21250 |
21250 |
33.7397301932 |
-117.86773538 |
-117.947213582641 |
34.0621575996935 |
14016 |
hewling, delroy |
1548397714 |
Physician |
UNKNOWN |
1433 W Merced Ave, Suite 103 |
West Covina |
Los Angeles |
91790 |
California |
2011 |
2013 |
1 |
AIU |
DELROY S MD HEWLING |
1548397714 |
21250 |
21250 |
34.0621576001 |
-117.947213583 |
-117.163974713262 |
32.7328816281847 |
14031 |
Richardson, Chelsea |
1548418619 |
Dentist |
UNKNOWN |
2630 1st Ave |
San Diego |
San Diego |
92103 |
California |
2014 |
2015 |
3 |
MU |
DIEGO AMERICAN SAN |
1003902917 |
38250 |
8500 |
32.7328816275 |
-117.163974713 |
-117.893588983045 |
34.0874639806782 |
14036 |
khalaf, john |
1548441942 |
Dentist |
UNKNOWN |
246 West College Street, Suite 200 |
Covina |
Los Angeles |
91723 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1548441942 |
21250 |
21250 |
34.0874639806 |
-117.893588983 |
-118.443346549004 |
34.0637399640282 |
14037 |
Woo, Kathy |
1548441355 |
Nurse Practitioner |
UNKNOWN |
10833 Le Conte Ave, Suite 265 |
Los Angeles |
UNKNOWN |
90095 |
California |
2016 |
2017 |
1 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-117.867477936358 |
33.7790861138332 |
14039 |
Singh, Vineeta |
1548442387 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.63073293058 |
35.1387011507376 |
14050 |
Lauriente, Giancarlo |
1548456767 |
Dentist |
UNKNOWN |
2 James Way, Suite 201 |
Pismo Beach |
UNKNOWN |
93449 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1477858868 |
21250 |
21250 |
35.1387011507 |
-120.630732931 |
-117.747525357309 |
34.0605298528704 |
14061 |
Gushansky, Larissa |
1548478399 |
Dentist |
UNKNOWN |
224 East Monterey Avenue |
Pomona |
Los Angeles |
91767 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1013102029 |
21250 |
21250 |
34.0605298533 |
-117.747525357 |
-118.151738999555 |
34.1315605338916 |
14062 |
Ho, John |
1548478977 |
Physician |
UNKNOWN |
50 W BELLEFONTAINE ST, SUITE 405 |
PASADENA |
Los Angeles |
91105 |
California |
2014 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1548478977 |
21250 |
21250 |
34.1315605337 |
-118.151739 |
-117.228649499575 |
33.9171864919631 |
14063 |
Echeverria, Julieta |
1548489974 |
Dentist |
UNKNOWN |
24875 Alessandro Blvd, Suite 8 |
Moreno Valley |
Riverside |
92553 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1710995709 |
21250 |
21250 |
33.917186492 |
-117.2286495 |
-117.084266999922 |
32.7220740003149 |
14071 |
Crawford, Victor |
1548512254 |
Dentist |
UNKNOWN |
5106 Federal Blvd, Suite 209 |
San Diego |
San Diego |
92105 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1548512254 |
21250 |
21250 |
32.722074 |
-117.084267 |
-117.867477936358 |
33.7790861138332 |
14077 |
AGGARWAL, PARUL |
1548515679 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.193363999949 |
33.8000489995617 |
14083 |
Darojat, Zakiat |
1548532658 |
Physician |
UNKNOWN |
2360 Pacific Ave |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1548532658 |
21250 |
21250 |
33.800049 |
-118.193364 |
-117.867477936358 |
33.7790861138332 |
14094 |
Leong, Jeffrey |
1548563059 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
14110 |
EMAMI, SASCHA |
1548594682 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
14111 |
INGE, RONALD |
1548595994 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-115.502452563835 |
32.6940522126396 |
14122 |
Hodge, Cheryl |
1548643166 |
Nurse Practitioner |
UNKNOWN |
233 W Cole Blvd |
Calexico |
Imperial |
92231 |
California |
2018 |
2019 |
2 |
MU |
DE SALUD DEL CLINICAS |
1962599266 |
29750 |
8500 |
32.6940522127 |
-115.502452564 |
-122.269234499572 |
37.8764100002214 |
14128 |
Petersen, Trudi |
1548655921 |
Nurse Practitioner |
UNKNOWN |
1700 Shattuck Ave # 75 |
Berkeley |
Alameda |
94709 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1487904678 |
21250 |
21250 |
37.87641 |
-122.2692345 |
-118.193679000086 |
33.9425640003284 |
14131 |
Origel, Marisa |
1548669807 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-118.333215000172 |
33.9444989996292 |
14140 |
Capulong, Regina |
1548692643 |
Dentist |
UNKNOWN |
3530 W. Century Blvd, Unit 107 |
Inglewood |
Los Angeles |
90303 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1326210774 |
21250 |
21250 |
33.944499 |
-118.333215 |
-117.867477936358 |
33.7790861138332 |
14141 |
zied, heba |
1548682768 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.08293499965 |
32.7225059995523 |
14154 |
Borer, Michael |
1558315390 |
Physician |
UNKNOWN |
1733 EUCLID AVE. |
Euclid |
San Diego |
92105 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1932338241 |
21250 |
21250 |
32.722506 |
-117.082935 |
-117.867477936358 |
33.7790861138332 |
14160 |
Tran, Phuong Nga |
1558322636 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.35092849985 |
38.5640909999997 |
14167 |
eggleston, christopher |
1558335851 |
Physician |
UNKNOWN |
9343 Tech Center Dr |
Sacramento |
UNKNOWN |
95826 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1477748630 |
21250 |
21250 |
38.564091 |
-121.3509285 |
-121.861165499688 |
37.3285439999057 |
14177 |
NGUYEN, LINH |
1558353060 |
Physician |
FAMILY PRACTICE |
749 Story Rd, SUITE 20 |
San Jose |
Santa Clara |
95122 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1558353060 |
21250 |
21250 |
37.328544 |
-121.8611655 |
-122.418999000104 |
37.7885970003513 |
14183 |
Dang, Deborah |
1558363978 |
Physician |
UNKNOWN |
1333 Bush St |
San Francisco |
San Francisco |
94109 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.788597 |
-122.418999 |
-118.904370247989 |
34.1834805090184 |
14189 |
Niazi, Laila |
1558372508 |
Physician |
UNKNOWN |
1000 Newbury Road, Suite 200 |
Newbury Park |
Ventura |
91320 |
California |
2013 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1558372508 |
14166.67 |
14166.67 |
34.183480509 |
-118.904370248 |
-117.869633452122 |
33.7573272570473 |
14192 |
AGUILAR, JOSE |
1558378463 |
Physician |
UNKNOWN |
1415 N Broadway |
Santa Ana |
Orange |
92706 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1558378463 |
21250 |
21250 |
33.7573272573 |
-117.869633452 |
-117.396432000037 |
33.9473970001715 |
14196 |
Kwasman, Alan |
1558383091 |
Physician |
UNKNOWN |
6950 Brockton Ave |
Riverside |
Riverside |
92506 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336227362 |
14166.67 |
14166.67 |
33.947397 |
-117.396432 |
-117.867477936358 |
33.7790861138332 |
14210 |
Lee, David |
1558401018 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.942861208378 |
34.0642982109937 |
14212 |
Suchak, Atul |
1558403386 |
Dentist |
UNKNOWN |
910 S Sunset Ave, Suite 3 |
West Covina |
Los Angeles |
91790 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1700222171 |
21250 |
21250 |
34.0642982115 |
-117.942861208 |
-121.950088796261 |
37.3006954738171 |
14213 |
Sharma, Rajni |
1558408039 |
Dentist |
UNKNOWN |
1315 S Winchester Blvd |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1932316270 |
21250 |
21250 |
37.3006954739 |
-121.950088796 |
-121.385951999785 |
38.6110530000959 |
14216 |
phan, vinh |
1558410589 |
Dentist |
UNKNOWN |
3337 El Camino Ave |
Sacramento |
Sacramento |
95821 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1104018894 |
21250 |
21250 |
38.611053 |
-121.385952 |
-119.159698864611 |
34.2931563264034 |
14221 |
Perez, Juan |
1558411926 |
Doctor of Optometry |
UNKNOWN |
200 S Wells Rd., Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1134369366 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
14229 |
AMOUR, PIERRE |
1558422246 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.982234500022 |
37.6472045360605 |
14232 |
VOQUY, HIEP |
1558434902 |
Physician |
PSYCHIATRY |
800 Scenic Drive |
Modesto |
Stanislaus |
95350 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831227974 |
21250 |
21250 |
37.6472045364 |
-120.9822345 |
-117.083254011663 |
32.638078788905 |
14240 |
Charles, Elvia |
1558445411 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
340 4th Ave |
Chula Vista |
San Diego |
91910 |
California |
2012 |
2013 |
1 |
AIU |
DE SALUD DE LA COMUNI CENTRO |
1184801433 |
21250 |
21250 |
32.6380787888 |
-117.083254012 |
-117.930532499575 |
33.8477939997933 |
14246 |
Kim, David |
1558448704 |
Dentist |
UNKNOWN |
1007 West La Palma Ave, Suite 3 |
Anaheim |
Orange |
92801 |
California |
2016 |
2016 |
1 |
AIU |
David H Kim |
1558448704 |
21250 |
21250 |
33.847794 |
-117.9305325 |
-118.972018818913 |
35.3821130442816 |
14256 |
Artacho Del Rosario, Salvador |
1558463943 |
Physician |
PSYCHIATRY |
1830 Flower St |
Bakersfield |
Kern |
93305 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1558463943 |
21250 |
21250 |
35.382113044 |
-118.972018819 |
-118.293223499565 |
33.892947000104 |
14260 |
Coronel Perey, Annette |
1558464818 |
Physician |
UNKNOWN |
1045 W. REDONDO BEACH BLVD, Ste 100 |
Gardena |
Los Angeles |
90247 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1952670341 |
21250 |
21250 |
33.892947 |
-118.2932235 |
-117.351431999587 |
33.9757374850969 |
14261 |
Gutierrez, Richard |
1558469890 |
Dentist |
UNKNOWN |
1835 UNIVERSITY AVE |
Riverside |
Riverside |
92507 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1164649034 |
21250 |
21250 |
33.9757374852 |
-117.351432 |
-120.823715927648 |
38.6957791157137 |
14269 |
Carmer, Kathleen |
1558470369 |
Nurse Practitioner |
NURSE PRACTITIONER |
4641 Missouri Flat Road |
Placerville |
El Dorado |
95667 |
California |
2016 |
2017 |
6 |
MU |
DORADO COUNTY COMM EL |
1609029362 |
63750 |
8500 |
38.6957791157 |
-120.823715928 |
-117.35686350005 |
33.1942410000222 |
14271 |
Tolentino, Gregorio |
1558482158 |
Dentist |
UNKNOWN |
1906 Oceanside Blvd, suite m |
Oceanside |
San Diego |
92054 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1558482158 |
21250 |
21250 |
33.194241 |
-117.3568635 |
-117.650609160684 |
34.0268346426047 |
14285 |
Al Jidui, Abbas |
1558498162 |
Dentist |
UNKNOWN |
2543 S Euclid Ave |
Ontario |
San Bernardino |
91762 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1558498162 |
21250 |
21250 |
34.0268346431 |
-117.650609161 |
-117.867477936358 |
33.7790861138332 |
14289 |
Pollack, Michael |
1558508978 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.47380489438 |
33.9050536770856 |
14294 |
Medina, David |
1558517342 |
Dentist |
UNKNOWN |
10925 Magnolia Ave |
Riverside |
Riverside |
92505 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1972922250 |
21250 |
21250 |
33.9050536769 |
-117.473804894 |
-121.862700000305 |
36.5863950001292 |
14295 |
DuBray, Kara |
1558519793 |
Physician |
INFECTIOUS DISEASE |
1900 Garden Rd, suite 110 |
Monterey |
Monterey |
93940 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1558519793 |
14166.67 |
14166.67 |
36.586395 |
-121.8627 |
-121.565801673608 |
39.1195374389017 |
14296 |
Azad, Gagandeep |
1558522466 |
Physician |
UNKNOWN |
5730 Packard Ave, Suite 600 |
Marysville |
Yuba |
95901 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1558522466 |
21250 |
21250 |
39.1195374394 |
-121.565801674 |
-118.045849499755 |
34.5569309997659 |
14302 |
borisson, silvia |
1558531483 |
Dentist |
UNKNOWN |
4654 E Avenue S Ste A |
Palmdale |
Los Angeles |
93552 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1366501579 |
21250 |
21250 |
34.556931 |
-118.0458495 |
-121.376389500375 |
38.5562970003064 |
14311 |
Oh, Jooyoung |
1558559401 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-120.047020805166 |
36.9454384767044 |
14319 |
power, dawn |
1558573931 |
Dentist |
UNKNOWN |
950 E Almond Ave, Ste 102 |
Madera |
Madera |
93637 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1558573931 |
21250 |
21250 |
36.9454384774 |
-120.047020805 |
-121.931844043068 |
37.3128740632874 |
14320 |
Do, Bichlan |
1558570119 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
2 |
MU |
Designated Payee Name not Found |
1558570119 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-116.952862499805 |
32.8077314592395 |
14325 |
Gong, Rong |
1558576447 |
Dentist |
UNKNOWN |
742 Broadway |
El Cajon |
San Diego |
92021 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1558576447 |
21250 |
21250 |
32.8077314591 |
-116.9528625 |
-117.867477936358 |
33.7790861138332 |
14329 |
SIDHU, HARDEEP |
1558593277 |
Dentist |
UNKNOWN |
530 South Main Street |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
14332 |
amatya, liza |
1558593590 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
14335 |
Zoulas, Kristina |
1558598672 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.425511500255 |
37.7362079999992 |
14337 |
Ho, Drew |
1558601955 |
Nurse Practitioner |
UNKNOWN |
730 N Central Ave |
Tracy |
San Joaquin |
95376 |
California |
2014 |
2016 |
1 |
AIU |
Drew Ho |
1558601955 |
21250 |
21250 |
37.736208 |
-121.4255115 |
-117.867477936358 |
33.7790861138332 |
14350 |
Trinh, An |
1558649830 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.871910999593 |
34.1338500000775 |
14354 |
Arnouk, Maher |
1558651950 |
Dentist |
UNKNOWN |
210 S Grand Ave, Suite 420 |
Glendora |
Los Angeles |
91741 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1013357300 |
21250 |
21250 |
34.13385 |
-117.871911 |
-120.86305199965 |
37.4923349997605 |
14367 |
Taha, Razan |
1558674655 |
Physician |
UNKNOWN |
1200 W Main St |
Turlock |
Stanislaus |
95380 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1558674655 |
21250 |
21250 |
37.492335 |
-120.863052 |
-117.867477936358 |
33.7790861138332 |
14368 |
Kim, Daniel |
1558677872 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.042042499562 |
33.9533640001486 |
14374 |
Trinh, Thomas |
1558685248 |
Dentist |
UNKNOWN |
9150 S. Painter Ave., #105A |
Whittier |
Los Angeles |
90602 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1639187974 |
21250 |
21250 |
33.953364 |
-118.0420425 |
-119.018416499822 |
35.3738699996009 |
14394 |
Auerbach Jimenez, Daniela |
1558814509 |
Dentist |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.27391808685 |
34.0286791746043 |
14403 |
Wilson, Libby |
1568405546 |
Physician |
PLASTIC AND RECONSTRUCTIVE SURGERY |
2400 S Flower St |
Los Angeles |
Los Angeles |
90007 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1093959900 |
21250 |
21250 |
34.0286791754 |
-118.273918087 |
-121.35092849985 |
38.5640909999997 |
14409 |
McCarthy, Malia |
1568445450 |
Physician |
UNKNOWN |
9343 Tech Center Dr |
Sacramento |
Sacramento |
95826 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1477748630 |
21250 |
21250 |
38.564091 |
-121.3509285 |
-118.443346549004 |
34.0637399640282 |
14420 |
Satou, Gary |
1568463537 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1568463537 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-119.018416499822 |
35.3738699996009 |
14425 |
Dixon, William |
1568478469 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.131262702811 |
33.9361443508811 |
14427 |
Chon, Manuel |
1568478725 |
Physician |
OBSTETRICS/GYNECOLOGY |
11480 Brookshire Ave |
Downey |
Los Angeles |
90241 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1568478725 |
46750 |
8500 |
33.936144351 |
-118.131262703 |
-118.452473999575 |
34.1866874887367 |
14429 |
HAKIMIAN, EBRAHIM |
1568481174 |
Physician |
GENERAL PRACTICE |
14649 Victory Blvd Ste 22 |
Van Nuys |
Los Angeles |
91411 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1699914937 |
21250 |
21250 |
34.1866874891 |
-118.452474 |
-118.122825951357 |
34.06393481474 |
14436 |
Tai, Liang-Yu |
1568487528 |
Physician |
FAMILY PRACTICE |
210 N Garfield Ave, Suite 203 |
Monterey Park |
Los Angeles |
91754 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1568487528 |
29750 |
8500 |
34.0639348149 |
-118.122825951 |
-121.551722325625 |
39.5023306563348 |
14440 |
Ku, Min |
1568490167 |
Dentist |
UNKNOWN |
2800 Lincoln Blvd |
Oroville |
Butte |
95966 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.5023306564 |
-121.551722326 |
-118.346111673115 |
34.1659218486145 |
14448 |
Westmoreland, Irena |
1568496024 |
Physician |
PSYCHIATRY |
859 N Hollywood Way, # 117 |
Burbank |
Los Angeles |
91505 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
34.165921849 |
-118.346111673 |
-117.900700385614 |
34.0862123231403 |
14453 |
Chun, Jihee |
1568501047 |
Dentist |
UNKNOWN |
556 West Badillo St |
Covina |
Los Angeles |
91722 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1124160452 |
21250 |
21250 |
34.0862123233 |
-117.900700386 |
-118.451241000272 |
34.1866284950091 |
14454 |
De Silva, Janesri |
1568502953 |
Physician |
UNKNOWN |
14608 Victory Blvd |
Van Nuys |
Los Angeles |
91411 |
California |
2020 |
2020 |
6 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
63750 |
8500 |
34.1866284951 |
-118.451241 |
-119.556427258811 |
36.7050968623304 |
14455 |
Roh, Deogsoo |
1568501872 |
Dentist |
UNKNOWN |
1329 8th St |
Sanger |
Fresno |
93657 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1568501872 |
21250 |
21250 |
36.705096862 |
-119.556427259 |
-118.442017047049 |
34.1497806717406 |
14459 |
Sarkissian, Ruzan |
1568506798 |
Dentist |
UNKNOWN |
14200 Ventura blvd.#201 |
Sherman Oaks |
Los Angeles |
91423 |
California |
2015 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1831452044 |
21250 |
21250 |
34.1497806722 |
-118.442017047 |
-118.23921609005 |
33.9115375093486 |
14470 |
Rodriguez, Wolfgang |
1568519692 |
Nurse Practitioner |
UNKNOWN |
2115 N. Wilmington Ave. |
Compton |
Los Angeles |
90222 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1568519692 |
21250 |
21250 |
33.9115375087 |
-118.23921609 |
-118.107927519739 |
33.8097510000087 |
14471 |
Vegesna, Sachidevi |
1568510527 |
Physician |
UNKNOWN |
2925 North Palo Verde |
Long Beach |
Los Angeles |
90815 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1568510527 |
21250 |
21250 |
33.809751 |
-118.10792752 |
-120.685903259728 |
35.2540080946978 |
14473 |
Mannard, Enn |
1568523819 |
Physician |
PSYCHIATRY |
1989 Vicente Dr |
San Luis Obispo |
San Luis Obispo |
93405 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1396803870 |
21250 |
21250 |
35.2540080946 |
-120.68590326 |
-118.109628000132 |
34.0100730000689 |
14475 |
bui, trinh |
1568527760 |
Dentist |
UNKNOWN |
833 W Whittier Blvd |
Montebello |
Los Angeles |
90640 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1558588566 |
21250 |
21250 |
34.010073 |
-118.109628 |
-116.185734000124 |
33.6921570000455 |
14478 |
DELGADO, CONNIE |
1568529048 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
49111 Hwy 111 Ste |
Coachella |
Riverside |
92236 |
California |
2018 |
2019 |
4 |
MU |
DE SALUD DEL PUEBLO CLINICAS |
1932381605 |
46750 |
8500 |
33.692157 |
-116.185734 |
-115.528558499675 |
32.9786155433727 |
14480 |
MESSERSCHMIDT, KATHLEEN |
1568529972 |
Physician |
UNKNOWN |
900 Main St |
Brawley |
Imperial |
92227 |
California |
2018 |
2019 |
6 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
63750 |
8500 |
32.9786155434 |
-115.5285585 |
-117.007278613417 |
32.7844548382203 |
14496 |
Short, Richard |
1568552727 |
Physician |
UNKNOWN |
8881 Fletcher Pkwy, suite 200 |
LA Mesa |
San Diego |
91942 |
California |
2019 |
2020 |
5 |
MU |
D. SZOLD, MD, INC PHILIP |
1427268747 |
52416.67 |
5666.67 |
32.7844548376 |
-117.007278613 |
-118.066251048447 |
33.803231952093 |
14518 |
Pinches, John |
1568577658 |
Physician |
UNKNOWN |
3801 Katella Ave Ste 302 |
Los Alamitos |
Orange |
90720 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1568577658 |
29750 |
8500 |
33.8032319517 |
-118.066251048 |
-119.78986499997 |
36.7767180004354 |
14522 |
Julian, Benito |
1568581262 |
Dentist |
UNKNOWN |
2818 N Blackstone Ave |
Fresno |
Fresno |
93703 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1568581262 |
21250 |
21250 |
36.776718 |
-119.789865 |
-117.195381204679 |
34.1216932848173 |
14523 |
chockalingam, chandra |
1568582534 |
Dentist |
UNKNOWN |
7291 Boulder Ave |
Highland |
San Bernardino |
92346 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1487848511 |
21250 |
21250 |
34.1216932846 |
-117.195381205 |
-119.555556831982 |
36.5110474410866 |
14524 |
Ky, Verock |
1568584555 |
Dentist |
UNKNOWN |
1064 Lewis St |
Kingsburg |
Fresno |
93631 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1568584555 |
21250 |
21250 |
36.5110474413 |
-119.555556832 |
-118.344982499643 |
33.9596904789325 |
14526 |
JOHNSON, RAYMONT |
1568589208 |
Dentist |
UNKNOWN |
808 E Manchester Blvd |
Inglewood |
Los Angeles |
90301 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1568589208 |
21250 |
21250 |
33.9596904787 |
-118.3449825 |
-117.867477936358 |
33.7790861138332 |
14535 |
Vashist, Sonia |
1568622819 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.931844043068 |
37.3128740632874 |
14539 |
Appelmans, Claire |
1568632123 |
Nurse Practitioner |
NURSE PRACTITIONER |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1568632123 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.107927519739 |
33.8097510000087 |
14545 |
Gray, DeeAnn |
1568638930 |
Certified Nurse - Midwife |
UNKNOWN |
2925 Palo Verde Ave |
Long Beach |
Los Angeles |
90815 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.809751 |
-118.10792752 |
-117.867477936358 |
33.7790861138332 |
14548 |
Agustin, Maria |
1568633295 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.448809522142 |
34.2205109998828 |
14557 |
Naziri, Peyman |
1568665909 |
Dentist |
UNKNOWN |
8227 VAN NUYS BLVD |
PANORAMA CITY |
Los Angeles |
91402 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1568766012 |
21250 |
21250 |
34.220511 |
-118.448809522 |
-121.551722325625 |
39.5023306563348 |
14559 |
VanMeurs, Dirk |
1568666808 |
Physician |
FAMILY PRACTICE |
2800 Lincoln Blvd |
Oroville |
Butte |
95966 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.5023306564 |
-121.551722326 |
-117.224441999798 |
33.8102354782848 |
14560 |
Chang, Soonhyuk |
1568668150 |
Dentist |
UNKNOWN |
126 AVOCADO AVE, SUITE 202 |
PERRIS |
Riverside |
92571 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1457542516 |
21250 |
21250 |
33.8102354777 |
-117.224442 |
-118.193679000086 |
33.9425640003284 |
14562 |
Stephens, David |
1568670305 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-121.863192812598 |
37.3563775253026 |
14565 |
Trinh, Phuc |
1568674539 |
Dentist |
UNKNOWN |
1608 McKee Rd, Suite 20 |
San Jose |
Santa Clara |
95116 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1548668544 |
21250 |
21250 |
37.3563775245 |
-121.863192813 |
-117.692675999798 |
34.063104512963 |
14569 |
HO, CECILLE |
1568682003 |
Dentist |
UNKNOWN |
5153 Holt Blvd, A2 |
Montclair |
San Bernardino |
91763 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1568682003 |
21250 |
21250 |
34.0631045134 |
-117.692676 |
-118.029573476735 |
34.1510278335677 |
14574 |
Nashed, Medhat |
1568687382 |
Dentist |
UNKNOWN |
45 E Foothill Blvd |
Arcadia |
Los Angeles |
91006 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1174724447 |
21250 |
21250 |
34.1510278338 |
-118.029573477 |
-117.867477936358 |
33.7790861138332 |
14586 |
Sharma, Ratika |
1568706968 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.193363999949 |
33.8000489995617 |
14597 |
Chang, Jeffrey |
1568739233 |
Physician |
UNKNOWN |
2360 Pacific Ave |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1568739233 |
21250 |
21250 |
33.800049 |
-118.193364 |
-118.109628000132 |
34.0100730000689 |
14600 |
Glosman, Monique |
1568741916 |
Dentist |
UNKNOWN |
833 W Whittier Blvd |
Montebello |
Los Angeles |
90640 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1558588566 |
21250 |
21250 |
34.010073 |
-118.109628 |
-121.005715140341 |
37.6390187161409 |
14606 |
Craig, Jacqueline |
1568752152 |
Physician |
UNKNOWN |
1114 6th Street |
Modesto |
Stanislaus |
95354 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1568752152 |
21250 |
21250 |
37.6390187164 |
-121.00571514 |
-119.018416499822 |
35.3738699996009 |
14613 |
Day-Scarinci, Morag |
1568774289 |
Physician |
PEDIATRIC MEDICINE |
1430 Truxtun Ave, STE 200 |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.957118999942 |
37.2477780003545 |
14615 |
Chen, Esther |
1568784478 |
Physician |
UNKNOWN |
16400 Lark Ave, Suite 150 |
Los Gatos |
Santa Clara |
95032 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1568784478 |
21250 |
21250 |
37.247778 |
-121.957119 |
-117.867477936358 |
33.7790861138332 |
14621 |
KAUR, HARMINDER |
1568802130 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.12290276605 |
34.0691540608113 |
14627 |
Ku, Marissa |
1568848174 |
Dentist |
UNKNOWN |
616 N Garfield Ave, # 102 |
Monterey Park |
Los Angeles |
91754 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1023379732 |
21250 |
21250 |
34.0691540605 |
-118.122902766 |
-116.902380018123 |
32.8249325563924 |
14642 |
Jared, George |
1568896264 |
Dentist |
UNKNOWN |
13465 Camino Canada Road, Ste. 110A |
El Cajon |
San Diego |
92021 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1568573954 |
21250 |
21250 |
32.8249325558 |
-116.902380018 |
-118.404414735751 |
34.2789575259691 |
14649 |
bandyan, karl |
1578506002 |
Physician |
UNKNOWN |
12450 Van Nuys Blvd, 200 |
Pacoima |
Los Angeles |
91331 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1225073786 |
21250 |
21250 |
34.2789575262 |
-118.404414736 |
-122.419007999619 |
37.7838180003005 |
14651 |
Turner, Blair |
1568879005 |
Nurse Practitioner |
UNKNOWN |
726 Polk Street, 4th Floor, Asian and Pacific Islander Wellness Center, Inc. |
San Francisco |
San Francisco |
94109 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1568879005 |
21250 |
21250 |
37.783818 |
-122.419008 |
-119.13169066839 |
36.2988754701269 |
14654 |
Hagopian-Dresser, Laurie |
1578513610 |
Physician |
FAMILY PRACTICE |
1014 San Juan Avenue |
Exeter |
Tulare |
93221 |
California |
2012 |
2013 |
1 |
AIU |
DELTA HEALTHCARE KAWEAH |
1043272172 |
21250 |
21250 |
36.2988754701 |
-119.131690668 |
-117.322597008045 |
34.1312669996723 |
14668 |
Nguyen, Henry |
1578534020 |
Physician |
OTOLARYNGOLOGY |
1800 Medical Center Dr, Suite 105 |
San Bernardino |
San Bernardino |
92411 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1578534020 |
21250 |
21250 |
34.131267 |
-117.322597008 |
-121.931844043068 |
37.3128740632874 |
14669 |
Lavetter, Allan |
1578528709 |
Physician |
UNKNOWN |
751 S Bascom Ave, Pediatrics Department |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1578528709 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.451619999963 |
33.9459085151659 |
14697 |
Gonzalez-Diaz, Grisel |
1578576294 |
Dentist |
UNKNOWN |
7201 Alrington Ave, Ste A |
Riverside |
Riverside |
92503 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1578576294 |
21250 |
21250 |
33.9459085152 |
-117.45162 |
-117.950836818964 |
33.7594488189079 |
14700 |
Trinh, Thanh-Mai |
1578589560 |
Physician |
OBSTETRICS/GYNECOLOGY |
10212 Westminster Ave, 114 |
Garden Grove |
Orange |
92843 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1578589560 |
21250 |
21250 |
33.7594488194 |
-117.950836819 |
-121.823510987242 |
37.3187160610974 |
14706 |
PHAM, AN |
1578597241 |
Physician |
UNKNOWN |
1693 Flanigan Dr, Suite # 101 |
San Jose |
Santa Clara |
95121 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1578597241 |
21250 |
21250 |
37.3187160611 |
-121.823510987 |
-119.018416499822 |
35.3738699996009 |
14712 |
Querol, Caleb |
1578604880 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.011626999886 |
33.8376420001782 |
14713 |
SAMSON, MERCEDES |
1578605226 |
Physician |
GENERAL PRACTICE |
8615 Knott Ave Ste 3 |
Buena Park |
Orange |
90620 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1578605226 |
21250 |
21250 |
33.837642 |
-118.011627 |
-117.957630630449 |
33.781311368425 |
14715 |
Bui, Cecilia |
1578611216 |
Dentist |
UNKNOWN |
10042 Lampson Ave, Suite 101 |
arden Grove |
Orange |
92840 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1932577665 |
21250 |
21250 |
33.7813113683 |
-117.95763063 |
-119.159698864611 |
34.2931563264034 |
14716 |
Stevenson, Keshea |
1578608279 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2014 |
2014 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1679631907 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-117.345708000024 |
34.5284044801826 |
14723 |
parikh, sujal |
1578622304 |
Dentist |
UNKNOWN |
14515 Mojave Drive, Ste A2 |
Victorville |
San Bernardino |
92394 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1306004718 |
21250 |
21250 |
34.5284044799 |
-117.345708 |
-117.11707650028 |
32.7551555392968 |
14724 |
Tien, Timothy |
1578629283 |
Dentist |
UNKNOWN |
3531 El Cajon Blvd Ste A |
San Diego |
San Diego |
92104 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1275837171 |
21250 |
21250 |
32.755155539 |
-117.1170765 |
-117.867477936358 |
33.7790861138332 |
14725 |
Sorrell, Marvis |
1578621801 |
Dentist |
UNKNOWN |
530 South Main St., #202 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.25692200005 |
34.0039565093854 |
14726 |
Lawrence, Patrick |
1578625364 |
Physician |
OBSTETRICS/GYNECOLOGY |
1061 E Vernon Ave, Suite F |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
3 |
MU |
DEL SOCORRO MEDICAL CLINICA |
1215263827 |
38250 |
8500 |
34.003956509 |
-118.256922 |
-118.034379817075 |
34.0733737419047 |
14727 |
Kpaduwa, Julius |
1578630125 |
Physician |
OBSTETRICS/GYNECOLOGY |
11036 Valley Mall |
El Monte |
Los Angeles |
91731 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1578630125 |
21250 |
21250 |
34.0733737416 |
-118.034379817 |
-118.904656500397 |
34.1825850000977 |
14734 |
PATIL-HOLT, MANGALA |
1578639670 |
Dentist |
UNKNOWN |
1000 Newbury Rd, Suite 250 |
Thousand Oaks |
Ventura |
91320 |
California |
2011 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.182585 |
-118.9046565 |
-124.083714126805 |
40.8760468021183 |
14738 |
Alston, Gerald |
1578650388 |
Physician |
FAMILY PRACTICE |
785 18th Street |
Arcata |
Humboldt |
95521 |
California |
2018 |
2019 |
6 |
MU |
DOOR COMM HLTH CTRS OPEN |
1689778813 |
63750 |
8500 |
40.8760468021 |
-124.083714127 |
-118.496487227004 |
34.1582042607181 |
14743 |
Paikal, David |
1578659405 |
Physician |
UNKNOWN |
16661 Ventura Blvd., Suite 522 |
Encino |
Los Angeles |
91436 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1578659405 |
21250 |
21250 |
34.1582042606 |
-118.496487227 |
-117.269828822042 |
34.5406465815745 |
14751 |
Villarosa, Daniel |
1578666129 |
Physician |
UNKNOWN |
18064 Wika Rd, Suite #102 |
Apple Valley |
San Bernardino |
92307 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1578666129 |
21250 |
21250 |
34.5406465818 |
-117.269828822 |
-119.018416499822 |
35.3738699996009 |
14763 |
Betancourt, Amy |
1578676904 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.303307999664 |
34.1804430002443 |
14770 |
Hartoonian, Armen |
1578685236 |
Dentist |
UNKNOWN |
401 S Glenoaks Blvd, Suite 100 |
Burbank |
Los Angeles |
91502 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1578685236 |
21250 |
21250 |
34.180443 |
-118.303308 |
-117.960367065088 |
34.0876031840398 |
14773 |
Patel, Prakash |
1578698858 |
Dentist |
UNKNOWN |
4138 N. MAINE AVE, SUITE N-3 |
BALDWIN PARK |
Los Angeles |
91706 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1487068748 |
21250 |
21250 |
34.0876031841 |
-117.960367065 |
-121.40568449964 |
38.5977510000087 |
14774 |
Mekkam, Rita |
1578706958 |
Nurse Practitioner |
PHYSICIAN ASSISTANT |
1750 Wright St, Ste 4 |
Sacramento |
Sacramento |
95825 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1578706958 |
21250 |
21250 |
38.597751 |
-121.4056845 |
-117.867477936358 |
33.7790861138332 |
14781 |
Tsui, Maximilian |
1578719068 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.825695999771 |
33.7885200002978 |
14789 |
Dobalian, Daniel |
1578743894 |
Physician |
OBSTETRICS/GYNECOLOGY |
2617 E Chapman Ave ste312 |
Orange |
Orange |
92869 |
California |
2011 |
2013 |
1 |
AIU |
DANIEL D MD DOBALIAN |
1063519668 |
21250 |
21250 |
33.78852 |
-117.825696 |
-117.288417255652 |
33.9399885317454 |
14793 |
Saucedo, Sergio |
1578747820 |
Dentist |
UNKNOWN |
6165 Valley Springs Pkwy., Ste. E |
Riverside |
Riverside |
92507 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1124324561 |
21250 |
21250 |
33.9399885322 |
-117.288417256 |
-117.430681500251 |
34.106610535348 |
14803 |
Correa, Francisco |
1578759866 |
Dentist |
UNKNOWN |
17171 Foothill Blvd, Suite B |
Fontana |
San Bernardino |
92335 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1659568848 |
21250 |
21250 |
34.1066105351 |
-117.4306815 |
-118.444621982818 |
34.0648588357667 |
14806 |
Pineles, Stacy |
1578739645 |
Physician |
OPHTHALMOLOGY |
100 Stein Plz, 1-340 |
Los Angeles |
UNKNOWN |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1578739645 |
21250 |
21250 |
34.064858836 |
-118.444621983 |
-121.931844043068 |
37.3128740632874 |
14812 |
Cintron, Linda |
1578778171 |
Physician |
ANESTHESIOLOGY |
751 South Bascom Avenue |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1578778171 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-119.752966901901 |
36.7940396912788 |
14815 |
Vang, Kao |
1578781712 |
Dentist |
UNKNOWN |
4304 E. Ashlan Ave. |
Fresno |
Fresno |
93726 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1225228091 |
21250 |
21250 |
36.7940396905 |
-119.752966902 |
-117.774105279035 |
34.1161792238921 |
14819 |
Lee, Diana |
1578790465 |
Dentist |
UNKNOWN |
1516 Foothill Blvd |
La Verne |
Los Angeles |
91750 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1578790465 |
21250 |
21250 |
34.1161792243 |
-117.774105279 |
-117.14027990929 |
32.708638780955 |
14821 |
Gonzalez, Margarita |
1578791653 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
316 25th Street |
San Diego |
San Diego |
92102 |
California |
2013 |
2013 |
2 |
MU |
DESERT FAMILY HIGH |
1982658142 |
29750 |
8500 |
32.7086387805 |
-117.140279909 |
-122.268312000199 |
37.805814000216 |
14842 |
Davis, Draak |
1578837837 |
Dentist |
UNKNOWN |
1624 FRANKLIN STREET, STE 1206 |
OAKLAND |
Alameda |
94612 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1417371345 |
21250 |
21250 |
37.805814 |
-122.268312 |
-118.605927964304 |
34.1893799995873 |
14846 |
Martinez, Arianna |
1578855474 |
Dentist |
UNKNOWN |
6543 Topanga Cyn Blvd |
Woodland Hills |
Los Angeles |
91303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
34.18938 |
-118.605927964 |
-118.355741229574 |
33.7824420050945 |
14856 |
Yoonessi, Leila |
1578873428 |
Physician |
UNKNOWN |
26572 Academy Drive |
Rancho Palos Verdes |
Los Angeles |
90274 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1578873428 |
21250 |
21250 |
33.7824420047 |
-118.35574123 |
-118.193679000086 |
33.9425640003284 |
14861 |
Chauhan, Anuradha |
1578896494 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-117.330668570898 |
33.8873971398662 |
14879 |
Jhawar, Harbir |
1578937272 |
Dentist |
UNKNOWN |
19040 VAN BUREN BOULEVARD, #111 |
Riverside |
Riverside |
92508 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1255610242 |
21250 |
21250 |
33.8873971401 |
-117.330668571 |
-117.085087381278 |
32.7072053083783 |
14880 |
Kim, Donghee |
1578948089 |
Nurse Practitioner |
UNKNOWN |
292 Euclid Ave, Suite 210 |
San Diego |
San Diego |
92114 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1578948089 |
21250 |
21250 |
32.7072053084 |
-117.085087381 |
-117.075665608681 |
33.0276331337622 |
14884 |
Reesor, Jason |
1578934717 |
Dentist |
UNKNOWN |
11968 Bernardo |
San Diego |
San Diego |
92128 |
California |
2016 |
2017 |
1 |
AIU |
DENTAL GROUP CROWN |
1538487640 |
21250 |
21250 |
33.027633134 |
-117.075665609 |
-117.867477936358 |
33.7790861138332 |
14891 |
Onuegbu, Felix |
1578970109 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
14897 |
Cook, Jason |
1578994034 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.626878573687 |
36.6796192540254 |
14920 |
Magana, Maria |
1588070569 |
Doctor of Optometry |
UNKNOWN |
950 Circle Dr |
Salinas |
Monterey |
93905 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.6796192539 |
-121.626878574 |
-117.352773353707 |
34.071932436233 |
14924 |
Spini, Anne |
1588078208 |
Physician |
UNKNOWN |
400 N Pepper Ave, Behavioral Health |
Colton |
San Bernardino |
92324 |
California |
2016 |
2017 |
1 |
AIU |
Department of Behavioral Health |
1164467023 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
-120.827405971908 |
38.706282365339 |
14929 |
Bossard, Adria |
1588106371 |
Nurse Practitioner |
UNKNOWN |
4327 Golden Center Dr |
Placerville |
El Dorado |
95667 |
California |
2020 |
2020 |
5 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
55250 |
8500 |
38.706282365 |
-120.827405972 |
-121.442093999638 |
38.5663590002677 |
14932 |
McCrimons, Daniel |
1588600431 |
Physician |
UNKNOWN |
5030 J St, 301 |
Sacramento |
Sacramento |
95819 |
California |
2014 |
2015 |
3 |
MU |
DANIEL E MD MCCRIMONS |
1588600431 |
31166.67 |
8500 |
38.566359 |
-121.442094 |
-117.161098636393 |
32.7504236969961 |
14949 |
Richley, Sunny |
1588608475 |
Physician |
INTERNAL MEDICINE |
4020 fifth aveneue |
San Diego |
San Diego |
92103 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1588608475 |
29750 |
8500 |
32.7504236966 |
-117.161098636 |
-121.849814317077 |
37.306313644759 |
14957 |
Horowitz, Robert |
1588628812 |
Physician |
INTERNAL MEDICINE |
500 Tully Rd, Chaboya Primary Care Clinic |
San Jose |
Santa Clara |
95111 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1588721500 |
29750 |
8500 |
37.3063136448 |
-121.849814317 |
-121.931844043068 |
37.3128740632874 |
14965 |
Bressack, Michael |
1588637037 |
Physician |
UNKNOWN |
751 S Bascom Ave, Pediatrics Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588637037 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-119.018416499822 |
35.3738699996009 |
14975 |
Grewal, Deepinder |
1588672968 |
Dentist |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.166123410367 |
32.7537362796057 |
14976 |
Solomon, Nancy |
1588673214 |
Physician |
PSYCHIATRY |
200 W Arbor Dr |
San Diego |
San Diego |
92103 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760431670 |
21250 |
21250 |
32.7537362795 |
-117.16612341 |
-118.972018818913 |
35.3821130442816 |
14977 |
Padhy, Ranjit |
1588675680 |
Physician |
PSYCHIATRY |
1830 Flower Street |
Bakersfield |
Kern |
93305 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588675680 |
21250 |
21250 |
35.382113044 |
-118.972018819 |
-121.242795002687 |
36.3212265520638 |
14978 |
Shirrell, Aimee |
1588676522 |
Physician |
UNKNOWN |
808 Oak Ave |
Greenfield |
Monterey |
93927 |
California |
2015 |
2016 |
5 |
MU |
DE SALUD DEL CLINICAS |
1043351133 |
55250 |
8500 |
36.3212265523 |
-121.242795003 |
-118.381149000126 |
34.0741800003068 |
14985 |
Nesburn, Anthony |
1588678957 |
Physician |
OPHTHALMOLOGY |
8635 W 3rd Street, #390W |
Los Angeles |
Los Angeles |
90048 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1407058787 |
21250 |
21250 |
34.07418 |
-118.381149 |
-122.294101499684 |
38.2947299997897 |
14988 |
TEMPLETON, AMANDA |
1588687461 |
Physician |
UNKNOWN |
1801 Oak St |
Napa |
Napa |
94559 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1972897346 |
21250 |
21250 |
38.29473 |
-122.2941015 |
-118.978325546786 |
35.3790741550483 |
14997 |
Kim, Yuseok |
1588705891 |
Dentist |
UNKNOWN |
1518 Niles Street |
Bakersfield |
Kern |
93305 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588705891 |
21250 |
21250 |
35.3790741551 |
-118.978325547 |
-118.358118000146 |
34.0445520000748 |
14998 |
Rankovic, Ana |
1588703839 |
Dentist |
UNKNOWN |
5417 Venice Blvd |
Los Angeles |
Los Angeles |
90019 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1588703839 |
21250 |
21250 |
34.044552 |
-118.358118 |
-119.021234048812 |
35.4134376038624 |
15003 |
tran, phuoc |
1588707418 |
Dentist |
UNKNOWN |
715 N CHESTER AVE |
Bakersfield |
Kern |
93308 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1497737506 |
21250 |
21250 |
35.4134376042 |
-119.021234049 |
-117.465776526865 |
33.9172399710479 |
15014 |
Savani, Manubhai |
1588722821 |
Dentist |
UNKNOWN |
4080 Tyler St, Suite D |
Riverside |
Riverside |
92503 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588722821 |
21250 |
21250 |
33.9172399711 |
-117.465776527 |
-117.688302000437 |
34.0262605127126 |
15019 |
Phung, Duong |
1588725659 |
Physician |
OBSTETRICS/GYNECOLOGY |
5365 Walnut Ave, Suite A |
Chino |
San Bernardino |
91710 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588725659 |
21250 |
21250 |
34.0262605132 |
-117.688302 |
-117.94275450022 |
33.8507004539628 |
15020 |
Rofael, Rafik |
1588726673 |
Dentist |
UNKNOWN |
1719 W Romneya Dr |
Anaheim |
Orange |
92801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1588726673 |
21250 |
21250 |
33.8507004538 |
-117.9427545 |
-117.988669847735 |
33.691450662618 |
15023 |
Bigdeli, Foruzan |
1588727556 |
Dentist |
UNKNOWN |
18682 Beach Blvd, #100 |
Huntington Beach |
Orange |
92648 |
California |
2017 |
2018 |
2 |
MU |
DR. FORUZAN DDS BIGDELI |
1588727556 |
29750 |
8500 |
33.6914506626 |
-117.988669848 |
-122.407149450087 |
37.7614542154398 |
15068 |
Lucco, Kerith |
1588780662 |
Physician |
OBSTETRICS/GYNECOLOGY |
625 Potrero Ave., |
San Francisco |
San Francisco |
94110 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1407821523 |
21250 |
21250 |
37.7614542151 |
-122.40714945 |
-117.822454436623 |
33.7882813696895 |
15072 |
Mroch, Mark |
1588781637 |
Dentist |
UNKNOWN |
112 N McPherson Rd |
Orange |
Orange |
92869 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1285806141 |
21250 |
21250 |
33.7882813702 |
-117.822454437 |
-124.100958397712 |
40.9351139998113 |
15086 |
Vu, Tara |
1588821847 |
Physician |
UNKNOWN |
1644 Central Avenue |
McKinleyville |
Humboldt |
95519 |
California |
2017 |
2018 |
6 |
MU |
DOOR COMM HLTH CTRS OPEN |
1598858169 |
63750 |
8500 |
40.935114 |
-124.100958398 |
-117.867477936358 |
33.7790861138332 |
15104 |
beck, yanina |
1588845564 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.395694500301 |
38.5976790002857 |
15116 |
chen, james |
1588864417 |
Dentist |
UNKNOWN |
1820 Alvondale Ave., Suite 4 |
Sacramento |
Sacramento |
95825 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1588864417 |
21250 |
21250 |
38.597679 |
-121.3956945 |
-119.018416499822 |
35.3738699996009 |
15129 |
Laurel, Walter |
1588911960 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.32721298599 |
33.9620958947098 |
15134 |
AMBARTSUMYAN, ARTUR |
1588913107 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
8444 CRENSHAW BLVD |
INGLEWOOD |
Los Angeles |
90305 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1588913107 |
21250 |
21250 |
33.9620958954 |
-118.327212986 |
-116.961791977218 |
33.2771591455781 |
15140 |
Hein, Gregory |
1588923585 |
Dentist |
UNKNOWN |
50100 Golsh Road |
Valley Center |
San Diego |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588923585 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-117.867477936358 |
33.7790861138332 |
15155 |
hothi, manmeet |
1588971949 |
Dentist |
UNKNOWN |
530 South Main St., Apt #203 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
15158 |
HERNANDEZ, CINDY |
1588974497 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S Wells Rd, Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL INC CLINICAS |
1093933194 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
15160 |
Kalawi, Sophia |
1588980007 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.284884999943 |
34.0523784823811 |
15161 |
Kim, Joel |
1588979744 |
Dentist |
UNKNOWN |
2528 West Olympic Blvd, Suite 110-111 |
Los Angeles |
Los Angeles |
90006 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588979744 |
21250 |
21250 |
34.0523784823 |
-118.284885 |
-117.738380180201 |
34.0107645814203 |
15162 |
Khan, Wajiha |
1588983654 |
Physician |
UNKNOWN |
3110 Chino Ave, 150A |
Chino Hills |
San Bernardino |
91709 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1588983654 |
21250 |
21250 |
34.010764581 |
-117.73838018 |
-117.867477936358 |
33.7790861138332 |
15172 |
Mazaheri, Shadi |
1598005498 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.835643033099 |
33.7982039999147 |
15177 |
Etemadieh, Ali-Reza |
1598019739 |
Dentist |
UNKNOWN |
665 N. Tustin St. Ste W |
Orange |
Orange |
92867 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598019739 |
21250 |
21250 |
33.798204 |
-117.835643033 |
-122.46118324571 |
37.7624926958812 |
15180 |
Nichelini, Jeffrey |
1598015257 |
Dentist |
UNKNOWN |
707 Parnassus Ave, D-3000 |
San Francisco |
San Francisco |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1598015257 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-120.943651729843 |
37.7327159999435 |
15187 |
Moti, Omairah |
1598029647 |
Physician |
UNKNOWN |
58150 Patterson Road |
Riverbank |
Stanislaus |
95367 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1518298306 |
21250 |
21250 |
37.732716 |
-120.94365173 |
-117.867477936358 |
33.7790861138332 |
15190 |
Attri, Birdevinder |
1598043671 |
Dentist |
UNKNOWN |
530 South Main St., APT # 1226 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
15195 |
Saeidi, Azar |
1598043499 |
Dentist |
UNKNOWN |
530 South Main St., TelTub Inc. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.279931141209 |
40.393917451829 |
15202 |
Abaya, Romeo |
1598053506 |
Physician |
UNKNOWN |
20833 Long Branch Dr, Lassen Medical Group Inc |
Cottonwood |
Shasta |
96022 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598053506 |
21250 |
21250 |
40.3939174521 |
-122.279931141 |
-118.193679000086 |
33.9425640003284 |
15207 |
Rattan, Pooja |
1598085078 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-118.211863499601 |
34.041131999742 |
15209 |
Shahgaldian, Christine |
1598084832 |
Dentist |
UNKNOWN |
2323 E 4th Street |
Los Angeles |
Los Angeles |
90033 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1972930873 |
21250 |
21250 |
34.041132 |
-118.2118635 |
-117.44350756832 |
33.916550898805 |
15211 |
Tiep, Sambath |
1598093643 |
Dentist |
UNKNOWN |
3564 Van Buren Blvd |
Riverside |
Riverside |
92503 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1063532802 |
21250 |
21250 |
33.9165508992 |
-117.443507568 |
-117.313429499871 |
34.0907130001049 |
15216 |
OROZCO, MANLIO |
1598100810 |
Dentist |
UNKNOWN |
555 S Mount Vernon Ave, Suite G |
San Bernardino |
UNKNOWN |
92410 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1275946469 |
21250 |
21250 |
34.090713 |
-117.3134295 |
-117.867477936358 |
33.7790861138332 |
15249 |
Kaur, Navneet |
1598197592 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.962897500319 |
32.799050999604 |
15259 |
Tulagan, Joseph |
1598722555 |
Physician |
UNKNOWN |
396 North Magnolia Ave. |
El Cajon |
San Diego |
92020 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1598722555 |
29750 |
8500 |
32.799051 |
-116.9628975 |
-120.97571381624 |
37.6729216239339 |
15264 |
le, binh |
1598729410 |
Physician |
FAMILY PRACTICE |
2020 Coffee Rd, suite A3 |
Modesto |
Stanislaus |
95355 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1598729410 |
21250 |
21250 |
37.6729216239 |
-120.975713816 |
-119.13169066839 |
36.2988754701269 |
15285 |
Molina, Arthur |
1598775934 |
Physician |
FAMILY PRACTICE |
1014 San Juan Avenue |
Exeter |
Tulare |
93221 |
California |
2015 |
2017 |
3 |
MU |
DELTA HEALTHCARE KAWEAH |
1043272172 |
38250 |
8500 |
36.2988754701 |
-119.131690668 |
-118.203022217801 |
34.0626159023021 |
15305 |
Reemtsen, Brian |
1598795288 |
Physician |
CARDIAC SURGERY |
1520 San Pablo St, Suite 4300 |
Los Angeles |
Los Angeles |
90033 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1598795288 |
21250 |
21250 |
34.062615902 |
-118.203022218 |
-118.393975957624 |
34.2395150830547 |
15314 |
Zarrinpar, David |
1598802803 |
Physician |
UNKNOWN |
9375 San Fernando Road |
Sun Valley |
Los Angeles |
91352 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1598802803 |
29750 |
8500 |
34.2395150827 |
-118.393975958 |
-116.958756086324 |
33.7730826814206 |
15315 |
Baraiya, Ramjibhai |
1598812737 |
Dentist |
UNKNOWN |
1497 S San Jacinto Ave, Suite B |
San Jacinto |
Riverside |
92583 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1598812737 |
21250 |
21250 |
33.7730826807 |
-116.958756086 |
-121.950088796261 |
37.3006954738171 |
15319 |
Thai, Hung |
1598819070 |
Dentist |
UNKNOWN |
1315 S Winchester Blvd |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1932316270 |
21250 |
21250 |
37.3006954739 |
-121.950088796 |
-117.867477936358 |
33.7790861138332 |
15326 |
Akhavan, Tarlan |
1598828717 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.435743827216 |
34.0744475755952 |
15330 |
kang, sarmukh |
1598831471 |
Dentist |
UNKNOWN |
9870 Sierra Ave Ste B |
Fontana |
San Bernardino |
92335 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1598831471 |
21250 |
21250 |
34.0744475765 |
-117.435743827 |
-118.439854441929 |
34.2999390717308 |
15350 |
Sarafian, Norman |
1598848079 |
Dentist |
UNKNOWN |
12653 Glenoaks Blvd. |
Sylmar |
Los Angeles |
91342 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1760807358 |
21250 |
21250 |
34.2999390721 |
-118.439854442 |
-118.090509253399 |
34.0649097796626 |
15355 |
Nguyen, Cang |
1598854580 |
Dentist |
UNKNOWN |
3106 San Gabriel Blvd, Suite G |
Rosemead |
Los Angeles |
91770 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1790818268 |
21250 |
21250 |
34.0649097799 |
-118.090509253 |
-117.301117499573 |
34.1357850002776 |
15357 |
boby, seena |
1598854648 |
Dentist |
UNKNOWN |
807 W Highland Ave |
San Bernardino |
San Bernardino |
92405 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1598854648 |
21250 |
21250 |
34.135785 |
-117.3011175 |
-120.478374991213 |
37.2995863983936 |
15361 |
FONG, JOHNNY |
1598862377 |
Physician |
PEDIATRIC MEDICINE |
143 W Main St |
Merced |
Merced |
95340 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1598862377 |
21250 |
21250 |
37.299586398 |
-120.478374991 |
-121.382540999867 |
38.6271899996188 |
15365 |
Hayashi, Randall |
1598863961 |
Dentist |
UNKNOWN |
3428 Watt Ave, Suite A |
Sacramento |
Sacramento |
95821 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1598863961 |
21250 |
21250 |
38.62719 |
-121.382541 |
-121.93091550025 |
37.312308000314 |
15378 |
Ho, Tiffany |
1598895559 |
Physician |
UNKNOWN |
828 S Bascom Ave Ste 200 |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1598895559 |
21250 |
21250 |
37.312308 |
-121.9309155 |
-117.434458496362 |
34.0703385021203 |
15380 |
HUANG, STEVE |
1598900680 |
Dentist |
UNKNOWN |
16989 Valley Blvd, Suite B |
Fontana |
San Bernardino |
92335 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1477983203 |
21250 |
21250 |
34.0703385023 |
-117.434458496 |
-117.961091860201 |
33.8030092781557 |
15382 |
Nguyen, Kiet |
1598902967 |
Dentist |
UNKNOWN |
9864 Katella Ave |
Anaheim |
Orange |
92804 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1598902967 |
21250 |
21250 |
33.8030092785 |
-117.96109186 |
-121.376389500375 |
38.5562970003064 |
15387 |
ARATA, GASTON |
1598917767 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-118.352974500373 |
33.9492330003028 |
15388 |
Courtney, Latoya |
1598914988 |
Nurse Practitioner |
UNKNOWN |
1091 S. La Brea |
Inglewood |
Los Angeles |
90301 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1598914988 |
21250 |
21250 |
33.949233 |
-118.3529745 |
-117.566387442427 |
34.4262895384315 |
15392 |
Katbamna, Dipak |
1598925000 |
Dentist |
UNKNOWN |
4365 Phelan Rd |
Phelan |
San Bernardino |
92371 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1164876462 |
21250 |
21250 |
34.4262895383 |
-117.566387442 |
-117.083254011663 |
32.638078788905 |
15396 |
Montes, LORENA |
1598934788 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
340 4th Ave |
Chula Vista |
San Diego |
91910 |
California |
2012 |
2013 |
1 |
AIU |
DE SALUD DE LA COMUNI CENTRO |
1184801433 |
21250 |
21250 |
32.6380787888 |
-117.083254012 |
-117.835723204063 |
33.7605692959363 |
15398 |
Nazeri, Maryam |
1598938326 |
Dentist |
UNKNOWN |
1717 Old Tustin Ave |
Santa Ana |
Orange |
92705 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1447486352 |
21250 |
21250 |
33.7605692957 |
-117.835723204 |
-117.649973430829 |
34.0888419515948 |
15406 |
Transito, Nicolas |
1598947681 |
Dentist |
UNKNOWN |
77 E 7TH ST, SUITE C |
UPLAND |
San Bernardino |
91786 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1720227556 |
21250 |
21250 |
34.0888419517 |
-117.649973431 |
-117.955746000378 |
33.7299839997618 |
15408 |
HO, MONGLAN |
1598947913 |
Dentist |
UNKNOWN |
16027 Brookhurst St, Ste J |
Fountain Valley |
Orange |
92708 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1811098064 |
21250 |
21250 |
33.729984 |
-117.955746 |
-118.149190689599 |
34.0770691865937 |
15409 |
Li, Sum |
1598955874 |
Dentist |
UNKNOWN |
2311 W Valley Blvd |
Alhambra |
Los Angeles |
91803 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1306254800 |
21250 |
21250 |
34.0770691865 |
-118.14919069 |
-117.259848000285 |
33.9187320002816 |
15410 |
melgoza, jose |
1598970923 |
Dentist |
UNKNOWN |
23080 Alessandro Blvd, Suite 201 |
Moreno Valley |
Riverside |
92553 |
California |
2016 |
2017 |
1 |
AIU |
DR. DEZAS DENTAL OFFICE INC. |
1548612856 |
21250 |
21250 |
33.918732 |
-117.259848 |
-117.091957870759 |
32.630295340058 |
15411 |
saldana, ronaldo |
1598962441 |
Dentist |
UNKNOWN |
665 H St Ste E |
Chula Vista |
San Diego |
91910 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598962441 |
21250 |
21250 |
32.6302953397 |
-117.091957871 |
-118.12290276605 |
34.0691540608113 |
15415 |
Chien, Chen-Fong |
1598973752 |
Dentist |
UNKNOWN |
616 N Garfield Ave, # 102 |
Monterey Park |
Los Angeles |
91754 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1023379732 |
21250 |
21250 |
34.0691540605 |
-118.122902766 |
-115.502452563835 |
32.6940522126396 |
15420 |
alemi, hamed |
1598984924 |
Dentist |
UNKNOWN |
233 W Cole Blvd |
Calexico |
Imperial |
92231 |
California |
2018 |
2019 |
3 |
MU |
DE SALUD DEL CLINICAS |
1962599266 |
38250 |
8500 |
32.6940522127 |
-115.502452564 |
-117.957537000232 |
34.0877340003239 |
15427 |
arteaga, anamaria |
1598989436 |
Dentist |
UNKNOWN |
14607 Ramona Blvd, Ste B |
Baldwin Park |
Los Angeles |
91706 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1740468339 |
21250 |
21250 |
34.087734 |
-117.957537 |
-118.376972653765 |
34.0535177282606 |
15429 |
YABHOUBI, EDMOND |
1598991457 |
Dentist |
UNKNOWN |
8525 Pico Blvd |
Los Angeles |
Los Angeles |
90035 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1124464508 |
21250 |
21250 |
34.0535177277 |
-118.376972654 |
-119.018416499822 |
35.3738699996009 |
15439 |
Johnston, James |
1609029255 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.440681000128 |
38.4951689998495 |
15440 |
Sharma, Shivani |
1609033901 |
Physician |
FAMILY PRACTICE |
7215 55th Street |
Sacramento |
Sacramento |
95823 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1467724161 |
21250 |
21250 |
38.495169 |
-121.440681 |
-117.829188550211 |
34.0736943439189 |
15445 |
Thomas, Adriana |
1609049543 |
Dentist |
UNKNOWN |
1120 Via Verde |
San Dimas |
Los Angeles |
91773 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1114136827 |
21250 |
21250 |
34.0736943436 |
-117.82918855 |
-119.159698864611 |
34.2931563264034 |
15446 |
sarun, victoria |
1609048347 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
200 S. Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2013 |
2013 |
2 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-118.578649499575 |
34.2009864808415 |
15447 |
Sosa-Turcios, Luis |
1609049949 |
Dentist |
UNKNOWN |
20434 Sherman Way |
Canoga Park |
Los Angeles |
91306 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1255597027 |
21250 |
21250 |
34.2009864807 |
-118.5786495 |
-115.528558499675 |
32.9786155433727 |
15450 |
Bustamante, Leticia |
1609058924 |
Nurse Practitioner |
UNKNOWN |
900 Main St |
Brawley |
Imperial |
92227 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1649269747 |
21250 |
21250 |
32.9786155434 |
-115.5285585 |
-118.536107997386 |
34.2237600004237 |
15460 |
Amini, Kamyar |
1609067040 |
Physician |
OTOLARYNGOLOGY |
8435 RESEDA BLVD |
NORTHRIDGE |
Los Angeles |
91324 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1609067040 |
21250 |
21250 |
34.22376 |
-118.536107997 |
-117.169517934705 |
32.7876688614289 |
15465 |
Selaya, AnneMarie |
1609072362 |
Physician |
PEDIATRIC MEDICINE |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2014 |
2015 |
2 |
MU |
DIEGO FAMILY CARE SAN |
1780665877 |
29750 |
8500 |
32.7876688612 |
-117.169517935 |
-119.159698864611 |
34.2931563264034 |
15472 |
Soliman, Peter |
1609073360 |
Physician |
FAMILY PRACTICE |
200 S. Wells Road, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
34000 |
8500 |
34.2931563259 |
-119.159698865 |
-118.187343371599 |
33.8090145901513 |
15474 |
Nguyen, Phuong Hanh |
1609078716 |
Dentist |
UNKNOWN |
455 E Columbia St., Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
5 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
55250 |
8500 |
33.8090145898 |
-118.187343372 |
-117.867477936358 |
33.7790861138332 |
15475 |
Lai, Yong |
1609078435 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.931844043068 |
37.3128740632874 |
15476 |
Reyes, Susie |
1609079854 |
Physician |
INTERNAL MEDICINE |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1609079854 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-119.77221201777 |
36.8021879995766 |
15477 |
Xu, Cathy |
1609078831 |
Physician |
PEDIATRIC MEDICINE |
4646 N. First Street, Ste 102 |
Fresno |
Fresno |
93726 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1609078831 |
21250 |
21250 |
36.802188 |
-119.772212018 |
-118.467250734933 |
34.262455944886 |
15482 |
Benjamin, Hilma |
1609088269 |
Physician |
UNKNOWN |
10550 Sepulveda Blvd, Suite 101 |
Mission Hills |
Los Angeles |
91345 |
California |
2020 |
2020 |
6 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
63750 |
8500 |
34.2624559453 |
-118.467250735 |
-121.411845000446 |
38.5732529998261 |
15500 |
Vaughn, Jesse |
1609125319 |
Nurse Practitioner |
NURSE PRACTITIONER |
1 SCRIPS DRIVE SUITE 102 |
SACRAMENTO |
UNKNOWN |
95864 |
California |
2014 |
2015 |
1 |
AIU |
D HADDADAN INC KAYVAN |
1427322635 |
21250 |
21250 |
38.573253 |
-121.411845 |
-118.185075988266 |
33.780257999707 |
15551 |
Murray, James |
1609800044 |
Physician |
UNKNOWN |
1045 Atlantic Ave, Suite 712 |
Long Beach |
Los Angeles |
90813 |
California |
2018 |
2019 |
5 |
MU |
Designated Payee Name not Found |
1609800044 |
55250 |
8500 |
33.780258 |
-118.185075988 |
-121.943316171904 |
37.3217306326626 |
15553 |
Gupta, Reena |
1609800762 |
Dentist |
UNKNOWN |
373 S Monroe St, St 203 |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1629290960 |
21250 |
21250 |
37.3217306334 |
-121.943316172 |
-121.634037000008 |
36.697248000395 |
15572 |
Kurtz, Robert |
1609819663 |
Physician |
PSYCHIATRY |
1270 Natividad Road |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730211178 |
21250 |
21250 |
36.697248 |
-121.634037 |
-124.100958397712 |
40.9351139998113 |
15574 |
Carroll, Joseph |
1609839075 |
Physician |
INTERNAL MEDICINE |
1644 Central Ave |
McKinleyville |
Humboldt |
95519 |
California |
2016 |
2017 |
5 |
MU |
DOOR COMM HLTH CTRS OPEN |
1598858169 |
55250 |
8500 |
40.935114 |
-124.100958398 |
-121.892717440258 |
37.3411630908041 |
15579 |
Patel, Sarita |
1609844539 |
Physician |
UNKNOWN |
55 East Julian Street |
San Jose |
Santa Clara |
95112 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1407985534 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
-121.848331978938 |
37.366345584781 |
15590 |
Abellera, Nilda Agnes |
1609863638 |
Physician |
UNKNOWN |
2350 McKee Rd, Suite 1 |
San Jose |
Santa Clara |
95116 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1609863638 |
21250 |
21250 |
37.366345585 |
-121.848331979 |
-117.812182499822 |
33.7470750001112 |
15595 |
KALMANOWITZ, STUART |
1609873223 |
Physician |
OBSTETRICS/GYNECOLOGY |
13152 Newport Ave |
Tustin |
Orange |
92780 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1497759005 |
21250 |
21250 |
33.747075 |
-117.8121825 |
-117.943190165094 |
34.0642911540136 |
15598 |
Shiflett, Kanoknuch |
1609873876 |
Dentist |
UNKNOWN |
933 S Sunset Ave, Ste 205 |
West Covina |
Los Angeles |
91790 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1265624985 |
21250 |
21250 |
34.0642911544 |
-117.943190165 |
-118.187343371599 |
33.8090145901513 |
15603 |
Lee, David |
1609890631 |
Dentist |
UNKNOWN |
455 East Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
5 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
55250 |
8500 |
33.8090145898 |
-118.187343372 |
-121.397723964389 |
36.8522727425931 |
15607 |
Le, Diep |
1609895184 |
Dentist |
UNKNOWN |
195 Meridian St, Suite A5 |
Hollister |
San Benito |
95023 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1043629827 |
21250 |
21250 |
36.8522727427 |
-121.397723964 |
-119.018416499822 |
35.3738699996009 |
15615 |
Yousefian Tehrani, Hrair |
1609880921 |
Physician |
UNKNOWN |
1430 Truxton Ave, Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
15621 |
Vasquez, Jerson |
1609904366 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.95858302059 |
33.7876469996094 |
15624 |
Phan, Mindy |
1609905850 |
Dentist |
UNKNOWN |
12042 Brookhurst St |
Garden Grove |
Orange |
92840 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1861558207 |
21250 |
21250 |
33.787647 |
-117.958583021 |
-119.610538198279 |
36.5669684847078 |
15632 |
Conde, Nimfa |
1609919240 |
Dentist |
UNKNOWN |
1801 Tucker Street |
Selma |
Fresno |
93662 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1609919240 |
21250 |
21250 |
36.5669684846 |
-119.610538198 |
-118.146982499643 |
34.587917999716 |
15635 |
suh, susie |
1609924281 |
Dentist |
UNKNOWN |
849 W Palmdale Blvd |
Palmdale |
Los Angeles |
93551 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1609924281 |
21250 |
21250 |
34.587918 |
-118.1469825 |
-118.187343371599 |
33.8090145901513 |
15637 |
Kam, Curtis |
1609925320 |
Dentist |
UNKNOWN |
455 East Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
5 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
55250 |
8500 |
33.8090145898 |
-118.187343372 |
-117.081903247037 |
32.6434402780465 |
15641 |
NOYES, ANGELINA |
1609930213 |
Dentist |
UNKNOWN |
230 Landis Ave |
Chula Vista |
San Diego |
91910 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1275628133 |
21250 |
21250 |
32.6434402775 |
-117.081903247 |
-117.730314572659 |
34.0629330832952 |
15654 |
Amisola, Sheila |
1609949635 |
Dentist |
UNKNOWN |
1021 East Holt Avenue |
Pomona |
Los Angeles |
91767 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1609949635 |
21250 |
21250 |
34.062933083 |
-117.730314573 |
-117.125910000246 |
32.9165369999826 |
15655 |
Le, Yen |
1609952084 |
Dentist |
UNKNOWN |
9225 Mira Mesa Blvd, Suite 206 |
San Diego |
San Diego |
92126 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1609952084 |
21250 |
21250 |
32.916537 |
-117.12591 |
-121.457684223948 |
37.7542858839864 |
15674 |
ACUMAN, FRANCISCA |
1609966464 |
Dentist |
UNKNOWN |
2271 W Grant Line Rd, Suite 117 |
Tracy |
San Joaquin |
95377 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1760757819 |
21250 |
21250 |
37.7542858839 |
-121.457684224 |
-117.524540171891 |
33.9753809093016 |
15678 |
makadia, Dinesh |
1609978121 |
Dentist |
UNKNOWN |
11058 Limonite Ave |
Mira Loma |
Riverside |
91752 |
California |
2012 |
2013 |
1 |
AIU |
Dinesh makadia |
1609978121 |
21250 |
21250 |
33.9753809089 |
-117.524540172 |
-119.018416499822 |
35.3738699996009 |
15684 |
Garcia, Lawrence |
1609989037 |
Physician |
UNKNOWN |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.481325000249 |
38.5705530003208 |
15687 |
Gerstein, Jeffrey |
1609989649 |
Physician |
PSYCHIATRY |
1500 21st Street |
Sacramento |
Sacramento |
95811 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1609989649 |
21250 |
21250 |
38.570553 |
-121.481325 |
-118.575004499658 |
34.2087390002047 |
15692 |
Assatourians, Albert |
1619007598 |
Dentist |
UNKNOWN |
20263 Saticoy Street, Suite F |
Canoga Park |
Los Angeles |
91306 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1750795969 |
21250 |
21250 |
34.208739 |
-118.5750045 |
-117.867477936358 |
33.7790861138332 |
15696 |
Mirai, Arman |
1619013570 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.212481930996 |
33.9339695086859 |
15707 |
MARTINEZ, DANIEL |
1619023983 |
Dentist |
UNKNOWN |
10900 Long Beach Blvd |
Lynwood |
Los Angeles |
90262 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1043444276 |
21250 |
21250 |
33.933969509 |
-118.212481931 |
-117.867477936358 |
33.7790861138332 |
15711 |
Wong, David |
1619026374 |
Dentist |
UNKNOWN |
530 South Main St., Suite 408 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.383398999564 |
34.0681320001917 |
15718 |
Melamed, Soly |
1619031697 |
Physician |
UNKNOWN |
150 N. ROBERTSON BLVD, SUITE # 205 |
BEVERLY HILLS |
Los Angeles |
90211 |
California |
2012 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1346481975 |
29750 |
8500 |
34.068132 |
-118.383399 |
-117.867477936358 |
33.7790861138332 |
15719 |
ye, chong |
1619036472 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.993061204011 |
33.8122832957376 |
15723 |
tran, mun |
1619041001 |
Dentist |
UNKNOWN |
10342 Beach Blvd |
Stanton |
Orange |
90680 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1023204401 |
21250 |
21250 |
33.8122832957 |
-117.993061204 |
-115.502840999912 |
32.6940194764177 |
15724 |
Luem, Carl |
1619047008 |
Physician |
OBSTETRICS/GYNECOLOGY |
223 W Cole Blvd |
Calexico |
Imperial |
92231 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1962599266 |
21250 |
21250 |
32.6940194761 |
-115.502841 |
-118.156796445 |
34.0203284397058 |
15725 |
boutros, atef |
1619024775 |
Dentist |
UNKNOWN |
5207 East Whittier Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1639229099 |
21250 |
21250 |
34.0203284402 |
-118.156796445 |
-117.301089329209 |
33.6670490256921 |
15732 |
cadavid, fredia |
1619053501 |
Dentist |
UNKNOWN |
31571 Canyon Estate Dr, Suite 200 |
LAKE ELSINORE |
Riverside |
92532 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1326281031 |
21250 |
21250 |
33.6670490263 |
-117.301089329 |
-117.970600500113 |
33.7303495094224 |
15735 |
VUONG, HAU |
1619057619 |
Physician |
OBSTETRICS/GYNECOLOGY |
9091 Edinger Ave Ste A |
Westminster |
Orange |
92683 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1619057619 |
21250 |
21250 |
33.7303495088 |
-117.9706005 |
-119.449131759823 |
36.5964973238924 |
15741 |
Fanaian, Masoud |
1619062619 |
Dentist |
UNKNOWN |
1140 F. St |
Reedley |
UNKNOWN |
93654 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1619062619 |
21250 |
21250 |
36.5964973245 |
-119.44913176 |
-119.13169066839 |
36.2988754701269 |
15756 |
GHALY, ASH |
1619081528 |
Physician |
FAMILY PRACTICE |
1014 San Juan Avenue |
Exeter |
Tulare |
93221 |
California |
2015 |
2017 |
3 |
MU |
DELTA HEALTHCARE KAWEAH |
1043272172 |
38250 |
8500 |
36.2988754701 |
-119.131690668 |
-118.395826667966 |
33.9862207472897 |
15758 |
Mcquirter, Joseph |
1619084985 |
Dentist |
UNKNOWN |
5903 Sepulveda Blvd, Suite B |
Culver City |
Los Angeles |
90230 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1851649123 |
21250 |
21250 |
33.9862207472 |
-118.395826668 |
-116.074152000414 |
33.5692744864285 |
15772 |
Ruiz, Victor |
1619097730 |
Physician |
UNKNOWN |
91275 66th Ave, Suite 500 |
Mecca |
Riverside |
92254 |
California |
2018 |
2019 |
3 |
MU |
DE SALUD DEL CLINICAS |
1932280633 |
38250 |
8500 |
33.5692744859 |
-116.074152 |
-120.413076960333 |
34.9528340951175 |
15773 |
Arakaki, Henry |
1619096914 |
Dentist |
UNKNOWN |
1430 E Main St |
Santa Maria |
Santa Barbara |
93454 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1619096914 |
21250 |
21250 |
34.9528340951 |
-120.41307696 |
-119.781801000416 |
36.7616610003549 |
15781 |
Desabelle, Alessandra |
1619100088 |
Dentist |
UNKNOWN |
1409 N. Fresno Street, 1409 N. Fresno Street |
Fresno |
Fresno |
93703 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1619100088 |
21250 |
21250 |
36.761661 |
-119.781801 |
-117.014722818203 |
34.898594227042 |
15789 |
jang, saehoon |
1619120250 |
Dentist |
UNKNOWN |
912 E Main St |
Barstow |
San Bernardino |
92311 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1366758005 |
21250 |
21250 |
34.8985942273 |
-117.014722818 |
-118.446236463742 |
34.0652250001337 |
15796 |
Lee, James |
1619119187 |
Physician |
UNKNOWN |
200 Medical Plz, 265 |
Los Angeles |
UNKNOWN |
90095 |
California |
2018 |
2019 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.065225 |
-118.446236464 |
-117.669843340798 |
35.6418000003698 |
15811 |
VanHuse, Cherie |
1619165057 |
Physician |
INTERNAL MEDICINE |
1111 N China Lake Blvd, Suite 190 |
Ridgecrest |
Kern |
93555 |
California |
2013 |
2014 |
1 |
MU |
Designated Payee Name not Found |
1619165057 |
21250 |
21250 |
35.6418 |
-117.669843341 |
-117.708083999877 |
34.0550460001728 |
15814 |
Han, Xiang Ning |
1619175452 |
Dentist |
UNKNOWN |
4439 Mission Blvd, Unit E |
Montclair |
San Bernardino |
91763 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1821188277 |
21250 |
21250 |
34.055046 |
-117.708084 |
-118.273853516427 |
33.934113000015 |
15816 |
Ayodele, Emmanuel |
1619169406 |
Physician |
GENERAL PRACTICE |
11126 S Main St |
Los Angeles |
Los Angeles |
90061 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1386942977 |
21250 |
21250 |
33.934113 |
-118.273853516 |
-117.867477936358 |
33.7790861138332 |
15817 |
cua, gracia |
1619176252 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.287262500164 |
38.120597999698 |
15820 |
Arthur, Rebecca |
1619174844 |
Physician |
UNKNOWN |
999 S. Fairmount Ave., Ste. 205 |
Lodi |
San Joaquin |
95240 |
California |
2015 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1619174844 |
29750 |
8500 |
38.120598 |
-121.2872625 |
-118.174708057831 |
34.0878021428547 |
15821 |
PATEL, HIRENKUMAR |
1619180098 |
Dentist |
UNKNOWN |
4977 Huntington Dr N |
Los Angeles |
Los Angeles |
90032 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1306059795 |
21250 |
21250 |
34.0878021432 |
-118.174708058 |
-118.142594900734 |
34.0256212692063 |
15823 |
Reyes, Martin |
1619184223 |
Dentist |
UNKNOWN |
3534 W Beverly Blvd |
Montebello |
Los Angeles |
90640 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1619184223 |
21250 |
21250 |
34.0256212687 |
-118.142594901 |
-117.985531499779 |
33.817539506643 |
15824 |
Choi, Harold |
1619179900 |
Dentist |
UNKNOWN |
2801 W. Ball Road, Suite 10 |
Anaheim |
Orange |
92804 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1770785651 |
21250 |
21250 |
33.8175395074 |
-117.9855315 |
-117.867477936358 |
33.7790861138332 |
15825 |
soriano, roy |
1619182037 |
Dentist |
UNKNOWN |
530 S main Street |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1619182037 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.943190165094 |
34.0642911540136 |
15848 |
Lee, Paul |
1619227352 |
Dentist |
UNKNOWN |
933 S Sunset Ave, Ste 208 |
West Covina |
Los Angeles |
91790 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1679985477 |
21250 |
21250 |
34.0642911544 |
-117.943190165 |
-117.867477936358 |
33.7790861138332 |
15850 |
Nourimahdavi, Niloufar |
1619230836 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.192009500438 |
33.7696200001629 |
15852 |
Suard, Cory |
1619238052 |
Physician |
UNKNOWN |
200 Pine Ave. Suite 400 |
Long Beach |
Los Angeles |
90802 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1104942044 |
21250 |
21250 |
33.76962 |
-118.1920095 |
-118.011626999886 |
33.8376420001782 |
15853 |
Morales, Olivia |
1619246006 |
Nurse Practitioner |
UNKNOWN |
8615 Knott Ave., Suite #3 |
Buena Park |
Orange |
90620 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1619246006 |
21250 |
21250 |
33.837642 |
-118.011627 |
-117.969385499841 |
33.7449444801037 |
15855 |
Tran, Dillon |
1619248903 |
Physician |
UNKNOWN |
9191 Bolsa Ave. #215 - 216 |
Westminster |
Orange |
92683 |
California |
2020 |
2020 |
5 |
MU |
DILLON N DO TRAN |
1619248903 |
55250 |
8500 |
33.7449444799 |
-117.9693855 |
-117.867477936358 |
33.7790861138332 |
15865 |
Criswell, Garrett |
1619261807 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.085551423759 |
40.8688668703099 |
15873 |
Zertuche, Kara |
1619272952 |
Nurse Practitioner |
UNKNOWN |
670 Ninth Street, Suite 203 |
Arcata |
Humboldt |
95521 |
California |
2017 |
2018 |
6 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1730330739 |
63750 |
8500 |
40.8688668704 |
-124.085551424 |
-122.646489753 |
41.7186503676204 |
15879 |
Vernon, Allen |
1619297843 |
Dentist |
UNKNOWN |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1619297843 |
21250 |
21250 |
41.7186503677 |
-122.646489753 |
-117.867477936358 |
33.7790861138332 |
15888 |
Aguilar Rios, Carlos |
1619310430 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.018416499822 |
35.3738699996009 |
15892 |
Nguyen, Thuy |
1619344868 |
Nurse Practitioner |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-122.419007999619 |
37.7838180003005 |
15896 |
hunter, Mary |
1619360435 |
Physician |
UNKNOWN |
726 Polk Street 4th Floor |
San Francisco |
San Francisco |
94109 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1619360435 |
21250 |
21250 |
37.783818 |
-122.419008 |
-117.169517934705 |
32.7876688614289 |
15898 |
santangelo, joanne |
1619370475 |
Nurse Practitioner |
UNKNOWN |
6973 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2015 |
2016 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-118.122825951357 |
34.06393481474 |
15901 |
Tai, Lynn |
1619373198 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
210 N Garfield Ave, 203 |
Monterey Park |
Los Angeles |
91754 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1619373198 |
21250 |
21250 |
34.0639348149 |
-118.122825951 |
-121.626878573687 |
36.6796192540254 |
15904 |
nguyen, hoang quynh |
1619375243 |
Dentist |
UNKNOWN |
950 Circle Dr |
Salinas |
Monterey |
93905 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.6796192539 |
-121.626878574 |
-116.961791977218 |
33.2771591455781 |
15922 |
Calac, Esther |
1619914686 |
Nurse Practitioner |
UNKNOWN |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1619914686 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-117.169517934705 |
32.7876688614289 |
15926 |
Kuranaka, Tracy |
1619930542 |
Physician |
PSYCHIATRY |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2011 |
2012 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1962483040 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-115.502452563835 |
32.6940522126396 |
15971 |
Fontaine, Luc |
1629000724 |
Physician |
UNKNOWN |
233 W Cole Blvd |
Calexico |
Imperial |
92231 |
California |
2018 |
2019 |
4 |
MU |
DE SALUD DEL CLINICAS |
1962599266 |
46750 |
8500 |
32.6940522127 |
-115.502452564 |
-118.443346549004 |
34.0637399640282 |
15978 |
Shannon, Kevin |
1629005368 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1629005368 |
14166.67 |
14166.67 |
34.0637399643 |
-118.443346549 |
-117.291967796177 |
34.1337439007605 |
15982 |
Meyer, Bruce |
1629018817 |
Physician |
UNKNOWN |
1996 N D Street |
San Bernardino |
San Bernardino |
92405 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1629018817 |
21250 |
21250 |
34.1337439014 |
-117.291967796 |
-121.414598999744 |
38.5772760000874 |
15996 |
Budd, Scott |
1629025390 |
Physician |
UNKNOWN |
650 Howe Avenue, Suite 100 |
Sacramento |
Sacramento |
95825 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1629025390 |
14166.67 |
14166.67 |
38.577276 |
-121.414599 |
-119.13169066839 |
36.2988754701269 |
15998 |
Khademi, Talaksoon |
1629029194 |
Physician |
OBSTETRICS/GYNECOLOGY |
1014 San Juan Avenue |
Exeter |
Tulare |
93221 |
California |
2015 |
2017 |
3 |
MU |
DELTA HEALTHCARE KAWEAH |
1043272172 |
38250 |
8500 |
36.2988754701 |
-119.131690668 |
-121.931844043068 |
37.3128740632874 |
16029 |
Ashraf, Irmeen |
1629081005 |
Physician |
PEDIATRIC MEDICINE |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1629081005 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.991157646808 |
33.7592911731492 |
16030 |
Nguyen, Phuc |
1629078852 |
Physician |
UNKNOWN |
7901 WESTMINSTER |
WESTMINSTER |
Orange |
92683 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1114121407 |
21250 |
21250 |
33.7592911727 |
-117.991157647 |
-121.645808999686 |
36.6576570002704 |
16052 |
Yamamoto, Shelley |
1629112768 |
Physician |
UNKNOWN |
260 San Jose St |
Salinas |
Monterey |
93901 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1629112768 |
21250 |
21250 |
36.657657 |
-121.645809 |
-118.214741464147 |
33.8560450637287 |
16053 |
Okpara, Douglas |
1629111018 |
Physician |
UNKNOWN |
19301 S Santa Fe Ave, Suite 120 |
Compton |
Los Angeles |
90221 |
California |
2012 |
2013 |
2 |
MU |
DOUGLAS MD OKPARA |
1629111018 |
29750 |
8500 |
33.8560450635 |
-118.214741464 |
-121.770459000383 |
36.9341280001072 |
16060 |
Hong, Louis |
1629128681 |
Dentist |
UNKNOWN |
1714 Freedom Blvd |
Freedom |
Santa Cruz |
95019 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1629128681 |
21250 |
21250 |
36.934128 |
-121.770459 |
-117.261090000003 |
33.9332760000874 |
16062 |
clayton, ethan |
1629130257 |
Doctor of Optometry |
UNKNOWN |
23000 Atlantic Circle |
Moreno Valley |
Riverside |
92553 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1629130257 |
21250 |
21250 |
33.933276 |
-117.26109 |
-121.304308500237 |
38.5961400003608 |
16078 |
Roberts, Stephanie |
1629143813 |
Physician |
UNKNOWN |
10390 Coloma Rd, #B |
Rancho Cordova |
Sacramento |
95670 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1700991445 |
21250 |
21250 |
38.59614 |
-121.3043085 |
-117.078030000084 |
33.1081199999381 |
16090 |
Sauza, Samuel |
1629154166 |
Dentist |
UNKNOWN |
431 West 13th Ave, Suite C |
Escondido |
San Diego |
92025 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1417354747 |
21250 |
21250 |
33.10812 |
-117.07803 |
-122.62766813058 |
38.9499316736079 |
16098 |
Welker, Gerald |
1629159264 |
Physician |
UNKNOWN |
15230 Lakeshore Dr. |
Clearlake |
Lake |
95422 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1629159264 |
21250 |
21250 |
38.9499316736 |
-122.627668131 |
-118.193798957056 |
33.7925160002133 |
16099 |
Jernigan, Joan |
1629160023 |
Dentist |
UNKNOWN |
1939 Pacific Ave |
Long Beach |
Los Angeles |
90806 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1194923573 |
21250 |
21250 |
33.792516 |
-118.193798957 |
-119.758442318058 |
34.4424059156006 |
16110 |
Johnson, Karen |
1629171558 |
Physician |
PEDIATRIC MEDICINE |
215 Pesetas Ln |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1629171558 |
26916.67 |
5666.67 |
34.4424059162 |
-119.758442318 |
-121.937102999604 |
37.3157190002318 |
16111 |
Steinke, Gary |
1629161161 |
Physician |
GERIATRIC MEDICINE |
2400 Moorpark Ave, VHC Moorpark Geriatrics Clinic |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1629161161 |
21250 |
21250 |
37.315719 |
-121.937103 |
-121.626707703398 |
36.6771240931025 |
16118 |
Lew, James |
1629177506 |
Physician |
UNKNOWN |
219 N. Sanborn Rd. |
Salinas |
Monterey |
93905 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1477694263 |
21250 |
21250 |
36.677124093 |
-121.626707703 |
-121.931844043068 |
37.3128740632874 |
16120 |
Philip, Bridget |
1629173984 |
Physician |
ANESTHESIOLOGY |
751 S Bascom Ave, Anesthesiology Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1629173984 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-120.491111179238 |
37.3252442488231 |
16127 |
Hom, Harry |
1629191457 |
Dentist |
UNKNOWN |
1208 Paseo Verde Dr. |
Merced |
Merced |
95348 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1184674582 |
21250 |
21250 |
37.3252442495 |
-120.491111179 |
-124.083714126805 |
40.8760468021183 |
16136 |
Hoopman, Eloi |
1629204557 |
Physician |
UNKNOWN |
785 18th Street |
Arcata |
Humboldt |
95521 |
California |
2016 |
2017 |
6 |
MU |
DOOR COMM HLTH CTRS OPEN |
1689778813 |
63750 |
8500 |
40.8760468021 |
-124.083714127 |
-121.456646999859 |
38.5524089999754 |
16139 |
Winnicki, Erica |
1629207394 |
Physician |
UNKNOWN |
2516 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1629207394 |
21250 |
21250 |
38.552409 |
-121.456647 |
-121.456678500412 |
38.5551810001031 |
16144 |
Palmer, Genevieve |
1629224175 |
Physician |
UNKNOWN |
2315 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1629224175 |
29750 |
8500 |
38.555181 |
-121.4566785 |
-120.836466000306 |
37.5095159997636 |
16155 |
pazouki, fatemeh |
1629240544 |
Physician |
OBSTETRICS/GYNECOLOGY |
1801 Colorado Ave |
Turlock |
Stanislaus |
95382 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083865430 |
21250 |
21250 |
37.509516 |
-120.836466 |
-120.491111179238 |
37.3252442488231 |
16156 |
Callahan, Randy |
1629246202 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1208 Paseo Verde Dr. |
Merced |
Merced |
95348 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1184674582 |
21250 |
21250 |
37.3252442495 |
-120.491111179 |
-119.221061037737 |
34.1986410003819 |
16161 |
tirgari, ashkan |
1629260153 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
480 S VICTORIA AVE, Suite D |
Oxnard |
Ventura |
93030 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1629260153 |
21250 |
21250 |
34.198641 |
-119.221061038 |
-121.862700000305 |
36.5863950001292 |
16168 |
Tao, Yanli |
1629261169 |
Physician |
PEDIATRIC MEDICINE |
1900 Garden Rd, Suite 110 |
Monterey |
Monterey |
93940 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1629261169 |
14166.67 |
14166.67 |
36.586395 |
-121.8627 |
-121.634037000008 |
36.697248000395 |
16169 |
Guiroy, Don |
1629263512 |
Physician |
PSYCHIATRY |
1441 Constitution Blvd Bldg 400, 202 |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730211178 |
21250 |
21250 |
36.697248 |
-121.634037 |
-117.867303000233 |
33.749514000171 |
16174 |
caceres, julio |
1629265723 |
Dentist |
UNKNOWN |
517 N Main St Ste 300 |
Santa Ana |
Orange |
92701 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1629265723 |
21250 |
21250 |
33.749514 |
-117.867303 |
-119.181261635916 |
34.15469895879 |
16176 |
Nguyen, Tu Minh |
1629278569 |
Dentist |
UNKNOWN |
420 W PLEASANT VALLEY RD |
OXNARD |
Ventura |
93033 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1255544789 |
21250 |
21250 |
34.1546989594 |
-119.181261636 |
-118.220514575687 |
34.140957924069 |
16178 |
Janjik, Talin |
1629284617 |
Dentist |
UNKNOWN |
2455 Colorado Blvd Ste.16 |
Los Angeles |
Los Angeles |
90041 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1770642548 |
21250 |
21250 |
34.140957924 |
-118.220514576 |
-116.182523843101 |
33.7099451962139 |
16186 |
Joe, Sooho |
1629294608 |
Dentist |
UNKNOWN |
51807 Harrison St, Ste 102-103 |
Coachella |
Riverside |
92236 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1235337692 |
21250 |
21250 |
33.709945196 |
-116.182523843 |
-117.922348323616 |
33.643508824173 |
16195 |
Kim, Jason |
1629302138 |
Dentist |
UNKNOWN |
570 W. 19th St |
Costa Mesa |
Orange |
92627 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1679910533 |
21250 |
21250 |
33.6435088235 |
-117.922348324 |
-121.456646999859 |
38.5524089999754 |
16202 |
Lozano, Reymundo |
1629323456 |
Physician |
UNKNOWN |
2516 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2014 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1629323456 |
21250 |
21250 |
38.552409 |
-121.456647 |
-117.435738296385 |
34.0755468592002 |
16203 |
Yang, Seul ki |
1629324439 |
Dentist |
UNKNOWN |
9810 Sierra Ave, Ste D |
Fontana |
San Bernardino |
92335 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP FONTANA |
1205051000 |
21250 |
21250 |
34.0755468591 |
-117.435738296 |
-117.906327000291 |
34.0483770001985 |
16205 |
Lu, Xiaofang |
1629325725 |
Dentist |
UNKNOWN |
1414 S Azusa Ave, B-10, STE B-10 |
West Covina |
Los Angeles |
91791 |
California |
2017 |
2018 |
2 |
MU |
DENTISTRY PEARL |
1245630474 |
29750 |
8500 |
34.048377 |
-117.906327 |
-117.867477936358 |
33.7790861138332 |
16206 |
Lim, Jacqueline |
1629328869 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
16208 |
Egli, Jennifer |
1629330980 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.146181542444 |
40.8024420806375 |
16237 |
Meshcheryakova, Anna |
1629402466 |
Physician |
UNKNOWN |
2200 Tydd Street, Suite 203 |
Eureka |
Humboldt |
95501 |
California |
2017 |
2018 |
2 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
29750 |
8500 |
40.802442081 |
-124.146181542 |
-117.096649475593 |
32.6724439653168 |
16272 |
Nazareno, Arbert |
1629527023 |
Nurse Practitioner |
UNKNOWN |
1428 Highland Ave |
National City |
San Diego |
91950 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1629527023 |
21250 |
21250 |
32.6724439651 |
-117.096649476 |
-121.931844043068 |
37.3128740632874 |
16279 |
Barreto, Patricia |
1639107550 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1639107550 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-121.271373000364 |
38.7007739998203 |
16284 |
Lizarraga, Miguel |
1639121486 |
Physician |
FAMILY PRACTICE |
7400 Sunrise Boulevard |
Citrus Heights |
Sacramento |
95610 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1376815084 |
21250 |
21250 |
38.700774 |
-121.271373 |
-121.645808999686 |
36.6576570002704 |
16286 |
BRENNAN, JAMES |
1639124738 |
Physician |
UNKNOWN |
260 San Jose St |
Salinas |
Monterey |
93901 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1639124738 |
21250 |
21250 |
36.657657 |
-121.645809 |
-117.169517934705 |
32.7876688614289 |
16300 |
Walton, Anita |
1639150139 |
Physician |
INTERNAL MEDICINE |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2013 |
2014 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1780665877 |
38250 |
8500 |
32.7876688612 |
-117.169517935 |
-117.867477936358 |
33.7790861138332 |
16304 |
Rubino, Giacinto |
1639155526 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.931844043068 |
37.3128740632874 |
16305 |
Chan, Stephanie |
1639144538 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave, Dept of Medicine |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1588721500 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.869178525568 |
33.7453964883573 |
16320 |
UPADHYAYA, AMISHA |
1639193774 |
Dentist |
UNKNOWN |
210 WEST FIRST STREET, Suite 110 |
Santa Ana |
Orange |
92701 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1639193774 |
21250 |
21250 |
33.7453964879 |
-117.869178526 |
-117.37631076463 |
33.1987827948901 |
16331 |
Rios, Sandra |
1639202195 |
Dentist |
UNKNOWN |
219 N. Horne St |
Oceanside |
San Diego |
92054 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1578732145 |
21250 |
21250 |
33.1987827949 |
-117.376310765 |
-116.232533999944 |
33.708338999845 |
16343 |
Holloway, Trevor |
1639217318 |
Dentist |
UNKNOWN |
46900 MONROE ST, SUITE B-201 |
INDIO |
Riverside |
92201 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1609090968 |
21250 |
21250 |
33.708339 |
-116.232534 |
-118.44946350014 |
34.2353805407794 |
16353 |
rabbani, shimon |
1639230311 |
Dentist |
UNKNOWN |
14554 Nordhoff St |
Panorama City |
Los Angeles |
91402 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1144483504 |
21250 |
21250 |
34.2353805412 |
-118.4494635 |
-117.867477936358 |
33.7790861138332 |
16355 |
Wang, Lele |
1639230733 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.501366501863 |
33.9672510002335 |
16359 |
Shodhan, Harin |
1639236870 |
Dentist |
UNKNOWN |
11213 Palm Dr |
Desert Hot Springs |
Riverside |
92240 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1780863241 |
21250 |
21250 |
33.967251 |
-116.501366502 |
-118.208758500305 |
34.0945649996751 |
16361 |
mir, mohsen |
1639240856 |
Dentist |
UNKNOWN |
4301 N. Figueroa St. |
Los Angeles |
Los Angeles |
90065 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1508045907 |
21250 |
21250 |
34.094565 |
-118.2087585 |
-117.455048185925 |
33.9156370338221 |
16367 |
Rios, Javier |
1639246176 |
Physician |
GENERAL PRACTICE |
9939 Magnolia Ave |
Riverside |
Riverside |
92503 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1639246176 |
46750 |
8500 |
33.9156370345 |
-117.455048186 |
-119.298127499784 |
36.3288150000123 |
16369 |
Iliuta, Cristi Ana |
1639251135 |
Dentist |
UNKNOWN |
609 W Acequia Street, Ste D |
Visalia |
Tulare |
93291 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1790991974 |
21250 |
21250 |
36.328815 |
-119.2981275 |
-121.376389500375 |
38.5562970003064 |
16370 |
CACERES, FEDERICO |
1639252679 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-117.025291698553 |
32.7157381362061 |
16382 |
SHELDON, EDWARD |
1639270689 |
Physician |
GENERAL PRACTICE |
909 Cardiff St |
San Diego |
San Diego |
92114 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1639270689 |
21250 |
21250 |
32.7157381357 |
-117.025291699 |
-117.867477936358 |
33.7790861138332 |
16386 |
SHAH, KIRAN |
1639275050 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.961791977218 |
33.2771591455781 |
16390 |
Lambert, Caroline |
1639277908 |
Dentist |
UNKNOWN |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1639277908 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-121.6322074687 |
36.7036735826698 |
16395 |
Phan, Tinh |
1639285190 |
Dentist |
UNKNOWN |
620 E Alvin Dr Suite G |
Salinas |
Monterey |
93906 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DEL VALLE CLINICA |
1508994930 |
21250 |
21250 |
36.7036735825 |
-121.632207469 |
-118.045836668228 |
34.0764334702285 |
16406 |
Phyu, Khine |
1639296700 |
Physician |
UNKNOWN |
10418 Valley BLVD, AltaMed SBC PACE -EL Monte |
El Monte |
Los Angeles |
91731 |
California |
2016 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1639296700 |
29750 |
8500 |
34.0764334701 |
-118.045836668 |
-120.857025520311 |
37.0634269687797 |
16409 |
Bajaj, Amit |
1639308257 |
Physician |
UNKNOWN |
311 West I Street |
Los Banos |
Merced |
93635 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1639308257 |
21250 |
21250 |
37.0634269686 |
-120.85702552 |
-117.954694203675 |
33.7360635004302 |
16413 |
Chung, Hung |
1639312937 |
Physician |
UNKNOWN |
15606 Brookhurst Street, Suite B |
Westminster |
Orange |
92683 |
California |
2018 |
2019 |
6 |
MU |
DEAN B MD INC NGO |
1508990664 |
34000 |
8500 |
33.7360635 |
-117.954694204 |
-119.348955000073 |
36.3280859996692 |
16415 |
MESHESHA, ABIY |
1639319783 |
Physician |
GENERAL SURGERY |
220 S Akers St, Suite C |
Visalia |
Tulare |
93291 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1639319783 |
21250 |
21250 |
36.328086 |
-119.348955 |
-117.840627000336 |
33.7880700002304 |
16417 |
ANAND, SAVNEET |
1639325350 |
Dentist |
UNKNOWN |
1215 E Chapman Ave |
Orange |
Orange |
92866 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
33.78807 |
-117.840627 |
-117.867477936358 |
33.7790861138332 |
16419 |
Le, Tommy |
1639327836 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.335125968688 |
34.0271099997267 |
16420 |
Williams, Roland |
1639325731 |
Dentist |
UNKNOWN |
3015 Crenshaw Blvd., Suite A |
Los Angeles |
Los Angeles |
90016 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1871631622 |
21250 |
21250 |
34.02711 |
-118.335125969 |
-117.784270401558 |
33.7079356611019 |
16438 |
Su, Ning Miao |
1639369192 |
Dentist |
UNKNOWN |
14200 Culver Dr, Suite 205 |
Irvine |
Orange |
92604 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1639369192 |
21250 |
21250 |
33.707935661 |
-117.784270402 |
-118.438705515747 |
34.2812597040721 |
16440 |
Hamer, Svetlana |
1639369812 |
Dentist |
UNKNOWN |
777 Truman st., Ste 107 |
San Fernando |
Los Angeles |
91340 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1639369812 |
21250 |
21250 |
34.2812597044 |
-118.438705516 |
-118.39585287511 |
33.9186042893565 |
16448 |
Pellegrini, Ricardo |
1639385156 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
222 N Sepulveda Blvd, Suite 1800 |
El Segundo |
Los Angeles |
90245 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336384619 |
21250 |
21250 |
33.9186042888 |
-118.395852875 |
-118.187343371599 |
33.8090145901513 |
16451 |
azad, meshia |
1639387079 |
Dentist |
UNKNOWN |
455 East Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
5 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
55250 |
8500 |
33.8090145898 |
-118.187343372 |
-122.46118324571 |
37.7624926958812 |
16465 |
Nguyen, Emerald |
1639429939 |
Dentist |
UNKNOWN |
707 Parnassus Ave # D-3030 |
San Francisco |
San Francisco |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1639429939 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-115.502840999912 |
32.6940194764177 |
16468 |
Ortega, Salvador |
1639429871 |
Nurse Practitioner |
UNKNOWN |
223 W Cole Road |
Calexico |
Imperial |
92231 |
California |
2017 |
2018 |
3 |
MU |
DE SALUD DEL CLINICAS |
1962599266 |
38250 |
8500 |
32.6940194761 |
-115.502841 |
-119.159698864611 |
34.2931563264034 |
16476 |
Khan, Habib |
1639457260 |
Physician |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1679631907 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
16477 |
Izvernari, Paula |
1639463888 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.154498161161 |
32.8069706966404 |
16478 |
Nantale, Grace |
1639464597 |
Dentist |
UNKNOWN |
8031 LINDA VISTA RD, STE 200 |
SAN DIEGO |
San Diego |
92111 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1013190172 |
21250 |
21250 |
32.8069706972 |
-117.154498161 |
-117.7599148378 |
34.0272314441759 |
16480 |
Ali, Hina |
1639466568 |
Dentist |
UNKNOWN |
18 Rancho Camino Dr, Suite 104 |
Pomona |
Los Angeles |
91766 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1326466152 |
21250 |
21250 |
34.0272314436 |
-117.759914838 |
-117.867477936358 |
33.7790861138332 |
16484 |
Mahran, Soraya |
1639474604 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
16486 |
sattout, omar |
1639500242 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.014480500275 |
37.3525109998828 |
16491 |
Damascus, Alexander |
1639514789 |
Dentist |
UNKNOWN |
895 E FREMONT AVE, STE 101 |
SUNNYVALE |
Santa Clara |
94087 |
California |
2016 |
2017 |
1 |
AIU |
DIPA MEHTA DDS and ASSOC |
1205387842 |
21250 |
21250 |
37.352511 |
-122.0144805 |
-117.88951050001 |
33.8402699999606 |
16495 |
Nam, Christine |
1639527328 |
Dentist |
UNKNOWN |
1959 E Lincoln Ave |
Anaheim |
Orange |
92805 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1154585800 |
21250 |
21250 |
33.84027 |
-117.8895105 |
-119.159698864611 |
34.2931563264034 |
16497 |
HADDADIN, MARWAN |
1639518699 |
Dentist |
UNKNOWN |
200 S Wells Rd, Suite #200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
4 |
MU |
DEL CAMINO REAL CLINICAS |
1912123431 |
46750 |
8500 |
34.2931563259 |
-119.159698865 |
-117.169517934705 |
32.7876688614289 |
16501 |
Phung, Aivi |
1639528110 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
6973 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2016 |
2017 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-118.292930999566 |
33.8321339997843 |
16525 |
YANG, JIN |
1649228628 |
Dentist |
UNKNOWN |
1001 W Carson St, Unit G |
Torrance |
Los Angeles |
90502 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1629190087 |
21250 |
21250 |
33.832134 |
-118.292931 |
-121.931844043068 |
37.3128740632874 |
16535 |
Barman, Linda |
1649224866 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave, Internal Medicine Department |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1588721500 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-120.416088358191 |
34.9510195033475 |
16548 |
adler, mitchell |
1649276916 |
Physician |
OBSTETRICS/GYNECOLOGY |
1300 E Cypress St, Building B |
Santa Maria |
Santa Barbara |
93454 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1962688325 |
21250 |
21250 |
34.9510195029 |
-120.416088358 |
-119.787164999565 |
36.8154990000788 |
16549 |
Irasusta, Catherine |
1649280686 |
Dentist |
UNKNOWN |
125 East Barstow Avenue, Suite 129 |
Fresno |
Fresno |
93710 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1316130545 |
21250 |
21250 |
36.815499 |
-119.787165 |
-117.867477936358 |
33.7790861138332 |
16568 |
Jerome, John |
1649310202 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.769913425264 |
36.8361830438125 |
16573 |
OSTOYA, PAUL |
1649318338 |
Physician |
UNKNOWN |
1095 E Warner Ave, #101 |
Fresno |
Fresno |
93710 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1649318338 |
21250 |
21250 |
36.8361830441 |
-119.769913425 |
-117.128159999684 |
32.7485144902516 |
16575 |
THAI, VU |
1649318742 |
Dentist |
UNKNOWN |
3078 UNIVERSITY AVE. |
San Diego |
San Diego |
92104 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1023372513 |
21250 |
21250 |
32.7485144896 |
-117.12816 |
-117.332809719093 |
34.4901453724111 |
16580 |
Moy, Howard |
1649321456 |
Dentist |
UNKNOWN |
13186 Amargosa Road |
Victorville |
San Bernardino |
92392 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1649321456 |
21250 |
21250 |
34.4901453722 |
-117.332809719 |
-118.208727034825 |
33.9067317445744 |
16586 |
Salib, Magdi |
1649324245 |
Dentist |
UNKNOWN |
1601 N. Longbeach Blvd |
Compton |
Los Angeles |
90220 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1649324245 |
21250 |
21250 |
33.9067317454 |
-118.208727035 |
-118.38632849976 |
34.0666920003356 |
16587 |
Azizollahi, Farid |
1649328519 |
Physician |
FAMILY PRACTICE |
8920 Wilshire Blvd., Suite 335 |
Beverly Hills |
Los Angeles |
90211 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1649328519 |
21250 |
21250 |
34.066692 |
-118.3863285 |
-120.861001327749 |
37.7590091611439 |
16588 |
Chahal, Gurneet |
1649319765 |
Dentist |
UNKNOWN |
250 South Oakdale Ave, Ste B2 |
Oakdale |
Stanislaus |
95361 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1063819670 |
21250 |
21250 |
37.7590091612 |
-120.861001328 |
-118.22520701779 |
33.970998887089 |
16589 |
nemazee, massoud |
1649339987 |
Dentist |
UNKNOWN |
7522 pacific blvd # B |
huntington park |
Los Angeles |
90255 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1649339987 |
21250 |
21250 |
33.970998887 |
-118.225207018 |
-118.447732509348 |
34.1886420024265 |
16590 |
oboh, philomena |
1649335241 |
Dentist |
UNKNOWN |
14434 Hamlin St, #2 |
Van Nuys |
Los Angeles |
91401 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1649335241 |
21250 |
21250 |
34.1886420016 |
-118.447732509 |
-118.266668999874 |
34.0361730003837 |
16593 |
STEINBERG, DAVID |
1649335043 |
Physician |
UNKNOWN |
1513 S. Grand Ave., suite 320 |
Los Angeles |
UNKNOWN |
90015 |
California |
2013 |
2014 |
3 |
MU |
DAVID MD INC STEINBERG |
1730300617 |
38250 |
8500 |
34.036173 |
-118.266669 |
-121.791797999678 |
39.7152269997263 |
16615 |
Saad, David |
1649366972 |
Dentist |
UNKNOWN |
101 Raley Blvd, Suite 204 |
Chico |
Butte |
95928 |
California |
2012 |
2013 |
1 |
AIU |
David James Saad |
1649366972 |
21250 |
21250 |
39.715227 |
-121.791798 |
-117.967598498372 |
33.8699909936894 |
16638 |
Oh, Koo |
1649392614 |
Dentist |
UNKNOWN |
2210 W Commonwealth Ave |
Fullerton |
Orange |
92833 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1649392614 |
21250 |
21250 |
33.8699909943 |
-117.967598498 |
-117.867477936358 |
33.7790861138332 |
16649 |
Choi, Julia |
1649409855 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.207205122718 |
36.2991235283282 |
16660 |
Khazaeizadeh, Reza |
1649438235 |
Dentist |
UNKNOWN |
243 N Farmersville Blvd |
Farmersville |
Tulare |
93223 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1285981159 |
21250 |
21250 |
36.2991235284 |
-119.207205123 |
-118.165396388333 |
33.9637926321244 |
16664 |
Chan, Angela |
1649441338 |
Physician |
UNKNOWN |
7615 Eastern Ave |
Bell Gardens |
Los Angeles |
90201 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1649441338 |
8500 |
8500 |
33.963792632 |
-118.165396388 |
-118.186829999905 |
33.9233219997106 |
16678 |
Vallejo, Raul |
1649474891 |
Dentist |
UNKNOWN |
11301 Atlantic Ave |
Lynwood |
Los Angeles |
90262 |
California |
2020 |
2020 |
2 |
MU |
Designated Payee Name not Found |
1649474891 |
29750 |
8500 |
33.923322 |
-118.18683 |
-121.849064073848 |
37.365840860967 |
16679 |
Manalad, Anna Dee |
1649474347 |
Dentist |
UNKNOWN |
2340 McKee Rd, Suite 22 |
San Jose |
Santa Clara |
95116 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1144370214 |
21250 |
21250 |
37.3658408609 |
-121.849064074 |
-119.976977415176 |
37.5004454879689 |
16680 |
Armisen, Valeska |
1649476243 |
Physician |
EMERGENCY MEDICINE |
5189 Hospital Rd |
Mariposa |
Mariposa |
95338 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1649476243 |
29750 |
8500 |
37.5004454882 |
-119.976977415 |
-120.827405971908 |
38.706282365339 |
16682 |
Medeiros Dixon, Dina |
1649476011 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4327 Golden Center Dr |
Placerville |
El Dorado |
95667 |
California |
2014 |
2015 |
2 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
29750 |
8500 |
38.706282365 |
-120.827405972 |
-121.346739000005 |
38.609433000033 |
16685 |
Gutierrez, Elizabeth |
1649479809 |
Physician |
UNKNOWN |
5030 El Camino |
Carmichael |
Amador |
95601 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1649479809 |
21250 |
21250 |
38.609433 |
-121.346739 |
-121.40568449964 |
38.5977510000087 |
16686 |
Davis, Gina |
1649478595 |
Nurse Practitioner |
UNKNOWN |
1750 Wright St, Ste 4 |
Sacramento |
Sacramento |
95825 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1649478595 |
21250 |
21250 |
38.597751 |
-121.4056845 |
-118.937610000201 |
35.3763450004215 |
16696 |
dillworth, donald |
1649495383 |
Dentist |
UNKNOWN |
4022 Niles St |
Bakersfield |
Kern |
93306 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1205169729 |
21250 |
21250 |
35.376345 |
-118.93761 |
-117.867477936358 |
33.7790861138332 |
16699 |
ALTAMIMI, WESAM |
1649496290 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.45046916482 |
34.9532935227779 |
16700 |
Barky, Alice |
1649498296 |
Dentist |
UNKNOWN |
1023 W Main St |
SANTA MARIA |
Santa Barbara |
93458 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1255667564 |
21250 |
21250 |
34.9532935226 |
-120.450469165 |
-117.867477936358 |
33.7790861138332 |
16720 |
Tan, Annabel |
1649543851 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
16725 |
Singh, Angela |
1649557919 |
Physician |
UNKNOWN |
200 S Wells Rd, Suite #200 |
Ventura |
Ventura |
93004 |
California |
2015 |
2016 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1134369366 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.111506682088 |
34.6894133175706 |
16729 |
Tiplea, Mihai |
1649559790 |
Dentist |
UNKNOWN |
1020 E. AVENUE J |
LANCASTER |
Los Angeles |
93535 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1649559790 |
21250 |
21250 |
34.6894133183 |
-118.111506682 |
-122.132916000373 |
38.0065680004129 |
16733 |
Fentress, Daniel |
1649583071 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2012 |
2013 |
1 |
AIU |
DANIEL M MD FENTRESS |
1649583071 |
21250 |
21250 |
38.006568 |
-122.132916 |
-119.018416499822 |
35.3738699996009 |
16738 |
Sanchez, Monica |
1649597030 |
Physician |
PHYSICIAN ASSISTANT |
1430 Truxtun Ave, Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.756236862042 |
36.8447145739185 |
16739 |
Attia, Enas |
1649599366 |
Physician |
UNKNOWN |
1515 E Alluvial Ave, Suite 105 |
Fresno |
Fresno |
93720 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1649599366 |
21250 |
21250 |
36.8447145737 |
-119.756236862 |
-119.159698864611 |
34.2931563264034 |
16750 |
Sanchez, Madeline |
1649619800 |
Physician |
UNKNOWN |
200 Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2016 |
2017 |
1 |
AIU |
DEL CAMINO REAL INC CLINICAS |
1609291996 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-121.937102999604 |
37.3160815169485 |
16771 |
Ngo, Lynn |
1659303907 |
Physician |
INTERNAL MEDICINE |
2400 Moorpark Ave, Ste 118-Internal Medicine Dept |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1659303907 |
29750 |
8500 |
37.3160815173 |
-121.937103 |
-117.236906999958 |
33.9191279996575 |
16774 |
Sobero, Pablo |
1659314318 |
Physician |
FAMILY PRACTICE |
24430 ALESSANDRO BLVD #103 |
MORENO VALLEY |
Riverside |
92553 |
California |
2012 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1568470854 |
29750 |
8500 |
33.919128 |
-117.236907 |
-118.978325546786 |
35.3790741550483 |
16775 |
Sur, Daniel |
1659323269 |
Dentist |
UNKNOWN |
1518 Niles St |
Bakersfield |
Kern |
93305 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1659323269 |
21250 |
21250 |
35.3790741551 |
-118.978325547 |
-119.782679028314 |
36.7403430191151 |
16784 |
Dowis, David |
1659337749 |
Physician |
UNKNOWN |
1047 R St |
Fresno |
Fresno |
93721 |
California |
2013 |
2015 |
1 |
AIU |
David William Dowis |
1659337749 |
21250 |
21250 |
36.7403430186 |
-119.782679028 |
-117.325209900117 |
33.1825909358231 |
16786 |
bagheri, aminollah |
1659338523 |
Dentist |
UNKNOWN |
3142 Vista Way Ste 305 |
Oceanside |
San Diego |
92056 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1659338523 |
21250 |
21250 |
33.1825909358 |
-117.3252099 |
-118.067408623409 |
34.1057702331098 |
16787 |
lu, henry |
1659349181 |
Dentist |
UNKNOWN |
9216 Las Tunas Dr |
Temple City |
Los Angeles |
91780 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1750418224 |
21250 |
21250 |
34.1057702326 |
-118.067408623 |
-117.249342485267 |
33.3819964349875 |
16804 |
Robinson, Daisy |
1659389740 |
Physician |
UNKNOWN |
321 E Alvarado St |
Fallbrook |
San Diego |
92028 |
California |
2016 |
2017 |
2 |
MU |
DAISY A MD ROBINSON |
1659389740 |
29750 |
8500 |
33.3819964346 |
-117.249342485 |
-117.104439143252 |
32.6607242027598 |
16819 |
Needle, Stephen |
1659399145 |
Dentist |
UNKNOWN |
2405 Hoover Ave |
National City |
San Diego |
91950 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL GROUP CROWN |
1538487640 |
21250 |
21250 |
32.6607242035 |
-117.104439143 |
-118.448437499591 |
34.1904329995833 |
16821 |
patel, jignesh |
1659401743 |
Dentist |
UNKNOWN |
6580 Van Nuys Blvd |
Van Nuys |
Los Angeles |
91401 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1659401743 |
21250 |
21250 |
34.190433 |
-118.4484375 |
-118.297538999825 |
33.8816790002857 |
16823 |
GONZALEZ, MARIA |
1659403301 |
Dentist |
UNKNOWN |
1249 W Gardena Blvd Ste 107 |
Gardena |
Los Angeles |
90247 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1659403301 |
21250 |
21250 |
33.881679 |
-118.297539 |
-118.952080303263 |
35.3993973260258 |
16825 |
Bangasan, Rossano |
1659407955 |
Physician |
PSYCHIATRY |
3715 Columbus St |
Bakersfield |
Kern |
93306 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1659407955 |
21250 |
21250 |
35.3993973263 |
-118.952080303 |
-118.122825951357 |
34.06393481474 |
16833 |
Li, Connie |
1659429678 |
Physician |
PEDIATRIC MEDICINE |
210 N Garfield Ave, Suite 316 |
Monterey Park |
Los Angeles |
91754 |
California |
2013 |
2013 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.0639348149 |
-118.122825951 |
-122.018919927113 |
36.9803689435719 |
16844 |
Farquharson, Hannah |
1659437838 |
Physician |
FAMILY PRACTICE |
550 Water St Ste A |
Santa Cruz |
Santa Cruz |
95060 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1659437838 |
29750 |
8500 |
36.9803689445 |
-122.018919927 |
-117.867477936358 |
33.7790861138332 |
16845 |
Ghalchi, Azita |
1659437036 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-115.502840999912 |
32.6940194764177 |
16847 |
HOLTZ, RAMONA |
1659438000 |
Nurse Practitioner |
UNKNOWN |
223 W Cole Rd |
Calexico |
Imperial |
92231 |
California |
2017 |
2018 |
4 |
MU |
DE SALUD DEL CLINICAS |
1962599266 |
46750 |
8500 |
32.6940194761 |
-115.502841 |
-118.049618698744 |
34.0906636534049 |
16848 |
huang, yung-ta |
1659438166 |
Dentist |
UNKNOWN |
9955 Lower Azusa Rd, Suite 201 |
Temple City |
Los Angeles |
91780 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1164615324 |
21250 |
21250 |
34.0906636532 |
-118.049618699 |
-119.168750578776 |
34.2378675268649 |
16851 |
TRAN, TRUNG |
1659444214 |
Dentist |
UNKNOWN |
2840 E Vineyard Ave |
Oxnard |
Ventura |
93036 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1225259674 |
21250 |
21250 |
34.2378675273 |
-119.168750579 |
-118.217727000201 |
34.0504919997061 |
16864 |
Quijas, Francisco |
1659445823 |
Physician |
INTERNAL MEDICINE |
1700 Cesar Chavez Ave 3900, Senior Care Clinic |
Los Angeles |
Los Angeles |
90033 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1659445823 |
21250 |
21250 |
34.050492 |
-118.217727 |
-120.672991021319 |
35.6282178371835 |
16868 |
Dunne, Martin |
1659454643 |
Dentist |
UNKNOWN |
717 Walnut Dr |
Paso Robles |
San Luis Obispo |
93446 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1033214283 |
21250 |
21250 |
35.6282178368 |
-120.672991021 |
-118.160178460667 |
33.8902829995608 |
16874 |
DANG, HUNG |
1659465391 |
Dentist |
UNKNOWN |
15717 PARAMOUNT BLVD, STE C |
PARAMOUNT |
Los Angeles |
90723 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1477894236 |
21250 |
21250 |
33.890283 |
-118.160178461 |
-118.317883072846 |
33.9038639999237 |
16877 |
Doostan, Afshin |
1659466456 |
Dentist |
UNKNOWN |
14017 Van Ness Ave |
Gardena |
Los Angeles |
90249 |
California |
2020 |
2020 |
2 |
MU |
DOOSTAN DDS INC AFSHIN |
1932397734 |
29750 |
8500 |
33.903864 |
-118.317883073 |
-119.159698864611 |
34.2931563264034 |
16878 |
Goldstein, Ronald |
1659470144 |
Doctor of Optometry |
UNKNOWN |
200 S. Wells Rd., Suite 200 |
Ventura |
Ventura |
93004 |
California |
2017 |
2018 |
2 |
MU |
DEL CAMINO REAL INC CLINICAS |
1720362056 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-120.982234500022 |
37.6472045360605 |
16879 |
Mukherjee, Uday |
1659457075 |
Physician |
PSYCHIATRY |
Behav health& recov services, Stanislaus County, 800 scenic drive |
Modesto |
Stanislaus |
95355 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831227974 |
21250 |
21250 |
37.6472045364 |
-120.9822345 |
-118.443346549004 |
34.0637399640282 |
16886 |
Tyler, Rachelle |
1659474716 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1659474716 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-118.443346549004 |
34.0637399640282 |
16889 |
Yadin, Ora |
1659477958 |
Physician |
UNKNOWN |
10833 Le Conte Avenue, A2-383 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
4 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
46750 |
8500 |
34.0637399643 |
-118.443346549 |
-117.067083202128 |
32.6066360691993 |
16890 |
Nguyen, Hien |
1659487254 |
Dentist |
UNKNOWN |
314 Palomar St |
Chula Vista |
San Diego |
91911 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1386863090 |
21250 |
21250 |
32.6066360691 |
-117.067083202 |
-121.376389500375 |
38.5562970003064 |
16903 |
Hokama, Myles |
1659518066 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2015 |
2016 |
1 |
AIU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
21250 |
21250 |
38.556297 |
-121.3763895 |
-117.020456999891 |
32.6191139998113 |
16912 |
Wysoczanski, Mariusz |
1659535656 |
Physician |
UNKNOWN |
765 Medical Center Ct Ste 211 |
Chula Vista |
San Diego |
91911 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1659535656 |
21250 |
21250 |
32.619114 |
-117.020457 |
-117.867477936358 |
33.7790861138332 |
16918 |
Streeter, Ashley |
1659541647 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.289436600419 |
37.9712112441037 |
16921 |
CHIKWENDU, CHUKWEUMEKA |
1659553709 |
Doctor of Optometry |
UNKNOWN |
1805 N California St, SUITE 101 |
Stockton |
San Joaquin |
95204 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1659553709 |
21250 |
21250 |
37.971211244 |
-121.2894366 |
-117.099535326294 |
32.8224175582238 |
16932 |
sosa, rossanne |
1659571495 |
Dentist |
UNKNOWN |
10715 Tierrasanta Blvd, suite b |
San Diego |
San Diego |
92124 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1124363643 |
21250 |
21250 |
32.8224175584 |
-117.099535326 |
-119.021531479794 |
35.3847813336916 |
16933 |
Hamilton, Barbara |
1659567741 |
Nurse Practitioner |
UNKNOWN |
1705 28th St |
Bakersfield |
Kern |
93301 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1659567741 |
21250 |
21250 |
35.3847813339 |
-119.02153148 |
-118.446610499875 |
34.2464669998522 |
16935 |
Imanuel, Simon |
1659573335 |
Dentist |
UNKNOWN |
9700 Woodman Ave Ste A28 |
Arleta |
Los Angeles |
91331 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1659573335 |
21250 |
21250 |
34.246467 |
-118.4466105 |
-117.867477936358 |
33.7790861138332 |
16938 |
Wang, Paul |
1659575207 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.291589354065 |
34.0588326981705 |
16941 |
Ryuman, David |
1659586717 |
Dentist |
UNKNOWN |
732 S Vermont Ave |
Los Angeles |
Los Angeles |
90005 |
California |
2014 |
2014 |
1 |
AIU |
David Keunjoo Ryuman |
1659586717 |
21250 |
21250 |
34.0588326985 |
-118.291589354 |
-122.465748609111 |
37.7810433156965 |
16944 |
sLUTSKY, Dora |
1659589257 |
Dentist |
UNKNOWN |
4312 Geary Blvd |
San Francisco |
San Francisco |
94118 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1124144332 |
21250 |
21250 |
37.7810433161 |
-122.465748609 |
-117.867477936358 |
33.7790861138332 |
16963 |
Harshbarger, Laura |
1659637973 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.305135016768 |
38.1229111711137 |
16968 |
Parra, Jose |
1659640183 |
Physician |
UNKNOWN |
2415 W Vine St Ste 105 |
Lodi |
San Joaquin |
95242 |
California |
2014 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1659640183 |
29750 |
8500 |
38.1229111706 |
-121.305135017 |
-119.909992499854 |
36.8209620001962 |
16970 |
Brar, Harinder |
1659656668 |
Physician |
UNKNOWN |
6657 W Celeste Ave |
Fresno |
Fresno |
93723 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1659656668 |
21250 |
21250 |
36.820962 |
-119.9099925 |
-122.418999000104 |
37.7885970003513 |
16971 |
Hildebrand, Caitlin |
1659658532 |
Nurse Practitioner |
UNKNOWN |
1333 Bush St |
San Francisco |
San Francisco |
94109 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1659658532 |
21250 |
21250 |
37.788597 |
-122.418999 |
-117.937649005797 |
33.7548095573153 |
16972 |
Luu, Mylan |
1659660835 |
Dentist |
UNKNOWN |
14291 Euclid St, Suite D114 |
Garden Grove |
Orange |
92843 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1174642896 |
21250 |
21250 |
33.7548095568 |
-117.937649006 |
-119.159698864611 |
34.2931563264034 |
16974 |
Bernardi, Gigliola |
1659662393 |
Nurse Practitioner |
NURSE PRACTITIONER |
200 S Wells Rd, Suite 100 |
Ventura |
Ventura |
93004 |
California |
2012 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-117.154498161161 |
32.8069706966404 |
16980 |
Chawla, Harjot |
1659662757 |
Dentist |
UNKNOWN |
8031 Linda Vista Rd, Suite 200 |
San Diego |
San Diego |
92111 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1013190172 |
21250 |
21250 |
32.8069706972 |
-117.154498161 |
-117.867477936358 |
33.7790861138332 |
16984 |
tawfiq, khanda |
1659678779 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
16985 |
Habashy, James |
1659682565 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.161098636393 |
32.7504236969961 |
16988 |
Teshima, Darren |
1659696128 |
Physician |
INTERNAL MEDICINE |
4020 Fifth Ave |
San Diego |
San Diego |
92103 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1659696128 |
21250 |
21250 |
32.7504236966 |
-117.161098636 |
-121.376389500375 |
38.5562970003064 |
16989 |
Guerra, Miguel |
1659695815 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2017 |
2018 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-117.867477936358 |
33.7790861138332 |
16994 |
Nazarian, Saman |
1659709962 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
17021 |
Challa, Rajeswari |
1659828895 |
Dentist |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL INC CLINICAS |
1093933194 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-121.931844043068 |
37.3128740632874 |
17024 |
Mendez, Suzanne |
1669409389 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1669409389 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-120.662827001365 |
35.4917902942867 |
17029 |
Kuich, Kevin |
1669425054 |
Physician |
PSYCHIATRY |
5575 Hospital Drive |
Atascadero |
San Luis Obispo |
93422 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1275691503 |
21250 |
21250 |
35.4917902943 |
-120.662827001 |
-118.502972764382 |
34.1596630797874 |
17046 |
Shirazy, Pejman |
1669470068 |
Physician |
UNKNOWN |
16952 Ventura Blvd |
Encino |
Los Angeles |
91316 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1669470068 |
21250 |
21250 |
34.1596630805 |
-118.502972764 |
-117.439654131633 |
33.9287988017234 |
17047 |
Pintelon, Lyn |
1669467148 |
Physician |
EMERGENCY MEDICINE |
8990 Garfield St, Ste 6 |
Riverside |
Riverside |
92503 |
California |
2012 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1023174067 |
29750 |
8500 |
33.9287988015 |
-117.439654132 |
-118.124788221699 |
33.8784011467956 |
17057 |
Srinatha, Konanur |
1669486338 |
Physician |
UNKNOWN |
9810 Park St |
Bellflower |
Los Angeles |
90706 |
California |
2016 |
2017 |
6 |
MU |
Designated Payee Name not Found |
1669486338 |
63750 |
8500 |
33.8784011474 |
-118.124788222 |
-119.795662066751 |
36.7581428381216 |
17059 |
Singh, Gurteg |
1669491981 |
Dentist |
UNKNOWN |
1215 N. Del Mar Ave |
Fresno |
Fresno |
93728 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1669491981 |
21250 |
21250 |
36.7581428382 |
-119.795662067 |
-118.328539500398 |
34.04494800035 |
17061 |
Cranon, Daryl |
1669488771 |
Dentist |
UNKNOWN |
1541 Crenshaw Blvd |
Los Angeles |
Los Angeles |
90019 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1649486499 |
21250 |
21250 |
34.044948 |
-118.3285395 |
-118.124644500144 |
34.5796109997479 |
17064 |
Navarro, Rosemary |
1669493169 |
Dentist |
UNKNOWN |
300 E Palmdale Blvd |
Palmdale |
Los Angeles |
93550 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598839102 |
21250 |
21250 |
34.579611 |
-118.1246445 |
-119.772750648723 |
36.7432375006102 |
17071 |
torres, ariel |
1669503900 |
Dentist |
UNKNOWN |
3069 E Tulare St |
Fresno |
Fresno |
93721 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1669503900 |
21250 |
21250 |
36.7432375012 |
-119.772750649 |
-117.867477936358 |
33.7790861138332 |
17092 |
taat, shahrzad |
1669534848 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
17099 |
NOJOMIAN, SIMA |
1669537577 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.189281987973 |
33.7721489998765 |
17105 |
Pronstroller, Janice |
1669538724 |
Dentist |
UNKNOWN |
460 Long Beach Blvd |
Long Beach |
Los Angeles |
90802 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL CORPORATION SINGH |
1679975072 |
21250 |
21250 |
33.772149 |
-118.189281988 |
-121.382540999867 |
38.6271899996188 |
17108 |
NOLLIE, GLORIA |
1669547816 |
Dentist |
UNKNOWN |
3428 Watt Ave, A |
Sacramento |
Sacramento |
95821 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1134465651 |
21250 |
21250 |
38.62719 |
-121.382541 |
-124.141090919211 |
40.7859195138745 |
17119 |
Saucedo, Rebecca |
1669564985 |
Nurse Practitioner |
NURSE PRACTITIONER |
2412 Buhne Street |
Eureka |
Humboldt |
95501 |
California |
2013 |
2014 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
38250 |
8500 |
40.785919514 |
-124.141090919 |
-117.873610109419 |
33.7270213766353 |
17126 |
NGUYEN, ANH QUYNH |
1669568804 |
Dentist |
UNKNOWN |
616 W. Edinger Ave |
Santa Ana |
Orange |
92707 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1588082291 |
21250 |
21250 |
33.7270213772 |
-117.873610109 |
-117.949790163685 |
34.0375809789791 |
17134 |
Humes, Roxan |
1669579330 |
Dentist |
UNKNOWN |
1014 N. Hacienda Blvd. |
La Puente |
Los Angeles |
91744 |
California |
2020 |
2020 |
2 |
MU |
Designated Payee Name not Found |
1669579330 |
29750 |
8500 |
34.0375809791 |
-117.949790164 |
-119.018416499822 |
35.3738699996009 |
17135 |
Berk, Karen |
1669585097 |
Nurse Practitioner |
NURSE PRACTITIONER |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.295376000202 |
38.254113000015 |
17155 |
Choyee, Simon |
1669619763 |
Dentist |
UNKNOWN |
1067 C Street, Suite 125 |
Galt |
Sacramento |
95632 |
California |
2016 |
2016 |
1 |
AIU |
DDS MPH INC PARK |
1801213442 |
21250 |
21250 |
38.254113 |
-121.295376 |
-118.264014622976 |
34.0306219386516 |
17157 |
Alonso, Alberto |
1669621058 |
Physician |
INTERNAL MEDICINE |
122 E Washington Blvd |
Los Angeles |
Los Angeles |
90015 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1871779777 |
21250 |
21250 |
34.0306219387 |
-118.264014623 |
-117.867477936358 |
33.7790861138332 |
17160 |
Baha, Joseph |
1669626511 |
Dentist |
UNKNOWN |
530 south main street, Suite 203 |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.443346549004 |
34.0637399640282 |
17166 |
Yudovin, Sue |
1669578068 |
Nurse Practitioner |
UNKNOWN |
10833 Le Conte Avenue, 12-441MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2015 |
2016 |
1 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-116.412129000153 |
33.7391640004183 |
17182 |
Fago Cros, Sheri |
1669668190 |
Dentist |
UNKNOWN |
71843 Highway 111, Suite A |
Rancho Mirage |
Riverside |
92270 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1669668190 |
21250 |
21250 |
33.739164 |
-116.412129 |
-120.827405971908 |
38.706282365339 |
17186 |
Bass, Diane |
1669687646 |
Nurse Practitioner |
UNKNOWN |
4327 Golden Center Dr |
Placerville |
El Dorado |
95667 |
California |
2016 |
2017 |
6 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
63750 |
8500 |
38.706282365 |
-120.827405972 |
-118.376877527076 |
34.0534026932797 |
17188 |
Gharibian, Derick |
1669695268 |
Dentist |
UNKNOWN |
8530 W Pico Blvd |
Los Angeles |
Los Angeles |
90035 |
California |
2015 |
2016 |
1 |
AIU |
Derick Gharibian |
1669695268 |
21250 |
21250 |
34.0534026927 |
-118.376877527 |
-117.971638691872 |
33.7449749050679 |
17189 |
Pham, Catherine |
1669695292 |
Dentist |
UNKNOWN |
9039 Bolsa Ave, Suite 103 |
Westminster |
Orange |
92683 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1689713968 |
21250 |
21250 |
33.7449749049 |
-117.971638692 |
-117.80463247271 |
33.681523025867 |
17190 |
Bui, Tuyet-Van |
1669699815 |
Dentist |
UNKNOWN |
4330 Barranca Pkwy, Suite 200 |
Irvine |
Orange |
92604 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1184078255 |
21250 |
21250 |
33.6815230261 |
-117.804632473 |
-118.446236463742 |
34.0652250001337 |
17194 |
Long, Jennifer |
1669657748 |
Physician |
OTOLARYNGOLOGY |
UCLA Head and Neck Surgery, 200 Medical Plaza, suite 550 |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1669657748 |
21250 |
21250 |
34.065225 |
-118.446236464 |
-117.867477936358 |
33.7790861138332 |
17198 |
Bulleri, Richard |
1669709184 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.217727000201 |
34.0504919997061 |
17207 |
Jalbuena, Peter |
1669705406 |
Physician |
INTERNAL MEDICINE |
1700 Cesar Chavez Ave 3900, SENIOR CARE CLINIC AMC |
LOS ANGELES |
Los Angeles |
90033 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1669705406 |
21250 |
21250 |
34.050492 |
-118.217727 |
-118.151905446979 |
34.0310255346008 |
17208 |
Wu, Jennifer |
1669751640 |
Dentist |
UNKNOWN |
5262 E. Beverly Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1396163614 |
21250 |
21250 |
34.0310255354 |
-118.151905447 |
-118.45985271663 |
34.0420484610677 |
17209 |
Hazany, Robert |
1669740429 |
Dentist |
UNKNOWN |
11870 Santa Monica Blvd, Ste 212 |
Los Angeles |
Los Angeles |
90025 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1508923707 |
21250 |
21250 |
34.042048461 |
-118.459852717 |
-117.867477936358 |
33.7790861138332 |
17211 |
Adamian, Melina |
1669752150 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.305842999755 |
37.9036318454334 |
17220 |
Sullivan, Sara |
1669791158 |
Nurse Practitioner |
UNKNOWN |
2927 Carlson Blvd |
El Cerrito |
Contra Costa |
94530 |
California |
2014 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1669791158 |
21250 |
21250 |
37.9036318446 |
-122.305843 |
-119.159698864611 |
34.2931563264034 |
17222 |
Guerra, Kathleen |
1669788162 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2016 |
2016 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1679631907 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
17225 |
LIM, JUWON |
1669801528 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
17227 |
Alampalli, Radhika |
1669810263 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.77221201777 |
36.8021879995766 |
17230 |
Skoufis, Joann |
1669816328 |
Nurse Practitioner |
UNKNOWN |
4646 N 1st St, Suite 102 |
Fresno |
Fresno |
93726 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1669816328 |
21250 |
21250 |
36.802188 |
-119.772212018 |
-119.221061037737 |
34.1986410003819 |
17239 |
McClory, Patricia |
1669888004 |
Dentist |
UNKNOWN |
480 S VICTORIA AVE, SUITE D |
OXNARD |
Ventura |
93030 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1467635243 |
21250 |
21250 |
34.198641 |
-119.221061038 |
-122.646489753 |
41.7186503676204 |
17243 |
Fournier, Christa |
1669897542 |
Nurse Practitioner |
UNKNOWN |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1952701369 |
21250 |
21250 |
41.7186503677 |
-122.646489753 |
-119.769913425264 |
36.8361830438125 |
17289 |
Manriques, Melissa |
1679564140 |
Nurse Practitioner |
UNKNOWN |
1095 E Warner Ave, # 101 |
Fresno |
Fresno |
93710 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1679564140 |
21250 |
21250 |
36.8361830441 |
-119.769913425 |
-117.163974713262 |
32.7328816281847 |
17292 |
Tew, Richard |
1679572911 |
Physician |
UNKNOWN |
2630 1st Ave |
San Diego |
San Diego |
92103 |
California |
2016 |
2017 |
4 |
MU |
DIEGO AMERICAN SAN |
1003902917 |
46750 |
8500 |
32.7328816275 |
-117.163974713 |
-117.918706500105 |
33.7761449997919 |
17299 |
Lin, John |
1679584270 |
Dentist |
UNKNOWN |
12901 Harbor Blvd, Ste. A-3 |
Garden Grove |
Orange |
92840 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1750498606 |
21250 |
21250 |
33.776145 |
-117.9187065 |
-121.376389500375 |
38.5562970003064 |
17300 |
Quiba, Mel |
1679564447 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2016 |
2017 |
1 |
AIU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
21250 |
21250 |
38.556297 |
-121.3763895 |
-117.633695571393 |
34.1014689736143 |
17303 |
Saad, Antoune |
1679587067 |
Physician |
UNKNOWN |
630 N 13th Ave, Ste E |
Upland |
San Bernardino |
91786 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1679587067 |
21250 |
21250 |
34.1014689739 |
-117.633695571 |
-117.44350756832 |
33.916550898805 |
17319 |
Rosenkranz, Walter |
1679622815 |
Dentist |
UNKNOWN |
3564 Van Buren Blvd. |
Riverside |
Riverside |
92503 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1245659192 |
21250 |
21250 |
33.9165508992 |
-117.443507568 |
-119.171983500338 |
34.2047879996665 |
17320 |
Duong, Tai |
1679623524 |
Dentist |
UNKNOWN |
629 Cooper Rd, Suite A |
Oxnard |
Ventura |
93030 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1154518991 |
21250 |
21250 |
34.204788 |
-119.1719835 |
-118.146388500129 |
34.6894734534372 |
17321 |
Rapoport, Alla |
1679614234 |
Dentist |
UNKNOWN |
919 West Avenue J, Suite C |
Lancaster |
Los Angeles |
93534 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1679614234 |
21250 |
21250 |
34.6894734527 |
-118.1463885 |
-119.525490000363 |
36.6047534887825 |
17322 |
Heer, Diljeet |
1679624019 |
Dentist |
UNKNOWN |
545 E Manning Ave, Suite 108 |
Parlier |
Fresno |
93648 |
California |
2012 |
2013 |
1 |
AIU |
Diljeet Singh Heer |
1679624019 |
21250 |
21250 |
36.6047534891 |
-119.52549 |
-117.733709241788 |
33.9825418393345 |
17329 |
Changela, Bhavin |
1679630750 |
Dentist |
UNKNOWN |
3280 Chino Hills Parkway, Suite 4 |
Chino Hills |
San Bernardino |
91709 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1831426436 |
21250 |
21250 |
33.9825418393 |
-117.733709242 |
-118.38632849976 |
34.0666920003356 |
17331 |
Zschaschel, Diana |
1679639264 |
Dentist |
UNKNOWN |
8920 Wilshire Blvd, Suite 610 |
Beverly Hills |
Los Angeles |
90211 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1679639264 |
21250 |
21250 |
34.066692 |
-118.3863285 |
-119.733687000255 |
36.7371450002416 |
17338 |
Dao, Sony |
1679642367 |
Dentist |
UNKNOWN |
4857 E Kings Canyon Rd |
Fresno |
Fresno |
93727 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1679642367 |
21250 |
21250 |
36.737145 |
-119.733687 |
-117.251167896781 |
34.1357877782834 |
17339 |
Yang, David |
1679643084 |
Dentist |
UNKNOWN |
1643 E Highland Ave Ste B |
San Bernardino |
San Bernardino |
92404 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1063533503 |
21250 |
21250 |
34.135787778 |
-117.251167897 |
-121.565801673608 |
39.1195374389017 |
17346 |
Cassady, Joseph |
1679653976 |
Physician |
UNKNOWN |
5730 Packard Avenue, Suite 500 |
Marysville |
Yuba |
95901 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1679653976 |
21250 |
21250 |
39.1195374394 |
-121.565801674 |
-121.287262500164 |
38.120597999698 |
17347 |
Kim, John |
1679652317 |
Physician |
UNKNOWN |
999 S. Fairmont Ave, Ste. 205 |
Lodi |
San Joaquin |
95204 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1679652317 |
21250 |
21250 |
38.120598 |
-121.2872625 |
-117.867477936358 |
33.7790861138332 |
17352 |
Alkwadri, Anas |
1679652812 |
Dentist |
UNKNOWN |
530 South Main St., Kleinman & Wallace Prof Dental Corp |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.153256631588 |
34.6747809350921 |
17354 |
OKAM, ADORA |
1679657159 |
Dentist |
UNKNOWN |
1228 W Avenue K |
Lancaster |
Los Angeles |
93534 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1679657159 |
21250 |
21250 |
34.6747809348 |
-118.153256632 |
-119.018416499822 |
35.3738699996009 |
17356 |
Sabri, Lamya |
1679659858 |
Dentist |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.204412239633 |
33.9307314223174 |
17357 |
Wyckoff, Stephanie |
1679659080 |
Physician |
OBSTETRICS/GYNECOLOGY |
3628 E Imperial Hwy, Ste 200 |
Lynwood |
Los Angeles |
90262 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.9307314221 |
-118.20441224 |
-117.919911538587 |
33.725819305017 |
17362 |
Chen, Joe |
1679662613 |
Dentist |
UNKNOWN |
16297 Harbor Blvd |
Fountain Valley |
Orange |
92708 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1679662613 |
21250 |
21250 |
33.7258193046 |
-117.919911539 |
-124.083714126805 |
40.8760468021183 |
17369 |
Burns, Judy |
1679669253 |
Physician |
FAMILY PRACTICE |
785 18th Street |
Arcata |
Humboldt |
95521 |
California |
2018 |
2019 |
5 |
MU |
DOOR COMM HLTH CTRS OPEN |
1689778813 |
55250 |
8500 |
40.8760468021 |
-124.083714127 |
-121.346739000005 |
38.609433000033 |
17370 |
Brown, Tracy |
1679669733 |
Physician |
UNKNOWN |
5030 El Camino Ave |
Carmichael |
Sacramento |
95608 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1679669733 |
21250 |
21250 |
38.609433 |
-121.346739 |
-119.018416499822 |
35.3738699996009 |
17374 |
Yuzon, Ma.Corazon |
1679683817 |
Physician |
PEDIATRIC MEDICINE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
17380 |
George, C. |
1679687008 |
Dentist |
UNKNOWN |
530 south main street, Suite B |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.774105279035 |
34.1161792238921 |
17387 |
Choi, Kyung Duk |
1679700561 |
Dentist |
UNKNOWN |
1516 FOOTHILL BLVD |
LA VERNE |
Los Angeles |
91750 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1457626830 |
21250 |
21250 |
34.1161792243 |
-117.774105279 |
-118.39585287511 |
33.9186042893565 |
17399 |
Dansa, Alexander |
1679723936 |
Dentist |
UNKNOWN |
222 N Sepulveda Blvd, Suite 1800 |
El Segundo |
Los Angeles |
90245 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1336384619 |
21250 |
21250 |
33.9186042888 |
-118.395852875 |
-119.159698864611 |
34.2931563264034 |
17400 |
Jain, Preiya |
1679715916 |
Physician |
UNKNOWN |
200 S Wells Rd Ste 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1518183904 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-120.826981114187 |
38.7058847732637 |
17404 |
LaCaze-Adams, Courtney |
1679731889 |
Physician |
UNKNOWN |
4341 Golden Center Dr, Suite A |
Placerville |
El Dorado |
95667 |
California |
2016 |
2018 |
1 |
MU |
Designated Payee Name not Found |
1679731889 |
21250 |
21250 |
38.705884773 |
-120.826981114 |
-118.536043685068 |
34.2257937174062 |
17406 |
Woo, Ian |
1679736425 |
Dentist |
UNKNOWN |
8540 Reseda Blvd., Suite 101 |
Northridge |
Los Angeles |
91324 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1679736425 |
21250 |
21250 |
34.2257937172 |
-118.536043685 |
-121.770688500174 |
36.9376380000937 |
17411 |
Granthom, Maria |
1679750327 |
Physician |
UNKNOWN |
208 Green Valley Rd |
Freedom |
Santa Cruz |
95019 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1679750327 |
21250 |
21250 |
36.937638 |
-121.7706885 |
-117.242810999728 |
34.1342729997992 |
17413 |
Sumilat, James |
1679752653 |
Dentist |
UNKNOWN |
2035 E Highland Ave, Ste B |
San Bernardino |
San Bernardino |
92404 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1376600510 |
21250 |
21250 |
34.134273 |
-117.242811 |
-117.867477936358 |
33.7790861138332 |
17419 |
el sayed, mohamed |
1679761019 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
17422 |
Kang, Kelie |
1679764765 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.857025520311 |
37.0634269687797 |
17428 |
BARIUAN, APRIL JOY |
1679772404 |
Physician |
UNKNOWN |
311 W I St |
Los Banos |
Merced |
93635 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1679772404 |
29750 |
8500 |
37.0634269686 |
-120.85702552 |
-118.285442413237 |
33.9600811003625 |
17429 |
khan, jabeen |
1679770663 |
Dentist |
UNKNOWN |
643 W MANCHESTER AVE |
LOS ANGELES |
Los Angeles |
90044 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1245503754 |
21250 |
21250 |
33.9600811002 |
-118.285442413 |
-118.527361827886 |
34.378093110009 |
17431 |
Baltazar, Sofia |
1679772628 |
Dentist |
UNKNOWN |
24264 San Fernando Rd |
Newhall |
Los Angeles |
91321 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1871663674 |
21250 |
21250 |
34.3780931104 |
-118.527361828 |
-117.88951050001 |
33.7271855047073 |
17432 |
Anderson, Karen |
1679775043 |
Dentist |
UNKNOWN |
1610 W EDINGER AVE, SUITE C |
SANTA ANA |
Orange |
92704 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1518995109 |
21250 |
21250 |
33.7271855051 |
-117.8895105 |
-120.480325406692 |
37.3194002599141 |
17436 |
Megally, Ahmed |
1679784508 |
Dentist |
UNKNOWN |
645 W Olive Ave, Suite # 115 |
Merced |
Merced |
95348 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1679784508 |
21250 |
21250 |
37.3194002601 |
-120.480325407 |
-119.018416499822 |
35.3738699996009 |
17449 |
Hoover, Gerald |
1679804645 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.159698864611 |
34.2931563264034 |
17451 |
gait, priyanka |
1679801856 |
Physician |
UNKNOWN |
200 S Wells Rd, SUITE 200 |
Ventura |
Ventura |
93004 |
California |
2015 |
2017 |
2 |
MU |
DEL CAMINO REAL CLINICAS |
1679631907 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-117.780872737687 |
33.5438854991165 |
17452 |
Garcia, Carlos |
1679796064 |
Dentist |
UNKNOWN |
362 3rd St, Suite 2 |
Laguna Beach |
Orange |
92651 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1881933778 |
21250 |
21250 |
33.5438854988 |
-117.780872738 |
-122.296689000297 |
40.4506349998055 |
17463 |
Blackmon, William |
1679839138 |
Nurse Practitioner |
UNKNOWN |
2830 East St |
Anderson |
Shasta |
96007 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1679839138 |
21250 |
21250 |
40.450635 |
-122.296689 |
-117.867477936358 |
33.7790861138332 |
17466 |
Desai, Amit |
1679848733 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.018416499822 |
35.3738699996009 |
17474 |
Pempleton, Kaytasha |
1679867154 |
Nurse Practitioner |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
17476 |
Ku, Vanessa |
1679866628 |
Dentist |
UNKNOWN |
530 South Main St., #D |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.86666968236 |
33.88807801299 |
17478 |
Mokhayeri, Saeed |
1679880710 |
Dentist |
UNKNOWN |
3350 YORBA LINDA BLVD |
FULLERTON |
Orange |
92831 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1750767307 |
21250 |
21250 |
33.8880780129 |
-117.866669682 |
-121.892717440258 |
37.3411630908041 |
17492 |
khandelwal, amishi |
1679956072 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
55 East Julian Street |
San Jose |
Santa Clara |
95112 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1407985534 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
-120.827405971908 |
38.706282365339 |
17494 |
Casillas, Andrea |
1679971329 |
Physician |
UNKNOWN |
4327 Golden Center Drive |
Placerville |
El Dorado |
95667 |
California |
2020 |
2020 |
5 |
MU |
DORADO COUNTY COMM EL |
1609029362 |
55250 |
8500 |
38.706282365 |
-120.827405972 |
-117.867477936358 |
33.7790861138332 |
17495 |
Perkins, Andrew |
1679972897 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.781859500416 |
36.8228735217957 |
17500 |
Molta, Jairo |
1679981898 |
Dentist |
UNKNOWN |
371 E Bullard Ave, suite 118 |
Fresno |
Fresno |
93710 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1487789889 |
21250 |
21250 |
36.822873522 |
-119.7818595 |
-117.867477936358 |
33.7790861138332 |
17504 |
Shah, Megha |
1679984439 |
Dentist |
UNKNOWN |
530 south main street, #3206 |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.021531479794 |
35.3847813336916 |
17506 |
PUNSALAN, LORELEI |
1679990618 |
Nurse Practitioner |
UNKNOWN |
1705 28th St |
Bakersfield |
Kern |
93301 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1679990618 |
21250 |
21250 |
35.3847813339 |
-119.02153148 |
-123.547743245155 |
41.300770031312 |
17509 |
Flowers, Regina |
1679996896 |
Nurse Practitioner |
UNKNOWN |
325 Asip Road |
Orleans |
Humboldt |
95556 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1679996896 |
21250 |
21250 |
41.3007700306 |
-123.547743245 |
-117.943190165094 |
34.0642911540136 |
17515 |
Kim, Aileen |
1689016255 |
Dentist |
UNKNOWN |
933 S Sunset Ave, Suite 208 |
West Covina |
Los Angeles |
91790 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1679985477 |
21250 |
21250 |
34.0642911544 |
-117.943190165 |
-118.328949000396 |
34.101441000202 |
17519 |
Panlilio, Adrienne |
1689042798 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
6368 Hollywood Blvd |
Los Angeles |
Los Angeles |
90028 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1689042798 |
21250 |
21250 |
34.101441 |
-118.328949 |
-121.295376000202 |
38.254113000015 |
17521 |
Nguyen, Nancy |
1689050346 |
Dentist |
UNKNOWN |
1067 C Street, Suite 125 |
Galt |
Sacramento |
95632 |
California |
2016 |
2016 |
1 |
AIU |
DDS MPH INC PARK |
1801213442 |
21250 |
21250 |
38.254113 |
-121.295376 |
-122.263050422139 |
37.8933063737902 |
17525 |
Martin, Dorea |
1689054710 |
Physician |
UNKNOWN |
965 Hilldale Ave |
Berkeley |
Alameda |
94708 |
California |
2016 |
2017 |
1 |
AIU |
Dorea E Martin |
1689054710 |
21250 |
21250 |
37.8933063744 |
-122.263050422 |
-124.146181542444 |
40.8024420806375 |
17546 |
Honda, Malia |
1689094989 |
Physician |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2018 |
2019 |
2 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
29750 |
8500 |
40.802442081 |
-124.146181542 |
-120.827405971908 |
38.706282365339 |
17549 |
Anderson, Gina |
1689126278 |
Nurse Practitioner |
UNKNOWN |
4327 Golden Center Dr |
Placerville |
El Dorado |
95667 |
California |
2017 |
2018 |
2 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
29750 |
8500 |
38.706282365 |
-120.827405972 |
-120.827405971908 |
38.706282365339 |
17560 |
Fallo, Pamela |
1689612921 |
Nurse Practitioner |
UNKNOWN |
4327 Golden Center Drive |
Placerville |
El Dorado |
95667 |
California |
2018 |
2019 |
6 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
63750 |
8500 |
38.706282365 |
-120.827405972 |
-117.161098636393 |
32.7504236969961 |
17567 |
Yung, Steven |
1689636656 |
Physician |
INTERNAL MEDICINE |
4020 Fifth Ave |
San Diego |
San Diego |
92103 |
California |
2017 |
2018 |
3 |
MU |
Designated Payee Name not Found |
1689636656 |
38250 |
8500 |
32.7504236966 |
-117.161098636 |
-118.188290982743 |
33.8055299996099 |
17583 |
Austin, Juliana |
1689672909 |
Physician |
UNKNOWN |
2650 Elm Ave, Suite 210 |
Long Beach |
Los Angeles |
90806 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1689672909 |
21250 |
21250 |
33.80553 |
-118.188290983 |
-119.159698864611 |
34.2931563264034 |
17593 |
Sidana, Hanita |
1689682635 |
Dentist |
UNKNOWN |
200 S Wells Rd, Suite #200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1679631907 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.967274707362 |
34.0846291692009 |
17601 |
chan, linda |
1689695181 |
Dentist |
UNKNOWN |
14032 Ramona Blvd |
Baldwin Park |
Los Angeles |
91706 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1689695181 |
21250 |
21250 |
34.0846291687 |
-117.967274707 |
-119.79360340977 |
36.808623301724 |
17613 |
LEE, SCOTT |
1689714172 |
Dentist |
UNKNOWN |
140 W Shaw Ave |
Fresno |
Fresno |
93704 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1275921058 |
21250 |
21250 |
36.8086233023 |
-119.79360341 |
-117.291963209634 |
34.1307177072565 |
17614 |
Jo, David |
1689711822 |
Dentist |
UNKNOWN |
1748 NORTH D ST |
SAN BERNARDINO |
San Bernardino |
92405 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1619011632 |
21250 |
21250 |
34.1307177069 |
-117.29196321 |
-117.291961520708 |
34.1304490518823 |
17619 |
Kim, Soodong |
1689720740 |
Dentist |
UNKNOWN |
1728 N. D St |
San Bernardino |
San Bernardino |
92405 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1689720740 |
21250 |
21250 |
34.1304490518 |
-117.291961521 |
-119.055257999957 |
35.2959354759415 |
17631 |
Hwang, Chiao |
1689738106 |
Dentist |
UNKNOWN |
4700 Panama Ln Unit 102 |
Bakersfield |
Kern |
93313 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1689738106 |
21250 |
21250 |
35.2959354758 |
-119.055258 |
-117.933376500325 |
33.7139909996849 |
17633 |
Raju, Muralidhara |
1689738783 |
Physician |
NEUROLOGY |
11190 Warner Ave, Suite 305 |
Fountain Valley |
Orange |
92708 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1659550150 |
29750 |
8500 |
33.713991 |
-117.9333765 |
-117.989492704025 |
33.760616703698 |
17638 |
Duong, Dat |
1689740912 |
Physician |
UNKNOWN |
13926 BEACH BLVD. |
WESTMINSTER |
Orange |
92683 |
California |
2016 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1689740912 |
29750 |
8500 |
33.7606167043 |
-117.989492704 |
-120.066612722999 |
36.9570895904123 |
17640 |
ELSAYED, AHMED |
1689741613 |
Dentist |
UNKNOWN |
620 W. YOSEMITE AVE |
Madera |
Madera |
93637 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1518118520 |
21250 |
21250 |
36.9570895898 |
-120.066612723 |
-118.414565999721 |
34.2011664711558 |
17642 |
hanasab, hersel |
1689741092 |
Dentist |
UNKNOWN |
12926 Sherman Way |
North Hollywoood |
Los Angeles |
91605 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1780748137 |
21250 |
21250 |
34.201166471 |
-118.414566 |
-117.935801999762 |
33.7162904987076 |
17645 |
Ko, Andrew |
1689744328 |
Physician |
UNKNOWN |
11100 Warner Ave Ste 262 |
Fountain Valley |
Orange |
92708 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1689744328 |
21250 |
21250 |
33.7162904993 |
-117.935802 |
-117.867477936358 |
33.7790861138332 |
17646 |
Madhure, Veena |
1689742967 |
Dentist |
UNKNOWN |
530 South Main St., Suite B |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.142834500112 |
32.8904549995986 |
17652 |
Shih, J. Richard |
1689747834 |
Dentist |
UNKNOWN |
8226 Miramar Rd |
San Diego |
San Diego |
92126 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1689747834 |
21250 |
21250 |
32.890455 |
-117.1428345 |
-121.9380974996 |
37.3131719996881 |
17663 |
Stephenson, Deborah |
1689767121 |
Physician |
UNKNOWN |
2425 Enborg Ln, Puentes Clinic |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1689767121 |
21250 |
21250 |
37.313172 |
-121.9380975 |
-117.967213899702 |
34.139805225231 |
17672 |
Banawis, Michael |
1689785271 |
Dentist |
UNKNOWN |
1745 Huntington Dr. |
Duarte |
Los Angeles |
91010 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1366593097 |
21250 |
21250 |
34.1398052252 |
-117.9672139 |
-119.018416499822 |
35.3738699996009 |
17675 |
Wolney, Robert |
1689787921 |
Physician |
GENERAL PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.295825500147 |
34.1082784881618 |
17687 |
Hwang, Jeffrey |
1689814535 |
Dentist |
UNKNOWN |
575 W 5th St |
San Bernardino |
San Bernardino |
92401 |
California |
2013 |
2013 |
1 |
AIU |
Dr. Sam Daniel Dason DDS |
1831226695 |
21250 |
21250 |
34.1082784876 |
-117.2958255 |
-117.280898999789 |
34.1359165342207 |
17697 |
Hollingsworth-Moore, Annette |
1689827404 |
Physician |
UNKNOWN |
249 E Highland Avenue |
San Bernardino |
San Bernardino |
92404 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1871553347 |
21250 |
21250 |
34.1359165342 |
-117.280899 |
-120.857025520311 |
37.0634269687797 |
17701 |
Galvez Vargas, Juan Carlos |
1689847568 |
Physician |
FAMILY PRACTICE |
311 West I Street |
Los Banos |
Merced |
93635 |
California |
2014 |
2015 |
2 |
MU |
DEVIREDDY MD KARTHIKEYA |
1518089507 |
29750 |
8500 |
37.0634269686 |
-120.85702552 |
-121.931844043068 |
37.3128740632874 |
17719 |
Chiang, Albert |
1689861445 |
Physician |
ANESTHESIOLOGY |
751 S Bascom Ave, 2M110 |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1689861445 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-121.626878573687 |
36.6796192540254 |
17725 |
Gonzalez, Sergio |
1689868721 |
Physician |
FAMILY PRACTICE |
950 Circle Drive |
Salinas |
Monterey |
93905 |
California |
2013 |
2014 |
2 |
MU |
DE SALUD DEL CLINICA |
1023159811 |
29750 |
8500 |
36.6796192539 |
-121.626878574 |
-121.295376000202 |
38.254113000015 |
17730 |
Baag, Ji |
1689875395 |
Dentist |
UNKNOWN |
1067 C Street, Suite 125 |
Galt |
Sacramento |
95632 |
California |
2016 |
2016 |
1 |
AIU |
DDS MPH INC PARK |
1801213442 |
21250 |
21250 |
38.254113 |
-121.295376 |
-117.850959000158 |
34.1067684643932 |
17735 |
Reyes, David |
1689887622 |
Physician |
GENERAL PRACTICE |
657 E Arrow Hwy, Suite G |
Glendora |
Los Angeles |
91740 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1689887622 |
21250 |
21250 |
34.1067684635 |
-117.850959 |
-117.920167795907 |
33.739266649936 |
17740 |
Bui, Michelle |
1689890915 |
Dentist |
UNKNOWN |
642 S Harbor Blvd |
Santa Ana |
Orange |
92704 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1215102637 |
21250 |
21250 |
33.7392666498 |
-117.920167796 |
-120.857025520311 |
37.0634269687797 |
17761 |
TABIGO ON, ROY EUGENE |
1689944639 |
Physician |
INTERNAL MEDICINE |
311 West I Street |
Los Banos |
Merced |
93635 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1689944639 |
29750 |
8500 |
37.0634269686 |
-120.85702552 |
-117.867477936358 |
33.7790861138332 |
17762 |
Neelagiri, Krishna |
1689952376 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.905629499602 |
33.6801605205916 |
17783 |
Nguyen, Hung |
1699028621 |
Dentist |
UNKNOWN |
1170 Baker St, Suite E |
Costa Mesa |
Orange |
92626 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1871785428 |
21250 |
21250 |
33.6801605213 |
-117.9056295 |
-118.335127483147 |
34.021215000372 |
17786 |
Kim, Hae Suk |
1699025270 |
Dentist |
UNKNOWN |
3651 Crenshaw Blvd. |
Los Angeles |
Los Angeles |
90016 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1659689016 |
21250 |
21250 |
34.021215 |
-118.335127483 |
-122.274324247766 |
37.8072875034156 |
17798 |
Sandeman, Joshua |
1699050492 |
Nurse Practitioner |
NURSE PRACTITIONER |
LifeLong Downtown Oakland, 616 16th Street |
Oakland |
Alameda |
94612 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1699050492 |
21250 |
21250 |
37.8072875031 |
-122.274324248 |
-121.481325000249 |
38.5705530003208 |
17802 |
Austin, James |
1699060475 |
Nurse Practitioner |
NURSE PRACTITIONER |
1500 21st Street |
Sacramento |
Sacramento |
95811 |
California |
2014 |
2016 |
3 |
MU |
Designated Payee Name not Found |
1699060475 |
38250 |
8500 |
38.570553 |
-121.481325 |
-117.867477936358 |
33.7790861138332 |
17806 |
Sadeghi, Reza |
1699069245 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.626878573687 |
36.6796192540254 |
17807 |
KHAMIS, WATHIQ |
1699079418 |
Dentist |
UNKNOWN |
950 Circle Dr |
Salinas |
UNKNOWN |
93905 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.6796192539 |
-121.626878574 |
-117.960384918429 |
33.9391667690312 |
17818 |
Dianat, Arsham |
1699107300 |
Dentist |
UNKNOWN |
1250 W Whittier Blvd |
LA Habra |
Orange |
90631 |
California |
2016 |
2016 |
1 |
AIU |
DENTALVILLE |
1558588566 |
21250 |
21250 |
33.9391667691 |
-117.960384918 |
-117.867477936358 |
33.7790861138332 |
17842 |
RAMANDEEP, FNU |
1699182469 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.931844043068 |
37.3128740632874 |
17856 |
BHATNAGAR, MADHUR |
1699705210 |
Physician |
UNKNOWN |
751 S. Bascom Ave. |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
3 |
MU |
Designated Payee Name not Found |
1588721500 |
38250 |
8500 |
37.3128740633 |
-121.931844043 |
-122.701932084798 |
38.44060395311 |
17877 |
BLOOM, DAVID-JAMES |
1699731133 |
Physician |
FAMILY PRACTICE |
990 Sonoma Ave, 17 |
Santa Rosa |
Sonoma |
95404 |
California |
2012 |
2013 |
1 |
AIU |
DAVID J MD BLOOM |
1699731133 |
21250 |
21250 |
38.4406039528 |
-122.701932085 |
-121.416722999667 |
38.42936100031 |
17894 |
Work, Janice |
1699778258 |
Dentist |
UNKNOWN |
9045 Bruceville Rd, Ste 180 |
Elk Grove |
Sacramento |
95758 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1386985208 |
21250 |
21250 |
38.429361 |
-121.416723 |
-121.299578999771 |
37.9611179998958 |
17897 |
NAKKA, BHAGYA |
1699780494 |
Physician |
OBSTETRICS/GYNECOLOGY |
420 W Acacia St, Suite 22 |
Stockton |
San Joaquin |
95203 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1699780494 |
21250 |
21250 |
37.961118 |
-121.299579 |
-116.542844999997 |
33.8372639998338 |
17898 |
Fozouni, Derakhsh |
1699784652 |
Physician |
OBSTETRICS/GYNECOLOGY |
555 E. Tachevah Dr., Suite 2w-103 |
Palm Springs |
Riverside |
92262 |
California |
2011 |
2012 |
1 |
AIU |
DERAKHSH MD FOZOUNI |
1699784652 |
21250 |
21250 |
33.837264 |
-116.542845 |
-121.394218499684 |
38.5946370002974 |
17913 |
KENNEDY, BOBBY |
1699804492 |
Dentist |
UNKNOWN |
1611 Executive Ct, Ste 200 |
Sacramento |
Sacramento |
95864 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1699804492 |
21250 |
21250 |
38.594637 |
-121.3942185 |
-119.018416499822 |
35.3738699996009 |
17917 |
Pettiford, Marvin |
1699810176 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.152095919991 |
32.797887147374 |
17923 |
PACOFSKY, TODD |
1699815852 |
Dentist |
UNKNOWN |
8110 Birmingham Way |
San Diego |
San Diego |
92123 |
California |
2012 |
2013 |
1 |
AIU |
DE SALUD DE LA COMUNI CENTRO |
1477730737 |
21250 |
21250 |
32.7978871469 |
-117.15209592 |
-119.021358529373 |
35.3298959997007 |
17924 |
Ehsan, Ali |
1699813550 |
Dentist |
UNKNOWN |
2707 So. H Street Suite B |
Bakersfield |
Kern |
93304 |
California |
2018 |
2018 |
2 |
MU |
DENTAL CORPORATION LUKE |
1346584166 |
29750 |
8500 |
35.329896 |
-119.021358529 |
-117.689446542424 |
34.018527987077 |
17930 |
dayrit, luzviminda |
1699822767 |
Dentist |
UNKNOWN |
12920 Central Ave |
Chino |
San Bernardino |
91710 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1386049815 |
21250 |
21250 |
34.0185279867 |
-117.689446542 |
-115.558425529814 |
32.7706346298843 |
17936 |
ZABREK, EDWARD |
1699828939 |
Physician |
UNKNOWN |
651 Wake Avenue |
El Centro |
UNKNOWN |
92243 |
California |
2018 |
2019 |
3 |
MU |
DE SALUD DEL CLINICAS |
1487741773 |
38250 |
8500 |
32.77063463 |
-115.55842553 |
-121.483988999892 |
38.5243829998756 |
17941 |
Gonzales, Yolanda |
1699830653 |
Dentist |
UNKNOWN |
2378 Fruitridge Rd |
Sacramento |
Sacramento |
95822 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1699830653 |
21250 |
21250 |
38.524383 |
-121.483989 |
-117.867477936358 |
33.7790861138332 |
17944 |
MAYALIDAG, SALIH |
1699834432 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
17947 |
AHMED, SAMEENA |
1699843219 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.106370000075 |
33.8105755173463 |
17950 |
ngo, thanh |
1699844068 |
Dentist |
UNKNOWN |
6413 E Spring St |
Long Beach |
Los Angeles |
90808 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1730439969 |
21250 |
21250 |
33.8105755174 |
-118.10637 |
-118.124504412748 |
33.8793747690304 |
17953 |
nguyen, david |
1699845156 |
Physician |
UNKNOWN |
9817 Arkansas Street |
Bellflower |
Los Angeles |
90706 |
California |
2019 |
2020 |
6 |
MU |
DAVID D MD INC NGUYEN |
1669553236 |
63750 |
8500 |
33.8793747685 |
-118.124504413 |
-121.749538499702 |
36.9015299996099 |
17959 |
Balch, Christa |
1699848580 |
Physician |
FAMILY PRACTICE |
29-A Bishop Road |
Royal Oaks |
Santa Cruz |
95076 |
California |
2014 |
2015 |
1 |
MU |
DE SALUD DEL CLINICA |
1588601041 |
21250 |
21250 |
36.90153 |
-121.7495385 |
-114.63577908084 |
32.7385806122056 |
17972 |
buffington, mary |
1699858472 |
Nurse Practitioner |
NURSE PRACTITIONER |
2133 Winterhaven Drive |
Winterhaven |
Imperial |
92283 |
California |
2017 |
2018 |
5 |
MU |
DE SALUD DEL CLINICAS |
1124109202 |
55250 |
8500 |
32.738580612 |
-114.635779081 |
-122.299368988088 |
38.2892084034451 |
17973 |
Gnanadesikan, Mukund |
1699868133 |
Physician |
PSYCHIATRY |
2261 Elm St |
Napa |
Napa |
94559 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164572426 |
21250 |
21250 |
38.289208403 |
-122.299368988 |
-121.931844043068 |
37.3128740632874 |
17978 |
Rosenstein, Daniel |
1699870147 |
Physician |
UROLOGY |
751 S Bascom Ave, Urology Dept |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1699870147 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.351890693401 |
33.9757723419201 |
17985 |
Le, Men |
1699883223 |
Dentist |
UNKNOWN |
1857 University Ave |
Riverside |
Riverside |
92507 |
California |
2019 |
2020 |
2 |
MU |
D LE and MEN HT LE DENTAL KHA |
1649391392 |
29750 |
8500 |
33.9757723419 |
-117.351890693 |
-118.139132616977 |
33.9581074437036 |
17997 |
Martinez, Rossy |
1699894642 |
Dentist |
UNKNOWN |
7444 Florence Ave, Suite D |
Downey |
Los Angeles |
90240 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1699894642 |
21250 |
21250 |
33.958107444 |
-118.139132617 |
-117.815009720122 |
33.7877295960441 |
18001 |
tran, trang |
1699899203 |
Dentist |
UNKNOWN |
3550 E Chapman Ave |
Orange |
Orange |
92869 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1679699227 |
21250 |
21250 |
33.7877295956 |
-117.81500972 |
-117.330668570898 |
33.8873971398662 |
18004 |
Shah, Amit |
1699905430 |
Dentist |
UNKNOWN |
19040 VAN BUREN BOULEVARD, #111 |
Riverside |
Riverside |
92508 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1699905430 |
21250 |
21250 |
33.8873971401 |
-117.330668571 |
-122.135176589328 |
37.47163190299 |
18009 |
Kaferly, James |
1699902114 |
Physician |
UNKNOWN |
1798A Bay Road |
East Palo Alto |
Santa Clara |
94303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1699902114 |
21250 |
21250 |
37.4716319031 |
-122.135176589 |
-117.867477936358 |
33.7790861138332 |
18016 |
Sourial, Nash |
1699931394 |
Dentist |
UNKNOWN |
530 South Main St., Suite 101 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.951422436796 |
33.6722597605796 |
18029 |
Santos, Manolet |
1699952887 |
Dentist |
UNKNOWN |
10106 ADAMS AVE |
HUNTINGTON BEACH |
Orange |
92646 |
California |
2019 |
2020 |
2 |
MU |
Designated Payee Name not Found |
1134589070 |
29750 |
8500 |
33.6722597605 |
-117.951422437 |
-116.232533999944 |
33.708338999845 |
18040 |
Zala, Mitesh |
1699966515 |
Dentist |
UNKNOWN |
46900 MONROE ST, SUITE B-201 |
INDIO |
Riverside |
92201 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1609090968 |
21250 |
21250 |
33.708339 |
-116.232534 |
-118.193363999949 |
33.8000489995617 |
18056 |
Ghurabi, Raffi |
1700014529 |
Physician |
UNKNOWN |
2360 Pacific Ave |
Long Beach |
Los Angeles |
90806 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700014529 |
21250 |
21250 |
33.800049 |
-118.193364 |
-118.072323000206 |
33.8340059997771 |
18058 |
Mohammad, Ajmal |
1700017712 |
Nurse Practitioner |
NURSE PRACTITIONER |
21505 Norwalk Bvd. |
Hawaiian Gardnes |
Los Angeles |
90716 |
California |
2012 |
2013 |
2 |
MU |
DORADO COMM SVS CTR EL |
1821167305 |
29750 |
8500 |
33.834006 |
-118.072323 |
-120.857025520311 |
37.0634269687797 |
18064 |
Gebreegziabher, Yohannes |
1700032216 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
311 West I Street |
Los Banos |
Merced |
93635 |
California |
2012 |
2013 |
1 |
AIU |
DEVIREDDY MD KARTHIKEYA |
1518089507 |
21250 |
21250 |
37.0634269686 |
-120.85702552 |
-121.376389500375 |
38.5562970003064 |
18066 |
Soltani, Sam |
1700038643 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2015 |
2016 |
1 |
AIU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
21250 |
21250 |
38.556297 |
-121.3763895 |
-120.066202249035 |
36.95734855739 |
18068 |
Salazar, Brenda |
1700044666 |
Dentist |
UNKNOWN |
610 W Yosemite Ave |
Madera |
Madera |
93637 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1700044666 |
21250 |
21250 |
36.957348557 |
-120.066202249 |
-117.867477936358 |
33.7790861138332 |
18072 |
Jacobson, Blain |
1700049749 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.962019000077 |
33.8330069995734 |
18077 |
nguyen, tu |
1700057429 |
Dentist |
UNKNOWN |
2265 W LINCOLN AVE |
ANAHEIM |
Orange |
92801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1225132483 |
21250 |
21250 |
33.833007 |
-117.962019 |
-117.98876054976 |
33.8322389749488 |
18082 |
TADEO, ENMER |
1700066230 |
Dentist |
UNKNOWN |
2873 W Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1083038533 |
21250 |
21250 |
33.8322389751 |
-117.98876055 |
-117.867477936358 |
33.7790861138332 |
18103 |
Ajdari, Soolmaz |
1700121431 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
18104 |
Borham, Wael |
1700131190 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
18105 |
Sriram, Vishalakshi |
1700132305 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.296689000297 |
40.4506349998055 |
18109 |
Samples, Roberta |
1700137882 |
Nurse Practitioner |
UNKNOWN |
2830 East St. |
Anderson |
Shasta |
96007 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1700137882 |
21250 |
21250 |
40.450635 |
-122.296689 |
-119.555556831982 |
36.5110474410866 |
18125 |
Gates, Christopher |
1700192895 |
Dentist |
UNKNOWN |
1064 LEWIS ST |
KINGSBURG |
Fresno |
93631 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1104074400 |
21250 |
21250 |
36.5110474413 |
-119.555556832 |
-119.692751983117 |
34.420502373186 |
18130 |
ferraro, pia |
1700203361 |
Nurse Practitioner |
UNKNOWN |
518 Garden Street |
Santa Barbara |
UNKNOWN |
93101 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1700203361 |
21250 |
21250 |
34.4205023728 |
-119.692751983 |
-121.565801673608 |
39.1195374389017 |
18151 |
Wy, Cherry |
1700801578 |
Physician |
UNKNOWN |
5730 Packard Ave, Suite 600 |
Marysville |
Yuba |
95901 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1700801578 |
29750 |
8500 |
39.1195374394 |
-121.565801674 |
-117.154498161161 |
32.8069706966404 |
18152 |
Raz, Galya |
1700297249 |
Dentist |
UNKNOWN |
8031 Linda Vista Road, Suite 210 |
San Diego |
San Diego |
92111 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1346626066 |
21250 |
21250 |
32.8069706972 |
-117.154498161 |
-117.294080703861 |
34.1023881967579 |
18156 |
VELAZQUEZ, ALFREDO |
1700806924 |
Dentist |
UNKNOWN |
189 N E St |
San Bernardino |
San Bernardino |
92401 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700806924 |
21250 |
21250 |
34.1023881971 |
-117.294080704 |
-117.181032820908 |
34.0546622783415 |
18167 |
LUKE, HAROLD |
1700828779 |
Physician |
UNKNOWN |
137 E Vine St |
Redlands |
San Bernardino |
92373 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1811266521 |
21250 |
21250 |
34.0546622776 |
-117.181032821 |
-118.139132616977 |
33.9581074437036 |
18198 |
Balarie, Christian |
1700905866 |
Dentist |
UNKNOWN |
7444 Florence Ave, Suite D |
Downey |
Los Angeles |
90240 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700905866 |
21250 |
21250 |
33.958107444 |
-118.139132617 |
-120.313388032432 |
37.9691263071334 |
18200 |
mikkelsen, frank |
1700907946 |
Dentist |
UNKNOWN |
19060 Standard Rd, suite 4 |
Sonora |
Tuolumne |
95370 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1700907946 |
21250 |
21250 |
37.9691263069 |
-120.313388032 |
-119.018416499822 |
35.3738699996009 |
18203 |
farhady, parastoo |
1700913464 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
UNKNOWN |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.088779500074 |
34.0626184698666 |
18204 |
Pham, Anh |
1700909157 |
Dentist |
UNKNOWN |
8244 East Garvey Avenue, Suite A |
Rosemead |
Los Angeles |
91770 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1700909157 |
21250 |
21250 |
34.0626184701 |
-118.0887795 |
-118.259227509242 |
34.0894278760957 |
18205 |
Barros, Hope |
1700909710 |
Dentist |
UNKNOWN |
1860 Glendale Blvd |
Los Angeles |
Los Angeles |
90026 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700909710 |
21250 |
21250 |
34.0894278761 |
-118.259227509 |
-118.604686499682 |
34.2026550002281 |
18207 |
Pidkova, Roman |
1700917879 |
Dentist |
UNKNOWN |
7257 Vassar Ave, #100 |
Canoga Park |
Los Angeles |
91303 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1750593976 |
21250 |
21250 |
34.202655 |
-118.6046865 |
-118.449692999932 |
34.1929135132481 |
18211 |
ABDI, BEHZAD |
1700925112 |
Dentist |
UNKNOWN |
14520 Archwood St |
Van Nuys |
Los Angeles |
91405 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700925112 |
21250 |
21250 |
34.1929135126 |
-118.449693 |
-117.867477936358 |
33.7790861138332 |
18218 |
bartkowski, krystyna |
1700935475 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
18225 |
DIO, MARIVEL |
1700941622 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.458876859579 |
34.2802941343668 |
18229 |
Clarfield, Joel |
1700941788 |
Physician |
INTERNAL MEDICINE |
11550 Indian Hills Rd, #300 |
Mission Hills |
Los Angeles |
91345 |
California |
2018 |
2019 |
5 |
MU |
D CLARFIELD MD INC JOEL |
1669660239 |
55250 |
8500 |
34.2802941341 |
-118.45887686 |
-118.310027084682 |
34.1846741512911 |
18233 |
Terzian, Garo |
1700952090 |
Physician |
UNKNOWN |
333 E Magnolia Blvd, Suite 103 |
Burbank |
Los Angeles |
91502 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1700952090 |
8500 |
8500 |
34.1846741507 |
-118.310027085 |
-116.232533999944 |
33.708338999845 |
18240 |
Elisha, Joseph |
1700967098 |
Physician |
UNKNOWN |
46900 MONROE ST, SUITE B-201 |
INDIO |
Riverside |
92201 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1609090968 |
21250 |
21250 |
33.708339 |
-116.232534 |
-117.967274707362 |
34.0846291692009 |
18255 |
hwang, phillip |
1700988276 |
Dentist |
UNKNOWN |
14032 Ramona Blvd |
Baldwin Park |
Los Angeles |
91706 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700988276 |
21250 |
21250 |
34.0846291687 |
-117.967274707 |
-122.019410920078 |
36.980148208573 |
18256 |
Watson, Jack |
1700986858 |
Physician |
UNKNOWN |
550A Water St |
Santa Cruz |
Santa Cruz |
95060 |
California |
2016 |
2017 |
5 |
MU |
Designated Payee Name not Found |
1700986858 |
55250 |
8500 |
36.9801482094 |
-122.01941092 |
-120.827405971908 |
38.706282365339 |
18258 |
Venkatapathy, Ganesan |
1700989811 |
Physician |
FAMILY PRACTICE |
4327 Golden Center Dr |
Placerville |
El Dorado |
95667 |
California |
2011 |
2012 |
1 |
AIU |
DORADO COUNTY COMM EL |
1316050107 |
21250 |
21250 |
38.706282365 |
-120.827405972 |
-118.345594499986 |
33.8125769999286 |
18263 |
Kim, David |
1700992534 |
Physician |
INTERNAL MEDICINE |
3440 Lomita Blvd, Suite #446 |
Torrance |
Los Angeles |
90505 |
California |
2014 |
2015 |
3 |
MU |
DAVID O MD KIM |
1700992534 |
38250 |
8500 |
33.812577 |
-118.3455945 |
-117.160377516809 |
32.7500307121477 |
18269 |
Rissman, Raquel |
1700998846 |
Physician |
UNKNOWN |
550 Washington St, Ste 300 |
San Diego |
San Diego |
92103 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1700998846 |
38250 |
8500 |
32.7500307119 |
-117.160377517 |
-117.984485262685 |
33.7592835280125 |
18275 |
nguyen, Thanhlong |
1710013925 |
Dentist |
UNKNOWN |
8292 Westminster Blvd |
Westminster |
Orange |
92683 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1710013925 |
21250 |
21250 |
33.7592835279 |
-117.984485263 |
-117.997252685063 |
33.8319405915851 |
18276 |
Park, Jin |
1710016514 |
Dentist |
UNKNOWN |
3070 W. Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1982733770 |
21250 |
21250 |
33.8319405917 |
-117.997252685 |
-118.185004521841 |
33.8247720002277 |
18280 |
De Los Santos, victor |
1710019385 |
Dentist |
UNKNOWN |
3712 ATLANTIC AVE, STE C |
LONG BEACH |
Los Angeles |
90807 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1710019385 |
21250 |
21250 |
33.824772 |
-118.185004522 |
-118.410268500291 |
34.065207000203 |
18281 |
Meland, Donald |
1710022611 |
Physician |
PSYCHIATRY |
153 S Lasky Dr, Suite 8 |
Beverly Hills |
Los Angeles |
90212 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
34.065207 |
-118.4102685 |
-121.050000319159 |
37.6986813315783 |
18290 |
Ayyubi, Muhammad |
1710032552 |
Dentist |
UNKNOWN |
4120 Dale Rd, Suite J6 |
Modesto |
Stanislaus |
95356 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1902272701 |
21250 |
21250 |
37.6986813317 |
-121.050000319 |
-122.273765999901 |
38.0174939997484 |
18294 |
Pleet, Helaine |
1710039607 |
Physician |
UNKNOWN |
500 Alfred Nobel Dr, Suite 255A |
Hercules |
Contra Costa |
94547 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1710039607 |
21250 |
21250 |
38.017494 |
-122.273766 |
-119.276363983611 |
35.5026510936731 |
18298 |
perez, lutgarda |
1710043864 |
Dentist |
UNKNOWN |
410 James St |
Shafter |
Kern |
93263 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1871761072 |
21250 |
21250 |
35.5026510937 |
-119.276363984 |
-118.379803500131 |
34.0664219995757 |
18299 |
Khodadadi, Soheil |
1710042478 |
Dentist |
UNKNOWN |
8641 Wilshire Blvd, Suite 125 |
Beverly Hills |
Los Angeles |
90211 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1528235223 |
21250 |
21250 |
34.066422 |
-118.3798035 |
-117.235022764689 |
33.9183867838231 |
18303 |
Shirazi, Reza |
1710049598 |
Dentist |
UNKNOWN |
13925 INDIAN ST |
MORENO VALLEY |
Riverside |
92553 |
California |
2016 |
2017 |
1 |
AIU |
DENTAL CORP KWON |
1720322449 |
21250 |
21250 |
33.9183867835 |
-117.235022765 |
-118.193744495912 |
33.807590800575 |
18304 |
haman, hanan |
1710045893 |
Physician |
PEDIATRIC MEDICINE |
2777 Pacific Ave, SUITE 209 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
2 |
MU |
Designated Payee Name not Found |
1710045893 |
29750 |
8500 |
33.807590801 |
-118.193744496 |
-121.931844043068 |
37.3128740632874 |
18305 |
Tran, Dao |
1710050158 |
Physician |
UNKNOWN |
751 S. Bascom Ave. |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
2 |
MU |
Designated Payee Name not Found |
1588721500 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-119.018416499822 |
35.3738699996009 |
18306 |
Droppers, Oliver |
1710054630 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.481325000249 |
38.5705530003208 |
18308 |
Brownstone, Donni |
1710054796 |
Dentist |
UNKNOWN |
1500 21st Street |
Sacramento |
Sacramento |
95811 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1710054796 |
21250 |
21250 |
38.570553 |
-121.481325 |
-121.376389500375 |
38.5562970003064 |
18313 |
Kunwar, Ravinder |
1710059993 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
UNKNOWN |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-121.892717440258 |
37.3411630908041 |
18315 |
HUYNH, NHI |
1710066642 |
Physician |
UNKNOWN |
55 East Julian Street |
San Jose |
Santa Clara |
95112 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1407985534 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
-115.541361083747 |
32.9741854703832 |
18336 |
PARRILLA, LEON |
1710089321 |
Dentist |
UNKNOWN |
114 J St |
Brawley |
Imperial |
92227 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1710089321 |
21250 |
21250 |
32.9741854701 |
-115.541361084 |
-118.35110250038 |
33.8376245011698 |
18337 |
AIYEGBUSI, MODUPE |
1710088349 |
Physician |
UNKNOWN |
3661 Torrance Blvd, SUITE 103 |
Torrance |
Los Angeles |
90503 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1710088349 |
8500 |
8500 |
33.8376245007 |
-118.3511025 |
-120.839912428116 |
37.5088037636828 |
18338 |
McCauley, Daniel |
1710088109 |
Physician |
OBSTETRICS/GYNECOLOGY |
1729 N Olive Ave Suite 3 |
Turlock |
Stanislaus |
95382 |
California |
2012 |
2013 |
1 |
AIU |
DANIEL MD MCCAULEY |
1710088109 |
21250 |
21250 |
37.5088037638 |
-120.839912428 |
-117.867477936358 |
33.7790861138332 |
18342 |
LEW, EUNSUN |
1710095344 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.350834401686 |
33.961823998179 |
18343 |
Barconey, Linda |
1710103312 |
Dentist |
UNKNOWN |
345 E Manchester Blvd |
Inglewood |
Los Angeles |
90301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1710103312 |
21250 |
21250 |
33.9618239984 |
-118.350834402 |
-119.565518222988 |
36.0979924846655 |
18345 |
Kim, Gene |
1710106935 |
Dentist |
UNKNOWN |
1409 Whitley Ave, Suite C |
Corcoran |
Kings |
93212 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1659632891 |
21250 |
21250 |
36.0979924846 |
-119.565518223 |
-117.091723520924 |
32.6603627544376 |
18351 |
SHAH, Krutika |
1710113964 |
Dentist |
UNKNOWN |
2835 Highland Avenue |
National City |
San Diego |
91950 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1710113964 |
21250 |
21250 |
32.6603627535 |
-117.091723521 |
-121.977238187592 |
37.5484010455718 |
18353 |
Gollapalle, Mythri |
1710120118 |
Physician |
UNKNOWN |
39500 Liberty Street |
Fremont |
Alameda |
94538 |
California |
2014 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1710120118 |
29750 |
8500 |
37.5484010458 |
-121.977238188 |
-118.193679000086 |
33.9425640003284 |
18358 |
Abraham, Pamela |
1710131362 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-117.153099000418 |
34.0378379998239 |
18365 |
Fuller, Cameron |
1710137690 |
Dentist |
UNKNOWN |
1481 Ford St, Suite 101 |
Redlands |
UNKNOWN |
92373 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1598011793 |
21250 |
21250 |
34.037838 |
-117.153099 |
-118.443346549004 |
34.0637399640282 |
18372 |
Moore, Theodore |
1710091020 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0637399643 |
-118.443346549 |
-121.933097158407 |
37.3110853926768 |
18388 |
Ditter, Susan |
1710188438 |
Physician |
PSYCHIATRY |
2221 Enborg Ln |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1710188438 |
21250 |
21250 |
37.3110853932 |
-121.933097158 |
-117.662478168433 |
33.499044388188 |
18392 |
Mehrvarzi, Mehrdokht |
1710194964 |
Dentist |
UNKNOWN |
31952 Camino Capistrano, Ste C14 & C16 |
San Juan Capistrano |
Orange |
92675 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1710194964 |
21250 |
21250 |
33.4990443877 |
-117.662478168 |
-118.034282891742 |
34.0732695185735 |
18394 |
Da Silva, Carlos |
1710186564 |
Dentist |
UNKNOWN |
11042 Valley Mall Road |
El Monte |
Los Angeles |
91731 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740359181 |
21250 |
21250 |
34.0732695187 |
-118.034282892 |
-119.018416499822 |
35.3738699996009 |
18398 |
Mendoza, Ernesto |
1710216395 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.982179866008 |
36.9889348862361 |
18399 |
LEVITAN, SARAH |
1710222070 |
Certified Nurse - Midwife |
UNKNOWN |
1661 Soquel Dr, SUITE A |
Santa Cruz |
Santa Cruz |
95065 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1710222070 |
29750 |
8500 |
36.9889348862 |
-121.982179866 |
-117.169517934705 |
32.7876688614289 |
18403 |
Instone, Susan |
1710223268 |
Nurse Practitioner |
UNKNOWN |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2015 |
2016 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-122.46118324571 |
37.7624926958812 |
18405 |
Hardy, Daniel |
1710237466 |
Dentist |
UNKNOWN |
707 Parnassus Ave, D-3000 |
San Francisco |
San Francisco |
94143 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1710237466 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-117.867477936358 |
33.7790861138332 |
18413 |
Nguyen, Anthony |
1710246640 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.751367116199 |
38.4513377223581 |
18418 |
Valladares Lazo, Eliseo |
1710254784 |
Dentist |
UNKNOWN |
1791 Marlow Road, Suite 1-D |
Santa Rosa |
Sonoma |
95401 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1790153328 |
21250 |
21250 |
38.4513377216 |
-122.751367116 |
-121.376389500375 |
38.5562970003064 |
18419 |
Hakimian, Edwin |
1710269675 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2017 |
2018 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-117.867477936358 |
33.7790861138332 |
18427 |
Lim, Eric |
1710283833 |
Dentist |
UNKNOWN |
530 South Main St., Suite #410 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.963470326894 |
33.7447388761983 |
18463 |
Phan, Tuyet-Mai |
1710900477 |
Physician |
UNKNOWN |
9500 Bolsa Ave, ste P |
Westminster |
Orange |
92683 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1710900477 |
21250 |
21250 |
33.7447388756 |
-117.963470327 |
-117.930982613856 |
34.0635150327926 |
18464 |
KUMAR, ASHA |
1710902150 |
Physician |
UNKNOWN |
820 W Service Ave |
West Covina |
Los Angeles |
91790 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1710902150 |
29750 |
8500 |
34.063515033 |
-117.930982614 |
-115.528558499675 |
32.9786155433727 |
18469 |
rickard, marcia |
1710909874 |
Nurse Practitioner |
NURSE PRACTITIONER |
900 Main Street |
Brawley |
Imperial |
92227 |
California |
2017 |
2018 |
4 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
46750 |
8500 |
32.9786155434 |
-115.5285585 |
-121.645808999686 |
36.6576570002704 |
18477 |
LIM, JERRIE |
1710930235 |
Physician |
UNKNOWN |
260 San Jose St |
Salinas |
Monterey |
93901 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1710930235 |
21250 |
21250 |
36.657657 |
-121.645809 |
-119.13169066839 |
36.2988754701269 |
18482 |
Snyder, Brittani |
1710933858 |
Nurse Practitioner |
NURSE PRACTITIONER |
1014 San Juan Ave |
Exeter |
Tulare |
93221 |
California |
2015 |
2017 |
2 |
MU |
DELTA HEALTHCARE KAWEAH |
1043272172 |
29750 |
8500 |
36.2988754701 |
-119.131690668 |
-119.13169066839 |
36.2988754701269 |
18483 |
Phan, Andy |
1710934088 |
Physician |
PEDIATRIC MEDICINE |
1014 San Juan Ave |
Exeter |
Tulare |
93221 |
California |
2015 |
2017 |
3 |
MU |
DELTA HEALTHCARE KAWEAH |
1043272172 |
38250 |
8500 |
36.2988754701 |
-119.131690668 |
-121.645808999686 |
36.6576570002704 |
18486 |
McCuistion, Christine |
1710940671 |
Physician |
UNKNOWN |
260 San Jose St |
Salinas |
Monterey |
93901 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1710940671 |
21250 |
21250 |
36.657657 |
-121.645809 |
-118.446236463742 |
34.0652250001337 |
18488 |
Chen, Angela |
1710914262 |
Physician |
OBSTETRICS/GYNECOLOGY |
200 Medical Plaza, suite 430 |
Los Angeles |
UNKNOWN |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1710914262 |
21250 |
21250 |
34.065225 |
-118.446236464 |
-118.443346549004 |
34.0637399640282 |
18490 |
Devaskar, Sherin |
1710907639 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1710907639 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-121.456646999859 |
38.5524089999754 |
18502 |
Wells, Kathryn |
1710963384 |
Nurse Practitioner |
UNKNOWN |
2516 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1710963384 |
21250 |
21250 |
38.552409 |
-121.456647 |
-121.93091550025 |
37.312308000314 |
18505 |
Menzel, Miriam |
1710972138 |
Physician |
UNKNOWN |
828 S Bascom Ave, Suite 100 |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588721500 |
21250 |
21250 |
37.312308 |
-121.9309155 |
-119.331090277894 |
36.2333848449347 |
18506 |
Fox, Shawn |
1710973904 |
Dentist |
UNKNOWN |
1979 Hillman St |
Tulare |
Tulare |
93274 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1710973904 |
21250 |
21250 |
36.2333848453 |
-119.331090278 |
-122.418999000104 |
37.7885970003513 |
18508 |
Lim, Carol |
1710979190 |
Nurse Practitioner |
UNKNOWN |
1333 Bush St |
San Francisco |
San Francisco |
94109 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.788597 |
-122.418999 |
-118.014505449167 |
33.9528266938968 |
18510 |
Dalal, Mrugesh |
1710975172 |
Dentist |
UNKNOWN |
14544 E Whittier Blvd |
Whittier |
Los Angeles |
90605 |
California |
2018 |
2018 |
2 |
MU |
DR MRUGESH V DDS DALAL |
1710975172 |
29750 |
8500 |
33.9528266941 |
-118.014505449 |
-118.35224550003 |
33.8340330001229 |
18516 |
KHAN, HAMEED |
1710986740 |
Physician |
GENERAL PRACTICE |
21350 Hawthorne Blvd, SUITE # 259 |
Torrance |
Los Angeles |
90503 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1427006113 |
29750 |
8500 |
33.834033 |
-118.3522455 |
-118.534700545794 |
34.2207646743503 |
18530 |
Millet, Victoria |
1720022080 |
Physician |
UNKNOWN |
18433 Roscoe Blvd, 106 |
Northridge |
Los Angeles |
91325 |
California |
2020 |
2020 |
6 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
63750 |
8500 |
34.2207646736 |
-118.534700546 |
-117.560046603268 |
34.0839243489296 |
18535 |
Nakai, Bhupinder |
1720030208 |
Physician |
PSYCHIATRY |
9327 Fairway View Pl, STE 110 |
Rancho Cucamonga |
San Bernardino |
91730 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1720030208 |
21250 |
21250 |
34.0839243492 |
-117.560046603 |
-115.558425529814 |
32.7706346298843 |
18542 |
Hoffman, Michael |
1720047707 |
Physician |
UNKNOWN |
651 Wake Ave |
El Centro |
Imperial |
92243 |
California |
2017 |
2018 |
3 |
MU |
DE SALUD DEL CLINICAS |
1487741773 |
38250 |
8500 |
32.77063463 |
-115.55842553 |
-121.351838092154 |
37.984139160394 |
18543 |
Mora, Edith |
1720047608 |
Dentist |
UNKNOWN |
3133 W March Ln Ste 1080 |
Stockton |
San Joaquin |
95219 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1720047608 |
21250 |
21250 |
37.9841391602 |
-121.351838092 |
-121.877492907272 |
37.342892139061 |
18554 |
Tran, Nam |
1720072895 |
Physician |
PSYCHIATRY |
25 N 14th St, SUITE 780 |
San Jose |
Santa Clara |
95112 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1720072895 |
29750 |
8500 |
37.3428921388 |
-121.877492907 |
-118.588153004358 |
34.1712570487738 |
18581 |
Agopian, Vatche |
1720103229 |
Physician |
GENERAL SURGERY |
5601 De Soto Ave |
Woodland Hills |
Los Angeles |
91367 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1720103229 |
21250 |
21250 |
34.1712570488 |
-118.588153004 |
-121.634037000008 |
36.697248000395 |
18585 |
HEILMAN, DAVID |
1720118656 |
Physician |
UNKNOWN |
1270 Natividad Rd, ROOM 200 |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730211178 |
21250 |
21250 |
36.697248 |
-121.634037 |
-117.867477936358 |
33.7790861138332 |
18587 |
shah, bhavi |
1720113756 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.931153999557 |
37.3150530000959 |
18599 |
Friedland, Miriam |
1720127772 |
Physician |
PSYCHIATRY |
650 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1720127772 |
21250 |
21250 |
37.315053 |
-121.931154 |
-116.096458084773 |
34.1353467777317 |
18605 |
Wee, Sungchun |
1720130834 |
Dentist |
UNKNOWN |
71757 29 Palms Hwy, Ste C |
Twentynine Palms |
San Bernardino |
92277 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1720130834 |
21250 |
21250 |
34.1353467784 |
-116.096458085 |
-121.931844043068 |
37.3128740632874 |
18606 |
Sankaran, Vanitha |
1720137391 |
Physician |
PSYCHIATRY |
751 S. Bascom AVe |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1720137391 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.050000130002 |
33.8315611118559 |
18612 |
Marquez, Claro |
1720142102 |
Dentist |
UNKNOWN |
4686 Lincoln Ave |
Cypress |
Orange |
90630 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1437402807 |
21250 |
21250 |
33.8315611119 |
-118.05000013 |
-118.291789009855 |
34.0938990004386 |
18618 |
Lim, Albert |
1720144082 |
Dentist |
UNKNOWN |
1211 N Vermont Ave, Suite 102 |
Los Angeles |
Los Angeles |
90029 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1891995833 |
21250 |
21250 |
34.093899 |
-118.29178901 |
-118.085526000225 |
33.8584795033265 |
18623 |
Brown, Donald |
1720155351 |
Dentist |
UNKNOWN |
11635 E South St |
Artesia |
Los Angeles |
90702 |
California |
2014 |
2015 |
1 |
AIU |
Donald M Brown |
1720155351 |
21250 |
21250 |
33.8584795027 |
-118.085526 |
-118.2601169999 |
34.0282619997915 |
18634 |
BELTON, MICHAEL |
1720174832 |
Dentist |
UNKNOWN |
514 E Washington Blvd |
Los Angeles |
Los Angeles |
90015 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1720174832 |
21250 |
21250 |
34.028262 |
-118.260117 |
-119.62530899991 |
36.5757569996858 |
18643 |
Tiu, Dennis |
1720181779 |
Dentist |
UNKNOWN |
2827 WHITSON ST |
SELMA |
Fresno |
93662 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1144383639 |
21250 |
21250 |
36.575757 |
-119.625309 |
-121.848385136964 |
37.3633082513747 |
18650 |
Nagarajan, Babitha |
1720185812 |
Physician |
INTERNAL MEDICINE |
225 N Jackson Ave |
San Jose |
Santa Clara |
95116 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1720185812 |
21250 |
21250 |
37.3633082508 |
-121.848385137 |
-119.018416499822 |
35.3738699996009 |
18657 |
Baskerville, Samuel |
1720192701 |
Physician |
GENERAL PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.50258462598 |
34.227464772881 |
18662 |
shahriari, homa |
1720204134 |
Dentist |
UNKNOWN |
8632 BALBOA BLVD |
NORTHRIDGE |
Los Angeles |
91325 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1720204134 |
21250 |
21250 |
34.2274647732 |
-118.502584626 |
-117.867477936358 |
33.7790861138332 |
18674 |
Pitzak, Larry |
1720239833 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.398258782117 |
34.1068021979631 |
18676 |
Kim, Soyoung |
1720239866 |
Dentist |
UNKNOWN |
1374 West Foothill Blvd, Suite 2E |
Rialto |
San Bernardino |
92376 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1932465671 |
21250 |
21250 |
34.1068021982 |
-117.398258782 |
-118.442638233068 |
34.0636438372933 |
18683 |
Yeh, Joanna |
1720249584 |
Physician |
UNKNOWN |
10834 LeConte Ave |
Los Angeles |
UNKNOWN |
90095 |
California |
2018 |
2019 |
2 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
29750 |
8500 |
34.063643837 |
-118.442638233 |
-117.169517934705 |
32.7876688614289 |
18685 |
Liu, Timothy |
1720262801 |
Physician |
UNKNOWN |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2014 |
2015 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1780665877 |
38250 |
8500 |
32.7876688612 |
-117.169517935 |
-117.867477936358 |
33.7790861138332 |
18686 |
Stephanos, Reem |
1720258841 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.527648821336 |
34.201227884959 |
18691 |
Minasyan, Armen |
1720270937 |
Dentist |
UNKNOWN |
18107 Sherman Way, Suite 107 |
Reseda |
Los Angeles |
91335 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1649546391 |
21250 |
21250 |
34.2012278854 |
-118.527648821 |
-117.912298499576 |
33.7753079998644 |
18692 |
Lutsky, Burton |
1720270028 |
Physician |
UNKNOWN |
12665 Garden Grove Blvd, #502-B |
Garden Grove |
Orange |
92843 |
California |
2015 |
2016 |
3 |
MU |
Designated Payee Name not Found |
1720270028 |
38250 |
8500 |
33.775308 |
-117.9122985 |
-116.952862499805 |
32.8077314592395 |
18705 |
GAROFALO, ANTHONY |
1720292998 |
Dentist |
UNKNOWN |
742 Broadway |
El Cajon |
San Diego |
92021 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1720292998 |
21250 |
21250 |
32.8077314591 |
-116.9528625 |
-119.178611998445 |
34.1931239995729 |
18707 |
Davidian, Rafi |
1720288400 |
Dentist |
UNKNOWN |
826 S A St |
Oxnard |
Ventura |
93030 |
California |
2020 |
2020 |
3 |
MU |
DAVIDIAN DMD CORP RAFI |
1437571783 |
38250 |
8500 |
34.193124 |
-119.178611998 |
-118.192449295898 |
33.7832312959875 |
18712 |
Soliman, Monica |
1720304785 |
Physician |
UNKNOWN |
1301 Pine Ave |
Long Beach |
Los Angeles |
90813 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1467597310 |
21250 |
21250 |
33.7832312957 |
-118.192449296 |
-118.193679000086 |
33.9425640003284 |
18727 |
Chuang, Rita |
1720337538 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-115.522960499627 |
32.9730805030628 |
18730 |
Slaton, Adela |
1720342637 |
Dentist |
UNKNOWN |
1166 K Street |
Brawley |
Imperial |
92227 |
California |
2018 |
2019 |
3 |
MU |
DE SALUD DEL CLINICAS |
1699859421 |
38250 |
8500 |
32.9730805029 |
-115.5229605 |
-117.435739499678 |
33.9451200003878 |
18763 |
Der Boghossian, Carlos |
1720421225 |
Dentist |
UNKNOWN |
6160 Arlington Ave, Suite D4 |
Riverside |
Riverside |
92504 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1750354098 |
21250 |
21250 |
33.94512 |
-117.4357395 |
-117.867477936358 |
33.7790861138332 |
18767 |
Elgamal, Shierf |
1720426174 |
Dentist |
UNKNOWN |
530 South Main Street |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.381744500009 |
38.6182079999992 |
18775 |
Choi, Sun |
1720485618 |
Dentist |
UNKNOWN |
3517 Marconi Ave, Suite 105 |
Sacramento |
Sacramento |
95821 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1124433750 |
21250 |
21250 |
38.618208 |
-121.3817445 |
-121.376389500375 |
38.5562970003064 |
18781 |
Urruchi, Enrique |
1720523004 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
UNKNOWN |
95826 |
California |
2017 |
2018 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-116.961791977218 |
33.2771591455781 |
18800 |
Calac, Daniel |
1730133372 |
Physician |
INTERNAL MEDICINE |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730133372 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-122.47496099975 |
37.6803539999372 |
18801 |
ESPINOSA, ERNESTO |
1730135575 |
Physician |
UNKNOWN |
1800 Sullivan Avenue, SUITE 101 |
Daly City |
San Mateo |
94015 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1366586950 |
29750 |
8500 |
37.680354 |
-122.474961 |
-124.093018149368 |
40.8966443463596 |
18819 |
Wilcox, Dennis |
1730177486 |
Physician |
UNKNOWN |
3800 Janes Rd |
Arcata |
Humboldt |
95521 |
California |
2015 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1730177486 |
29750 |
8500 |
40.8966443461 |
-124.093018149 |
-118.343868450968 |
33.8958720000928 |
18825 |
nguyen, cuong |
1730193889 |
Physician |
UNKNOWN |
14921 Prairie Ave, suite 1 |
Lawndale |
Los Angeles |
90260 |
California |
2013 |
2014 |
1 |
MU |
Designated Payee Name not Found |
1730193889 |
21250 |
21250 |
33.895872 |
-118.343868451 |
-118.025043463885 |
33.7298881068507 |
18835 |
Patam, Marlice |
1730203712 |
Dentist |
UNKNOWN |
5942 Edinger Ave, Suite 101 |
Huntington Beach |
Orange |
92649 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1619131380 |
21250 |
21250 |
33.7298881071 |
-118.025043464 |
-117.652449030598 |
34.0689599997042 |
18838 |
Gagneja, Rajesh |
1730210659 |
Dentist |
UNKNOWN |
521 N. LAUREL AVE. |
Ontario |
San Bernardino |
91762 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1659755874 |
21250 |
21250 |
34.06896 |
-117.652449031 |
-118.177217349801 |
33.9692361736106 |
18842 |
nguyen, hanh |
1730212952 |
Dentist |
UNKNOWN |
5021 Florence Ave |
City of Bell |
Los Angeles |
90201 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700083078 |
21250 |
21250 |
33.9692361739 |
-118.17721735 |
-119.800377524303 |
36.8843745979094 |
18865 |
Pease, Vicki |
1730244989 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93638 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730244989 |
21250 |
21250 |
36.8843745978 |
-119.800377524 |
-122.294101499684 |
38.2947299997897 |
18881 |
Sholders, Joseph |
1730275397 |
Physician |
UNKNOWN |
1801 Oak St |
Napa |
Napa |
94559 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1972897346 |
21250 |
21250 |
38.29473 |
-122.2941015 |
-119.018416499822 |
35.3738699996009 |
18891 |
Santoyo, Roberto |
1730274283 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1430 Truxton Ave, suite 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.222476965639 |
33.9686659278903 |
18894 |
AGUILAR, DAVID |
1730291287 |
Physician |
UNKNOWN |
7705 Seville Ave, Suite D |
Huntington Park |
Los Angeles |
90255 |
California |
2015 |
2016 |
1 |
AIU |
DAVID G MD AGUILAR |
1730291287 |
21250 |
21250 |
33.9686659278 |
-118.222476966 |
-121.760265267728 |
36.9129097923531 |
18900 |
RODRIGUEZ, ELIAS |
1730295395 |
Physician |
INTERNAL MEDICINE |
10 W. Fifth Street |
Watsonville |
Santa Cruz |
95076 |
California |
2013 |
2013 |
2 |
MU |
DEL MAR CLINIC RIO |
1073726246 |
29750 |
8500 |
36.9129097919 |
-121.760265268 |
-118.448749835037 |
34.2202475686704 |
18903 |
Stahl, Lisa |
1730301441 |
Dentist |
UNKNOWN |
8214 Van Nuys Blvd |
Panorama City |
Los Angeles |
91402 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1235442930 |
21250 |
21250 |
34.2202475692 |
-118.448749835 |
-117.969032342369 |
33.8176399294392 |
18906 |
Alteir, Nizar |
1730306952 |
Dentist |
UNKNOWN |
2424 W Ball Rd, Suite L |
Anaheim |
Orange |
92804 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1235378860 |
21250 |
21250 |
33.8176399292 |
-117.969032342 |
-117.867477936358 |
33.7790861138332 |
18912 |
Chiang, ChuenChie |
1730313677 |
Dentist |
UNKNOWN |
530 South Main St., G343 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.443954999723 |
34.0669899996888 |
18913 |
WENG, PATRICIA |
1730301656 |
Physician |
UNKNOWN |
UCLA Pediatrics-Nephrology, BOX 951752 MDCC A2-383 |
Los Angeles |
Los Angeles |
90095 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
34000 |
8500 |
34.06699 |
-118.443955 |
-119.99625835374 |
38.9123594716124 |
18933 |
Jones, Mary |
1730351636 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
NURSE PRACTITIONER |
2201 South Ave, Ste B |
South Lake Tahoe |
El Dorado |
96150 |
California |
2012 |
2014 |
1 |
MU |
Designated Payee Name not Found |
1730351636 |
21250 |
21250 |
38.9123594716 |
-119.996258354 |
-117.867477936358 |
33.7790861138332 |
18936 |
Guindy, Youssef |
1730368267 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.326390486732 |
33.9321870002299 |
18944 |
Korouri, Amir |
1730383365 |
Dentist |
UNKNOWN |
11344-A South Crenshaw Blvd. |
Inglewood |
Los Angeles |
90303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043599657 |
21250 |
21250 |
33.932187 |
-118.326390487 |
-115.502840999912 |
32.6940194764177 |
18954 |
Donnelly, Kevin |
1730408436 |
Physician |
UNKNOWN |
223 W Cole Blvd |
Calexico |
Imperial |
92231 |
California |
2017 |
2018 |
5 |
MU |
DE SALUD DEL CLINICAS |
1962599266 |
55250 |
8500 |
32.6940194761 |
-115.502841 |
-117.867477936358 |
33.7790861138332 |
18961 |
Shanmugham, Chitra |
1730419664 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.932188500399 |
33.8945219998905 |
18966 |
RUPAREL, PANNA |
1730446972 |
Dentist |
UNKNOWN |
301 W Bastanchury Rd, SUITE 5 |
Fullerton |
Orange |
92835 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
33.894522 |
-117.9321885 |
-117.968858999843 |
33.760151999715 |
18970 |
TRUONG, SYDNEE |
1730457292 |
Nurse Practitioner |
UNKNOWN |
9191 Westminster Ave |
Garden Grove |
Orange |
92844 |
California |
2011 |
2012 |
1 |
AIU |
DAO MD INC MICHAEL |
1689797920 |
21250 |
21250 |
33.760152 |
-117.968859 |
-117.867477936358 |
33.7790861138332 |
18983 |
Marquez, Esmeralda |
1730486002 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
18986 |
Vyas, Urvi |
1730477142 |
Physician |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
UNKNOWN |
93003 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL INC CLINICAS |
1609291996 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
18987 |
Lee, Jing |
1730499930 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.827405971908 |
38.706282365339 |
19011 |
Ngo, Michael |
1730529439 |
Physician |
UNKNOWN |
4327 Golden Center Dr, El Dorado Community Health Center |
Placerville |
El Dorado |
95667 |
California |
2020 |
2020 |
5 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
55250 |
8500 |
38.706282365 |
-120.827405972 |
-117.560920499681 |
33.984224999684 |
19016 |
Joshi, Abhishek |
1730635434 |
Dentist |
UNKNOWN |
12738 Longhorne Dr |
Corona |
Riverside |
92880 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1730635434 |
21250 |
21250 |
33.984225 |
-117.5609205 |
-118.146652163367 |
34.5914233753885 |
19036 |
Davis, Pamela |
1740236017 |
Physician |
FAMILY PRACTICE |
833 Auto Center Dr, Suite D |
Palmdale |
Los Angeles |
93551 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1851668800 |
21250 |
21250 |
34.5914233753 |
-118.146652163 |
-118.305603000278 |
33.7388574521098 |
19037 |
Sonne, Barbara |
1740240514 |
Nurse Practitioner |
UNKNOWN |
1294 West 6th Street, suite 102 |
San Pedro |
Los Angeles |
90731 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740240514 |
21250 |
21250 |
33.7388574522 |
-118.305603 |
-118.146652163367 |
34.5914233753885 |
19045 |
Iskander, Isis |
1740243104 |
Physician |
FAMILY PRACTICE |
833 Auto Center Dr., Suite D |
Palmdale |
Los Angeles |
93551 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1851668800 |
21250 |
21250 |
34.5914233753 |
-118.146652163 |
-121.845447497004 |
39.7528200003428 |
19057 |
Siri, Daniel |
1740265651 |
Dentist |
UNKNOWN |
680 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.75282 |
-121.845447497 |
-121.931844043068 |
37.3128740632874 |
19058 |
javdekar, anjali |
1740277474 |
Nurse Practitioner |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740277474 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-119.746662988006 |
36.7359875709697 |
19059 |
Brouhtchenko, Sergiei |
1740272970 |
Dentist |
UNKNOWN |
4577 E Kings Canyon Rd, #102 |
Fresno |
Fresno |
93702 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740272970 |
21250 |
21250 |
36.7359875712 |
-119.746662988 |
-122.476352515356 |
37.6653057259785 |
19061 |
Fernandez, Mary Ann |
1740277995 |
Physician |
UNKNOWN |
901 Campus Drive, Suite # 207 |
Daly City |
San Mateo |
94015 |
California |
2016 |
2018 |
2 |
MU |
Designated Payee Name not Found |
1740277995 |
19833.34 |
5666.67 |
37.6653057258 |
-122.476352515 |
-117.169517934705 |
32.7876688614289 |
19062 |
Schwab, Gary |
1740274372 |
Doctor of Optometry |
UNKNOWN |
6973 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2016 |
2017 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-119.352904028398 |
36.3288420003581 |
19075 |
Ricks, Charles |
1740294412 |
Dentist |
UNKNOWN |
136 S Aspen Ct, Suite B |
Visalia |
Tulare |
93291 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740294412 |
21250 |
21250 |
36.328842 |
-119.352904028 |
-122.299368988088 |
38.2892084034451 |
19092 |
MARTINEZ, ZOE |
1740319581 |
Physician |
PSYCHIATRY |
2261 Elm St Bldg H |
Napa |
Napa |
94559 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1164572426 |
21250 |
21250 |
38.289208403 |
-122.299368988 |
-117.419115153042 |
33.9451482346034 |
19094 |
Mani, Peter |
1740320472 |
Dentist |
UNKNOWN |
7759 California Ave |
Riverside |
Riverside |
92504 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1740320472 |
21250 |
21250 |
33.9451482345 |
-117.419115153 |
-117.835630472268 |
33.7998690002542 |
19100 |
Kothari, Ramesh |
1740324300 |
Dentist |
UNKNOWN |
765 N Tustin St |
Orange |
Orange |
92867 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1487890133 |
21250 |
21250 |
33.799869 |
-117.835630472 |
-117.867477936358 |
33.7790861138332 |
19101 |
Himmelberg, Douglas |
1740323930 |
Dentist |
UNKNOWN |
530 South Main St., Ste 106 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.945710999863 |
34.0605900004282 |
19102 |
Lim, Susan |
1740326016 |
Physician |
INTERNAL MEDICINE |
1250 S Sunset Ave, Suite 203 |
West Covina |
Los Angeles |
91790 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740326016 |
21250 |
21250 |
34.06059 |
-117.945711 |
-117.867477936358 |
33.7790861138332 |
19107 |
WIJEWARDENE, CLERA |
1740331933 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.085087381278 |
32.7072053083783 |
19114 |
SCHAEFFER, CYNTHIA |
1740352293 |
Physician |
UNKNOWN |
292 Euclid Ave, SUITE 115 |
San Diego |
San Diego |
92114 |
California |
2017 |
2018 |
6 |
MU |
DIGESTIVE DISEASE DESTA |
1073699971 |
63750 |
8500 |
32.7072053084 |
-117.085087381 |
-119.353363574769 |
36.3294981852931 |
19116 |
Burgess, Leticia |
1740353705 |
Dentist |
UNKNOWN |
5601 W Hillsdale Ave |
Visalia |
Tulare |
93291 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1023169216 |
21250 |
21250 |
36.3294981845 |
-119.353363575 |
-117.213478389916 |
33.583790618942 |
19121 |
Ortiz, Phillip |
1740359702 |
Dentist |
UNKNOWN |
40613 Via Diamante |
Murrieta |
Riverside |
92562 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740359702 |
21250 |
21250 |
33.5837906189 |
-117.21347839 |
-117.867477936358 |
33.7790861138332 |
19122 |
PETROVA, KORNELIA |
1740358787 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.316491116772 |
34.5182300847507 |
19138 |
Zakhary, Emil |
1740390236 |
Dentist |
UNKNOWN |
14689 Valley Center Dr, Ste E101 |
Victorville |
San Bernardino |
92395 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1497876866 |
21250 |
21250 |
34.5182300851 |
-117.316491117 |
-116.961791977218 |
33.2771591455781 |
19141 |
Parikh, Mihir |
1740392695 |
Physician |
OPHTHALMOLOGY |
50100 Golsh Road |
Valley Center |
UNKNOWN |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740392695 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-118.164277450044 |
33.9517229001917 |
19147 |
Ancheta, Mia |
1740407451 |
Dentist |
UNKNOWN |
8720 GARFIELD AVE, Suite 104 |
SOUTH GATE |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1922303809 |
21250 |
21250 |
33.9517228999 |
-118.16427745 |
-117.185440499879 |
33.6866759999975 |
19155 |
Ogisaka, James |
1740427756 |
Dentist |
UNKNOWN |
27192 Newport Rd, Suite 2 |
Menifee |
Riverside |
92584 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1386785749 |
21250 |
21250 |
33.686676 |
-117.1854405 |
-119.175344999772 |
34.2196830003702 |
19157 |
Choi, Keum |
1740433614 |
Dentist |
UNKNOWN |
183 E Gonzales Rd |
Oxnard |
Ventura |
93036 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1104034842 |
21250 |
21250 |
34.219683 |
-119.175345 |
-118.071786553706 |
33.8251369244296 |
19162 |
NUGAS, ALICIA |
1740437631 |
Physician |
FAMILY PRACTICE |
22408 Norwalk Blvd |
Hawaiian Gardens |
Los Angeles |
90716 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730298407 |
21250 |
21250 |
33.8251369242 |
-118.071786554 |
-121.551722325625 |
39.5023306563348 |
19164 |
Ghuman, Rupaul |
1740443175 |
Dentist |
UNKNOWN |
2800 Lincoln Blvd |
Oroville |
Butte |
95966 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.5023306564 |
-121.551722326 |
-117.867477936358 |
33.7790861138332 |
19177 |
hashemi, kooroush |
1740458041 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.978543173928 |
34.0718384256029 |
19190 |
Robles, Mario |
1740477470 |
Dentist |
UNKNOWN |
13533 Francisquito Ave |
Baldwin Park |
Los Angeles |
91706 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740477470 |
21250 |
21250 |
34.0718384263 |
-117.978543174 |
-120.827405971908 |
38.706282365339 |
19192 |
Seivert, Thomas |
1740479492 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4327 Golden Center Dr |
Placerville |
El Dorado |
95667 |
California |
2018 |
2019 |
6 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
63750 |
8500 |
38.706282365 |
-120.827405972 |
-117.867477936358 |
33.7790861138332 |
19194 |
Shyn, Sung |
1740472950 |
Dentist |
UNKNOWN |
530 South Main St., suite 110 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.183154577722 |
33.9320185895863 |
19199 |
bhakta, vihar |
1740489046 |
Dentist |
UNKNOWN |
10907 Atlantic Ave |
Lynwood |
Los Angeles |
90262 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740489046 |
21250 |
21250 |
33.9320185901 |
-118.183154578 |
-120.413076960333 |
34.9528340951175 |
19201 |
Ha, Carmen |
1740489186 |
Dentist |
UNKNOWN |
1430 E. Main Street, #203 |
Santa Maria |
Santa Barbara |
93454 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740489186 |
21250 |
21250 |
34.9528340951 |
-120.41307696 |
-117.867477936358 |
33.7790861138332 |
19202 |
LeeYon, JungJin |
1740490226 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.376389500375 |
38.5562970003064 |
19207 |
arcila, fernando |
1740495258 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-117.867477936358 |
33.7790861138332 |
19214 |
Abtin, Dilshad |
1740519024 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.307447999925 |
33.7388645243784 |
19221 |
Krieger, Lori |
1740539048 |
Physician |
UNKNOWN |
1360 W 6th St, Suite 300 |
San Pedro |
Los Angeles |
90732 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1740539048 |
38250 |
8500 |
33.7388645243 |
-118.307448 |
-117.867477936358 |
33.7790861138332 |
19225 |
Khetani, Jigna |
1740552140 |
Dentist |
UNKNOWN |
530 South Main St., Apt 6 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.326119999738 |
36.4253039997798 |
19235 |
Mata-Vargas, Jorge |
1740589118 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
799 Front St |
Soledad |
Monterey |
93960 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DE CLINICA |
1053452136 |
21250 |
21250 |
36.425304 |
-121.32612 |
-118.178423999868 |
34.0864650002596 |
19238 |
Miyazaki, James |
1740596873 |
Nurse Practitioner |
NURSE PRACTITIONER |
4857 Huntington Dr N |
Los Angeles |
Los Angeles |
90032 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1740596873 |
21250 |
21250 |
34.086465 |
-118.178424 |
-117.252476550652 |
32.7995467436873 |
19240 |
Greiner, John |
1740615350 |
Dentist |
UNKNOWN |
4655 Cass Street, Suite 100 |
SAN DIEGO |
San Diego |
92109 |
California |
2016 |
2016 |
1 |
AIU |
DDS INC LAKHANI |
1093157372 |
21250 |
21250 |
32.7995467436 |
-117.252476551 |
-118.381576500055 |
34.0768744662836 |
19241 |
rondina, lisa |
1740617174 |
Nurse Practitioner |
UNKNOWN |
8733 Beverly Blvd, Suite 200 |
West Hollywood |
Los Angeles |
90048 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1740617174 |
21250 |
21250 |
34.0768744663 |
-118.3815765 |
-117.867477936358 |
33.7790861138332 |
19265 |
Hemmat, Omid |
1740693852 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.877744902705 |
37.3259090312768 |
19283 |
KAPGAN, GALINA |
1750317038 |
Physician |
UNKNOWN |
195 E. VIRGINIA ST |
SAN JOSE |
Santa Clara |
95112 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1407985534 |
29750 |
8500 |
37.3259090311 |
-121.877744903 |
-119.766761329372 |
36.7797714820683 |
19287 |
vang, su |
1750323887 |
Dentist |
UNKNOWN |
3481 E Shields Ave |
Fresno |
Fresno |
93726 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1407051022 |
21250 |
21250 |
36.7797714821 |
-119.766761329 |
-118.443346549004 |
34.0637399640282 |
19295 |
Deville, Jaime |
1750301503 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1750301503 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-120.659650698421 |
35.2798066638465 |
19304 |
ROWLAND, DALE |
1750349262 |
Physician |
UNKNOWN |
1235 Osos St, SUITE 100 |
San Luis Obispo |
San Luis Obispo |
93401 |
California |
2013 |
2014 |
3 |
MU |
DALE W MD ROWLAND |
1750349262 |
38250 |
8500 |
35.2798066641 |
-120.659650698 |
-120.975687493983 |
37.6729035817349 |
19313 |
Wynn, Soe |
1750362976 |
Dentist |
UNKNOWN |
2030 Coffee Rd Ste C-4 |
Modesto |
Stanislaus |
95355 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1689795718 |
21250 |
21250 |
37.6729035823 |
-120.975687494 |
-117.545690516804 |
34.1039519999849 |
19329 |
Quan, Tiffany |
1750397261 |
Physician |
UNKNOWN |
8235 Rochester Ave, Suite 110 |
Rancho Cucamonga |
San Bernardino |
91730 |
California |
2013 |
2013 |
1 |
AIU |
D TA MD and TIFFANY L VIET |
1497760987 |
21250 |
21250 |
34.103952 |
-117.545690517 |
-119.159698864611 |
34.2931563264034 |
19331 |
Sadri, Amir |
1750394417 |
Dentist |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1134369366 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.840692152621 |
33.6554342032259 |
19340 |
Shahidi, Ali |
1750416178 |
Dentist |
UNKNOWN |
126 Stanford Ct |
Irvine |
Orange |
92612 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1750416178 |
21250 |
21250 |
33.6554342033 |
-117.840692153 |
-117.867477936358 |
33.7790861138332 |
19341 |
Sachdeva, Kanwar Deep Singh |
1750414629 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.282621642874 |
34.0638930322377 |
19346 |
Bhardwaj, Priti |
1750419230 |
Physician |
UNKNOWN |
520 So. Lafayette Park Place 3rd Fl, Ste.230 |
LA |
Los Angeles |
90057 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1750419230 |
21250 |
21250 |
34.0638930325 |
-118.282621643 |
-118.197899999585 |
33.9430949996346 |
19347 |
Naziri, Aman |
1750420162 |
Dentist |
UNKNOWN |
4186 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1750420162 |
21250 |
21250 |
33.943095 |
-118.1979 |
-117.452339999891 |
34.1077139999013 |
19348 |
Gonzalez, Maria |
1750420014 |
Dentist |
UNKNOWN |
16184 Foothill Blvd, Suite K |
Fontana |
San Bernardino |
92335 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1750420014 |
21250 |
21250 |
34.107714 |
-117.45234 |
-117.867477936358 |
33.7790861138332 |
19349 |
Gupta, Shilpa |
1750419578 |
Dentist |
UNKNOWN |
530 South Main St., Suite B-2 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
19352 |
Kobrossi, Marcelle |
1750423695 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-123.633614421668 |
40.9399290491863 |
19355 |
Jung, Paul |
1750427290 |
Dentist |
UNKNOWN |
38883 Highway 299 |
Willow Creek |
Humboldt |
95573 |
California |
2011 |
2012 |
1 |
AIU |
DOOR COMMUNITY HEALTH OPEN |
1730330739 |
21250 |
21250 |
40.9399290492 |
-123.633614422 |
-117.09373500037 |
32.6659409999772 |
19361 |
masangya, maritessa |
1750431524 |
Dentist |
UNKNOWN |
2207 Highland Ave, Suite 102 |
National City |
San Diego |
91950 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1548667470 |
21250 |
21250 |
32.665941 |
-117.093735 |
-117.686385000168 |
34.019128528259 |
19364 |
MHASKAR, SUPRIYA |
1750438016 |
Dentist |
UNKNOWN |
5436 Riverside Dr |
Chino |
San Bernardino |
91710 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1750438016 |
21250 |
21250 |
34.0191285276 |
-117.686385 |
-117.867477936358 |
33.7790861138332 |
19365 |
Keshav, Nilesh |
1750434825 |
Dentist |
UNKNOWN |
530 South Main St., Suite C |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.376389500375 |
38.5562970003064 |
19369 |
Dionisio, Maria |
1750443875 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-116.235346500141 |
33.7085099996368 |
19383 |
Lee, Duk-Sun |
1750454609 |
Dentist |
UNKNOWN |
46845 Monroe St, Suite 1 |
Indio |
Riverside |
92201 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1841490562 |
21250 |
21250 |
33.70851 |
-116.2353465 |
-117.867477936358 |
33.7790861138332 |
19384 |
Aujla, Navneet |
1750459624 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.657058999573 |
36.660267000122 |
19386 |
nayudu, aparnavalli |
1750461430 |
Dentist |
UNKNOWN |
1089 S. Main St |
Salinas |
Monterey |
93901 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1912202037 |
21250 |
21250 |
36.660267 |
-121.657059 |
-117.867477936358 |
33.7790861138332 |
19387 |
Vahedi, Hossein |
1750459723 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.985115411147 |
35.3960662155835 |
19388 |
Joshi, Bhaskar |
1750464608 |
Dentist |
UNKNOWN |
2519 River Blvd |
Bakersfield |
Kern |
93305 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1750464608 |
21250 |
21250 |
35.3960662156 |
-118.985115411 |
-117.278125573337 |
34.0686575675927 |
19394 |
Mohapatra, Meerabi |
1750466785 |
Physician |
UNKNOWN |
303 E Vanderbilt Way |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
Department of Behavioral Health |
1164467023 |
21250 |
21250 |
34.0686575683 |
-117.278125573 |
-117.941835295962 |
33.8507312962124 |
19397 |
Kim, Young |
1750479218 |
Dentist |
UNKNOWN |
1201 N. Euclid St. |
Anaheim |
Orange |
92801 |
California |
2014 |
2016 |
1 |
AIU |
DDS INC YOUNG |
1285904763 |
21250 |
21250 |
33.8507312957 |
-117.941835296 |
-119.018416499822 |
35.3738699996009 |
19406 |
Taylor, Ruth |
1750494191 |
Nurse Practitioner |
NURSE PRACTITIONER |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.322179210003 |
34.1213912097366 |
19408 |
Sharma, Surindere |
1750478467 |
Dentist |
UNKNOWN |
1584 W BASELINE ST, Suite 103 |
san bernardino |
San Bernardino |
92411 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1285875872 |
21250 |
21250 |
34.1213912101 |
-117.32217921 |
-117.342922500173 |
34.4265389995752 |
19415 |
Lee, Dae |
1750501540 |
Dentist |
UNKNOWN |
14661 Main Street |
Hesperia |
San Bernardino |
92345 |
California |
2016 |
2016 |
1 |
AIU |
Dae Won Lee |
1750501540 |
21250 |
21250 |
34.426539 |
-117.3429225 |
-117.66381299977 |
33.5611710003415 |
19425 |
Tran, Bryan |
1750504387 |
Physician |
UNKNOWN |
27800 Medical Center Road, Suite 230 |
Mission Viejo |
Orange |
92691 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1750504387 |
21250 |
21250 |
33.561171 |
-117.663813 |
-117.867477936358 |
33.7790861138332 |
19436 |
Chiang, Wesley |
1750544748 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
19441 |
Chung, Ping-Lin |
1750549820 |
Dentist |
UNKNOWN |
530 South Main St., Suite 860 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.291708995374 |
34.071741000247 |
19443 |
Mungcal, Renato |
1750555413 |
Physician |
FAMILY PRACTICE |
133 So Vermont Ave |
Los Angeles |
Los Angeles |
90004 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1750555413 |
21250 |
21250 |
34.071741 |
-118.291708995 |
-117.439654131633 |
33.9287988017234 |
19446 |
Pallapati, Aruna |
1750564779 |
Physician |
UNKNOWN |
8990 Garfield St, 11 |
Riverside |
Riverside |
92503 |
California |
2015 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1750564779 |
29750 |
8500 |
33.9287988015 |
-117.439654132 |
-119.352904028398 |
36.3288420003581 |
19451 |
SCHULER, STANTON |
1750572335 |
Dentist |
UNKNOWN |
136 S Aspen Ct., Ste. B |
Visalia |
Tulare |
93291 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1750572335 |
21250 |
21250 |
36.328842 |
-119.352904028 |
-117.938371500444 |
34.0562069997533 |
19464 |
Robins, Gregory |
1750588877 |
Dentist |
UNKNOWN |
1129 S Glendora Ave |
West Covina |
Los Angeles |
91790 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1346258308 |
21250 |
21250 |
34.056207 |
-117.9383715 |
-119.78183250007 |
36.7500780003995 |
19465 |
velez, martha |
1750590741 |
Dentist |
UNKNOWN |
469 N Fresno St |
Fresno |
Fresno |
93701 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1750590741 |
21250 |
21250 |
36.750078 |
-119.7818325 |
-117.867477936358 |
33.7790861138332 |
19475 |
Mudiyanselage, Rathnasiri |
1750611125 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.280898999789 |
34.1359165342207 |
19477 |
Bailey, Beatrice |
1750638037 |
Nurse Practitioner |
NURSE PRACTITIONER |
249 E Highland Ave |
San Bernardino |
San Bernardino |
92404 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1871553347 |
21250 |
21250 |
34.1359165342 |
-117.280899 |
-118.309002031119 |
34.0438320001467 |
19478 |
Lee, Steve |
1750638078 |
Dentist |
UNKNOWN |
1570 S WESTERN AVE, STE 201 |
Los Angeles |
Los Angeles |
90006 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1245490671 |
21250 |
21250 |
34.043832 |
-118.309002031 |
-118.187343371599 |
33.8090145901513 |
19485 |
Hanna, Sylvia |
1750655502 |
Physician |
UNKNOWN |
455 East Columbia Ave. |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1750655502 |
21250 |
21250 |
33.8090145898 |
-118.187343372 |
-119.018416499822 |
35.3738699996009 |
19497 |
Liu, Wenjing |
1750691374 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.867477936358 |
33.7790861138332 |
19502 |
Song, Jong Tae |
1750710257 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
19515 |
drake, michael |
1750783601 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
19519 |
Salem, Yara |
1750790879 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
19521 |
Patel, Binta |
1750799961 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.438676840064 |
37.7854244718619 |
19530 |
Lyapis, Victor |
1760407936 |
Physician |
UNKNOWN |
2320 Sutter St #101 |
San Francisco |
San Francisco |
94115 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1760407936 |
21250 |
21250 |
37.7854244721 |
-122.43867684 |
-121.931844043068 |
37.3128740632874 |
19536 |
Chin, Melissa |
1760403224 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave, Internal Medicine Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760403224 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-119.159698864611 |
34.2931563264034 |
19547 |
Saeed, Nabeel |
1760405492 |
Physician |
FAMILY PRACTICE |
200 S Wells Rd, Clinicas Del Camino Real, suite 200 |
Ventura |
Ventura |
93004 |
California |
2013 |
2014 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-124.100958397712 |
40.9351139998113 |
19548 |
Carlson, William |
1760426761 |
Physician |
EMERGENCY MEDICINE |
1644 Central Avenue |
McKinleyville |
Humboldt |
95519 |
California |
2017 |
2018 |
6 |
MU |
DOOR COMM HLTH CTRS OPEN |
1598858169 |
63750 |
8500 |
40.935114 |
-124.100958398 |
-118.446097070623 |
34.0646537273877 |
19553 |
LESTER, PATRICIA |
1760415277 |
Physician |
PSYCHIATRY |
300 Med Plz |
Los Angeles |
UNKNOWN |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760415277 |
21250 |
21250 |
34.0646537269 |
-118.446097071 |
-122.011197180705 |
39.2078959333507 |
19564 |
Chandler, Diane |
1760466312 |
Physician |
FAMILY PRACTICE |
555 Fremont St |
Colusa |
Colusa |
95932 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.2078959331 |
-122.011197181 |
-122.151138825396 |
37.7421031099706 |
19568 |
Peterson, Wendy |
1760435556 |
Nurse Practitioner |
NURSE PRACTITIONER |
LifeLong East Oakland, 10700 Macarthur Blvd, Ste 14B |
Oakland |
Alameda |
94605 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760435556 |
21250 |
21250 |
37.7421031103 |
-122.151138825 |
-118.352766295628 |
33.8790632960344 |
19569 |
PARK, SUNGHAE |
1760470769 |
Dentist |
UNKNOWN |
16709 Hawthorne Blvd |
Lawndale |
Los Angeles |
90260 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1457664070 |
21250 |
21250 |
33.8790632957 |
-118.352766296 |
-117.956395363955 |
33.7016155926855 |
19571 |
Evans, Patricia |
1760488126 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
9930 Talbert Ave |
Fountain Valley |
Orange |
92708 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1497759005 |
21250 |
21250 |
33.7016155931 |
-117.956395364 |
-118.210598999744 |
33.8963040002295 |
19574 |
THOMAS, SILAS |
1760488472 |
Physician |
OBSTETRICS/GYNECOLOGY |
1145 E Compton Blvd |
Compton |
Los Angeles |
90221 |
California |
2012 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1992884571 |
29750 |
8500 |
33.896304 |
-118.210599 |
-118.124788221699 |
33.8784011467956 |
19583 |
Sahota, Harvinder |
1760498281 |
Physician |
UNKNOWN |
9810 Park St |
Bellflower |
Los Angeles |
90706 |
California |
2016 |
2017 |
6 |
MU |
Designated Payee Name not Found |
1760498281 |
63750 |
8500 |
33.8784011474 |
-118.124788222 |
-117.143782976403 |
32.9137191722021 |
19589 |
Cuisia, Zenaida Elvira |
1760517395 |
Dentist |
UNKNOWN |
10717 Camino Ruiz #103 |
San Diego |
San Diego |
92126 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1346583069 |
21250 |
21250 |
32.9137191721 |
-117.143782976 |
-117.650286000099 |
34.0419600001539 |
19590 |
Shin, Yongjean |
1760516736 |
Dentist |
UNKNOWN |
1739 S Euclid Ave, Suite A |
Ontario |
San Bernardino |
91762 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1740693498 |
21250 |
21250 |
34.04196 |
-117.650286 |
-122.38123557706 |
40.5497524220367 |
19594 |
Jacobs, Nancy |
1760523146 |
Nurse Practitioner |
UNKNOWN |
2640 Breslauer Way |
Redding |
Shasta |
96001 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881692390 |
21250 |
21250 |
40.5497524221 |
-122.381235577 |
-117.867477936358 |
33.7790861138332 |
19597 |
Patel, Bhavna |
1760524656 |
Dentist |
UNKNOWN |
530 South Main St., Suite B |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
19599 |
Huffer, Gwen |
1760520829 |
Physician |
UNKNOWN |
200 S. Wells Road, Suite 150 |
Ventura |
Ventura |
93004 |
California |
2016 |
2017 |
2 |
MU |
DEL CAMINO REAL CLINICAS |
1679631907 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
19604 |
Tassara, Giancarlo |
1760540942 |
Dentist |
UNKNOWN |
530 south main street, Ste 155 |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.080262701962 |
32.6335300422777 |
19605 |
Bennett, Susan |
1760541809 |
Nurse Practitioner |
UNKNOWN |
374 H street, Suite 202 |
Chula Vista |
San Diego |
91910 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1760541809 |
21250 |
21250 |
32.6335300424 |
-117.080262702 |
-121.958427455063 |
37.2913380000487 |
19615 |
Shaikh, Ahsan |
1760550370 |
Physician |
UNKNOWN |
251 Llewellyn Ave |
Campbell |
Santa Clara |
95008 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1255496105 |
21250 |
21250 |
37.291338 |
-121.958427455 |
-117.867477936358 |
33.7790861138332 |
19619 |
Pai, Jacob |
1760549364 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.366590981888 |
33.2029770476527 |
19629 |
Donnelly, John |
1760566160 |
Physician |
PSYCHIATRY |
1701 Mission Ave |
Oceanside |
San Diego |
92054 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760431670 |
21250 |
21250 |
33.202977048 |
-117.366590982 |
-117.867477936358 |
33.7790861138332 |
19632 |
Hom, Douglas |
1760565501 |
Dentist |
UNKNOWN |
530 South Main St., Suite 200 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.435685293042 |
34.0868837246043 |
19633 |
lubczuk, andrzej |
1760574867 |
Dentist |
UNKNOWN |
9193 Sierra Ave, Ste D |
Fontana |
San Bernardino |
92335 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP FONTANA |
1205051000 |
21250 |
21250 |
34.0868837252 |
-117.435685293 |
-121.29479999972 |
38.5845930002668 |
19634 |
Tay, Theam Leng |
1760568661 |
Physician |
FAMILY PRACTICE |
3400 Data Dr, MERCY MEDICAL GROUP |
Rancho Cordova |
Sacramento |
95670 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760568661 |
21250 |
21250 |
38.584593 |
-121.2948 |
-121.931844043068 |
37.3128740632874 |
19643 |
Tong, Jennifer |
1760576649 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave, Internal Medicine Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760576649 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
19646 |
Singh, Geeta |
1760588396 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760588396 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-121.931844043068 |
37.3128740632874 |
19652 |
Singh, Simran |
1760587836 |
Physician |
PSYCHIATRY |
751 S Bascom Ave, Psychiatry Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760587836 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.361225358364 |
33.910717565963 |
19662 |
Joyner, Arlene |
1760604656 |
Dentist |
UNKNOWN |
13412 Inglewood Ave |
Hawthorne |
Los Angeles |
90250 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760604656 |
21250 |
21250 |
33.9107175664 |
-118.361225358 |
-118.25885700025 |
34.1435159997636 |
19663 |
flores, louis |
1760606123 |
Physician |
FAMILY PRACTICE |
1123 S Central Ave |
Glendale |
Los Angeles |
91204 |
California |
2013 |
2013 |
2 |
MU |
DE SALUD CLINICA |
1427113463 |
29750 |
8500 |
34.143516 |
-118.258857 |
-118.187289000387 |
33.7727430002893 |
19672 |
McDermott, Kathleen |
1760637474 |
Nurse Practitioner |
UNKNOWN |
456 Elm Ave |
Long Beach |
Los Angeles |
90802 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1104942044 |
21250 |
21250 |
33.772743 |
-118.187289 |
-118.448433000283 |
34.1908109999277 |
19692 |
barzivand, payam |
1760678270 |
Dentist |
UNKNOWN |
6600 A Van Nuys Blvd. |
Van Nuys |
Los Angeles |
91405 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1760678270 |
21250 |
21250 |
34.190811 |
-118.448433 |
-121.626878573687 |
36.6796192540254 |
19693 |
Peng, Bob |
1760678692 |
Physician |
UNKNOWN |
950 Circle Drive |
Salinas |
Monterey |
93905 |
California |
2015 |
2016 |
4 |
MU |
DE SALUD DEL CLINICA |
1023159811 |
46750 |
8500 |
36.6796192539 |
-121.626878574 |
-117.81325970687 |
33.7446471300611 |
19695 |
Aldrich, Dell |
1760666705 |
Dentist |
UNKNOWN |
1076 East 1st Street, Suite D |
Tustin |
Orange |
92780 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1285932954 |
21250 |
21250 |
33.7446471296 |
-117.813259707 |
-122.50173677763 |
37.961119740084 |
19696 |
Ciranni, Michael |
1760680722 |
Physician |
PSYCHIATRY |
3270 Kerner Blvd Ste B |
San Rafael |
Marin |
94901 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1760680722 |
21250 |
21250 |
37.9611197397 |
-122.501736778 |
-119.803157999642 |
36.8375580002016 |
19702 |
Dagher, Ziad |
1760695217 |
Dentist |
UNKNOWN |
7029 North Ingram Avenue, Suite 105 |
Fresno |
Fresno |
93650 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760695217 |
21250 |
21250 |
36.837558 |
-119.803158 |
-118.320844499874 |
33.9745594730413 |
19703 |
Gandhi, Devang |
1760699599 |
Dentist |
UNKNOWN |
2500 W Florence Ave |
Los Angeles |
Los Angeles |
90043 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1346307477 |
21250 |
21250 |
33.9745594726 |
-118.3208445 |
-118.352369411319 |
33.8943667373351 |
19711 |
Dereghishian, Melineh |
1760725048 |
Dentist |
UNKNOWN |
15106 HAWTHORNE BLVD. |
LAWNDALE |
Los Angeles |
90260 |
California |
2016 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1760725048 |
21250 |
21250 |
33.8943667369 |
-118.352369411 |
-117.867477936358 |
33.7790861138332 |
19716 |
Desh, Heather |
1760730584 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
19723 |
Ho, Chi |
1760730964 |
Dentist |
UNKNOWN |
530 South Main St., None |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.662478168433 |
33.499044388188 |
19737 |
Biagan, Rica |
1760784136 |
Dentist |
UNKNOWN |
31952 Camino Capistrano, Suite C-14, C-16 |
San Juan Capistrano |
Orange |
92675 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1407196587 |
21250 |
21250 |
33.4990443877 |
-117.662478168 |
-119.021337291883 |
35.3387330780691 |
19742 |
LARA, SANDRA |
1760797047 |
Dentist |
UNKNOWN |
1625 South H. Street |
Bakersfield |
Kern |
93304 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760797047 |
21250 |
21250 |
35.338733078 |
-119.021337292 |
-122.158763385622 |
37.7065264622265 |
19772 |
Di Dato, Brea |
1770025959 |
Nurse Practitioner |
UNKNOWN |
3801 Teagarden St |
San Leandro |
Alameda |
94577 |
California |
2016 |
2017 |
1 |
AIU |
DAVIS STREET COMMUNITY THE |
1215358924 |
21250 |
21250 |
37.7065264617 |
-122.158763386 |
-117.811090512417 |
34.0171657417056 |
19791 |
Moniaga, Esther |
1770518326 |
Dentist |
UNKNOWN |
23341 Golden Springs Drive, Ste 206 |
Diamond Bar |
Los Angeles |
91765 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1588076244 |
21250 |
21250 |
34.0171657425 |
-117.811090512 |
-121.849814317077 |
37.306313644759 |
19811 |
DeBruyne, Korina |
1770545824 |
Physician |
INTERNAL MEDICINE |
500 Tully Rd, Internal Medicine Clinic |
San Jose |
Santa Clara |
95111 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1770545824 |
29750 |
8500 |
37.3063136448 |
-121.849814317 |
-122.297371754803 |
37.8671772750113 |
19815 |
Munich, Edwin |
1770556805 |
Physician |
UNKNOWN |
West Berkeley Family Practice, 2031 Sixth Street |
Berkeley |
Alameda |
94710 |
California |
2014 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1770556805 |
29750 |
8500 |
37.8671772747 |
-122.297371755 |
-118.14158566085 |
34.6952521128948 |
19820 |
Lind, Darrell |
1770583304 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
44758 Elm Ave |
Lancaster |
Los Angeles |
93534 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811279763 |
21250 |
21250 |
34.6952521126 |
-118.141585661 |
-117.06448402202 |
32.5964610001751 |
19827 |
Pizarro, Luzviminda |
1770594863 |
Physician |
UNKNOWN |
1637 3rd Ave |
Chula Vista |
San Diego |
91911 |
California |
2015 |
2017 |
4 |
MU |
DE SALUD DE LA CENTRO |
1922051812 |
46750 |
8500 |
32.596461 |
-117.064484022 |
-118.264633268411 |
34.0534702431572 |
19837 |
Cowan, Linda |
1770618589 |
Physician |
OBSTETRICS/GYNECOLOGY |
637 Lucas Ave, #205 |
Los Angeles |
Los Angeles |
90017 |
California |
2012 |
2013 |
1 |
MU |
Designated Payee Name not Found |
1770618589 |
21250 |
21250 |
34.0534702434 |
-118.264633268 |
-121.998729749678 |
37.5362274959023 |
19838 |
Patel, Uma |
1770619694 |
Dentist |
UNKNOWN |
5021 Mowry Ave |
Fremont |
Alameda |
94538 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1770619694 |
21250 |
21250 |
37.5362274957 |
-121.99872975 |
-117.082401159386 |
32.9798668789534 |
19841 |
Derakshan, Ray |
1770621591 |
Dentist |
UNKNOWN |
11134 Rancho Carmel Dr |
San Diego |
San Diego |
92128 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1255579793 |
21250 |
21250 |
32.9798668787 |
-117.082401159 |
-119.018416499822 |
35.3738699996009 |
19843 |
Chan, Sara |
1770628265 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.638567583028 |
36.696320147357 |
19844 |
Patel, Chattan |
1770624876 |
Dentist |
UNKNOWN |
652 E. Laurel Dr., Suite C |
Salinas |
Monterey |
93906 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1770624876 |
21250 |
21250 |
36.6963201475 |
-121.638567583 |
-116.501366501863 |
33.9672510002335 |
19849 |
Shodhan, Keyur |
1770640914 |
Dentist |
UNKNOWN |
11213 Palm Dr |
Desert Hot Springs |
Riverside |
92240 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1780863241 |
21250 |
21250 |
33.967251 |
-116.501366502 |
-119.772030605628 |
36.8052047600917 |
19852 |
Kiwan, Saleem |
1770651051 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
4820 N. 1st. Street., Ste.#105 |
Fresno |
Fresno |
93726 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1770651051 |
21250 |
21250 |
36.8052047602 |
-119.772030606 |
-121.880281499891 |
36.5899319995622 |
19857 |
Fennell, Donald |
1770652828 |
Physician |
PSYCHIATRY |
1200 Aguajito |
Monterey |
Monterey |
93940 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730211178 |
21250 |
21250 |
36.589932 |
-121.8802815 |
-118.193679000086 |
33.9425640003284 |
19863 |
Salazar, Mary Jane |
1770659773 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-117.169517934705 |
32.7876688614289 |
19866 |
Cabarlo, Jehrib |
1770661340 |
Physician |
UNKNOWN |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2015 |
2016 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-117.867477936358 |
33.7790861138332 |
19869 |
Wohn, Kumzoo |
1770659716 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.229841999708 |
33.2106120004435 |
19884 |
Drago, Jose |
1770673550 |
Dentist |
UNKNOWN |
951 E Vista Way |
Vista |
San Diego |
92084 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1154491975 |
21250 |
21250 |
33.210612 |
-117.229842 |
-124.083714126805 |
40.8760468021183 |
19885 |
Ohnemus, Julie |
1770676306 |
Physician |
FAMILY PRACTICE |
785 18th Street |
Arcata |
Humboldt |
95521 |
California |
2016 |
2017 |
6 |
MU |
DOOR COMM HLTH CTRS OPEN |
1689778813 |
63750 |
8500 |
40.8760468021 |
-124.083714127 |
-116.410574281878 |
34.1255978911298 |
19888 |
Chang, Yoonho |
1770672719 |
Dentist |
UNKNOWN |
7024 Airway Ave, Suite # A |
Yucca Valley |
San Bernardino |
92284 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1750588646 |
21250 |
21250 |
34.1255978912 |
-116.410574282 |
-117.292533667595 |
34.5304958733859 |
19890 |
Hattar, Fahed |
1770677858 |
Dentist |
UNKNOWN |
15366 11th St, Ste F |
Victorville |
San Bernardino |
92395 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1770677858 |
21250 |
21250 |
34.5304958732 |
-117.292533668 |
-117.872878500143 |
33.7599554996467 |
19909 |
Fowler, Nelly |
1770705741 |
Dentist |
UNKNOWN |
500 WEST 17TH STREET, Suite B |
SANTA ANA |
Orange |
92706 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1770705741 |
21250 |
21250 |
33.7599554996 |
-117.8728785 |
-117.689685350199 |
34.1001663838716 |
19911 |
Nguyen, Dat |
1770708943 |
Dentist |
UNKNOWN |
555 N. Central Ave |
Upland |
San Bernardino |
91786 |
California |
2012 |
2013 |
1 |
AIU |
Dat Nguyen |
1770708943 |
21250 |
21250 |
34.1001663841 |
-117.68968535 |
-118.208362725759 |
34.031120120797 |
19922 |
Paik, Eun |
1770702680 |
Dentist |
UNKNOWN |
2901 E WHITTIER BLVD, SUITE D |
Los Angeles |
Los Angeles |
90023 |
California |
2016 |
2017 |
1 |
AIU |
D S DDS INC RABIZADEH |
1700998101 |
21250 |
21250 |
34.031120121 |
-118.208362726 |
-117.103691766162 |
32.7552338864348 |
19928 |
BAO, LOC |
1770750424 |
Dentist |
UNKNOWN |
4236 El Cajon Blvd |
San Diego |
San Diego |
92105 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1770750424 |
21250 |
21250 |
32.7552338859 |
-117.103691766 |
-117.867477936358 |
33.7790861138332 |
19935 |
Ceniceros, Lila |
1770759045 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.97571381624 |
37.6729216239339 |
19937 |
Vu, Daniel |
1770772287 |
Dentist |
UNKNOWN |
2020 Coffee Rd, Ste. G-2 |
Modesto |
Stanislaus |
95355 |
California |
2019 |
2020 |
3 |
MU |
DANIEL T DDS VU |
1770772287 |
38250 |
8500 |
37.6729216239 |
-120.975713816 |
-117.867477936358 |
33.7790861138332 |
19945 |
KHAMSEI, LAILA |
1770775181 |
Dentist |
UNKNOWN |
530 South Main St., Ste A |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.941023203658 |
33.7869805633024 |
19949 |
Marony, Lynn |
1770780231 |
Nurse Practitioner |
UNKNOWN |
12100 Euclid St |
Garden Grove |
Orange |
92840 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.7869805633 |
-117.941023204 |
-117.867477936358 |
33.7790861138332 |
19967 |
Separzadeh, Raphael |
1770810343 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.459481028627 |
33.9751037049721 |
19969 |
ayad, marianne |
1770818395 |
Physician |
UNKNOWN |
4051 Via Dolce |
Marina Del Rey |
Los Angeles |
90292 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1770818395 |
21250 |
21250 |
33.9751037047 |
-118.459481029 |
-118.244776107232 |
34.1426828327466 |
19970 |
Hayrapetian, Hayk |
1770819260 |
Dentist |
UNKNOWN |
815 E Colorado St Ste 240 |
Glendale |
Los Angeles |
91205 |
California |
2019 |
2020 |
5 |
MU |
DENTAL CORP HAYRAPETIAN |
1295863231 |
55250 |
8500 |
34.1426828329 |
-118.244776107 |
-117.169517934705 |
32.7876688614289 |
19971 |
Daley, Semise |
1770819104 |
Nurse Practitioner |
UNKNOWN |
6973 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2014 |
2015 |
2 |
MU |
DIEGO FAMILY CARE SAN |
1780665877 |
8500 |
8500 |
32.7876688612 |
-117.169517935 |
-117.867477936358 |
33.7790861138332 |
19976 |
Dang, Nam |
1770826463 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
19978 |
Phan, Son David |
1770835894 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
19998 |
Simontacchi-Gbologah, Michael |
1770885493 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
20000 |
Somani, Amit |
1770896797 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.44350756832 |
33.916550898805 |
20002 |
Martinez, Andres |
1770899304 |
Dentist |
UNKNOWN |
3564 Van Buren Blvd |
Riverside |
Riverside |
92503 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1316150964 |
21250 |
21250 |
33.9165508992 |
-117.443507568 |
-118.12290276605 |
34.0691540608113 |
20007 |
Tseng, Hsiang-Hsin |
1770910952 |
Dentist |
UNKNOWN |
616 North Garfield Ave, #102 |
Monterey Park |
Los Angeles |
91754 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1023379732 |
21250 |
21250 |
34.0691540605 |
-118.122902766 |
-117.867477936358 |
33.7790861138332 |
20011 |
Sato, Denton |
1770915662 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.360152835185 |
34.1066998020543 |
20013 |
Patel, Talha |
1770925612 |
Dentist |
UNKNOWN |
579 E Foothill Blvd |
Rialto |
San Bernardino |
92376 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1003259268 |
21250 |
21250 |
34.1066998018 |
-117.360152835 |
-117.846265389836 |
33.745616840245 |
20014 |
Gardner, Asal |
1770921678 |
Dentist |
UNKNOWN |
1617 E 1st St, Suite A |
Santa Ana |
Orange |
92701 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1770921678 |
21250 |
21250 |
33.7456168404 |
-117.84626539 |
-117.360152835185 |
34.1066998020543 |
20018 |
Patel, Sameer |
1770967713 |
Dentist |
UNKNOWN |
579 E Foothill Blvd |
Rialto |
San Bernardino |
92376 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1003259268 |
21250 |
21250 |
34.1066998018 |
-117.360152835 |
-122.267252075423 |
37.8373378810384 |
20024 |
Yousif, Deena |
1770979437 |
Physician |
UNKNOWN |
747 52nd ave |
oakland |
Alameda |
94609 |
California |
2016 |
2017 |
1 |
AIU |
Deena Yousif |
1770979437 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
-118.215634551194 |
34.2057178860716 |
20027 |
REITTER, JEAN |
1770987612 |
Dentist |
UNKNOWN |
1809 Verdugo Blvd, Suite 207 |
Glendale |
Los Angeles |
91208 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1558607796 |
21250 |
21250 |
34.2057178857 |
-118.215634551 |
-119.018416499822 |
35.3738699996009 |
20030 |
Rikhye, Shraddha |
1770991697 |
Dentist |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.329139499588 |
37.9880279997924 |
20061 |
Maharaj, Angela |
1780099903 |
Doctor of Optometry |
UNKNOWN |
1899 W March Lane |
Stockton |
San Joaquin |
95207 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1780099903 |
21250 |
21250 |
37.988028 |
-121.3291395 |
-120.857025520311 |
37.0634269687797 |
20080 |
Devireddy, Karthikeya |
1780615542 |
Physician |
INTERNAL MEDICINE |
311 West I Street |
Los Banos |
Merced |
93635 |
California |
2017 |
2018 |
4 |
MU |
DEVIREDDY MD KARTHIKEYA |
1518089507 |
46750 |
8500 |
37.0634269686 |
-120.85702552 |
-117.372086999715 |
34.1369009995815 |
20082 |
balasubramaniam, susheela |
1780618314 |
Physician |
UNKNOWN |
2006 N Riverside Ave Ste B |
Rialto |
UNKNOWN |
92377 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1780618314 |
21250 |
21250 |
34.136901 |
-117.372087 |
-118.192009500438 |
33.7696200001629 |
20083 |
Norton, Charles |
1780616441 |
Physician |
UNKNOWN |
200 Pine Ave. Suite 400 |
Long Beach |
Los Angeles |
90802 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1104942044 |
21250 |
21250 |
33.76962 |
-118.1920095 |
-118.267231557291 |
34.0540320397469 |
20096 |
JIANG, SIMON |
1780638528 |
Physician |
GENERAL PRACTICE |
1314 Wilshire Blvd |
Los Angeles |
Los Angeles |
90017 |
California |
2012 |
2013 |
2 |
MU |
DISTRICT MEDICAL WILSHIRE |
1447363692 |
29750 |
8500 |
34.0540320397 |
-118.267231557 |
-119.976977415176 |
37.5004454879689 |
20104 |
Ollada, Miguel |
1780654640 |
Physician |
EMERGENCY MEDICINE |
5189 Hospital Rd |
Mariposa |
Mariposa |
95338 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1780654640 |
21250 |
21250 |
37.5004454882 |
-119.976977415 |
-121.931844043068 |
37.3128740632874 |
20106 |
Tiscareno, Maria |
1780640524 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave, Internal Medicine Department |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588721500 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-115.561393656792 |
32.7879531623087 |
20107 |
Setliff, Don |
1780664219 |
Physician |
UNKNOWN |
540 S 8th St |
El Centro |
Imperial |
92243 |
California |
2012 |
2012 |
1 |
AIU |
D0N PAUL MD SETLIFF |
1780664219 |
21250 |
21250 |
32.7879531618 |
-115.561393657 |
-117.395878499693 |
33.9430049999808 |
20108 |
Childs, Donald |
1780668269 |
Physician |
PEDIATRIC MEDICINE |
7117 Brockton Ave |
Riverside |
Riverside |
92506 |
California |
2014 |
2015 |
1 |
AIU |
DONALD R MD CHILDS |
1780668269 |
21250 |
21250 |
33.943005 |
-117.3958785 |
-118.448808600337 |
34.2203691785948 |
20121 |
ANDERSON, MARTIN |
1780685479 |
Physician |
PEDIATRIC MEDICINE |
8215 Van Nuys Blvd |
Panorama City |
Los Angeles |
91402 |
California |
2012 |
2013 |
1 |
AIU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.2203691793 |
-118.4488086 |
-118.264011576073 |
34.0526621276551 |
20126 |
cox, lucien |
1780690032 |
Physician |
UNKNOWN |
1127 Wilshire Blvd Ste 800 |
Los Angeles |
Los Angeles |
90017 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1548535685 |
21250 |
21250 |
34.052662128 |
-118.264011576 |
-117.66381299977 |
33.5611710003415 |
20132 |
KIM, DUKE |
1780690636 |
Physician |
PEDIATRIC MEDICINE |
27800 Medical Center Road, Suite 116 |
Mission Viejo |
Orange |
92691 |
California |
2018 |
2019 |
5 |
MU |
DUKE D MD KIM |
1780690636 |
55250 |
8500 |
33.561171 |
-117.663813 |
-119.265795757968 |
34.4428713786113 |
20138 |
rodriguez, irina |
1780711580 |
Dentist |
UNKNOWN |
117 Pirie Rd, suite A |
Ojai |
Ventura |
93023 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1780711580 |
21250 |
21250 |
34.4428713791 |
-119.265795758 |
-117.160377516809 |
32.7500307121477 |
20139 |
Carson, Stephen |
1780719872 |
Physician |
UNKNOWN |
550 Washington st, Suite 300 |
San Diego |
San Diego |
92103 |
California |
2014 |
2016 |
3 |
MU |
Designated Payee Name not Found |
1780719872 |
38250 |
8500 |
32.7500307119 |
-117.160377517 |
-121.931844043068 |
37.3128740632874 |
20167 |
Weber, Jan |
1780765255 |
Physician |
PSYCHIATRY |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1780765255 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.73995501721 |
34.0626536063789 |
20172 |
Manchandia, Bella |
1780774182 |
Dentist |
UNKNOWN |
551 E Holt Ave |
Pomona |
Los Angeles |
91767 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1780774182 |
21250 |
21250 |
34.0626536059 |
-117.739955017 |
-119.331090277894 |
36.2333848449347 |
20181 |
Clark, Dennis |
1780778050 |
Dentist |
UNKNOWN |
1979 Hillman Street |
Tulare |
Tulare |
93274 |
California |
2015 |
2016 |
1 |
AIU |
Dennis Eugene Clark |
1780778050 |
21250 |
21250 |
36.2333848453 |
-119.331090278 |
-121.892717440258 |
37.3411630908041 |
20187 |
Lucia, Darryl |
1780783472 |
Physician |
UNKNOWN |
55 East Julian Street |
San Jose |
Santa Clara |
95112 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1407985534 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
-119.17556099984 |
34.1953289996337 |
20195 |
Vicente, Joan |
1780791939 |
Physician |
FAMILY PRACTICE |
650 Meta Street |
Oxnard |
Ventura |
93030 |
California |
2012 |
2013 |
2 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
29750 |
8500 |
34.195329 |
-119.175561 |
-119.75919060796 |
36.8397379676331 |
20197 |
Saigal, Harsh |
1780794560 |
Physician |
UNKNOWN |
7130 N Sharon Ave Ste 101 |
Fresno |
Fresno |
93720 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1023100054 |
22666.67 |
8500 |
36.8397379678 |
-119.759190608 |
-121.376389500375 |
38.5562970003064 |
20200 |
Garces, Alvaro |
1780794529 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2017 |
2018 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-117.650613005286 |
34.0211160003032 |
20204 |
Zonoozi, Amy |
1780797092 |
Dentist |
UNKNOWN |
2905 S Euclid, Ste D |
Ontario |
San Bernardino |
91762 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1780797092 |
21250 |
21250 |
34.021116 |
-117.650613005 |
-117.867477936358 |
33.7790861138332 |
20206 |
Clarke, George |
1780799346 |
Dentist |
UNKNOWN |
530 South Main St., Suite 101 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.931844043068 |
37.3128740632874 |
20210 |
Lin, Ruth |
1780812602 |
Physician |
PEDIATRIC MEDICINE |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1780812602 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.132916000373 |
38.0065680004129 |
20217 |
parish, dayna |
1780832923 |
Physician |
UNKNOWN |
2500 alhambra ave |
martinez |
Contra Costa |
94553 |
California |
2012 |
2013 |
1 |
AIU |
DAYNA J MD PARISH |
1780832923 |
21250 |
21250 |
38.006568 |
-122.132916 |
-117.842935419734 |
33.682406608878 |
20218 |
Maleki, Kourosh |
1780824557 |
Dentist |
UNKNOWN |
2555 Main Stree, Unit 2073 |
Irvine |
Orange |
92614 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1780824557 |
21250 |
21250 |
33.6824066086 |
-117.84293542 |
-117.867477936358 |
33.7790861138332 |
20223 |
Virk, Geetika |
1780833202 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.212475499944 |
33.9320789997461 |
20225 |
Takarlekian, Hagop |
1780836411 |
Dentist |
UNKNOWN |
11035 Long Beach Blvd, Suite 5 |
Lynwood |
Los Angeles |
90262 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1356560494 |
21250 |
21250 |
33.932079 |
-118.2124755 |
-118.179189000072 |
33.9775379997789 |
20229 |
zarrabi, manoochehr |
1780850172 |
Physician |
INTERNAL MEDICINE |
4827 Gage Avenue |
Bell |
Los Angeles |
90201 |
California |
2017 |
2018 |
6 |
MU |
Designated Payee Name not Found |
1255323408 |
63750 |
8500 |
33.977538 |
-118.179189 |
-117.748453348843 |
34.0552268574336 |
20230 |
Foote, Frederick |
1780850909 |
Dentist |
UNKNOWN |
243 East Mission Blvd. |
Pomona |
Los Angeles |
91766 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1780850909 |
21250 |
21250 |
34.0552268566 |
-117.748453349 |
-117.867477936358 |
33.7790861138332 |
20234 |
Deshmukh, Seema |
1780864231 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
20238 |
Desai, Aparna |
1780864454 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.931844043068 |
37.3128740632874 |
20239 |
Lin, Peter |
1780871186 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1780871186 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-117.023578266124 |
34.8955808650649 |
20252 |
Pinto, James |
1780898858 |
Physician |
UNKNOWN |
320 E Buena Vista St |
Barstow |
San Bernardino |
92311 |
California |
2015 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1780898858 |
29750 |
8500 |
34.8955808651 |
-117.023578266 |
-122.316510362163 |
37.5544899495516 |
20260 |
lipumano-picazo, lerida |
1780899260 |
Dentist |
UNKNOWN |
1415 South El Camino Real, Suite 2 |
San Mateo |
San Mateo |
94402 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1710367651 |
21250 |
21250 |
37.5544899499 |
-122.316510362 |
-117.867477936358 |
33.7790861138332 |
20273 |
Chan, Michael |
1780946228 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.145363499826 |
32.7547980003275 |
20283 |
Soliven, Samuel |
1780980177 |
Dentist |
UNKNOWN |
1835 El Cajon Blvd, Suite E |
SAN DIEGO |
San Diego |
92103 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1568825750 |
21250 |
21250 |
32.754798 |
-117.1453635 |
-117.867477936358 |
33.7790861138332 |
20284 |
AL-HADDADIN, HANAN |
1780979393 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.446267296099 |
34.0652797382693 |
20306 |
Yung, Siyi |
1790042851 |
Physician |
UNKNOWN |
200 Ucla Medical Plz, Suite 265 |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
4 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
46750 |
8500 |
34.0652797376 |
-118.446267296 |
-118.178423999868 |
34.0864650002596 |
20319 |
Ruiz, Erika |
1790063543 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4857 Huntington Dr N |
Los Angeles |
Los Angeles |
90032 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1790063543 |
21250 |
21250 |
34.086465 |
-118.178424 |
-117.163974713262 |
32.7328816281847 |
20329 |
Aldawoodi, Jennifer |
1790078509 |
Dentist |
UNKNOWN |
2630 1st Ave |
San Diego |
San Diego |
92103 |
California |
2013 |
2014 |
1 |
AIU |
DIEGO AMERICAN SAN |
1003902917 |
21250 |
21250 |
32.7328816275 |
-117.163974713 |
-117.867477936358 |
33.7790861138332 |
20333 |
Vong, Henry |
1790087567 |
Dentist |
UNKNOWN |
530 South Main St., #404 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.163974713262 |
32.7328816281847 |
20354 |
Epstein, Michelle |
1790151660 |
Dentist |
UNKNOWN |
2630 1st Ave |
San Diego |
San Diego |
92103 |
California |
2015 |
2016 |
1 |
AIU |
DIEGO AMERICAN SAN |
1003902917 |
21250 |
21250 |
32.7328816275 |
-117.163974713 |
-121.768989039612 |
36.9275347293444 |
20355 |
Dhaliwal, Navneet |
1790156131 |
Dentist |
UNKNOWN |
98 MARIPOSA AVENUE |
WATSONVILLE |
Santa Clara |
95037 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1790156131 |
21250 |
21250 |
36.9275347291 |
-121.76898904 |
-119.018416499822 |
35.3738699996009 |
20361 |
Mejia, Norma |
1790169498 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.565801673608 |
39.1195374389017 |
20381 |
Abordo, Maria |
1790704302 |
Physician |
UNKNOWN |
5730 Packard Ave, Suite 600 |
Marysville |
Yuba |
95901 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1790704302 |
29750 |
8500 |
39.1195374394 |
-121.565801674 |
-119.159698864611 |
34.2931563264034 |
20386 |
Chawla, Anil |
1790708998 |
Physician |
GENERAL PRACTICE |
200 S Wells Rd, Suite 100 |
Ventura |
Ventura |
93004 |
California |
2013 |
2013 |
2 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
29750 |
8500 |
34.2931563259 |
-119.159698865 |
-118.983738383619 |
35.3467240382838 |
20387 |
Patel, Shaileshkumar |
1790718625 |
Physician |
PSYCHIATRY |
1600 E Belle Ter |
Bakersfield |
Kern |
93307 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1790718625 |
21250 |
21250 |
35.3467240375 |
-118.983738384 |
-118.178423999868 |
34.0864650002596 |
20402 |
Silva, Juan |
1790738110 |
Physician |
UNKNOWN |
4857 Huntington Dr N |
Los Angeles |
Los Angeles |
90032 |
California |
2013 |
2015 |
1 |
MU |
Designated Payee Name not Found |
1790738110 |
21250 |
21250 |
34.086465 |
-118.178424 |
-117.773172000387 |
33.6604229998217 |
20408 |
chang, albert |
1790755569 |
Physician |
UNKNOWN |
16300 Sand Canyon Ave, SUITE 910 |
Irvine |
Orange |
92618 |
California |
2014 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1790755569 |
21250 |
21250 |
33.660423 |
-117.773172 |
-119.234177999615 |
35.6779845070794 |
20410 |
Tran, Todd |
1790767564 |
Dentist |
UNKNOWN |
501 W KERN AVE |
MCFARLAND |
Kern |
93250 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1477866648 |
21250 |
21250 |
35.6779845068 |
-119.234178 |
-122.063724000362 |
37.6445879999363 |
20413 |
Jose, Maria Lilibeth |
1790770592 |
Dentist |
UNKNOWN |
26953 Mission Blvd, Suite J |
Hayward |
Alameda |
94544 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1881915106 |
21250 |
21250 |
37.644588 |
-122.063724 |
-122.296689000297 |
40.4506349998055 |
20420 |
Ault, Susan |
1790777100 |
Nurse Practitioner |
UNKNOWN |
2830 East St |
Anderson |
Shasta |
96007 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1790777100 |
21250 |
21250 |
40.450635 |
-122.296689 |
-117.107079113011 |
32.6710405202039 |
20425 |
hirota, misako |
1790782811 |
Dentist |
UNKNOWN |
135 Civic Center Dr, Ste 102 |
National City |
San Diego |
91950 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1548509862 |
21250 |
21250 |
32.6710405201 |
-117.107079113 |
-118.443346549004 |
34.0637399640282 |
20437 |
Casillas, Jacqueline |
1790707065 |
Physician |
UNKNOWN |
10833 Le Conte Ave, A2-410 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
5 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
55250 |
8500 |
34.0637399643 |
-118.443346549 |
-120.073646032039 |
36.9555943299144 |
20440 |
Hamid, Syed |
1790797736 |
Physician |
UNKNOWN |
1111 W 4th St |
Madera |
Madera |
93637 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1790797736 |
21250 |
21250 |
36.9555943297 |
-120.073646032 |
-119.148795456245 |
34.1596452777075 |
20441 |
Makhsusy, Mojdeh |
1790796969 |
Dentist |
UNKNOWN |
4400 Olds Rd, Clinicas Del Camino Real, Inc. |
Oxnard |
Ventura |
93033 |
California |
2011 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.1596452784 |
-119.148795456 |
-122.210001891374 |
39.5204514964395 |
20443 |
Radaideh, Hani |
1790803906 |
Dentist |
UNKNOWN |
1248 W Sycamore St |
Willows |
Glenn |
95988 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1790803906 |
21250 |
21250 |
39.5204514957 |
-122.210001891 |
-117.160377516809 |
32.7500307121477 |
20448 |
Nakahara, Tami |
1790810802 |
Physician |
UNKNOWN |
550 Washington st, Suite 300 |
San Diego |
San Diego |
92103 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1790810802 |
38250 |
8500 |
32.7500307119 |
-117.160377517 |
-118.446610499875 |
34.2464669998522 |
20458 |
Shifteh, Babak |
1790827103 |
Dentist |
UNKNOWN |
9700 Woodman Ave, Suite A28 |
Arleta |
Los Angeles |
91331 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1467531889 |
21250 |
21250 |
34.246467 |
-118.4466105 |
-118.448487000075 |
34.2140850003225 |
20474 |
Taroian, Hamlet |
1790839108 |
Dentist |
UNKNOWN |
7864 Van Nuys Blvd |
Panorama |
UNKNOWN |
91402 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1639375488 |
21250 |
21250 |
34.214085 |
-118.448487 |
-117.663637499771 |
34.0617780003545 |
20480 |
Mahajan, Anil |
1790845444 |
Dentist |
UNKNOWN |
815 W Holt Blvd, Ste 402 |
Ontario |
San Bernardino |
91762 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1568857076 |
21250 |
21250 |
34.061778 |
-117.6636375 |
-117.867477936358 |
33.7790861138332 |
20481 |
Wakefield, Alan |
1790843613 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.450278466678 |
34.2348300001045 |
20487 |
Payra, Eduardo |
1790855492 |
Dentist |
UNKNOWN |
9063 Van Nuys Blvd |
Panorama City |
Los Angeles |
91402 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1639375488 |
21250 |
21250 |
34.23483 |
-118.450278467 |
-117.730314572659 |
34.0629330832952 |
20491 |
Apo, Arte |
1790858728 |
Dentist |
UNKNOWN |
1021 East Holt Avenue |
Pomona |
Los Angeles |
91767 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1790858728 |
21250 |
21250 |
34.062933083 |
-117.730314573 |
-117.867477936358 |
33.7790861138332 |
20492 |
Lloren, Glenda |
1790846996 |
Dentist |
UNKNOWN |
530 South Main St., 975 Veterans Blvd. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.982234500022 |
37.6472045360605 |
20499 |
Mora, Bernardo |
1790868834 |
Physician |
PSYCHIATRY |
800 Scenic Drive #D |
Modesto |
Stanislaus |
95350 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831227974 |
21250 |
21250 |
37.6472045364 |
-120.9822345 |
-119.240825367297 |
35.7603833292273 |
20503 |
Chakraborty, Nisha |
1790872372 |
Physician |
UNKNOWN |
325 Lexington Street |
Delano |
Kern |
93215 |
California |
2011 |
2012 |
1 |
AIU |
DILBAGH MD INC GEHLAWAT |
1285837021 |
21250 |
21250 |
35.7603833294 |
-119.240825367 |
-117.688382999676 |
34.0190645154151 |
20510 |
Colomer de Saca, Nidia |
1790880854 |
Physician |
PSYCHIATRY |
5343 Riverside Dr |
Chino |
San Bernardino |
91710 |
California |
2019 |
2020 |
5 |
MU |
DE SACA, NIDIA M COLOMER |
1790880854 |
55250 |
8500 |
34.0190645154 |
-117.688383 |
-121.526464499937 |
38.4960599995694 |
20525 |
Kimura, Robyn |
1790895167 |
Physician |
UNKNOWN |
900 Florin Rd, Suite B |
Sacramento |
Sacramento |
95831 |
California |
2012 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1790895167 |
21250 |
21250 |
38.49606 |
-121.5264645 |
-119.018416499822 |
35.3738699996009 |
20527 |
Powell, Sharon |
1790898039 |
Nurse Practitioner |
NURSE PRACTITIONER |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.445313619928 |
34.0660881190715 |
20534 |
MAY, WILLIAM |
1790884898 |
Physician |
UNKNOWN |
757 Westwood Blvd |
Los Angeles |
Los Angeles |
90095 |
California |
2017 |
2018 |
2 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
29750 |
8500 |
34.0660881191 |
-118.44531362 |
-121.545819136144 |
39.1278335471805 |
20536 |
Schiro, Charles |
1790904415 |
Physician |
UNKNOWN |
1908 North Beale Road, Suite E |
Marysville |
Yuba |
95901 |
California |
2012 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1124130620 |
21250 |
21250 |
39.1278335467 |
-121.545819136 |
-117.169517934705 |
32.7876688614289 |
20549 |
Yung, Lindsey |
1790933299 |
Nurse Practitioner |
NURSE PRACTITIONER |
6973 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2014 |
2015 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1780665877 |
38250 |
8500 |
32.7876688612 |
-117.169517935 |
-117.867477936358 |
33.7790861138332 |
20553 |
Kerecz, Richard |
1790938652 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.969761271665 |
34.0791453992408 |
20558 |
Parroquin, Martha |
1790963577 |
Dentist |
UNKNOWN |
3709 BALDWIN PARK BLVD, STE J |
BALDWIN PARK |
Los Angeles |
91706 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1417220732 |
21250 |
21250 |
34.0791453994 |
-117.969761272 |
-121.851266463177 |
39.7515556443776 |
20565 |
FERRIS, MICHAEL |
1790971513 |
Nurse Practitioner |
UNKNOWN |
277 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1790971513 |
21250 |
21250 |
39.7515556442 |
-121.851266463 |
-118.629448531824 |
34.2034560002942 |
20570 |
Kanuga, Shukan |
1790975597 |
Dentist |
UNKNOWN |
7345 MEDICAL CENTER DR, #330 |
WEST HILLS |
Los Angeles |
91307 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598013427 |
21250 |
21250 |
34.203456 |
-118.629448532 |
-121.553145000042 |
39.521700000055 |
20580 |
Tighe, Burjessa |
1790988111 |
Nurse Practitioner |
UNKNOWN |
78 Table Mountain Blvd, Butte County Public Health |
Oroville |
Butte |
95965 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1790988111 |
21250 |
21250 |
39.5217 |
-121.553145 |
-121.933097158407 |
37.3110853926768 |
20582 |
Braverman, Gregory |
1790998979 |
Physician |
PSYCHIATRY |
2221 Enborg Ln |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1790998979 |
21250 |
21250 |
37.3110853932 |
-121.933097158 |
-117.429556499633 |
34.099218473254 |
20588 |
Trinh, Phuoc |
1801008495 |
Dentist |
UNKNOWN |
17185 ARROW BLVD |
FONTANA |
San Bernardino |
92335 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1306234976 |
21250 |
21250 |
34.0992184726 |
-117.4295565 |
-122.017943081708 |
37.5385993876517 |
20591 |
Cardona, Dolorosa |
1801009428 |
Dentist |
UNKNOWN |
5409 Central Ave, suite#17 |
Newark |
Alameda |
94560 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1316204514 |
21250 |
21250 |
37.5385993883 |
-122.017943082 |
-118.124504412748 |
33.8793747690304 |
20596 |
Poon, Peter |
1801015599 |
Physician |
UNKNOWN |
9817 Arkansas St |
Bellflower |
Los Angeles |
90706 |
California |
2020 |
2020 |
6 |
MU |
DAVID D MD INC NGUYEN |
1669553236 |
63750 |
8500 |
33.8793747685 |
-118.124504413 |
-121.842826107239 |
37.9992043973651 |
20598 |
leong, david |
1801015813 |
Dentist |
UNKNOWN |
2642B Somersville Rd |
Antioch |
Contra Costa |
94509 |
California |
2017 |
2018 |
2 |
MU |
DAVID J DMD LEONG |
1801015813 |
29750 |
8500 |
37.9992043967 |
-121.842826107 |
-117.867477936358 |
33.7790861138332 |
20599 |
Ryu, Kukhwa |
1801013933 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.163974713262 |
32.7328816281847 |
20604 |
Austin, Shaun |
1801024393 |
Physician |
UNKNOWN |
2630 1st Avenue |
San Diego |
San Diego |
92103 |
California |
2014 |
2015 |
2 |
MU |
DIEGO AMERICAN SAN |
1003902917 |
8500 |
8500 |
32.7328816275 |
-117.163974713 |
-117.867477936358 |
33.7790861138332 |
20611 |
Saniei-Abadeh, Niloufar |
1801033949 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.956395363955 |
33.7016155926855 |
20620 |
Lee, Jenny |
1801057278 |
Physician |
OBSTETRICS/GYNECOLOGY |
9930 Talbert Ave |
Fountain Valley |
Orange |
92708 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1497759005 |
21250 |
21250 |
33.7016155931 |
-117.956395364 |
-117.867477936358 |
33.7790861138332 |
20633 |
sheikh, haseeb |
1801077904 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.259848000285 |
33.9187320002816 |
20636 |
Cervantes, Jorge |
1801082151 |
Dentist |
UNKNOWN |
23080 Alessandro Blvd, Suite 201 |
Moreno Valley |
Riverside |
92553 |
California |
2016 |
2017 |
1 |
AIU |
DR. DEZAS DENTAL OFFICE INC. |
1548612856 |
21250 |
21250 |
33.918732 |
-117.259848 |
-118.185416051609 |
33.9886190881005 |
20638 |
Fatemi, Mojdeh |
1801085782 |
Dentist |
UNKNOWN |
5707 Atlantic Blvd, STE A1 |
Maywood |
Los Angeles |
90270 |
California |
2018 |
2019 |
2 |
MU |
Designated Payee Name not Found |
1801085782 |
29750 |
8500 |
33.9886190879 |
-118.185416052 |
-117.88951050001 |
33.8402699999606 |
20646 |
Tungol, Dianne |
1801102389 |
Dentist |
UNKNOWN |
1959 E LINCOLN AVE |
ANAHEIM |
Orange |
92805 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1154585800 |
21250 |
21250 |
33.84027 |
-117.8895105 |
-117.867477936358 |
33.7790861138332 |
20658 |
BOURKLIAN, JACK |
1801136494 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.443346549004 |
34.0637399640282 |
20662 |
Wozniak, Laura |
1801068747 |
Physician |
UNKNOWN |
10833 LeConte Avenue, MDCC 12-383, UCLA Medical Center |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
5 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
55250 |
8500 |
34.0637399643 |
-118.443346549 |
-118.159968417708 |
33.8858799988629 |
20699 |
chebbi, Kais |
1801285200 |
Dentist |
UNKNOWN |
16260 Paramount Blvd, G |
Paramount |
Los Angeles |
90723 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1801285200 |
21250 |
21250 |
33.8858799986 |
-118.159968418 |
-117.867477936358 |
33.7790861138332 |
20703 |
Lu, John |
1801290291 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.376389500375 |
38.5562970003064 |
20706 |
Mann, Jaskiran |
1801347539 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
2 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
29750 |
8500 |
38.556297 |
-121.3763895 |
-117.698210480729 |
34.0789770002884 |
20708 |
Lim, Dee Beng |
1801805163 |
Physician |
UNKNOWN |
9675 Monte Vista Ave, Suite B |
Montclair |
San Bernardino |
91763 |
California |
2016 |
2017 |
2 |
MU |
DEE BENG K MD LIM |
1801805163 |
29750 |
8500 |
34.078977 |
-117.698210481 |
-122.201680947418 |
39.7416732839949 |
20717 |
Dadbeh, Cecilia |
1801821459 |
Dentist |
UNKNOWN |
1211 Cortina Dr |
Orland |
Glenn |
95963 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.7416732839 |
-122.201680947 |
-121.6322074687 |
36.7036735826698 |
20730 |
Mancias, Ramiro |
1801831318 |
Dentist |
UNKNOWN |
620 E. Alvin Drive, G |
Salinas |
Monterey |
93906 |
California |
2015 |
2016 |
1 |
AIU |
DE SALUD DEL VALLE CLINICA |
1508994930 |
21250 |
21250 |
36.7036735825 |
-121.632207469 |
-117.296435770195 |
34.1099561734387 |
20731 |
Bolivar, David |
1801830609 |
Physician |
UNKNOWN |
598 N. F St. |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1215991534 |
21250 |
21250 |
34.1099561735 |
-117.29643577 |
-118.451241000272 |
34.1866284950091 |
20749 |
Rodriguez, Barbara |
1801854310 |
Physician |
UNKNOWN |
14608 Victory Blvd. |
Van Nuys |
Los Angeles |
91411 |
California |
2020 |
2020 |
6 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
63750 |
8500 |
34.1866284951 |
-118.451241 |
-121.328797500005 |
38.6278019999624 |
20753 |
Meyer, Delbert |
1801863766 |
Physician |
PULMONARY DISEASE |
6945 Fair Oaks Blvd, Suite A-2 |
Carmichael |
Sacramento |
95608 |
California |
2014 |
2015 |
2 |
MU |
DELBERT H MD MEYER |
1801863766 |
29750 |
8500 |
38.627802 |
-121.3287975 |
-123.211126833337 |
39.1278118681233 |
20754 |
Glyer, John |
1801866785 |
Physician |
UNKNOWN |
333 Laws Ave |
Ukiah |
Mendocino |
95482 |
California |
2015 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1902273212 |
29750 |
8500 |
39.1278118679 |
-123.211126833 |
-121.845447497004 |
39.7528200003428 |
20759 |
Chima, Mandeep |
1801870472 |
Dentist |
UNKNOWN |
680 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.75282 |
-121.845447497 |
-119.018416499822 |
35.3738699996009 |
20761 |
Pinto, Mark |
1801882360 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.60714799988 |
34.2009885241011 |
20770 |
Weiss, Sol |
1801894043 |
Physician |
FAMILY PRACTICE |
22030 Sherman Way, Suite 118 |
Canoga Park |
Los Angeles |
91303 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1801894043 |
29750 |
8500 |
34.2009885243 |
-118.607148 |
-121.411813499893 |
38.5731810001031 |
20777 |
Fremd, Tracey |
1801907159 |
Nurse Practitioner |
NURSE PRACTITIONER |
1 Scripps Dr |
Sacramento |
Sacramento |
95825 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1427322635 |
21250 |
21250 |
38.573181 |
-121.4118135 |
-119.144985703228 |
34.2172570548693 |
20783 |
perez, henry |
1801917711 |
Dentist |
UNKNOWN |
1701 Solar Dr, suite 290 |
Oxnard |
Ventura |
93030 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1255538278 |
21250 |
21250 |
34.2172570547 |
-119.144985703 |
-119.018416499822 |
35.3738699996009 |
20784 |
Farber, Michael |
1801918339 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.169517934705 |
32.7876688614289 |
20786 |
De Guzman, Ernest |
1801914544 |
Physician |
UNKNOWN |
6973 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2015 |
2016 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-117.867477936358 |
33.7790861138332 |
20791 |
Elhussiny, Naeil |
1801923743 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.455048185925 |
33.9156370338221 |
20796 |
Kim, Jang Wook |
1801920921 |
Dentist |
UNKNOWN |
9939 E MAGNOLIA AVE |
Riverside |
Riverside |
92503 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881741429 |
21250 |
21250 |
33.9156370345 |
-117.455048186 |
-117.933002689922 |
33.9906554014257 |
20800 |
Hsieh, Pei-Chin |
1801927876 |
Physician |
UNKNOWN |
17134 Colima Road, Suite E |
Hacienda Heights |
Los Angeles |
91745 |
California |
2016 |
2017 |
2 |
MU |
DANIEL MD CHOO |
1528062072 |
29750 |
8500 |
33.9906554012 |
-117.93300269 |
-117.163974713262 |
32.7328816281847 |
20802 |
Cabrera, Edwin |
1801937107 |
Physician |
FAMILY PRACTICE |
2630 First Avenue |
San Diego |
San Diego |
92103 |
California |
2012 |
2012 |
1 |
AIU |
DIEGO AMERICAN SAN |
1003902917 |
21250 |
21250 |
32.7328816275 |
-117.163974713 |
-117.916545871695 |
33.7451250954468 |
20803 |
Byun, Jung-Wook |
1801936968 |
Dentist |
UNKNOWN |
3528 W 1st St |
Santa Ana |
Orange |
92703 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1801936968 |
21250 |
21250 |
33.7451250949 |
-117.916545872 |
-119.175344999772 |
34.2196830003702 |
20804 |
ro, june |
1801940010 |
Dentist |
UNKNOWN |
183 E Gonzales Rd |
Oxnard |
Ventura |
93036 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1801940010 |
21250 |
21250 |
34.219683 |
-119.175345 |
-118.193679000086 |
33.9425640003284 |
20806 |
LUTSKY, JAY |
1801942172 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-117.183860731887 |
32.8187271461409 |
20810 |
Yen, Yu-Song |
1801947254 |
Dentist |
UNKNOWN |
5222 Balboa Avenue, Ste 71 |
San Diego |
San Diego |
92117 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1801947254 |
21250 |
21250 |
32.8187271457 |
-117.183860732 |
-117.867477936358 |
33.7790861138332 |
20815 |
Arreaola, Omar |
1801945332 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.306157499969 |
34.1634150001022 |
20828 |
Naik, Suneal |
1801970264 |
Dentist |
UNKNOWN |
985 Kendall Dr, Suite B |
San Bernardino |
San Bernardino |
92407 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1356464424 |
21250 |
21250 |
34.163415 |
-117.3061575 |
-122.158763385622 |
37.7065264622265 |
20845 |
Boris, Lily |
1801988977 |
Physician |
UNKNOWN |
3801 Teagarden St |
San Leandro |
Alameda |
94577 |
California |
2016 |
2017 |
1 |
AIU |
DAVIS STREET COMMUNITY THE |
1215358924 |
21250 |
21250 |
37.7065264617 |
-122.158763386 |
-122.270301000191 |
37.8633329997182 |
20855 |
Enz, Jose |
1801998836 |
Physician |
UNKNOWN |
2500 Milvia, #204 |
Berkeley |
Alameda |
94704 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1801998836 |
21250 |
21250 |
37.863333 |
-122.270301 |
-122.120635797404 |
37.6996069291166 |
20858 |
Katiby, Naim |
1801999800 |
Physician |
FAMILY PRACTICE |
15921 E 14th St |
San Leandro |
Alameda |
94578 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1952482366 |
21250 |
21250 |
37.6996069289 |
-122.120635797 |
-118.446236463742 |
34.0652250001337 |
20862 |
Zeltzer, Lonnie |
1801992102 |
Physician |
PEDIATRIC MEDICINE |
200 Med Plaza Suite 265 |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1801992102 |
14166.67 |
14166.67 |
34.065225 |
-118.446236464 |
-117.331297884989 |
34.067873371359 |
20863 |
Ghaly, Hany |
1801999396 |
Dentist |
UNKNOWN |
552 W Valley Blvd, Colton Valley Dental |
Colton |
San Bernardino |
92324 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1134504798 |
21250 |
21250 |
34.0678733707 |
-117.331297885 |
-121.793329849093 |
38.6749225631258 |
20872 |
Lam, Michael |
1811010721 |
Dentist |
UNKNOWN |
520 COTTONWOOD ST, STE 9 |
WOODLAND |
Yolo |
95695 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1811010721 |
21250 |
21250 |
38.6749225634 |
-121.793329849 |
-122.153565841091 |
37.7052153019447 |
20878 |
Lancaster, Susan |
1811023351 |
Dentist |
UNKNOWN |
3081 Teagarden St |
San Leandro |
Alameda |
94577 |
California |
2016 |
2016 |
1 |
AIU |
DAVIS STREET COMMUNITY THE |
1215358924 |
21250 |
21250 |
37.7052153025 |
-122.153565841 |
-117.767051112019 |
34.1141285331054 |
20885 |
Sumardi, Kusumo |
1811037435 |
Dentist |
UNKNOWN |
1965 Foothill Blvd, Suite L |
LA Verne |
Los Angeles |
91750 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1811037435 |
21250 |
21250 |
34.1141285333 |
-117.767051112 |
-118.328949000396 |
34.101441000202 |
20893 |
ANTHONY, AWAD |
1811047830 |
Physician |
UNKNOWN |
6368 Hollywood Blvd |
Hollywood |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1811047830 |
21250 |
21250 |
34.101441 |
-118.328949 |
-116.074152000414 |
33.5692744864285 |
20900 |
RAMOS, BARBARA |
1811054315 |
Nurse Practitioner |
UNKNOWN |
91275 Ave 66th, 500 |
MECCA |
Riverside |
92254 |
California |
2018 |
2019 |
6 |
MU |
DE SALUD DEL CLINICAS |
1932280633 |
63750 |
8500 |
33.5692744859 |
-116.074152 |
-122.418464301886 |
37.7784168168827 |
20906 |
Wu, Roger |
1811061310 |
Physician |
UNKNOWN |
101 Grove St, Room 307 |
San Francisco |
San Francisco |
94102 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1811061310 |
21250 |
21250 |
37.7784168174 |
-122.418464302 |
-119.181261635916 |
34.15469895879 |
20917 |
Kim, Nicholas |
1811071004 |
Dentist |
UNKNOWN |
420 W Pleasant Valley Rd |
Oxnard |
Ventura |
93033 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1811071004 |
21250 |
21250 |
34.1546989594 |
-119.181261636 |
-118.192449295898 |
33.7832312959875 |
20925 |
Najeeb, Rubina |
1811086036 |
Physician |
UNKNOWN |
1301 Pine Avenue |
Long Beach |
Los Angeles |
90813 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1467597310 |
21250 |
21250 |
33.7832312957 |
-118.192449296 |
-117.300790005155 |
33.6614520400796 |
20934 |
Singh, Anita |
1811097991 |
Dentist |
UNKNOWN |
31641 Auto Center Dr, Ste. 2A |
Lake Elsinore |
Riverside |
92530 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1801153655 |
21250 |
21250 |
33.6614520397 |
-117.300790005 |
-117.976152677904 |
33.8508857565724 |
20951 |
Rocillo, Gina |
1811145113 |
Physician |
FAMILY PRACTICE |
1236 N Magnolia Ave |
Anaheim |
Orange |
92801 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1811145113 |
29750 |
8500 |
33.8508857566 |
-117.976152678 |
-118.193679000086 |
33.9425640003284 |
20958 |
Filler, Tracy |
1811155187 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-117.821846737737 |
33.73828456598 |
20966 |
Fernando, Joanne Lynne |
1811161292 |
Dentist |
UNKNOWN |
13962 Newport Ave Ste C |
Tustin |
Orange |
92780 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1144520248 |
21250 |
21250 |
33.7382845665 |
-117.821846738 |
-119.038971016899 |
35.3205270002209 |
20969 |
Michael, Dalia |
1811170681 |
Dentist |
UNKNOWN |
3820 Wible Rd., Ste. B |
Bakersfield |
Kern |
93309 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1811170681 |
21250 |
21250 |
35.320527 |
-119.038971017 |
-117.081877500346 |
32.682419999983 |
20971 |
Barrera, Andrelita |
1811160484 |
Physician |
FAMILY PRACTICE |
2400 E. 8TH ST., PARADISE HILLS FAMILY CLINIC |
NATIONAL CITY |
San Diego |
91950 |
California |
2013 |
2014 |
2 |
MU |
DE SALUD DE LA CENTRO |
1598907487 |
29750 |
8500 |
32.68242 |
-117.0818775 |
-117.867477936358 |
33.7790861138332 |
20976 |
Azimi, Shideh |
1811180839 |
Dentist |
UNKNOWN |
530 South Main St., Suite K |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.263529000063 |
34.0513380000487 |
20978 |
Toledo, Marcelo |
1811192180 |
Dentist |
UNKNOWN |
11092 Anderson |
Loma Linda |
San Bernardino |
92350 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1386937753 |
21250 |
21250 |
34.051338 |
-117.263529 |
-117.047429999994 |
32.558750999559 |
20991 |
Hill, Makayla |
1811215999 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4004 Beyer Blvd |
San Ysidro |
San Diego |
92173 |
California |
2013 |
2014 |
1 |
AIU |
DE SALUD DE LA CENTRO |
1598907487 |
21250 |
21250 |
32.558751 |
-117.04743 |
-119.018416499822 |
35.3738699996009 |
20994 |
Gill, Prabhdeep |
1811225386 |
Dentist |
UNKNOWN |
1430 Truxtun Ave, suite 204 |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.445313619928 |
34.0660881190715 |
21000 |
Zarrinpar, Ali |
1811185135 |
Physician |
GENERAL SURGERY |
757 Westwood Plz, Department of Surgery |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1811185135 |
21250 |
21250 |
34.0660881191 |
-118.44531362 |
-117.867477936358 |
33.7790861138332 |
21005 |
Huang, Te Chao |
1811255474 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.018416499822 |
35.3738699996009 |
21006 |
Bell, Brandi |
1811273113 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-119.018416499822 |
35.3738699996009 |
21007 |
Wilson, Lindsay |
1811274327 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.585634499932 |
34.0993034915629 |
21011 |
MOBILIA, ANDREA |
1811281462 |
Dentist |
UNKNOWN |
10064 ARROW RTE |
RANCHO CUCAMONGA |
San Bernardino |
91730 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1679916233 |
21250 |
21250 |
34.0993034916 |
-117.5856345 |
-121.274476650677 |
38.778557747642 |
21021 |
Schwartz, Sara |
1811302334 |
Nurse Practitioner |
UNKNOWN |
508 Gibson Drive, STE 220 |
Roseville |
Placer |
95678 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1811302334 |
21250 |
21250 |
38.7785577478 |
-121.274476651 |
-123.207005928381 |
39.2434186055842 |
21031 |
Gonzalez James, Marissa |
1811312721 |
Nurse Practitioner |
UNKNOWN |
6991 N State St |
Redwood Valley |
Mendocino |
95470 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1811312721 |
21250 |
21250 |
39.2434186059 |
-123.207005928 |
-121.656302999784 |
36.6684030002983 |
21055 |
Jackson, Amanda |
1811906316 |
Physician |
UNKNOWN |
600 Main Street |
Salinas |
Monterey |
93960 |
California |
2017 |
2018 |
6 |
MU |
Designated Payee Name not Found |
1811906316 |
63750 |
8500 |
36.668403 |
-121.656303 |
-124.141090919211 |
40.7859195138745 |
21056 |
Kamelgarn, Steven |
1811907975 |
Physician |
FAMILY PRACTICE |
2412 Buhne Street |
Eureka |
Humboldt |
95501 |
California |
2015 |
2016 |
4 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
46750 |
8500 |
40.785919514 |
-124.141090919 |
-118.135039500173 |
34.1455590004476 |
21065 |
PARK, PHILLIP |
1811917636 |
Dentist |
UNKNOWN |
742 E Colorado Blvd |
Pasadena |
Los Angeles |
91101 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1750304192 |
21250 |
21250 |
34.145559 |
-118.1350395 |
-117.296435770195 |
34.1099561734387 |
21077 |
Bolivar, Eunice |
1811929367 |
Physician |
UNKNOWN |
598 North F Street |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1215991534 |
21250 |
21250 |
34.1099561735 |
-117.29643577 |
-119.313677285179 |
36.3070879099791 |
21083 |
Coleman, Lewis |
1811943665 |
Dentist |
UNKNOWN |
2626 S MOONEY BLVD, Suite C |
Visalia |
Tulare |
93277 |
California |
2013 |
2013 |
1 |
AIU |
DENTAL SURGERY CENTER BARNES |
1124333497 |
21250 |
21250 |
36.3070879104 |
-119.313677285 |
-117.968426310826 |
33.7449987191156 |
21085 |
Nguyen, Dao |
1811948680 |
Physician |
INTERNAL MEDICINE |
9211 Bolsa Ave, Suite 220 |
Westminster |
Orange |
92683 |
California |
2012 |
2013 |
1 |
AIU |
DAO B MD NGUYEN |
1811948680 |
21250 |
21250 |
33.7449987186 |
-117.968426311 |
-121.645808999686 |
36.6576570002704 |
21091 |
Giedt, Jr., Wallace |
1811949993 |
Physician |
UNKNOWN |
260 San Jose St |
Salinas |
Monterey |
93901 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1811949993 |
21250 |
21250 |
36.657657 |
-121.645809 |
-119.147480999948 |
35.3534129996103 |
21099 |
Mutyala, Padmaja |
1811965114 |
Dentist |
UNKNOWN |
13029 Stockdale Hwy, Suite 100 |
Bakersfield |
Kern |
93314 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1811965114 |
21250 |
21250 |
35.353413 |
-119.147481 |
-117.83372849967 |
34.0983539999372 |
21105 |
AMANI-YAZDI M.D, Rambod |
1811978364 |
Physician |
UNKNOWN |
1330 West Covina Blvd 206 |
San Dimas |
Los Angeles |
91773 |
California |
2014 |
2015 |
4 |
MU |
Designated Payee Name not Found |
1811978364 |
8500 |
8500 |
34.098354 |
-117.8337285 |
-118.57552200014 |
34.4368169996049 |
21109 |
Mason, Fariba |
1811979347 |
Nurse Practitioner |
UNKNOWN |
25115 Avenue Stanford, A-104 |
Valencia |
Los Angeles |
91355 |
California |
2018 |
2019 |
2 |
MU |
DIXON FAMILY SAMUEL |
1154402675 |
29750 |
8500 |
34.436817 |
-118.575522 |
-117.867477936358 |
33.7790861138332 |
21114 |
Gates, Lucas |
1811985567 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.956395363955 |
33.7016155926855 |
21117 |
Austin, Trina |
1811991417 |
Physician |
UNKNOWN |
9930 Talbert Ave |
Fountain Valley |
Orange |
92708 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.7016155931 |
-117.956395364 |
-117.898190218604 |
34.1068381978246 |
21126 |
CARCAMO, RAFAEL |
1821007055 |
Physician |
UNKNOWN |
647 E Arrow Hwy |
Azusa |
Los Angeles |
91702 |
California |
2018 |
2019 |
6 |
MU |
Designated Payee Name not Found |
1821007055 |
63750 |
8500 |
34.1068381982 |
-117.898190219 |
-121.454194500076 |
38.4975000003248 |
21129 |
Her, Poge |
1821011776 |
Dentist |
UNKNOWN |
4433 Florin Road, Suite 790 |
Sacramento |
Sacramento |
95823 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1821011776 |
21250 |
21250 |
38.4975 |
-121.4541945 |
-117.942002640909 |
33.871126441732 |
21136 |
Chong, Joyce |
1821024282 |
Physician |
UNKNOWN |
125 N. EUCLID ST |
Fullerton |
Orange |
92832 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1821024282 |
38250 |
8500 |
33.8711264424 |
-117.942002641 |
-118.178266499799 |
34.0837289999934 |
21145 |
Chieng, An Pang |
1821030305 |
Physician |
INTERNAL MEDICINE |
3301 N Eastern Ave |
Los Angeles |
Los Angeles |
90032 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1821030305 |
21250 |
21250 |
34.083729 |
-118.1782665 |
-117.888678000289 |
33.7883670004368 |
21154 |
Randall, Leslie |
1821054602 |
Physician |
GYNECOLOGICAL/ONCOLOGY |
101 The City Dr S, Bldg 56, Suite 210 |
Orange |
Orange |
92868 |
California |
2011 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1407058787 |
0 |
0 |
33.788367 |
-117.888678 |
-121.849814317077 |
37.306313644759 |
21157 |
Garibaldi, Diane |
1821051889 |
Physician |
UNKNOWN |
500 Tully Rd, Chaboya Clinic- Pediatrics Department |
San Jose |
Santa Clara |
95111 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1821051889 |
21250 |
21250 |
37.3063136448 |
-121.849814317 |
-121.931844043068 |
37.3128740632874 |
21162 |
Eitzman, Sarah |
1821050725 |
Physician |
UNKNOWN |
751 S Bascom Ave, Pediatrics Department |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1821050725 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.151738999555 |
34.1315605338916 |
21166 |
Tessler, Irving |
1821070681 |
Physician |
UNKNOWN |
50 Bellefontaine St, Ste 405 |
Pasadena |
Los Angeles |
91105 |
California |
2014 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1821070681 |
29750 |
8500 |
34.1315605337 |
-118.151739 |
-117.88951050001 |
33.7271855047073 |
21171 |
Lee, Robert |
1821075490 |
Dentist |
UNKNOWN |
1610 W EDINGER AVE, SUITE C |
SANTA ANA |
Orange |
92704 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1518995109 |
21250 |
21250 |
33.7271855051 |
-117.8895105 |
-119.792835000235 |
36.8399970002614 |
21178 |
Brown, Annamarie |
1821085986 |
Nurse Practitioner |
UNKNOWN |
7171 N Sugarpine Ave |
Pinedale |
Fresno |
93650 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1154410280 |
21250 |
21250 |
36.839997 |
-119.792835 |
-117.102763739555 |
32.6616005030608 |
21183 |
Ness, Douglas |
1821105446 |
Dentist |
UNKNOWN |
2405 Transportation Ave |
National City |
San Diego |
91950 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1821105446 |
21250 |
21250 |
32.6616005028 |
-117.10276374 |
-118.192320000368 |
33.8189265490211 |
21195 |
Kalan, Debra |
1821126392 |
Physician |
UNKNOWN |
100 E Wardlow Rd. |
Long Beach |
Los Angeles |
90807 |
California |
2013 |
2013 |
1 |
AIU |
Debra Rochelle Kalan |
1821126392 |
21250 |
21250 |
33.818926549 |
-118.19232 |
-121.957118999942 |
37.2477780003545 |
21197 |
Sarkis, Arbella |
1821129933 |
Physician |
UNKNOWN |
16400 Lark Ave, Suite 150 |
Los Gatos |
Santa Clara |
95032 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1821129933 |
21250 |
21250 |
37.247778 |
-121.957119 |
-117.867477936358 |
33.7790861138332 |
21207 |
Redmond, Michael |
1821146416 |
Dentist |
UNKNOWN |
530 South Main St., Suite C |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.005495579757 |
32.7730288257198 |
21211 |
Kourajian, Peter |
1821156027 |
Physician |
UNKNOWN |
8893 La Mesa Blvd., Suite D |
La Mesa |
San Diego |
91942 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1821156027 |
21250 |
21250 |
32.7730288262 |
-117.00549558 |
-117.867477936358 |
33.7790861138332 |
21215 |
Marshall, Rosanna |
1821156191 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
21216 |
JAMES, FRANCIS |
1821157629 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
21217 |
PATEL, ANJANA |
1821158726 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.466227474618 |
34.1999100004462 |
21224 |
MOLATO, JEANNIE |
1821174129 |
Dentist |
UNKNOWN |
7133 Sepulveda Blvd |
Van Nuys |
Los Angeles |
91405 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1184801789 |
21250 |
21250 |
34.19991 |
-118.466227475 |
-118.451348117621 |
34.1865927361659 |
21226 |
Lee, Myung |
1821175811 |
Physician |
UNKNOWN |
14614 Victory Blvd |
Van Nuys |
Los Angeles |
91411 |
California |
2016 |
2017 |
1 |
MU |
Designated Payee Name not Found |
1821175811 |
21250 |
21250 |
34.1865927363 |
-118.451348118 |
-121.892717440258 |
37.3411630908041 |
21235 |
Morales, Rodolfo |
1821181611 |
Physician |
UNKNOWN |
55 East Julian Street |
San Jose |
Santa Clara |
95112 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1407985534 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
-124.093018149368 |
40.8966443463596 |
21240 |
Drury, Ellen |
1821181470 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
3800 Janes Road, Suite 101 |
Arcata |
Humboldt |
95521 |
California |
2018 |
2019 |
6 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1922318047 |
63750 |
8500 |
40.8966443461 |
-124.093018149 |
-117.919928024059 |
33.8357555300937 |
21241 |
DOWNS, DENNIS |
1821190356 |
Physician |
UNKNOWN |
200 N Harbor Blvd, SUITE 100 |
Anaheim |
Orange |
92805 |
California |
2016 |
2017 |
2 |
MU |
DENNIS R MD DOWNS |
1821190356 |
29750 |
8500 |
33.8357555301 |
-117.919928024 |
-118.446236463742 |
34.0652250001337 |
21242 |
Shields, William |
1821174442 |
Physician |
PEDIATRIC MEDICINE |
200 Medical Plaza Suite 265 |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1821174442 |
21250 |
21250 |
34.065225 |
-118.446236464 |
-117.833381999879 |
33.7525380002286 |
21243 |
Haldeman, Scott |
1821193509 |
Physician |
NEUROLOGY |
801 N Tustin Ave, Suite 202 |
Santa Ana |
Orange |
92705 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1407058787 |
21250 |
21250 |
33.752538 |
-117.833382 |
-118.447711072208 |
34.1886981767795 |
21247 |
Emanuel, Donny |
1821208141 |
Dentist |
UNKNOWN |
14435 HAMLIN ST, STE 101 |
VAN NUYS |
Los Angeles |
91401 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1093150906 |
21250 |
21250 |
34.1886981771 |
-118.447711072 |
-119.159698864611 |
34.2931563264034 |
21295 |
Rangel, Rene |
1821300500 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL INC CLINICAS |
1093933194 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-118.291681203625 |
34.0901852959148 |
21305 |
Lee, Christina |
1821333428 |
Dentist |
UNKNOWN |
1018 1/2 Vermont Ave |
LOS ANGELES |
Los Angeles |
90029 |
California |
2016 |
2017 |
1 |
AIU |
DAVID RABIZADEH, DDS, PROFESSIONAL DENTAL CORP. |
1346303112 |
21250 |
21250 |
34.0901852957 |
-118.291681204 |
-118.272597836221 |
34.0563882742995 |
21306 |
Umbrino, Joseph |
1821337668 |
Nurse Practitioner |
UNKNOWN |
1800 Wilshire Blvd |
Los Angeles |
Los Angeles |
90057 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1821337668 |
21250 |
21250 |
34.0563882742 |
-118.272597836 |
-117.047429999994 |
32.558750999559 |
21310 |
Sickles, Maggie |
1821346826 |
Nurse Practitioner |
UNKNOWN |
4004 Beyer Blvd |
San Ysidro |
San Diego |
92173 |
California |
2015 |
2017 |
3 |
MU |
DE SALUD DE LA CENTRO |
1922051812 |
38250 |
8500 |
32.558751 |
-117.04743 |
-117.867477936358 |
33.7790861138332 |
21311 |
Munjpara, Dharaben |
1821341942 |
Dentist |
UNKNOWN |
530 South Main St., APT # 452 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.169517934705 |
32.7876688614289 |
21324 |
Maxwell, Kevin |
1821384371 |
Nurse Practitioner |
NURSE PRACTITIONER |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2012 |
2013 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-119.018416499822 |
35.3738699996009 |
21331 |
Preslar, Sarah |
1821411265 |
Nurse Practitioner |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.986170499569 |
33.7449239998428 |
21342 |
Le-Nguyen, Ivane |
1821455668 |
Dentist |
UNKNOWN |
8181 Bolsa Ave |
Midway City |
Orange |
92655 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1770766545 |
21250 |
21250 |
33.744924 |
-117.9861705 |
-117.342922500173 |
34.4265389995752 |
21348 |
Sung, Dahye |
1821543547 |
Dentist |
UNKNOWN |
14661 Main St |
Hesperia |
San Bernardino |
92345 |
California |
2016 |
2017 |
1 |
AIU |
Dahye Sung |
1821543547 |
21250 |
21250 |
34.426539 |
-117.3429225 |
-118.308901476122 |
34.0042410000222 |
21352 |
Peace, DeVaughn |
1831103779 |
Physician |
UNKNOWN |
4326 S Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2013 |
2014 |
3 |
MU |
DEVAUGHN K MD INC PEACE |
1831103779 |
38250 |
8500 |
34.004241 |
-118.308901476 |
-117.014531217642 |
34.8841418456697 |
21354 |
Salman, Asad |
1831104355 |
Dentist |
UNKNOWN |
927 Armory Rd, Suite H |
Barstow |
San Bernardino |
92311 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831104355 |
21250 |
21250 |
34.8841418463 |
-117.014531218 |
-118.380561494617 |
34.0768104957079 |
21370 |
PERKINS, KATHY |
1831126457 |
Physician |
UNKNOWN |
8700 BEVERLY BLVD. |
LOS ANGELES |
Los Angeles |
90048 |
California |
2018 |
2019 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0768104957 |
-118.380561495 |
-121.937102999604 |
37.3157190002318 |
21398 |
Brooks, Edward |
1831162338 |
Physician |
INTERNAL MEDICINE |
2400 Moorpark Ave, Ste# 316-B- PACE Clinic |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1588721500 |
21250 |
21250 |
37.315719 |
-121.937103 |
-117.956395363955 |
33.7016155926855 |
21404 |
DEBOLD, LORI |
1831194323 |
Physician |
PEDIATRIC MEDICINE |
9930 Talbert Ave. |
Fountain Valley |
Orange |
92708 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
22667 |
8500 |
33.7016155931 |
-117.956395364 |
-122.400841849871 |
37.6083319881308 |
21408 |
Caturay, Pedro |
1831196229 |
Dentist |
UNKNOWN |
1301 Broadway, Suite 7 |
Millbrae |
San Mateo |
94030 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1831196229 |
21250 |
21250 |
37.6083319881 |
-122.40084185 |
-118.193134500157 |
33.9424919997061 |
21413 |
Tai, Jenny |
1831202092 |
Physician |
FAMILY PRACTICE |
4476 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1831202092 |
29750 |
8500 |
33.942492 |
-118.1931345 |
-122.06760754815 |
37.5887230101588 |
21415 |
Gacote, Apolinar |
1831203652 |
Physician |
UNKNOWN |
32270 Alvarado Blvd |
Union City |
Alameda |
94587 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1831203652 |
21250 |
21250 |
37.5887230099 |
-122.067607548 |
-117.274479998753 |
34.5401162513639 |
21416 |
Colton, Danny |
1831191956 |
Physician |
GENERAL SURGERY |
17868 Outer Highway 18, Suite # 211 |
Apple Valley |
San Bernardino |
92307 |
California |
2018 |
2019 |
6 |
MU |
DANNY COLTON |
1831191956 |
63750 |
8500 |
34.5401162514 |
-117.274479999 |
-117.867477936358 |
33.7790861138332 |
21431 |
Rim, Paul |
1831221134 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.18329749978 |
34.0238995261423 |
21437 |
CHOI, MARK |
1831231521 |
Physician |
UNKNOWN |
4082 Whittier Blvd #5 |
Los Angeles |
Los Angeles |
90023 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1831231521 |
21250 |
21250 |
34.0238995265 |
-118.1832975 |
-117.218930704289 |
33.7832449036295 |
21441 |
Veera, HAREESH |
1831238609 |
Dentist |
UNKNOWN |
391 Wilkerson Ave, Suite B |
Perris |
Riverside |
92570 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831238609 |
21250 |
21250 |
33.7832449044 |
-117.218930704 |
-117.852587999736 |
33.6841739997304 |
21442 |
Roghani, Sholeh |
1831239938 |
Dentist |
UNKNOWN |
1920 Main St #970 |
Irvine |
UNKNOWN |
92614 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL, INC BADII |
1467711358 |
21250 |
21250 |
33.684174 |
-117.852588 |
-117.867477936358 |
33.7790861138332 |
21456 |
Sabbagh, Ahmad Omar |
1831250489 |
Dentist |
UNKNOWN |
530 S main Street |
orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1831250489 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.290730578853 |
34.0524414358237 |
21458 |
choe, yong |
1831252105 |
Dentist |
UNKNOWN |
2675 W Olympic Blvd, Suite 300 |
Los Angeles |
Los Angeles |
90006 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1467572529 |
21250 |
21250 |
34.0524414363 |
-118.290730579 |
-120.091909500123 |
36.9529004997583 |
21460 |
Mauricio, Rosalinda |
1831260496 |
Dentist |
UNKNOWN |
2531 Howard Rd, Ste. 103 |
Madera |
Madera |
93637 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1831260496 |
21250 |
21250 |
36.9529005004 |
-120.0919095 |
-119.018416499822 |
35.3738699996009 |
21462 |
Teopengco, Luis |
1831266691 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-122.274324247766 |
37.8072875034156 |
21468 |
McDonald, Catherine |
1831267418 |
Physician |
UNKNOWN |
Lifelong Downtown Oakland, 616 16th Street |
Oakland |
Alameda |
94612 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831267418 |
21250 |
21250 |
37.8072875031 |
-122.274324248 |
-117.889093203788 |
33.8419497042156 |
21471 |
Shin, Joon-Woo |
1831269935 |
Dentist |
UNKNOWN |
150 N. State College Boulevard |
Anaheim |
Orange |
92806 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1487861654 |
21250 |
21250 |
33.8419497043 |
-117.889093204 |
-117.867477936358 |
33.7790861138332 |
21475 |
Fayoumi, Hassan |
1831269489 |
Dentist |
UNKNOWN |
530 South Main St., Kleinman & Wallace Prof Dental Corp |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.657850126382 |
36.3301483303812 |
21478 |
Bailey, Gerald |
1831278761 |
Dentist |
UNKNOWN |
460 N Greenfield, Suite 9 |
Hanford |
Kings |
93230 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831278761 |
21250 |
21250 |
36.3301483297 |
-119.657850126 |
-117.684440999552 |
33.5554019996027 |
21485 |
MAJD, NOOSHIN |
1831287424 |
Dentist |
UNKNOWN |
25500 Rancho Niguel Rd, Suite 160 |
Laguna Niguel |
Orange |
92677 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1942692967 |
21250 |
21250 |
33.555402 |
-117.684441 |
-121.931844043068 |
37.3128740632874 |
21490 |
Pattanaik, Anjalika |
1831294339 |
Physician |
UNKNOWN |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1831294339 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-123.633614421668 |
40.9399290491863 |
21493 |
James, Amanda |
1831295484 |
Nurse Practitioner |
NURSE PRACTITIONER |
38883 Highway 299 |
Willow Creek |
Humboldt |
95573 |
California |
2013 |
2014 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1730330739 |
38250 |
8500 |
40.9399290492 |
-123.633614422 |
-118.448473500352 |
34.185545999948 |
21497 |
RASHTIAN, ROYA |
1831297092 |
Dentist |
UNKNOWN |
6330-B van nuys blvd |
VAN NUYS |
Los Angeles |
91401 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831297092 |
21250 |
21250 |
34.185546 |
-118.4484735 |
-120.478389287735 |
37.3243933552692 |
21499 |
Wong, Peter |
1831300284 |
Physician |
GENERAL SURGERY |
3351 M St, 105 |
Merced |
Merced |
95348 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831300284 |
21250 |
21250 |
37.324393355 |
-120.478389288 |
-118.383776999909 |
34.1795789999709 |
21506 |
Amir, Michael |
1831314590 |
Dentist |
UNKNOWN |
6007 Lankershim Blvd Ste 9 |
North Hollywood |
Los Angeles |
91606 |
California |
2013 |
2014 |
1 |
AIU |
Dr. Tali Amir A Professional Dental Corporation |
1467634394 |
21250 |
21250 |
34.179579 |
-118.383777 |
-117.455048185925 |
33.9156370338221 |
21507 |
Nguyen, Trung |
1831318054 |
Dentist |
UNKNOWN |
9939 MAGNOLIA AVE |
Riverside |
Riverside |
92503 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881741429 |
21250 |
21250 |
33.9156370345 |
-117.455048186 |
-118.438262707558 |
34.2854786180438 |
21509 |
Marvi, Firooz |
1831317833 |
Physician |
UNKNOWN |
220 North Maclay Ave Suite 2 |
San Fernando |
Los Angeles |
91340 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831317833 |
21250 |
21250 |
34.2854786175 |
-118.438262708 |
-117.867477936358 |
33.7790861138332 |
21531 |
Weinbach, Jonathan |
1831356153 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.259160500257 |
33.7068090003352 |
21532 |
Herrera, Mercedes |
1831348705 |
Dentist |
UNKNOWN |
80545 US Highway 111, Suite #3 |
Indio |
Riverside |
92201 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831348705 |
21250 |
21250 |
33.706809 |
-116.2591605 |
-122.142199500407 |
37.4270039997348 |
21536 |
Gupta, Aarti |
1831370451 |
Physician |
UNKNOWN |
270 Grant Ave |
Palo Alto |
Santa Clara |
94306 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1831370451 |
21250 |
21250 |
37.427004 |
-122.1421995 |
-118.222389000252 |
33.8955840003014 |
21541 |
Nguyen, Hong |
1831382282 |
Dentist |
UNKNOWN |
162 E Compton Blvd |
Compton |
Los Angeles |
90220 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1891900676 |
21250 |
21250 |
33.895584 |
-118.222389 |
-121.838705999982 |
39.7327589997281 |
21549 |
Fillmore, Galen |
1831390228 |
Dentist |
UNKNOWN |
250 Vallombrosa Avenue suite 300 |
Chico |
Butte |
95926 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1831390228 |
21250 |
21250 |
39.732759 |
-121.838706 |
-121.931844043068 |
37.3128740632874 |
21554 |
Ting, Vicki |
1831385707 |
Physician |
ANESTHESIOLOGY |
751 S Bascom Ave, Department of Anesthesia |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831385707 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.208106540385 |
34.0469818729152 |
21574 |
Umali, Margarita Isabel |
1831373729 |
Dentist |
UNKNOWN |
2323 East Cesar Chavez Avenue |
Los Angeles |
Los Angeles |
90033 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831373729 |
21250 |
21250 |
34.0469818734 |
-118.20810654 |
-117.867477936358 |
33.7790861138332 |
21582 |
Chow, Elaine |
1831473719 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.352974500373 |
33.9492330003028 |
21584 |
McNally, Kimberly |
1831474576 |
Physician |
UNKNOWN |
1091 S La Brea Ave |
Inglewood |
Los Angeles |
90301 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1831474576 |
21250 |
21250 |
33.949233 |
-118.3529745 |
-117.867477936358 |
33.7790861138332 |
21606 |
Manda, Swapna |
1831539725 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.376389500375 |
38.5562970003064 |
21616 |
KULKARNI, SAVITA |
1831575430 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
UNKNOWN |
95826 |
California |
2016 |
2017 |
1 |
AIU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
21250 |
21250 |
38.556297 |
-121.3763895 |
-117.954694203675 |
33.7360635004302 |
21619 |
Tran, Thuy Tram |
1831589837 |
Nurse Practitioner |
UNKNOWN |
15606 Brookhurst Street, Suite B |
Westminster |
Orange |
92683 |
California |
2020 |
2020 |
5 |
MU |
DEAN B MD INC NGO |
1508990664 |
55250 |
8500 |
33.7360635 |
-117.954694204 |
-122.409820672186 |
37.7593817844419 |
21629 |
Ramirez, Daniel |
1831646637 |
Dentist |
UNKNOWN |
2125 Bryant St Apt 2 |
San Francisco |
UNKNOWN |
94110 |
California |
2016 |
2018 |
1 |
AIU |
Daniel Ramirez |
1831646637 |
21250 |
21250 |
37.7593817843 |
-122.409820672 |
-120.827405971908 |
38.706282365339 |
21630 |
Quintana, Andrea |
1831645985 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4327 Golden Center Drive |
Placerville |
El Dorado |
95667 |
California |
2020 |
2020 |
5 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
55250 |
8500 |
38.706282365 |
-120.827405972 |
-121.540099500092 |
38.5107030003433 |
21640 |
Wang, Harry |
1841215001 |
Physician |
UNKNOWN |
6355 Riverside Blvd, Suite S |
Sacramento |
Sacramento |
95831 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1841215001 |
21250 |
21250 |
38.510703 |
-121.5400995 |
-117.953215235295 |
33.7594170827322 |
21641 |
Tran, Du |
1841216801 |
Physician |
GENERAL PRACTICE |
10090 Westminster Ave |
Garden Grove |
Orange |
92843 |
California |
2013 |
2014 |
3 |
MU |
DU Q MD TRAN |
1841216801 |
38250 |
8500 |
33.7594170834 |
-117.953215235 |
-117.559304217416 |
34.0746971743352 |
21644 |
Su, Jui-min |
1841216561 |
Dentist |
UNKNOWN |
4275 E. Concours,, Suite 105 |
Ontario |
San Bernardino |
91764 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1184938532 |
21250 |
21250 |
34.0746971744 |
-117.559304217 |
-117.161098636393 |
32.7504236969961 |
21663 |
Resnikoff, Pamela |
1841252533 |
Physician |
PULMONARY DISEASE |
4020 Fifth Ave |
San Diego |
San Diego |
92103 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1841252533 |
29750 |
8500 |
32.7504236966 |
-117.161098636 |
-118.151738999555 |
34.1315605338916 |
21680 |
Ahdoot, Joseph |
1841272697 |
Physician |
UNKNOWN |
50 Bellefontaine St, Suite 405 |
Pasadena |
Los Angeles |
91105 |
California |
2014 |
2016 |
3 |
MU |
Designated Payee Name not Found |
1841272697 |
38250 |
8500 |
34.1315605337 |
-118.151739 |
-117.169517934705 |
32.7876688614289 |
21682 |
Garcia, Monica |
1841275328 |
Nurse Practitioner |
NURSE PRACTITIONER |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2012 |
2013 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-122.583965174653 |
38.1084408779442 |
21691 |
Elder, Mahr |
1841301371 |
Dentist |
UNKNOWN |
1805 Novato Blvd, Suite #1 |
Novato |
Marin |
94947 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1841301371 |
21250 |
21250 |
38.1084408781 |
-122.583965175 |
-119.018416499822 |
35.3738699996009 |
21695 |
Ventayen, Walter |
1841303286 |
Physician |
INTERNAL MEDICINE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-122.535873000139 |
37.9473930000869 |
21697 |
Sweaney, Lou |
1841304672 |
Nurse Practitioner |
NURSE PRACTITIONER |
250 Bon Air Rd |
Greenbrae |
Marin |
94904 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1568525699 |
21250 |
21250 |
37.947393 |
-122.535873 |
-118.174310999953 |
33.7822740000451 |
21701 |
Nguyen, Brandon |
1841315611 |
Dentist |
UNKNOWN |
1360 E Anaheim St, Suite 109 |
Long Beach |
Los Angeles |
90813 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1346451762 |
21250 |
21250 |
33.782274 |
-118.174311 |
-121.334413499983 |
38.5577550000932 |
21702 |
KIM, PAUL |
1841314408 |
Doctor of Optometry |
UNKNOWN |
3557 BRADSHAW ROAD, Suite 2E |
SACRAMENTO |
Sacramento |
95827 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1235432600 |
21250 |
21250 |
38.557755 |
-121.3344135 |
-117.903021856873 |
33.7597628037105 |
21703 |
TON, JULIANNE |
1841320405 |
Dentist |
UNKNOWN |
2502 Westminster Ave, #C |
Santa Ana |
Orange |
92706 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1841320405 |
21250 |
21250 |
33.7597628044 |
-117.903021857 |
-118.432831500273 |
34.1866404820726 |
21705 |
GHAZARYAN, GHAZAR |
1841325164 |
Dentist |
UNKNOWN |
13746 Victory Blvd, SUITE 113 |
Van Nuys |
Los Angeles |
91401 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1538288667 |
21250 |
21250 |
34.1866404818 |
-118.4328315 |
-117.867477936358 |
33.7790861138332 |
21706 |
SOTO, FORTUNATA |
1841320231 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.075518000056 |
34.5807360003662 |
21708 |
Naguib, Karim |
1841326295 |
Dentist |
UNKNOWN |
3005 E. Palmdale Blvd., #22 |
Palmdale |
Los Angeles |
93550 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1841326295 |
21250 |
21250 |
34.580736 |
-118.075518 |
-118.488581202361 |
34.045474977888 |
21713 |
Mulokas, Dainius |
1841328713 |
Physician |
PSYCHIATRY |
414 26th St |
Santa Monica |
Los Angeles |
90402 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
34.0454749783 |
-118.488581202 |
-120.479313587552 |
37.3108046666021 |
21715 |
Peara, Donald |
1841338530 |
Dentist |
UNKNOWN |
550 W 26th Street |
Merced |
Merced |
95340 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1841338530 |
21250 |
21250 |
37.3108046669 |
-120.479313588 |
-117.083310495383 |
32.6851505521563 |
21724 |
Di Franco, Matthew |
1841343548 |
Physician |
UNKNOWN |
502 S Euclid Ave, Suite 202 |
National City |
San Diego |
91950 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1972954063 |
21250 |
21250 |
32.6851505523 |
-117.083310495 |
-115.558425529814 |
32.7706346298843 |
21731 |
CSAPOCZI, PETER |
1841357118 |
Physician |
UNKNOWN |
651 Wake Ave |
El Centro |
Imperial |
92243 |
California |
2014 |
2015 |
3 |
MU |
DE SALUD DEL CLINICAS |
1487741773 |
38250 |
8500 |
32.77063463 |
-115.55842553 |
-117.956395363955 |
33.7016155926855 |
21748 |
Sayle, Laura |
1841383429 |
Nurse Practitioner |
UNKNOWN |
9930 Talbert Ave |
Fountain Valley |
Orange |
92708 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.7016155931 |
-117.956395364 |
-118.471280721128 |
34.1546877964047 |
21749 |
Salimpour, Ralph |
1841383817 |
Physician |
UNKNOWN |
15477 Ventura Blvd Fl 3 |
Sherman Oaks |
Los Angeles |
91403 |
California |
2014 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1841383817 |
29750 |
8500 |
34.1546877963 |
-118.471280721 |
-122.128289242954 |
37.7050351668395 |
21751 |
DANG, CHUC |
1841374675 |
Physician |
UNKNOWN |
15035 E 14th St, Suite A |
San Leandro |
Alameda |
94578 |
California |
2014 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1841374675 |
21250 |
21250 |
37.7050351673 |
-122.128289243 |
-119.018416499822 |
35.3738699996009 |
21752 |
Simons, Robert |
1841388071 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.280898999789 |
34.1359165342207 |
21753 |
Samudio, Nancy |
1841386356 |
Physician |
OBSTETRICS/GYNECOLOGY |
249 E Highland Ave |
San Bernardino |
San Bernardino |
92404 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1871553347 |
21250 |
21250 |
34.1359165342 |
-117.280899 |
-119.800570499929 |
36.7313310001256 |
21758 |
Chan, Geny-Ana |
1841395043 |
Dentist |
UNKNOWN |
1223 Fresno St |
Fresno |
Fresno |
93706 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1134313505 |
21250 |
21250 |
36.731331 |
-119.8005705 |
-119.319628500255 |
36.6267149996975 |
21761 |
Easton, Matthew |
1841397718 |
Physician |
FAMILY PRACTICE |
445 11th Street |
Orange Cove |
Fresno |
93646 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1124239231 |
21250 |
21250 |
36.626715 |
-119.3196285 |
-119.454396598824 |
36.5997706627859 |
21770 |
Peters, Jacob |
1841411709 |
Physician |
GENERAL PRACTICE |
750 G Street |
Reedley |
Fresno |
93654 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1841411709 |
21250 |
21250 |
36.5997706634 |
-119.454396599 |
-117.633695571393 |
34.1014689736143 |
21773 |
PEREZ, GLENN |
1841412913 |
Physician |
UNKNOWN |
630 N.13TH AVE., #A |
UPLAND |
San Bernardino |
91786 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1841412913 |
21250 |
21250 |
34.1014689739 |
-117.633695571 |
-121.931844043068 |
37.3128740632874 |
21781 |
Sanders, Mark |
1841395910 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave, Family Practice-SVC |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1841395910 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.078169285284 |
32.6399700128059 |
21796 |
Alayo, Erick |
1841454758 |
Physician |
UNKNOWN |
353A Church Ave |
Chula Vista |
San Diego |
91910 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1841454758 |
8500 |
8500 |
32.6399700132 |
-117.078169285 |
-116.927985295985 |
32.7844475752954 |
21802 |
Stephan, Waleed |
1841477387 |
Dentist |
UNKNOWN |
860 Jamacha Rd, Ste 201 |
El Cajon |
San Diego |
92019 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1336565092 |
21250 |
21250 |
32.7844475747 |
-116.927985296 |
-120.413076960333 |
34.9528340951175 |
21803 |
Tang, Yat |
1841472875 |
Dentist |
UNKNOWN |
1430 E Main St #203 |
Santa Maria |
Santa Barbara |
93454 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1841472875 |
21250 |
21250 |
34.9528340951 |
-120.41307696 |
-117.920875500304 |
33.9024060001369 |
21810 |
yoo, david |
1841487964 |
Dentist |
UNKNOWN |
618 Inverness Court |
Fullerton |
Orange |
92835 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1841487964 |
21250 |
21250 |
33.902406 |
-117.9208755 |
-117.248041151878 |
33.9181844426579 |
21811 |
MAYOR, CARLOS |
1841490703 |
Dentist |
UNKNOWN |
23750 ALESSANDRO BLVD, STE O-102, STE O-102 |
MORENO VALLEY |
Riverside |
92553 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1891068748 |
21250 |
21250 |
33.9181844427 |
-117.248041152 |
-118.045606107236 |
33.9677364533747 |
21813 |
ZAHEDY-KAPUSTA, SEPIDEH |
1841495538 |
Physician |
OBSTETRICS/GYNECOLOGY |
12464 Washington Blvd |
Whittier |
Los Angeles |
90602 |
California |
2017 |
2018 |
6 |
MU |
Designated Payee Name not Found |
1841495538 |
63750 |
8500 |
33.9677364533 |
-118.045606107 |
-118.431586900615 |
34.2592154933004 |
21817 |
Obeid, Wael |
1841498607 |
Dentist |
UNKNOWN |
13711 Van Nuys Blvd Ste 3 |
Pacoima |
Los Angeles |
91331 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1841498607 |
21250 |
21250 |
34.2592154932 |
-118.431586901 |
-117.867477936358 |
33.7790861138332 |
21818 |
Melara, Salvador |
1841498284 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
21830 |
Anwar, Adnan |
1841548849 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.662683160799 |
33.4942925773406 |
21837 |
MENEZES, DEBORA |
1841561982 |
Dentist |
UNKNOWN |
32281 CAMINO CAPISTRANO, Suite 101-C |
SAN JUAN CAPISTRANO |
Orange |
92675 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1316159486 |
21250 |
21250 |
33.4942925773 |
-117.662683161 |
-117.867477936358 |
33.7790861138332 |
21841 |
Sanford, Kamilah |
1841570777 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.433515999564 |
37.726865999966 |
21845 |
Kuo, Amy |
1841578127 |
Nurse Practitioner |
UNKNOWN |
4430 Mission St |
San Francisco |
San Francisco |
94112 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.726866 |
-122.433516 |
-118.382741212037 |
34.0702133470684 |
21846 |
Jourabchi, Mickel |
1841578390 |
Dentist |
UNKNOWN |
467 ARNAZ DRIVE, # 208 |
LOS ANGELES |
Los Angeles |
90048 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1841578390 |
21250 |
21250 |
34.0702133469 |
-118.382741212 |
-117.951380183049 |
33.9319320559197 |
21851 |
LOPEZ ACOSTA, OSCAR |
1841584786 |
Dentist |
UNKNOWN |
545 W La Habra Blvd |
LA Habra |
Orange |
90631 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
33.9319320558 |
-117.951380183 |
-122.016849508798 |
38.6930126563091 |
21854 |
Bejarano, Verenisse |
1841590726 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
17050 south grafton street |
esparto |
Yolo |
95627 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1588729180 |
38250 |
8500 |
38.6930126557 |
-122.016849509 |
-117.867477936358 |
33.7790861138332 |
21860 |
manoel, zarmine |
1841597473 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
21863 |
Nikoghosyan, Yulia |
1841607827 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.764823488613 |
33.8369353992493 |
21864 |
Siavoshi, Nahid |
1841598232 |
Nurse Practitioner |
NURSE PRACTITIONER |
6441 E Ridge Glen Rd |
Anaheim |
Orange |
92807 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1841598232 |
21250 |
21250 |
33.8369353991 |
-117.764823489 |
-117.867477936358 |
33.7790861138332 |
21869 |
Hwang, Steve |
1841614534 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
21872 |
Narang, Sapna |
1841607850 |
Dentist |
UNKNOWN |
530 south main street, Western Dental |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
21882 |
Choi, Annie |
1841636248 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.147559456104 |
34.1412389999799 |
21897 |
Ngork, Timothy |
1841696168 |
Dentist |
UNKNOWN |
275 S Arroyo Pkwy Unit 412 |
Pasadena |
Los Angeles |
91105 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP CENTRAL |
1366510901 |
21250 |
21250 |
34.141239 |
-118.147559456 |
-117.121215451032 |
32.8138697962542 |
21902 |
Steiner, Alicja |
1851309314 |
Physician |
INTERVENTIONAL PAIN MANAGEMENT |
3939 Ruffin Rd |
San Diego |
San Diego |
92123 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1093819419 |
21250 |
21250 |
32.813869796 |
-117.121215451 |
-117.0639675 |
32.6752830000105 |
21938 |
Daramola, Iyabo |
1851378236 |
Physician |
UNKNOWN |
2401 Reo Drive |
San Diego |
San Diego |
92139 |
California |
2017 |
2018 |
5 |
MU |
DARAMOLA MD,INC IYABO |
1114938214 |
34000 |
8500 |
32.675283 |
-117.0639675 |
-117.956395363955 |
33.7016155926855 |
21942 |
McConnaughey, Annette |
1851398002 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
9930 Talbert Ave. |
Fountain Valley |
Orange |
92708 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.7016155931 |
-117.956395364 |
-117.691285357433 |
33.5426736419751 |
21943 |
rahnama, houman |
1851398010 |
Dentist |
UNKNOWN |
28940 Golden Lantern, Suite H |
Laguna Niguel |
Orange |
92677 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1013066687 |
21250 |
21250 |
33.5426736416 |
-117.691285357 |
-118.525485880769 |
34.1648399983673 |
21946 |
Gozini, Mahnaz |
1851400816 |
Dentist |
UNKNOWN |
18032 Ventura Blvd, Suite 2 |
Encino |
Los Angeles |
91316 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1336345339 |
21250 |
21250 |
34.164839998 |
-118.525485881 |
-115.528558499675 |
32.9786155433727 |
21947 |
Frank, Harold |
1851405989 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
900 Main Street |
Brawley |
Imperial |
92227 |
California |
2016 |
2014 |
2 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
29750 |
8500 |
32.9786155434 |
-115.5285585 |
-118.413781764817 |
34.1875274249508 |
21950 |
Anderson, Anthony |
1851355143 |
Physician |
UNKNOWN |
6426 coldwater canyon ave., 6428 coldwater canyon ave. |
North Hollywood |
Los Angeles |
91606 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1851355143 |
21250 |
21250 |
34.1875274249 |
-118.413781765 |
-117.867477936358 |
33.7790861138332 |
21972 |
huang, mengya |
1851443451 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.227763000062 |
33.7996619997016 |
21979 |
Dhuliya, Vishal |
1851446660 |
Dentist |
UNKNOWN |
75 W Nuevo Rd, Stes A&B |
Perris |
Riverside |
92571 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1851446660 |
21250 |
21250 |
33.799662 |
-117.227763 |
-118.449692999932 |
34.1929135132481 |
21981 |
Aghakhani, Arash |
1851450993 |
Dentist |
UNKNOWN |
14520 Archwood Street |
Van Nuys |
Los Angeles |
91405 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1851450993 |
21250 |
21250 |
34.1929135126 |
-118.449693 |
-118.433039708616 |
34.2596470140984 |
21985 |
GHAZARYAN, NEZHDE |
1851453427 |
Dentist |
UNKNOWN |
10445 LAUREL CANYON BLVD |
PACOIMA |
Los Angeles |
91331 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1255497236 |
21250 |
21250 |
34.2596470141 |
-118.433039709 |
-115.502452563835 |
32.6940522126396 |
21986 |
Melendez, Michelle |
1851457725 |
Physician |
UNKNOWN |
233 W. Cole Blvd |
Calexico |
Imperial |
92231 |
California |
2014 |
2015 |
3 |
MU |
DE SALUD DEL CLINICAS |
1962599266 |
38250 |
8500 |
32.6940522127 |
-115.502452564 |
-117.867477936358 |
33.7790861138332 |
21987 |
BERRY, DOROTHEA |
1851451108 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
22000 |
Nakhla, Ann |
1851469134 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.278079930944 |
34.1340376094482 |
22003 |
VO, JOHN |
1851473557 |
Physician |
UNKNOWN |
355 E 21st St, STE D |
San Bernardino |
San Bernardino |
92404 |
California |
2018 |
2019 |
4 |
MU |
DAI MD VO |
1851473557 |
46750 |
8500 |
34.1340376086 |
-117.278079931 |
-118.443346549004 |
34.0637399640282 |
22010 |
McCurdy, Deborah |
1851489769 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1851489769 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-120.839790394611 |
38.6822133192893 |
22014 |
Goodis, Mitchell |
1851495147 |
Dentist |
UNKNOWN |
6400 Pleasant Valley Rd |
El Dorado |
El Dorado |
95623 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1851495147 |
21250 |
21250 |
38.6822133194 |
-120.839790395 |
-119.240838328326 |
35.7556956850079 |
22025 |
Chen, Ming |
1851525505 |
Physician |
UNKNOWN |
325 S Lexington St |
Delano |
Kern |
93215 |
California |
2014 |
2015 |
1 |
MU |
DILBAGH MD INC GEHLAWAT |
1285837021 |
21250 |
21250 |
35.7556956854 |
-119.240838328 |
-118.291554545806 |
33.9560370002075 |
22026 |
Romero, Miriam |
1851524961 |
Dentist |
UNKNOWN |
8914 S Vermont Ave |
Los Angeles |
Los Angeles |
90044 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1467745547 |
21250 |
21250 |
33.956037 |
-118.291554546 |
-118.442638233068 |
34.0636438372933 |
22031 |
Barnert, Elizabeth |
1851528376 |
Physician |
UNKNOWN |
10834 LeConte Ave |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
4 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
46750 |
8500 |
34.063643837 |
-118.442638233 |
-117.867303000233 |
33.749514000171 |
22037 |
MONASTERSKY, JORGE |
1851542781 |
Physician |
UNKNOWN |
517 N Main St |
Santa Ana |
Orange |
92701 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1851542781 |
21250 |
21250 |
33.749514 |
-117.867303 |
-117.867477936358 |
33.7790861138332 |
22039 |
Selymes, Rita |
1851543573 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
22053 |
Kaushal, Poonam |
1851571764 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.308918870809 |
33.751809704954 |
22063 |
Gurses, Nergis |
1851583983 |
Dentist |
UNKNOWN |
946 N Western Ave |
San Pedro |
Los Angeles |
90732 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1851583983 |
21250 |
21250 |
33.7518097051 |
-118.308918871 |
-117.935801999762 |
33.7162904987076 |
22066 |
Le, Thimy |
1851586093 |
Dentist |
UNKNOWN |
11100 Warner, Suite 160 |
Fountain Valley |
Orange |
92708 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1972655165 |
21250 |
21250 |
33.7162904993 |
-117.935802 |
-117.169517934705 |
32.7876688614289 |
22072 |
Wong, Yolanda |
1851599872 |
Physician |
PEDIATRIC MEDICINE |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2013 |
2014 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1780665877 |
38250 |
8500 |
32.7876688612 |
-117.169517935 |
-117.867477936358 |
33.7790861138332 |
22073 |
Kaur, Parminder |
1851601801 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.447711072208 |
34.1886981767795 |
22074 |
Arroyo, Mercedes |
1851609333 |
Dentist |
UNKNOWN |
14435 Hamlin St, Suite 208 |
Van Nuys |
Los Angeles |
91401 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1083990295 |
21250 |
21250 |
34.1886981771 |
-118.447711072 |
-115.551448869969 |
32.9584720947115 |
22081 |
Grewal, Ajanamjot |
1851613483 |
Physician |
UNKNOWN |
4231 US Highway 86, Suite 6 |
Brawley |
Imperial |
92227 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1851613483 |
21250 |
21250 |
32.9584720952 |
-115.55144887 |
-117.867477936358 |
33.7790861138332 |
22086 |
pannu, sumeet |
1851637144 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
22089 |
Patel, Shilpi |
1851642672 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.857025520311 |
37.0634269687797 |
22094 |
Boco, Erwin |
1851657936 |
Physician |
FAMILY PRACTICE |
311 W I St |
Los Banos |
Merced |
93635 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1851657936 |
29750 |
8500 |
37.0634269686 |
-120.85702552 |
-121.862700000305 |
36.5863950001292 |
22101 |
Buck, Julie |
1851670970 |
Nurse Practitioner |
UNKNOWN |
1900 Garden Rd, Suite 110 |
Monterey |
Monterey |
93940 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1851670970 |
21250 |
21250 |
36.586395 |
-121.8627 |
-119.159698864611 |
34.2931563264034 |
22108 |
Ma, Zhonghuan |
1851696249 |
Physician |
OBSTETRICS/GYNECOLOGY |
200 S Wells Rd, #100 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-119.018416499822 |
35.3738699996009 |
22111 |
Her, Cindy |
1851702948 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.897021000119 |
33.7599405043508 |
22117 |
Amini, Farnaz |
1851724629 |
Dentist |
UNKNOWN |
2001 W 17th St |
Santa Ana |
Orange |
92706 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1538483623 |
21250 |
21250 |
33.759940504 |
-117.897021 |
-117.075665608681 |
33.0276331337622 |
22124 |
Eghlimi, Niloufar |
1851724686 |
Dentist |
UNKNOWN |
11968 Bernardo |
San Diego |
San Diego |
92128 |
California |
2016 |
2017 |
1 |
AIU |
DENTAL GROUP CROWN |
1538487640 |
21250 |
21250 |
33.027633134 |
-117.075665609 |
-122.51450250029 |
37.8729540000271 |
22131 |
Jordan, Sarah |
1851786024 |
Nurse Practitioner |
UNKNOWN |
630 Drake Ave |
Marin City |
Marin |
94965 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1851786024 |
21250 |
21250 |
37.872954 |
-122.5145025 |
-117.867477936358 |
33.7790861138332 |
22133 |
Knold, Alexander |
1851790323 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.634037000008 |
36.697248000395 |
22144 |
GIBBS, GARY |
1861414070 |
Physician |
PSYCHIATRY |
1441 Constitution Blvd, Building 400, Suite 202 |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730211178 |
21250 |
21250 |
36.697248 |
-121.634037 |
-117.545690516804 |
34.1039519999849 |
22146 |
TA, VIET |
1861415390 |
Physician |
FAMILY PRACTICE |
8235 Rochester Ave, Suite 110 |
Rancho Cucamonga |
San Bernardino |
91730 |
California |
2013 |
2013 |
1 |
AIU |
D TA MD and TIFFANY L VIET |
1497760987 |
21250 |
21250 |
34.103952 |
-117.545690517 |
-121.862700000305 |
36.5863950001292 |
22154 |
DWELLE, TODD |
1861418386 |
Physician |
UNKNOWN |
1900 Garden Rd Ste 110 |
Monterey |
Monterey |
93940 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1861418386 |
14166.67 |
14166.67 |
36.586395 |
-121.8627 |
-120.591645565191 |
35.113643612163 |
22161 |
Morgan, Ronald |
1861426652 |
Physician |
PSYCHIATRY |
354 S. Halcyon |
Arroyo Grande |
San Luis Obispo |
93420 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760540322 |
21250 |
21250 |
35.1136436123 |
-120.591645565 |
-119.159698864611 |
34.2931563264034 |
22163 |
Fidler, Darlene |
1861423964 |
Doctor of Optometry |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL INC CLINICAS |
1720362056 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-118.292543999706 |
33.8812830000105 |
22169 |
Khalili, Manoutcher |
1861446841 |
Physician |
GENERAL PRACTICE |
1030 W Gardena Blvd |
Gardena |
Los Angeles |
90247 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1861446841 |
21250 |
21250 |
33.881283 |
-118.292544 |
-121.945842282995 |
37.2943870183463 |
22177 |
Thakur, Bhavana |
1861458713 |
Dentist |
UNKNOWN |
281 E Hamilton Ave, Suite 3 |
Campbell |
Santa Clara |
95008 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1619019643 |
21250 |
21250 |
37.2943870181 |
-121.945842283 |
-121.287629849838 |
38.1227912528141 |
22178 |
Yao, Weiping |
1861460735 |
Physician |
UNKNOWN |
1235 W Vine St, Suite 22 |
Lodi |
UNKNOWN |
95240 |
California |
2016 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1861460735 |
29750 |
8500 |
38.1227912529 |
-121.28762985 |
-115.554800431894 |
32.9599604978787 |
22190 |
Kuraitis, Kestutis |
1861480261 |
Physician |
OBSTETRICS/GYNECOLOGY |
751 W Legion Rd, SUITE 204 |
Brawley |
Imperial |
92227 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1861480261 |
21250 |
21250 |
32.9599604977 |
-115.554800432 |
-117.203205662611 |
33.5545305961102 |
22191 |
WILLIAMS, Laura |
1861482531 |
Physician |
FAMILY PRACTICE |
25102 Jefferson Ave, Suite A |
Murrieta |
Riverside |
92562 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1457442121 |
21250 |
21250 |
33.5545305963 |
-117.203205663 |
-118.187343371599 |
33.8090145901513 |
22202 |
Blake, John |
1861510570 |
Dentist |
UNKNOWN |
455 E Columbia St, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
4 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
46750 |
8500 |
33.8090145898 |
-118.187343372 |
-117.949918499639 |
34.0324830001904 |
22203 |
Nguyen, Kenneth |
1861511420 |
Dentist |
UNKNOWN |
762 Glendora Ave, Suite D |
LA Puente |
Los Angeles |
91744 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1861511420 |
21250 |
21250 |
34.032483 |
-117.9499185 |
-118.443346549004 |
34.0637399640282 |
22210 |
Salusky, Isidro |
1861501546 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
5 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
55250 |
8500 |
34.0637399643 |
-118.443346549 |
-118.308190499992 |
34.0910999999651 |
22217 |
Linares, Floridalma |
1861531618 |
Dentist |
UNKNOWN |
5465 Santa Monica Blvd, Suite # 102 |
Los Angeles |
Los Angeles |
90029 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1861531618 |
21250 |
21250 |
34.0911 |
-118.3081905 |
-117.104818499774 |
32.5765484722343 |
22221 |
patton, chris |
1861534885 |
Dentist |
UNKNOWN |
1340 Imperial Beach Blvd, Suite 201 |
Imperial Beach |
San Diego |
91932 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1861534885 |
21250 |
21250 |
32.5765484721 |
-117.1048185 |
-122.436505290287 |
37.7224238247997 |
22230 |
Soe, Kyaw |
1861542268 |
Dentist |
UNKNOWN |
4747 MISSION ST |
San Francisco |
San Francisco |
94112 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1629303144 |
21250 |
21250 |
37.7224238254 |
-122.43650529 |
-121.931844043068 |
37.3128740632874 |
22231 |
Peiperl, Laurence |
1861543142 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
2 |
MU |
Designated Payee Name not Found |
1588721500 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-122.716618941911 |
38.4456103386462 |
22235 |
nguyen, randy |
1861552812 |
Dentist |
UNKNOWN |
526 College Avenue |
Santa Rosa |
Sonoma |
95404 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1750521365 |
21250 |
21250 |
38.4456103391 |
-122.716618942 |
-121.930537499906 |
37.288565999921 |
22243 |
KALANDOOR, MANGALA |
1861560104 |
Dentist |
UNKNOWN |
1930 S Bascom Ave, 200 |
Campbell |
Santa Clara |
95008 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1861560104 |
21250 |
21250 |
37.288566 |
-121.9305375 |
-119.657850126382 |
36.3301483303812 |
22255 |
Elick, Wiley |
1861571796 |
Dentist |
UNKNOWN |
460 North Greenfield Ave, Ste 9 |
Hanford |
Kings |
93230 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1861571796 |
21250 |
21250 |
36.3301483297 |
-119.657850126 |
-118.471280721128 |
34.1546877964047 |
22260 |
Salimpour, Pejman |
1861585747 |
Physician |
UNKNOWN |
15477 Ventura Blvd Fl 3 |
Sherman Oaks |
Los Angeles |
91403 |
California |
2014 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1861585747 |
29750 |
8500 |
34.1546877963 |
-118.471280721 |
-121.918297500229 |
37.3180679997384 |
22262 |
Nguyen, Tao |
1861587446 |
Physician |
UNKNOWN |
1555 Parkmoor Ave |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1861445306 |
21250 |
21250 |
37.318068 |
-121.9182975 |
-118.217727000201 |
34.0504919997061 |
22265 |
Marcano, Bertrand |
1861584849 |
Physician |
UNKNOWN |
1700 E Cesar E Chavez Ave, 3450 |
Los Angeles |
Los Angeles |
90033 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1861584849 |
29750 |
8500 |
34.050492 |
-118.217727 |
-124.085320399617 |
40.8700151004166 |
22266 |
Hughes, Joan |
1861589442 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
785 18thStreet |
Arcata |
Humboldt |
95521 |
California |
2013 |
2014 |
2 |
MU |
DOOR COMM HLTH CTRS OPEN |
1689778813 |
29750 |
8500 |
40.8700151 |
-124.0853204 |
-118.126464828689 |
34.094580140661 |
22270 |
Htay, Thein |
1861594228 |
Physician |
UNKNOWN |
35 Garfield Ave. |
Alhambra |
Los Angeles |
91801 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1861594228 |
21250 |
21250 |
34.094580141 |
-118.126464829 |
-117.884611203944 |
33.7738718311202 |
22281 |
Kim, Kenneth |
1861608671 |
Dentist |
UNKNOWN |
2723 N Bristol St, Ste D2 |
Santa Ana |
Orange |
92706 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1861608671 |
21250 |
21250 |
33.7738718309 |
-117.884611204 |
-122.087267999718 |
37.6735950003091 |
22292 |
LEE, YUNJI |
1861631442 |
Nurse Practitioner |
UNKNOWN |
22331 Mission Blvd |
Hayward |
Alameda |
94541 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1861631442 |
21250 |
21250 |
37.673595 |
-122.087268 |
-118.443346549004 |
34.0637399640282 |
22294 |
ROSS, MINDY |
1861628828 |
Physician |
UNKNOWN |
10833 Le Conte Ave |
Los Angeles |
Los Angeles |
90095 |
California |
2016 |
2017 |
2 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
29750 |
8500 |
34.0637399643 |
-118.443346549 |
-118.185354000187 |
33.8345549999134 |
22304 |
eftekhari rizi, mina |
1861646689 |
Dentist |
UNKNOWN |
4301 Atlantic Ave Ste 4 |
Long Beach |
Los Angeles |
90807 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1861646689 |
21250 |
21250 |
33.834555 |
-118.185354 |
-119.018416499822 |
35.3738699996009 |
22308 |
DOE, MARIAN |
1861640997 |
Physician |
FAMILY PRACTICE |
1430 Truxton Ave, Suite 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.517852730219 |
34.1939402701274 |
22314 |
Rabi, Nader |
1861677098 |
Dentist |
UNKNOWN |
17651A Vanowen St |
Van Nuys |
Los Angeles |
91406 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1811063613 |
21250 |
21250 |
34.1939402696 |
-118.51785273 |
-117.867477936358 |
33.7790861138332 |
22316 |
HUQ, SYEDA |
1861669533 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
22341 |
Madarang, Regnar |
1861743718 |
Nurse Practitioner |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1134369366 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-121.5378282146 |
38.5631765864304 |
22351 |
racherla, harini |
1861770737 |
Physician |
UNKNOWN |
2101 Stone Blvd, Suite 100 |
West Sacramento |
Yolo |
95691 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1861770737 |
21250 |
21250 |
38.5631765864 |
-121.537828215 |
-118.406238736229 |
34.0025321847126 |
22363 |
Spivak, Steven |
1861825895 |
Dentist |
UNKNOWN |
4447 SEPULVEDA BLVD |
CULVER CITY |
Los Angeles |
90230 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1619200714 |
21250 |
21250 |
34.0025321854 |
-118.406238736 |
-119.018416499822 |
35.3738699996009 |
22383 |
Amezcua, Denise |
1861887853 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-115.528558499675 |
32.9786155433727 |
22388 |
Luc, Talia |
1861926198 |
Nurse Practitioner |
UNKNOWN |
900 Main Street |
Brawley |
Imperial |
92227 |
California |
2018 |
2019 |
3 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
38250 |
8500 |
32.9786155434 |
-115.5285585 |
-118.448070583391 |
35.1300307293347 |
22396 |
Apicella, Barbara |
1871503565 |
Nurse Practitioner |
UNKNOWN |
105 W E St |
Tehachapi |
Kern |
93561 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1275841629 |
21250 |
21250 |
35.1300307294 |
-118.448070583 |
-118.308918870809 |
33.751809704954 |
22415 |
Horner, Gerald |
1871526764 |
Dentist |
UNKNOWN |
946 N Western Ave |
San Pedro |
Los Angeles |
90732 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1871526764 |
21250 |
21250 |
33.7518097051 |
-118.308918871 |
-117.811494000448 |
33.7468499996278 |
22424 |
KIM, KYUNG |
1871541540 |
Dentist |
UNKNOWN |
13132 Newport Ave, suite # 220 |
Tustin |
Orange |
92780 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1871541540 |
21250 |
21250 |
33.74685 |
-117.811494 |
-117.38416243335 |
33.9774349833378 |
22425 |
THAKER, NIMISH |
1871541961 |
Physician |
UNKNOWN |
4500 Brockton Ave, SUITE 204 |
Riverside |
Riverside |
92501 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1871541961 |
21250 |
21250 |
33.9774349833 |
-117.384162433 |
-121.850754554679 |
37.3613739445519 |
22431 |
NAYAK, SURESH |
1871554147 |
Physician |
OBSTETRICS/GYNECOLOGY |
200 Jose Figueres Ave, SUITE 305 |
San Jose |
Santa Clara |
95116 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1871554147 |
21250 |
21250 |
37.3613739445 |
-121.850754555 |
-116.956336499929 |
33.7841549995537 |
22440 |
Gupta, Rakesh |
1871574996 |
Physician |
CRITICAL CARE (INTENSIVISTS) |
341 E Main St, Suite 100 |
San Jacinto |
Riverside |
92583 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1871574996 |
38250 |
8500 |
33.784155 |
-116.9563365 |
-119.240838328326 |
35.7556956850079 |
22450 |
RHAMIE, MARGARETTE |
1871595215 |
Nurse Practitioner |
UNKNOWN |
325 S Lexington St |
Delano |
Kern |
93215 |
California |
2011 |
2013 |
1 |
AIU |
DILBAGH MD INC GEHLAWAT |
1285837021 |
21250 |
21250 |
35.7556956854 |
-119.240838328 |
-118.491713999701 |
34.1938855238978 |
22460 |
melikyan, albert |
1871616268 |
Dentist |
UNKNOWN |
16440 Vanowen St |
VAN NUYS |
Los Angeles |
91406 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1558526244 |
21250 |
21250 |
34.193885524 |
-118.491714 |
-118.193679000086 |
33.9425640003284 |
22467 |
MIYAMOTO, ROY |
1871630673 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-124.146181542444 |
40.8024420806375 |
22471 |
Christensen, Anne |
1871632893 |
Physician |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2018 |
2019 |
5 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
34000 |
8500 |
40.802442081 |
-124.146181542 |
-117.916259559031 |
33.8239644683856 |
22473 |
Bengo, Gloria |
1871633438 |
Dentist |
UNKNOWN |
841 S. Harbor Blvd |
Anaheim |
UNKNOWN |
92805 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1174752331 |
21250 |
21250 |
33.8239644681 |
-117.916259559 |
-121.878824989382 |
37.4159301536537 |
22474 |
Nguyen, Thuy-Mai |
1871633594 |
Dentist |
UNKNOWN |
1418 Dempsey Rd |
Milpitas |
Santa Clara |
95035 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1871633594 |
21250 |
21250 |
37.4159301545 |
-121.878824989 |
-117.867477936358 |
33.7790861138332 |
22479 |
will, lawrence |
1871638809 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
22481 |
Marshak, David |
1871641092 |
Dentist |
UNKNOWN |
530 South Main St., #5 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.590853500289 |
34.2019710001616 |
22483 |
Shah, Kishore |
1871645101 |
Dentist |
UNKNOWN |
21001 Sherman Way Ste 13 |
Canoga Park |
Los Angeles |
91303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1871645101 |
21250 |
21250 |
34.201971 |
-118.5908535 |
-115.558425529814 |
32.7706346298843 |
22484 |
BRUNET, LYNN |
1871650259 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
651 Wake Avenue |
El Centro |
Imperial |
92243 |
California |
2016 |
2017 |
2 |
MU |
DE SALUD DEL CLINICAS |
1487741773 |
29750 |
8500 |
32.77063463 |
-115.55842553 |
-117.867477936358 |
33.7790861138332 |
22487 |
WOLFORD, MARIANNE |
1871650473 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.091953236353 |
34.080132998739 |
22492 |
NGO, HY |
1871658492 |
Physician |
UNKNOWN |
625 E. Valley Blvd, SUITE G, H, I |
San Gabriel |
Los Angeles |
91776 |
California |
2015 |
2017 |
3 |
MU |
Designated Payee Name not Found |
1871658492 |
38250 |
8500 |
34.0801329995 |
-118.091953236 |
-117.295825500147 |
34.1082784881618 |
22493 |
Dason, Sam |
1871658955 |
Dentist |
UNKNOWN |
575 W 5th Street |
San Bernardino |
San Bernardino |
92401 |
California |
2013 |
2013 |
1 |
AIU |
Dr. Sam Daniel Dason DDS |
1831226695 |
21250 |
21250 |
34.1082784876 |
-117.2958255 |
-117.559052999896 |
34.0837110000626 |
22495 |
RABAH, REFAD |
1871660308 |
Dentist |
UNKNOWN |
9353 Fairway view place, ste 200 |
Rancho Cucamonga |
San Bernardino |
91730 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1205263191 |
21250 |
21250 |
34.083711 |
-117.559053 |
-117.409976999639 |
33.9976170003243 |
22497 |
tadha, samir |
1871661652 |
Dentist |
UNKNOWN |
5696 Mission Blvd |
Riverside |
Riverside |
92509 |
California |
2013 |
2014 |
1 |
AIU |
DENTAL CORP TADHAMALOO |
1861653792 |
21250 |
21250 |
33.997617 |
-117.409977 |
-121.366138499792 |
38.7112499999876 |
22498 |
Aboelala, Aiman |
1871661736 |
Dentist |
UNKNOWN |
7897 WALERGA RD, SUITE 119 |
ANTELOPE |
Sacramento |
95843 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1851731442 |
21250 |
21250 |
38.71125 |
-121.3661385 |
-122.41037393331 |
37.7979232946244 |
22508 |
Ong, Michelle |
1871671594 |
Physician |
INTERNAL MEDICINE |
1441 Powell Street |
San Francisco |
San Francisco |
94133 |
California |
2013 |
2014 |
1 |
MU |
Designated Payee Name not Found |
1043218134 |
21250 |
21250 |
37.797923295 |
-122.410373933 |
-118.090509253399 |
34.0649097796626 |
22523 |
Do, Janet |
1871686600 |
Dentist |
UNKNOWN |
3106 San Gabriel Blvd, Suite G |
Rosemead |
Los Angeles |
91770 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1790818268 |
21250 |
21250 |
34.0649097799 |
-118.090509253 |
-115.528558499675 |
32.9786155433727 |
22526 |
price, michael |
1871687566 |
Physician |
UNKNOWN |
900 Main St |
Brawley |
Imperial |
92227 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1649269747 |
21250 |
21250 |
32.9786155434 |
-115.5285585 |
-117.039213934975 |
32.6046092895871 |
22527 |
Arredondo, Manuel |
1871688465 |
Dentist |
UNKNOWN |
293 E Orange Ave |
Chula Vista |
San Diego |
91911 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1639379803 |
21250 |
21250 |
32.6046092897 |
-117.039213935 |
-117.867477936358 |
33.7790861138332 |
22547 |
OSMA, AMALIA |
1871707083 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
22548 |
Witkosky, Gary |
1871710772 |
Dentist |
UNKNOWN |
200 S Wells Rd, 225 |
Ventura |
Ventura |
93004 |
California |
2011 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-117.954531000106 |
33.7517370001625 |
22562 |
Nguyen, Dat |
1871730895 |
Physician |
INTERNAL MEDICINE |
14536 Brookhurst St, Suite# 102 |
Westminster |
Orange |
92683 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1548272917 |
21250 |
21250 |
33.751737 |
-117.954531 |
-119.800377524303 |
36.8843745979094 |
22567 |
Le, Jennifer |
1871743542 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1871743542 |
29750 |
8500 |
36.8843745978 |
-119.800377524 |
-117.102104825177 |
32.677111893699 |
22571 |
NAGAL, ROGER |
1871747774 |
Dentist |
UNKNOWN |
450 E 8th St, Ste E |
National City |
San Diego |
91950 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1962685974 |
21250 |
21250 |
32.6771118941 |
-117.102104825 |
-117.867477936358 |
33.7790861138332 |
22577 |
kapadia, meha |
1871763425 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.07934463065 |
34.0805488848232 |
22581 |
TRAN, MINH |
1871775858 |
Dentist |
UNKNOWN |
8736 Valley Blvd, Suite B |
Rosemead |
Los Angeles |
91770 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1629052717 |
21250 |
21250 |
34.0805488849 |
-118.079344631 |
-118.115173424914 |
34.1690987163328 |
22591 |
MALKOUNIAN, RAFFI |
1871793620 |
Dentist |
UNKNOWN |
1720 E. Washington Blvd, Suite 200 |
Pasadena |
Los Angeles |
91104 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1235284118 |
21250 |
21250 |
34.1690987161 |
-118.115173425 |
-119.086826670614 |
34.3347415219038 |
22593 |
Agababyan, Margarita |
1871803742 |
Dentist |
UNKNOWN |
957 FAULKNER RD, Suite104 |
SANTA PAULA |
Ventura |
93060 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1225240120 |
21250 |
21250 |
34.3347415221 |
-119.086826671 |
-119.018416499822 |
35.3738699996009 |
22596 |
Pleitez, Erick |
1871807016 |
Dentist |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-120.827405971908 |
38.706282365339 |
22599 |
Anbarghalami, Reyhan |
1871812610 |
Nurse Practitioner |
UNKNOWN |
4327 Golden Center |
Placerville |
El Dorado |
95667 |
California |
2018 |
2019 |
6 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
63750 |
8500 |
38.706282365 |
-120.827405972 |
-121.376389500375 |
38.5562970003064 |
22603 |
Flores Lavenant, Carlos |
1871824540 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-119.694748416007 |
35.6160764787466 |
22609 |
Magby, Samantha |
1871839449 |
Nurse Practitioner |
UNKNOWN |
21138 Paso Robles Hwy |
Lost Hills |
Kern |
93249 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1871839449 |
21250 |
21250 |
35.6160764788 |
-119.694748416 |
-117.867477936358 |
33.7790861138332 |
22617 |
Shahbazian, Pirouz |
1871845636 |
Dentist |
UNKNOWN |
530 south main street, suite # 120 |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.370376975717 |
34.0930831849411 |
22630 |
Song, Eugene |
1871890038 |
Dentist |
UNKNOWN |
436 S RIVERSIDE AVE, Suite B |
Rialto |
San Bernardino |
92376 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1235286758 |
21250 |
21250 |
34.0930831851 |
-117.370376976 |
-116.453078999996 |
33.8162219998455 |
22632 |
Tak, Cynthia |
1871901165 |
Dentist |
UNKNOWN |
69420 Ramon Rd |
Cathedral City |
Riverside |
92234 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1346658622 |
21250 |
21250 |
33.816222 |
-116.453079 |
-117.867477936358 |
33.7790861138332 |
22646 |
Thurman, Brian |
1871930545 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.193679000086 |
33.9425640003284 |
22659 |
Gopal, Mala |
1871992065 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-118.122825951357 |
34.06393481474 |
22660 |
Liao, Tzu Yi |
1871983023 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
210 N Garfield Ave Ste 203 |
Monterey Park |
Los Angeles |
91754 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1871983023 |
21250 |
21250 |
34.0639348149 |
-118.122825951 |
-117.867477936358 |
33.7790861138332 |
22664 |
Kadiveti, Venkateswarlu |
1871993238 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.6322074687 |
36.7036735826698 |
22670 |
Huerta, William |
1881018778 |
Dentist |
UNKNOWN |
620 E Alvin Dr |
Salinas |
Monterey |
93906 |
California |
2015 |
2016 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.7036735825 |
-121.632207469 |
-117.867477936358 |
33.7790861138332 |
22674 |
Ngo, Jennifer |
1881026276 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.149759157059 |
40.8006381521291 |
22680 |
Harrison, Mia |
1881052777 |
Dentist |
UNKNOWN |
959 Myrtle Ave |
Eureka |
Humboldt |
95501 |
California |
2016 |
2017 |
1 |
AIU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
21250 |
21250 |
40.8006381515 |
-124.149759157 |
-118.404414735751 |
34.2789575259691 |
22687 |
Chauvin, Twila |
1881083657 |
Nurse Practitioner |
UNKNOWN |
12450 Van Nuys Blvd, Suite 200 |
Pacoima |
Los Angeles |
91331 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1225073786 |
21250 |
21250 |
34.2789575262 |
-118.404414736 |
-117.169517934705 |
32.7876688614289 |
22694 |
De La Noval, Barbara |
1881149797 |
Nurse Practitioner |
UNKNOWN |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2016 |
2017 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-121.931844043068 |
37.3128740632874 |
22704 |
Martel, Amina |
1881610848 |
Physician |
INTERNAL MEDICINE |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881610848 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.404414735751 |
34.2789575259691 |
22705 |
Longhitano, Maria |
1881612281 |
Physician |
UNKNOWN |
12450 Van Nuys Blvd, Suite 200 |
Pacoima |
Los Angeles |
91331 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1225073786 |
21250 |
21250 |
34.2789575262 |
-118.404414736 |
-117.898235103767 |
33.8473059449135 |
22709 |
Garcia, Jerry |
1881617397 |
Physician |
UNKNOWN |
1491 E La Palma Ave Ste C |
Anaheim |
Orange |
92805 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881617397 |
21250 |
21250 |
33.8473059445 |
-117.898235104 |
-122.405818500224 |
37.7563319999219 |
22721 |
Reedy, David |
1881636058 |
Physician |
EMERGENCY MEDICINE |
1001 Potrero Ave, RM 1E21 |
San Francisco |
San Francisco |
94110 |
California |
2013 |
2014 |
1 |
AIU |
DAVID B. REEDY |
1881636058 |
21250 |
21250 |
37.756332 |
-122.4058185 |
-118.534700545794 |
34.2207646743503 |
22727 |
Bala, Padma |
1881643914 |
Physician |
UNKNOWN |
18433 Roscoe Blvd # 106 |
Northridge |
Los Angeles |
91325 |
California |
2020 |
2020 |
4 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
46750 |
8500 |
34.2207646736 |
-118.534700546 |
-116.960846955223 |
33.7496490001013 |
22735 |
LIN, CHRISTINA |
1881657310 |
Dentist |
UNKNOWN |
201 N. LAURSEN ST., SUITE B |
HEMET |
Riverside |
92543 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1902047921 |
21250 |
21250 |
33.749649 |
-116.960846955 |
-118.443346549004 |
34.0637399640282 |
22741 |
Garcia-Lloret, Maria |
1881618015 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
14166.67 |
14166.67 |
34.0637399643 |
-118.443346549 |
-117.913058999573 |
33.774506513265 |
22757 |
Suh, Dongmin |
1881704740 |
Physician |
UNKNOWN |
12555 Garden Grove Blvd Ste 406 |
Garden Grove |
Orange |
92843 |
California |
2013 |
2014 |
2 |
MU |
DONG MIN MD SUH |
1881704740 |
29750 |
8500 |
33.7745065132 |
-117.913059 |
-115.552398777082 |
32.9599064756034 |
22766 |
Davis, Donna |
1881716843 |
Nurse Practitioner |
UNKNOWN |
197 West Legion Rd |
Brawley |
Imperial |
92227 |
California |
2013 |
2014 |
1 |
AIU |
DE SALUD DEL PUEBLO CLINICAS |
1013222785 |
21250 |
21250 |
32.9599064762 |
-115.552398777 |
-121.376389500375 |
38.5562970003064 |
22770 |
Ang, Verome |
1881732659 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-117.867477936358 |
33.7790861138332 |
22776 |
Bui, Kurt |
1881740165 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.023183979757 |
34.0653476712581 |
22782 |
NAING, MA |
1881752129 |
Dentist |
UNKNOWN |
11756 Valley Blvd |
El Monte |
Los Angeles |
91732 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1609059070 |
21250 |
21250 |
34.0653476709 |
-118.02318398 |
-117.393193069205 |
34.5067508188952 |
22783 |
onyango, omari |
1881744415 |
Dentist |
UNKNOWN |
12384 Palmdale Rd, suite 204 |
Victorville |
San Bernardino |
92392 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1346447711 |
21250 |
21250 |
34.5067508194 |
-117.393193069 |
-118.435395479118 |
34.3114195804494 |
22784 |
LaJoy, John |
1881752707 |
Dentist |
UNKNOWN |
13867 Foothill Blvd, Suite 114 |
Sylmar |
Los Angeles |
91342 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1023407038 |
21250 |
21250 |
34.3114195798 |
-118.435395479 |
-117.867477936358 |
33.7790861138332 |
22785 |
mahmoud, mohamed |
1881747236 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.2601169999 |
34.0282619997915 |
22788 |
Curtin, Joseph |
1881757672 |
Dentist |
UNKNOWN |
514 E Washington Blvd |
Loma Linda |
Los Angeles |
90015 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881757672 |
21250 |
21250 |
34.028262 |
-118.260117 |
-117.867477936358 |
33.7790861138332 |
22789 |
Yesayan, Eduard |
1881760858 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.343877483759 |
33.8935770003783 |
22790 |
Pacheco, Santos |
1881765048 |
Physician |
FAMILY PRACTICE |
15159 Prairie Ave |
Lawndale |
Los Angeles |
90260 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1417217928 |
21250 |
21250 |
33.893577 |
-118.343877484 |
-117.615607407256 |
33.4257069811923 |
22791 |
Dang, Diep |
1881764637 |
Dentist |
UNKNOWN |
210 Avenida Del Mar #B |
San Clemente |
Orange |
92672 |
California |
2017 |
2018 |
3 |
MU |
DIEP KIM DDS DANG |
1881764637 |
38250 |
8500 |
33.4257069806 |
-117.615607407 |
-117.44778211885 |
33.9221152660068 |
22793 |
Appleton, Stanton |
1881766848 |
Dentist |
UNKNOWN |
3909 Van Buren Blvd, Suite 6 |
Riverside |
Riverside |
92503 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1881766848 |
21250 |
21250 |
33.9221152656 |
-117.447782119 |
-117.979457299715 |
33.7594265462981 |
22794 |
Luu, Trevor |
1881769834 |
Dentist |
UNKNOWN |
8585 Westminster Ave |
Garden Grove |
Orange |
92844 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1881769834 |
21250 |
21250 |
33.7594265459 |
-117.9794573 |
-121.849814317077 |
37.306313644759 |
22799 |
Tran, De |
1881762847 |
Physician |
INTERNAL MEDICINE |
500 Tully Rd, Tully Internal Medicine Clinic |
San Jose |
Santa Clara |
95111 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1881762847 |
29750 |
8500 |
37.3063136448 |
-121.849814317 |
-117.916460999975 |
33.7759289997236 |
22802 |
LE, THANH |
1881780096 |
Dentist |
UNKNOWN |
12872 Harbor Blvd |
Garden Grove |
Orange |
92840 |
California |
2019 |
2020 |
3 |
MU |
DENTAL SMILEDAY |
1023426657 |
38250 |
8500 |
33.775929 |
-117.916461 |
-118.187343371599 |
33.8090145901513 |
22803 |
Gandhi, Bhavin |
1881785376 |
Dentist |
UNKNOWN |
455 East Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
3 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
38250 |
8500 |
33.8090145898 |
-118.187343372 |
-122.432582752392 |
37.782809768556 |
22812 |
womack batzdorf, Stacy |
1881809218 |
Physician |
UNKNOWN |
1426 Fillmore Street |
San Francisco |
San Francisco |
94115 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1043218134 |
21250 |
21250 |
37.7828097691 |
-122.432582752 |
-119.800570499929 |
36.7313310001256 |
22814 |
Torres, Carlos |
1881809812 |
Dentist |
UNKNOWN |
1223 Fresno St |
Fresno |
Fresno |
93706 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1134313505 |
21250 |
21250 |
36.731331 |
-119.8005705 |
-118.447487999871 |
34.1866464742554 |
22821 |
Hovhannisyan, Tigran |
1881817369 |
Dentist |
UNKNOWN |
14424 Victory Blvd |
VanNuys |
Los Angeles |
91401 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1528250990 |
21250 |
21250 |
34.186646474 |
-118.447488 |
-120.657105186255 |
40.4268374042229 |
22825 |
Mahon, John |
1881828226 |
Dentist |
UNKNOWN |
795 Joaquin Street |
Susanville |
Lassen |
96130 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1881828226 |
21250 |
21250 |
40.4268374042 |
-120.657105186 |
-118.291248000195 |
33.9448319996971 |
22853 |
Romanenko, Dmitriy |
1881894715 |
Physician |
OBSTETRICS/GYNECOLOGY |
10024 S. Vermont Ave |
Los Angeles |
Los Angeles |
90044 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881894715 |
21250 |
21250 |
33.944832 |
-118.291248 |
-117.867477936358 |
33.7790861138332 |
22858 |
Yu, Cheol |
1881897452 |
Dentist |
UNKNOWN |
530 South Main St., Suite #101 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.748901865029 |
34.077042683573 |
22873 |
Choi, David |
1881947117 |
Physician |
UNKNOWN |
1818 N. Orange Grove, #203 |
Pomona |
Los Angeles |
91767 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881947117 |
21250 |
21250 |
34.0770426836 |
-117.748901865 |
-119.159698864611 |
34.2931563264034 |
22877 |
SURESH, ANAGHA |
1881951887 |
Physician |
PEDIATRIC MEDICINE |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-119.277172384198 |
35.5032669494103 |
22878 |
Yitbarek, Meaza |
1881964898 |
Nurse Practitioner |
UNKNOWN |
320 James Street |
Shafter |
Kern |
93263 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881964898 |
21250 |
21250 |
35.5032669487 |
-119.277172384 |
-122.221706408624 |
40.1492038237975 |
22882 |
Chohlidakis, Maria |
1881970515 |
Physician |
UNKNOWN |
2450 Sister Mary Columba Drive |
Red Bluff |
Tehama |
96080 |
California |
2014 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1881970515 |
29750 |
8500 |
40.1492038235 |
-122.221706409 |
-119.159698864611 |
34.2931563264034 |
22893 |
Curameng, Joann |
1891004131 |
Dentist |
UNKNOWN |
200 S Wells Rd, Suite #150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
4 |
MU |
DEL CAMINO REAL INC CLINICAS |
1720362056 |
46750 |
8500 |
34.2931563259 |
-119.159698865 |
-121.626707703398 |
36.6771240931025 |
22900 |
Marquez, Juana |
1891029419 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
219 N Sanborn Rd |
Salinas |
Monterey |
93905 |
California |
2015 |
2016 |
2 |
MU |
DE SALUD DEL CLINICAS |
1477694263 |
29750 |
8500 |
36.677124093 |
-121.626707703 |
-120.413076960333 |
34.9528340951175 |
22906 |
Cesena, Kristina |
1891038527 |
Dentist |
UNKNOWN |
1430 E MAIN ST, SUTE 203 |
SANTA MARIA |
Santa Barbara |
93454 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1588672695 |
21250 |
21250 |
34.9528340951 |
-120.41307696 |
-117.867477936358 |
33.7790861138332 |
22913 |
Bradle, Jaclyn |
1891055109 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
22924 |
NIETO, ANGELICA |
1891084836 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
22930 |
Maheri, Kimia |
1891104451 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
22935 |
Haimof, Ryan |
1891119061 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
22941 |
Sharma, Manu |
1891128245 |
Dentist |
UNKNOWN |
530 South Main St., Apt:34 |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.435685293042 |
34.0868837246043 |
22954 |
Todorov, Boyan |
1891195053 |
Dentist |
UNKNOWN |
9193 SIERRA AVE, Suite D |
FONTANA |
San Bernardino |
92335 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP FONTANA |
1205051000 |
21250 |
21250 |
34.0868837252 |
-117.435685293 |
-119.159698864611 |
34.2931563264034 |
22955 |
Chan, May |
1891179545 |
Doctor of Optometry |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2016 |
2016 |
1 |
AIU |
DEL CAMINO REAL INC CLINICAS |
1609291996 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.115460000179 |
33.872907486991 |
22963 |
Kaplan, Eric |
1891701033 |
Physician |
OBSTETRICS/GYNECOLOGY |
10251 Artesia Blvd |
Bellflower |
Los Angeles |
90706 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1891701033 |
46750 |
8500 |
33.8729074874 |
-118.11546 |
-118.457860499762 |
34.2790374846922 |
22971 |
Sanghvi, Manisha |
1891714838 |
Physician |
UNKNOWN |
14901 Rinaldi St, #330 |
Mission Hills |
Los Angeles |
91345 |
California |
2015 |
2016 |
1 |
MU |
Designated Payee Name not Found |
1891714838 |
21250 |
21250 |
34.2790374852 |
-118.4578605 |
-118.160197796091 |
33.8880387036234 |
22981 |
TRANI, SERGIO |
1891720884 |
Physician |
UNKNOWN |
15955 Paramount Blvd, Unit A |
Paramount |
Los Angeles |
90723 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1891720884 |
21250 |
21250 |
33.8880387043 |
-118.160197796 |
-121.626707703398 |
36.6771240931025 |
22986 |
Baldeon, German |
1891726741 |
Physician |
INTERNAL MEDICINE |
219 N. Sanborn Road |
Salinas |
Monterey |
93905 |
California |
2013 |
2014 |
2 |
MU |
DE SALUD DEL CLINICAS |
1477694263 |
29750 |
8500 |
36.677124093 |
-121.626707703 |
-118.443346549004 |
34.0637399640282 |
22992 |
Madikians, Andranik |
1891708368 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2014 |
2015 |
1 |
AIU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-121.931844043068 |
37.3128740632874 |
22998 |
Dolnikova, Jana |
1891758256 |
Physician |
ANESTHESIOLOGY |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588721500 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.409976999639 |
33.9976170003243 |
23014 |
Maloo, Huzaifa |
1891801825 |
Dentist |
UNKNOWN |
5696 Mission Blvd |
Riverside |
Riverside |
92509 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1861653792 |
21250 |
21250 |
33.997617 |
-117.409977 |
-118.202156999846 |
33.9309449996121 |
23023 |
Karia, Piyush |
1891812038 |
Dentist |
UNKNOWN |
3621 Martin Luther King Jr Blvd, # 3 |
Lynwood |
Los Angeles |
90262 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1891812038 |
21250 |
21250 |
33.930945 |
-118.202157 |
-117.958328927038 |
34.0867397062725 |
23037 |
Thant, Aung |
1891833372 |
Dentist |
UNKNOWN |
14514 Ramona Blvd, Suite 1 |
Baldwin Park |
Los Angeles |
91706 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1891833372 |
21250 |
21250 |
34.0867397058 |
-117.958328927 |
-121.913983146605 |
37.3255790718168 |
23044 |
akhbari, cyrus |
1891847596 |
Dentist |
UNKNOWN |
1201 Park Ave, suite 2 |
San Jose |
Santa Clara |
95126 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1366642670 |
21250 |
21250 |
37.3255790719 |
-121.913983147 |
-117.867477936358 |
33.7790861138332 |
23045 |
Daoudian, Mehran |
1891845236 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.605927964304 |
34.1893799995873 |
23046 |
Kansky, Anna |
1891850913 |
Dentist |
UNKNOWN |
6543 Topanga Cyn Blvd, Millennium Dental |
Woodland Hills |
Los Angeles |
91303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
34.18938 |
-118.605927964 |
-117.867477936358 |
33.7790861138332 |
23052 |
ho, vananh |
1891854691 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
23053 |
Iskander, Afaf |
1891856589 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.54510399985 |
33.8025149999673 |
23058 |
PATEL, KIRIT |
1891859666 |
Dentist |
UNKNOWN |
180 E Palm Canyon Dr |
Palm Springs |
Riverside |
92264 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1982828414 |
21250 |
21250 |
33.802515 |
-116.545104 |
-121.931844043068 |
37.3128740632874 |
23079 |
Rios, Linda |
1891890992 |
Nurse Practitioner |
UNKNOWN |
751 S Bascom Ave, OB/GYN Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1891890992 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-118.875984189918 |
34.1806666589392 |
23088 |
esfandiari, farshid |
1891902326 |
Dentist |
UNKNOWN |
166 N. Moorpark Rd, Suite 204 |
Thousand Oaks |
Ventura |
91360 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1467633164 |
21250 |
21250 |
34.1806666594 |
-118.87598419 |
-116.876815796112 |
33.9295781748929 |
23095 |
Berhanu-Demissie, Amsale |
1891915492 |
Dentist |
UNKNOWN |
471 N San Gorgonio Ave |
Banning |
Riverside |
92220 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1215009246 |
21250 |
21250 |
33.9295781755 |
-116.876815796 |
-117.936964204434 |
33.7141798231404 |
23097 |
Rofael, Medhat |
1891917860 |
Dentist |
UNKNOWN |
17150 Euclid St., Suite 311 |
Fountain Valley |
Orange |
92708 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1730337379 |
21250 |
21250 |
33.7141798226 |
-117.936964204 |
-121.55149361274 |
39.0972587433964 |
23112 |
DeAquino-Corley, Karen Grace |
1891954152 |
Physician |
INTERNAL MEDICINE |
4941 Olivehurst Ave |
Olivehurst |
Yuba |
95961 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.0972587427 |
-121.551493613 |
-119.194103875593 |
34.1547341609528 |
23127 |
Sharifzadeh, Alireza |
1891978508 |
Dentist |
UNKNOWN |
460 E Pleasant Valley Rd, Suite B |
Port Hueneme |
Ventura |
93041 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1518094291 |
21250 |
21250 |
34.1547341612 |
-119.194103876 |
-118.117447795979 |
33.8900727038922 |
23133 |
Panchal, Parul |
1891997698 |
Dentist |
UNKNOWN |
15741 Woodruff Ave, Suite A |
Bellflower |
Los Angeles |
90706 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1891844916 |
21250 |
21250 |
33.8900727043 |
-118.117447796 |
-119.018416499822 |
35.3738699996009 |
23145 |
Gill, Kirandeep |
1902016306 |
Physician |
INTERNAL MEDICINE |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.888286884232 |
33.8741010420295 |
23149 |
Saleeb, Nadia |
1902019870 |
Dentist |
UNKNOWN |
2442 E. Chapman Ave |
fullerton |
Orange |
92831 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1902019870 |
21250 |
21250 |
33.8741010415 |
-117.888286884 |
-118.450270905178 |
34.2295968622055 |
23159 |
Heitor, Fernanda |
1902027113 |
Physician |
FAMILY PRACTICE |
8781 Van Nuys Blvd, Clinica Medica San Miguel - Senior Center |
Panorama City |
Los Angeles |
91402 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1871779777 |
21250 |
21250 |
34.2295968615 |
-118.450270905 |
-119.159698864611 |
34.2931563264034 |
23160 |
Walkowsky, Tihele |
1902032808 |
Physician |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
4 |
MU |
DEL CAMINO REAL CLINICAS |
1912123431 |
46750 |
8500 |
34.2931563259 |
-119.159698865 |
-117.341818662401 |
34.4754102954489 |
23161 |
Deepak, Rahil |
1902034432 |
Dentist |
UNKNOWN |
12353 Mariposa Rd, Suite D1 |
Victorville |
San Bernardino |
92395 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1902034432 |
21250 |
21250 |
34.4754102952 |
-117.341818662 |
-121.383216000418 |
38.6296560000245 |
23167 |
LE, KIM |
1902046287 |
Physician |
EMERGENCY MEDICINE |
3525 Watt Avenue |
Sacramento |
Sacramento |
95821 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1902046287 |
21250 |
21250 |
38.629656 |
-121.383216 |
-121.810552040744 |
37.3123830694232 |
23169 |
Ramachandran, Nirmala |
1902055536 |
Dentist |
UNKNOWN |
2930 ABORN SQUARE RD |
San Jose |
Santa Clara |
95121 |
California |
2015 |
2015 |
1 |
AIU |
DOLPHIN DENTAL |
1881022333 |
21250 |
21250 |
37.3123830694 |
-121.810552041 |
-122.46118324571 |
37.7624926958812 |
23174 |
Horst, Jeremy |
1902048119 |
Dentist |
UNKNOWN |
707 Parnassus Ave, UCSF Pediatric Dentistry |
San Francisco |
San Francisco |
94143 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1902048119 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
-117.867477936358 |
33.7790861138332 |
23175 |
Meimban, Bedan |
1902063498 |
Dentist |
UNKNOWN |
530 South Main St., Ste 300 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-115.502452563835 |
32.6940522126396 |
23180 |
Nogales, Mariana |
1902065428 |
Nurse Practitioner |
UNKNOWN |
233 West Cole Road |
Calexico |
Imperial |
92231 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1962599266 |
21250 |
21250 |
32.6940522127 |
-115.502452564 |
-117.867477936358 |
33.7790861138332 |
23181 |
Khan, Amna |
1902082381 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.446267296099 |
34.0652797382693 |
23195 |
Hussain, Shaun |
1902067796 |
Physician |
UNKNOWN |
Ucla Childrens Health Ctr, 200 UCLA Medical Plaza, Suite 265 |
Los Angeles |
UNKNOWN |
90095 |
California |
2018 |
2019 |
5 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
55250 |
8500 |
34.0652797376 |
-118.446267296 |
-121.6322074687 |
36.7036735826698 |
23201 |
liu, frank |
1902153489 |
Dentist |
UNKNOWN |
620 E Alvin Dr |
Salinas |
Monterey |
93906 |
California |
2015 |
2016 |
1 |
AIU |
DE SALUD DEL VALLE CLINICA |
1508994930 |
21250 |
21250 |
36.7036735825 |
-121.632207469 |
-119.159698864611 |
34.2931563264034 |
23202 |
Waseer, Ayesha |
1902144918 |
Dentist |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1679631907 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
23218 |
Mohammadian, Farid |
1902200231 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.376389500375 |
38.5562970003064 |
23221 |
Singh, Aruna |
1902208796 |
Dentist |
UNKNOWN |
8890 Cal Center Drive, #102 |
Sacramento |
UNKNOWN |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-117.867477936358 |
33.7790861138332 |
23223 |
Roboubi, Mojdeh |
1902212053 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
23237 |
MATTAR, DINA |
1902244668 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.169275794942 |
32.7879564007673 |
23246 |
Hoang, Chi |
1902350994 |
Nurse Practitioner |
UNKNOWN |
7011 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2016 |
2017 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1457724858 |
21250 |
21250 |
32.787956401 |
-117.169275795 |
-118.124676660799 |
33.9510118242363 |
23248 |
YEUNG, ALBERT |
1902807597 |
Physician |
UNKNOWN |
8311 Florence Ave |
Downey |
Los Angeles |
90240 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1497759005 |
29750 |
8500 |
33.9510118235 |
-118.124676661 |
-124.146181542444 |
40.8024420806375 |
23251 |
BETTIGA, ELAINE |
1902810252 |
Nurse Practitioner |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2016 |
2017 |
4 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
46750 |
8500 |
40.802442081 |
-124.146181542 |
-117.169517934705 |
32.7876688614289 |
23255 |
Quinto, Cindy |
1902810377 |
Nurse Practitioner |
UNKNOWN |
6973 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2014 |
2015 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1780665877 |
21250 |
21250 |
32.7876688612 |
-117.169517935 |
-117.083254011663 |
32.638078788905 |
23283 |
Gamboa, Rudolph-Bear |
1902847932 |
Physician |
FAMILY PRACTICE |
340 4th Ave, Suite # 7 |
Chula Vista |
San Diego |
91910 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DE LA COMUNI CENTRO |
1184801433 |
21250 |
21250 |
32.6380787888 |
-117.083254012 |
-117.101447999925 |
32.749584509018 |
23292 |
Zaheer, Aaron |
1902882301 |
Physician |
UNKNOWN |
4305 University Ave, Ste 150 |
San Diego |
San Diego |
92105 |
California |
2013 |
2014 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1780665877 |
38250 |
8500 |
32.7495845093 |
-117.101448 |
-121.216987511365 |
37.8120837398728 |
23297 |
Ammar, Awnie |
1902884729 |
Dentist |
UNKNOWN |
1104 N Main St |
Manteca |
San Joaquin |
95336 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1902884729 |
21250 |
21250 |
37.8120837397 |
-121.216987511 |
-121.93091550025 |
37.312308000314 |
23303 |
Coolman, Richard |
1902875842 |
Physician |
UNKNOWN |
828 S Bascom Ave, Center for Learning and Achiement |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588721500 |
21250 |
21250 |
37.312308 |
-121.9309155 |
-118.185077471248 |
33.7794120002637 |
23305 |
Tan, Song |
1902903685 |
Physician |
UNKNOWN |
1025 Atlantic Ave |
Long Beach |
Los Angeles |
90813 |
California |
2018 |
2019 |
2 |
MU |
Designated Payee Name not Found |
1902903685 |
29750 |
8500 |
33.779412 |
-118.185077471 |
-121.355892000316 |
38.630978999881 |
23322 |
Staab, Donald |
1902920697 |
Nurse Practitioner |
NURSE PRACTITIONER |
3625 Mission Ave, Suite D |
Carmichael |
Sacramento |
95608 |
California |
2012 |
2013 |
1 |
AIU |
DONALD S JR STAAB |
1902920697 |
21250 |
21250 |
38.630979 |
-121.355892 |
-119.13169066839 |
36.2988754701269 |
23326 |
Parsley, Dawn |
1902930621 |
Nurse Practitioner |
UNKNOWN |
1014 San Juan Ave |
Exeter |
Tulare |
93221 |
California |
2016 |
2017 |
1 |
AIU |
DELTA HEALTHCARE KAWEAH |
1043272172 |
21250 |
21250 |
36.2988754701 |
-119.131690668 |
-117.436283999607 |
34.1052389999799 |
23327 |
Phan, Diane |
1902923642 |
Dentist |
UNKNOWN |
8188 Sierra Ave, Suite H |
Fontana |
San Bernardino |
92335 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1851512271 |
21250 |
21250 |
34.105239 |
-117.436284 |
-117.88951050001 |
33.7271855047073 |
23328 |
Lee, Richard |
1902932338 |
Dentist |
UNKNOWN |
1610 W. Edinger Ave, Suite C |
Santa Ana |
Orange |
92704 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1518995109 |
21250 |
21250 |
33.7271855051 |
-117.8895105 |
-117.867477936358 |
33.7790861138332 |
23337 |
Shirke, Swati |
1902944820 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.448733044694 |
34.2239940004228 |
23338 |
NOURIAN, SHAHRAM |
1902947419 |
Dentist |
UNKNOWN |
8424 Van Nuys Blvd. |
Panorama City |
Los Angeles |
91402 |
California |
2016 |
2016 |
1 |
AIU |
Dan Rosen DDS and Sharam Nourian DDS |
1699892893 |
21250 |
21250 |
34.223994 |
-118.448733045 |
-117.867477936358 |
33.7790861138332 |
23342 |
Nguyen, William |
1902951577 |
Dentist |
UNKNOWN |
530 South Main St., Suite A |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.143782976403 |
32.9137191722021 |
23343 |
Dabir, Priyadarshan |
1902957145 |
Dentist |
UNKNOWN |
10717 Camino Ruiz, Suite 103 |
San Diego |
San Diego |
92126 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1346583069 |
21250 |
21250 |
32.9137191721 |
-117.143782976 |
-118.208727034825 |
33.9067317445744 |
23346 |
PYLEN, EUGENE |
1902959083 |
Dentist |
UNKNOWN |
1601 N. Longbeach Blvd |
Compton |
Los Angeles |
90220 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1902959083 |
21250 |
21250 |
33.9067317454 |
-118.208727035 |
-122.125358722027 |
37.6770056872627 |
23347 |
Kohli, Gagandeep |
1902963051 |
Dentist |
UNKNOWN |
16177 Hesperian Blvd |
san lorenzo |
Alameda |
94580 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1902963051 |
21250 |
21250 |
37.6770056869 |
-122.125358722 |
-117.920114371681 |
33.736669028353 |
23349 |
Bui, Phuong-Ly |
1902964059 |
Dentist |
UNKNOWN |
794 South Harbor Blvd. |
Santa Ana |
Orange |
92704 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1902964059 |
21250 |
21250 |
33.7366690277 |
-117.920114372 |
-121.381744500009 |
38.6182079999992 |
23350 |
ghobashy, ayman |
1902965759 |
Dentist |
UNKNOWN |
3517 Marconi Ave, Suite 105 |
Sacramento |
Sacramento |
95821 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1124433750 |
21250 |
21250 |
38.618208 |
-121.3817445 |
-117.455048185925 |
33.9156370338221 |
23351 |
VO, SANDRA |
1902959091 |
Dentist |
UNKNOWN |
9939 E MAGNOLIA AVE |
Riverside |
Riverside |
92503 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881741429 |
21250 |
21250 |
33.9156370345 |
-117.455048186 |
-117.288676225327 |
34.4196220151439 |
23356 |
Lam, Tien |
1902975790 |
Dentist |
UNKNOWN |
17137 Main Street |
Hesperia |
San Bernardino |
92345 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1023415130 |
21250 |
21250 |
34.4196220152 |
-117.288676225 |
-122.297371754803 |
37.8671772750113 |
23358 |
Trafecanty, Rebecca |
1902970031 |
Nurse Practitioner |
NURSE PRACTITIONER |
LifeLong West Berkeley, 2031 Sixth Street |
Berkeley |
Alameda |
94710 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1902970031 |
21250 |
21250 |
37.8671772747 |
-122.297371755 |
-117.867477936358 |
33.7790861138332 |
23364 |
Chittivelu, Giridhara |
1902977168 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.325951999785 |
33.8824259996602 |
23369 |
LOPEZ-QUIZON, AMELIA |
1902989361 |
Dentist |
UNKNOWN |
16300 Crenshaw Blvd, STE 108 |
Torrance |
Los Angeles |
90504 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1326306077 |
21250 |
21250 |
33.882426 |
-118.325952 |
-117.227763000062 |
33.7996619997016 |
23388 |
Modi, Tejas |
1912007600 |
Dentist |
UNKNOWN |
75 W Nuevo Rd Ste A B |
Perris |
Riverside |
92571 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1912007600 |
21250 |
21250 |
33.799662 |
-117.227763 |
-121.823510987242 |
37.3187160610974 |
23392 |
Phan, Dung |
1912013780 |
Physician |
UNKNOWN |
1693 Flanigan Dr, #100 |
San Jose |
Santa Clara |
95121 |
California |
2019 |
2020 |
5 |
MU |
DUNG M MD PHAN |
1912013780 |
55250 |
8500 |
37.3187160611 |
-121.823510987 |
-117.867477936358 |
33.7790861138332 |
23401 |
Alrousan, Saba |
1912020959 |
Dentist |
UNKNOWN |
530 South Main St., #21 |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.262822003233 |
34.158431211831 |
23404 |
KHODAVERDIAN, NJDIK |
1912028002 |
Dentist |
UNKNOWN |
428 ARDEN AVE, SUITE 100 |
Glendale |
Los Angeles |
91203 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1689847493 |
21250 |
21250 |
34.1584312118 |
-118.262822003 |
-122.236999565278 |
37.4867480316964 |
23416 |
Nguyen, LIen |
1912044652 |
Dentist |
UNKNOWN |
193 Arch Street, Suite B-C |
Redwood City |
San Mateo |
94062 |
California |
2020 |
2020 |
2 |
MU |
Designated Payee Name not Found |
1124093752 |
29750 |
8500 |
37.4867480317 |
-122.236999565 |
-118.278342503104 |
34.090762712829 |
23421 |
Chtchyan, Suren |
1912048562 |
Dentist |
UNKNOWN |
3727 W Sunset Blvd |
Los Angeles |
Los Angeles |
90026 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1598166548 |
21250 |
21250 |
34.0907627133 |
-118.278342503 |
-119.005942500146 |
35.3949840002115 |
23422 |
MENDIVIL, GUY |
1912054271 |
Dentist |
UNKNOWN |
515 W Columbus St, STE A-B |
Bakersfield |
Kern |
93301 |
California |
2018 |
2019 |
2 |
MU |
Designated Payee Name not Found |
1255477592 |
29750 |
8500 |
35.394984 |
-119.0059425 |
-117.164245368729 |
33.6414541781679 |
23424 |
SHAH, RAJUL |
1912056722 |
Dentist |
UNKNOWN |
28309 scott road, Ste I |
Murrieta |
Riverside |
92563 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1912056722 |
21250 |
21250 |
33.641454178 |
-117.164245369 |
-115.528558499675 |
32.9786155433727 |
23430 |
FRANCO, ROSEMARY |
1912064338 |
Nurse Practitioner |
UNKNOWN |
900 Main St |
Brawley |
Imperial |
92227 |
California |
2014 |
2015 |
3 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
38250 |
8500 |
32.9786155434 |
-115.5285585 |
-118.309186953315 |
34.0861680000532 |
23435 |
Banta, Dante |
1912071085 |
Physician |
GENERAL PRACTICE |
875 N WESTERN AVE |
Los Angeles |
Los Angeles |
90029 |
California |
2011 |
2012 |
1 |
AIU |
DANTE A MD INC BANTA |
1215100417 |
21250 |
21250 |
34.086168 |
-118.309186953 |
-117.867477936358 |
33.7790861138332 |
23438 |
Wu, Xiao |
1912075094 |
Dentist |
UNKNOWN |
530 South Main St., #306 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.97757596296 |
34.1416439997708 |
23443 |
mathioulakis, Stan |
1912080847 |
Physician |
INTERNAL MEDICINE |
931 Buena Vista St, Suite 102 |
Duarte |
Los Angeles |
91010 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1912080847 |
21250 |
21250 |
34.141644 |
-117.977575963 |
-121.937102999604 |
37.3157190002318 |
23449 |
Vaughan, Laura |
1912075995 |
Physician |
INTERNAL MEDICINE |
2400 Moorpark Ave, Moorpark Internal Med Clinic |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1912075995 |
21250 |
21250 |
37.315719 |
-121.937103 |
-118.101109500303 |
34.1376029995788 |
23454 |
Harder, Priya |
1912100546 |
Physician |
UNKNOWN |
504 S. Sierra Madra Blvd |
Pasadena |
Los Angeles |
91107 |
California |
2020 |
2020 |
5 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
55250 |
8500 |
34.137603 |
-118.1011095 |
-119.177438503684 |
34.1786679255844 |
23458 |
Kim, Bernard |
1912113598 |
Dentist |
UNKNOWN |
2184 Saviers Rd |
Oxnard |
Ventura |
93033 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1184870347 |
21250 |
21250 |
34.1786679256 |
-119.177438504 |
-117.236848499958 |
33.9191550000033 |
23462 |
rivas, Carlos |
1912117078 |
Dentist |
UNKNOWN |
24430 Alessandro Boulevard |
Moreno Valley |
Riverside |
92553 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1366787004 |
21250 |
21250 |
33.919155 |
-117.2368485 |
-118.13884888177 |
34.0496502738411 |
23463 |
duong, thang |
1912123035 |
Dentist |
UNKNOWN |
939 S. Atlantic Blvd., Suite 110 |
monterey park |
Los Angeles |
91754 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1659432904 |
21250 |
21250 |
34.0496502737 |
-118.138848882 |
-117.867477936358 |
33.7790861138332 |
23470 |
Alhassan, Melath |
1912127093 |
Dentist |
UNKNOWN |
530 South Main St., Suite F |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
23474 |
HO, MICHAEL |
1912146598 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.04707799975 |
33.9413310001256 |
23480 |
CORTES, CLAUDIA |
1912153297 |
Dentist |
UNKNOWN |
13345 TELEGRAPH RD, STE L |
WHITTIER |
Los Angeles |
90605 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1649414871 |
21250 |
21250 |
33.941331 |
-118.047078 |
-117.435685293042 |
34.0868837246043 |
23486 |
Nguyen, Amy |
1912164435 |
Dentist |
UNKNOWN |
9193 SIERRA AVE, STE D |
FONTANA |
San Bernardino |
92335 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1205051000 |
21250 |
21250 |
34.0868837252 |
-117.435685293 |
-117.867477936358 |
33.7790861138332 |
23495 |
Sharma, Sumity |
1912186362 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
23498 |
Nguyen, Stephanie |
1912191073 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.961791977218 |
33.2771591455781 |
23500 |
Smith, Charles |
1912198854 |
Physician |
FAMILY PRACTICE |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1912198854 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-117.253461605968 |
33.1956166057219 |
23502 |
Jones, Pamela |
1912198409 |
Physician |
PSYCHIATRY |
550 W. Vista Way, Suite 407 |
Vista |
San Diego |
92083 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1760431670 |
21250 |
21250 |
33.1956166056 |
-117.253461606 |
-117.867477936358 |
33.7790861138332 |
23504 |
Elnaggar, Maged |
1912203100 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
23509 |
Soliman, Mona |
1912212382 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
23517 |
Miller, Heidi |
1912238155 |
Physician |
OBSTETRICS/GYNECOLOGY |
200 S Wells Rd # 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
4 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
46750 |
8500 |
34.2931563259 |
-119.159698865 |
-117.867477936358 |
33.7790861138332 |
23518 |
GILL, SIMERDEEP |
1912246810 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.497941448339 |
37.2882465310526 |
23521 |
Shrestha Joshi, Sinora |
1912247503 |
Physician |
UNKNOWN |
847 W Childs Ave |
Merced |
Merced |
95341 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1912247503 |
21250 |
21250 |
37.288246531 |
-120.497941448 |
-121.40568449964 |
38.5977510000087 |
23534 |
Kajla, Amrit |
1912294836 |
Nurse Practitioner |
UNKNOWN |
1750 Wright St, Suite 4 |
Sacramento |
Sacramento |
95825 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1912294836 |
21250 |
21250 |
38.597751 |
-121.4056845 |
-120.496251776898 |
37.2882585172168 |
23551 |
Arbo, Ma Ana |
1912349291 |
Nurse Practitioner |
UNKNOWN |
797 W Childs Ave |
Merced |
Merced |
95341 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1912349291 |
21250 |
21250 |
37.2882585166 |
-120.496251777 |
-121.626878573687 |
36.6796192540254 |
23552 |
Agrawal, Priyadarshini |
1912354689 |
Dentist |
UNKNOWN |
950 Circle Dr |
Salinas |
UNKNOWN |
93905 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.6796192539 |
-121.626878574 |
-117.318794982902 |
34.5106430514358 |
23558 |
Huang, Shiang Bor |
1912384819 |
Dentist |
UNKNOWN |
14285 7th Street |
Victorville |
San Bernardino |
92395 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1447650296 |
21250 |
21250 |
34.5106430505 |
-117.318794983 |
-122.265161999726 |
37.8180359999615 |
23567 |
Nicholson, Robert |
1912901828 |
Physician |
UNKNOWN |
400 29th St, Ste 204 |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1396911806 |
29750 |
8500 |
37.818036 |
-122.265162 |
-118.122825951357 |
34.06393481474 |
23572 |
Wang, David |
1912905787 |
Physician |
UNKNOWN |
210 N Garfield Ave, Suite 300 |
Monterey Park |
Los Angeles |
91754 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1912905787 |
29750 |
8500 |
34.0639348149 |
-118.122825951 |
-119.748843000404 |
36.844766541243 |
23573 |
Lee, simhean |
1912921818 |
Physician |
ALLERGY/IMMUNOLOGY |
1855 E Alluvial Ave, 103 |
Fresno |
Fresno |
93720 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1912921818 |
21250 |
21250 |
36.8447665409 |
-119.748843 |
-118.122825951357 |
34.06393481474 |
23577 |
Chen, Charles |
1912922246 |
Physician |
UNKNOWN |
210 N Garfield Ave Ste 306 |
Monterey Park |
Los Angeles |
91754 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1912922246 |
21250 |
21250 |
34.0639348149 |
-118.122825951 |
-118.147942203969 |
34.6862667039453 |
23590 |
Parsa, Shahram |
1912941808 |
Physician |
FAMILY PRACTICE |
44216 N. 10th W |
Lancaster |
Los Angeles |
93534 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1194811760 |
21250 |
21250 |
34.6862667043 |
-118.147942204 |
-121.846701383962 |
37.3616636998199 |
23593 |
Singh, Bindya |
1912951880 |
Physician |
UNKNOWN |
135 N Jackson Ave, Ste 202 |
San Jose |
Santa Clara |
95116 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1912951880 |
21250 |
21250 |
37.3616636999 |
-121.846701384 |
-118.259227509242 |
34.0894278760957 |
23608 |
Valdez, Valeria |
1912991563 |
Dentist |
UNKNOWN |
1860 Glendale Blvd |
Los Angeles |
Los Angeles |
90026 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1376950527 |
21250 |
21250 |
34.0894278761 |
-118.259227509 |
-118.261823171202 |
34.1584319771541 |
23617 |
Karchikian, Silva |
1922010388 |
Physician |
UNKNOWN |
410 arden ave, Suite 101 |
Glendale |
Los Angeles |
91203 |
California |
2014 |
2016 |
2 |
MU |
Designated Payee Name not Found |
1922010388 |
29750 |
8500 |
34.1584319769 |
-118.261823171 |
-118.080009000315 |
33.8461065038122 |
23629 |
Kim, Peter |
1922022458 |
Dentist |
UNKNOWN |
11899 Del Amo Blvd |
Cerritos |
Los Angeles |
90703 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1922022458 |
21250 |
21250 |
33.846106504 |
-118.080009 |
-121.414598999744 |
38.5772760000874 |
23630 |
Agee, Jackie |
1922021070 |
Physician |
UNKNOWN |
650 Howe Avenue,,Suite 100 |
Sacramento |
Sacramento |
95825 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1922021070 |
14166.67 |
14166.67 |
38.577276 |
-121.414599 |
-117.946376999999 |
33.9326370002974 |
23648 |
URIBE, DANIEL |
1922049279 |
Physician |
UNKNOWN |
121 N Euclid St |
La Habra |
Orange |
90631 |
California |
2016 |
2016 |
1 |
AIU |
DANIEL MD URIBE |
1922049279 |
21250 |
21250 |
33.932637 |
-117.946377 |
-118.151738999555 |
34.1315605338916 |
23664 |
Burke, Lennis |
1922080779 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
50 Bellefontaine St, Ste 405 |
Pasadena |
Los Angeles |
91105 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1922080779 |
38250 |
8500 |
34.1315605337 |
-118.151739 |
-117.282258913218 |
34.0677560116307 |
23672 |
Oriola, Adefunmilola |
1922086057 |
Dentist |
UNKNOWN |
1881 Commercenter E Dr, Suite 134 |
San Bernardino |
San Bernardino |
92408 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1003015629 |
21250 |
21250 |
34.0677560117 |
-117.282258913 |
-117.867477936358 |
33.7790861138332 |
23674 |
Horn, Jason |
1922087980 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.457537999579 |
38.645585999894 |
23684 |
UNDERHILL, BOBBI |
1922107564 |
Physician |
OSTEOPATHIC MANIPULATIVE MEDICINE |
4215 Norwood Ave, #01 |
Sacramento |
Sacramento |
95838 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1477824118 |
21250 |
21250 |
38.645586 |
-121.457538 |
-115.502840999912 |
32.6940194764177 |
23695 |
Groom, Norma |
1922120989 |
Nurse Practitioner |
UNKNOWN |
223 W Cole Blvd |
Calexico |
Imperial |
92231 |
California |
2012 |
2013 |
2 |
MU |
DE SALUD DEL CLINICAS |
1962599266 |
29750 |
8500 |
32.6940194761 |
-115.502841 |
-117.451863080417 |
33.9174981502195 |
23700 |
KAGALWALA, AMI |
1922130749 |
Dentist |
UNKNOWN |
9789 Magnolia Ave |
Riverside |
Riverside |
92503 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1629106497 |
21250 |
21250 |
33.9174981496 |
-117.45186308 |
-121.426506000252 |
38.491668000278 |
23701 |
SAINI, AMARPREET |
1922131671 |
Dentist |
UNKNOWN |
7315 STOCKTON BLVD, SUITE 3 |
SACRAMENTO |
Sacramento |
95823 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1922131671 |
21250 |
21250 |
38.491668 |
-121.426506 |
-117.968515841033 |
33.7595165918173 |
23703 |
vu, hoang-chuong |
1922135086 |
Physician |
FAMILY PRACTICE |
9191 Westminster Blvd |
Garden Grove |
Orange |
92844 |
California |
2013 |
2014 |
3 |
MU |
DAO MD INC MICHAEL |
1689797920 |
38250 |
8500 |
33.7595165916 |
-117.968515841 |
-118.011626999886 |
33.8376420001782 |
23707 |
CHEN, VEY |
1922140201 |
Physician |
FAMILY PRACTICE |
8615 Knott Ave Ste 3 |
Buena Park |
Orange |
90620 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1922140201 |
21250 |
21250 |
33.837642 |
-118.011627 |
-117.867477936358 |
33.7790861138332 |
23714 |
Hamdan, Hadi |
1922145044 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.443346549004 |
34.0637399640282 |
23716 |
Stiehm, Ewald |
1922117993 |
Physician |
ALLERGY/IMMUNOLOGY |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1922117993 |
14166.67 |
14166.67 |
34.0637399643 |
-118.443346549 |
-118.443346549004 |
34.0637399640282 |
23718 |
Perry, Katherine |
1922104223 |
Physician |
UNKNOWN |
10833 Le Conte Avenue, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2018 |
2019 |
5 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
55250 |
8500 |
34.0637399643 |
-118.443346549 |
-117.125910000246 |
32.9165369999826 |
23726 |
xa, jennifer |
1922160050 |
Dentist |
UNKNOWN |
9225 Mira Mesa Blvd, Suite 103 |
San Diego |
San Diego |
92126 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1740441070 |
21250 |
21250 |
32.916537 |
-117.12591 |
-119.781351569619 |
36.8367656956804 |
23730 |
NGUYEN, LOAN |
1922168715 |
Physician |
UNKNOWN |
6767 N Fresno St |
Fresno |
Fresno |
93710 |
California |
2018 |
2019 |
4 |
MU |
DAVID B MD INC KAYE |
1811068455 |
46750 |
8500 |
36.8367656961 |
-119.78135157 |
-119.681577000178 |
36.8100270004458 |
23739 |
POCASANGRE, VICTORIA |
1922176775 |
Dentist |
UNKNOWN |
1823 SHAW AVE, STE 104 |
CLOVIS |
Fresno |
93611 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1063714939 |
21250 |
21250 |
36.810027 |
-119.681577 |
-117.146252286314 |
32.7515827369538 |
23753 |
Podstreleny, S. |
1922188150 |
Dentist |
UNKNOWN |
4067 PARK BLVD |
SAN DIEGO |
San Diego |
92103 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1023322468 |
21250 |
21250 |
32.7515827369 |
-117.146252286 |
-122.407950856647 |
37.794686574326 |
23757 |
Lin, Dong |
1922190719 |
Physician |
UNKNOWN |
950 Stockton Street, Suite 207 |
San Francisco |
San Francisco |
94108 |
California |
2015 |
2016 |
5 |
MU |
D MD LINDON |
1922190719 |
55250 |
8500 |
37.7946865737 |
-122.407950857 |
-117.888678000289 |
33.7883670004368 |
23760 |
CONNOLLY, JOHN |
1922188010 |
Physician |
VASCULAR SURGERY |
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH |
ORANGE |
Orange |
92868 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1407058787 |
21250 |
21250 |
33.788367 |
-117.888678 |
-117.867477936358 |
33.7790861138332 |
23762 |
GALGANO, PETER |
1922193465 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.191194999749 |
33.8055210000941 |
23769 |
Javaherian, Mehran |
1922203512 |
Dentist |
UNKNOWN |
141 E. Willow Street, Suite P |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1922203512 |
21250 |
21250 |
33.805521 |
-118.191195 |
-118.407385496843 |
37.362205592614 |
23771 |
Arndal, Lara |
1922207638 |
Physician |
UNKNOWN |
153 Pioneer Ln, Suite C |
Bishop |
Inyo |
93514 |
California |
2014 |
2019 |
1 |
AIU |
Designated Payee Name not Found |
1528406329 |
21250 |
21250 |
37.3622055926 |
-118.407385497 |
-122.274324247766 |
37.8072875034156 |
23782 |
Jones, Jabari |
1922230457 |
Physician |
PSYCHIATRY |
LifeLong Downtown Oakland, 616 16th Street |
Oakland |
Alameda |
94612 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1922230457 |
21250 |
21250 |
37.8072875031 |
-122.274324248 |
-122.034923093126 |
37.9819975580409 |
23785 |
Mayor, Christine |
1922240779 |
Nurse Practitioner |
UNKNOWN |
2299 Bacon St Ste 7 |
Concord |
Contra Costa |
94520 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1922240779 |
21250 |
21250 |
37.9819975582 |
-122.034923093 |
-117.593326515606 |
34.0268939996584 |
23800 |
Mack Cruz, Ingrid |
1922275916 |
Dentist |
UNKNOWN |
2598 S Archibald Ave, Ste C |
Ontario |
San Bernardino |
91761 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1114206828 |
21250 |
21250 |
34.026894 |
-117.593326516 |
-117.922348323616 |
33.643508824173 |
23808 |
Park, Bojun |
1922293398 |
Dentist |
UNKNOWN |
570 W. 19th St |
Costa Mesa |
Orange |
92627 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1679910533 |
21250 |
21250 |
33.6435088235 |
-117.922348324 |
-117.867477936358 |
33.7790861138332 |
23810 |
AL-SALTI, RULA |
1922293570 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.443346549004 |
34.0637399640282 |
23814 |
Lewis, Marisa |
1922297498 |
Nurse Practitioner |
UNKNOWN |
10833 Le Conte Ave, Suite 265 |
Los Angeles |
Los Angeles |
90095 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1922297498 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-120.413076960333 |
34.9528340951175 |
23818 |
Hecht, Adrienne |
1922309574 |
Dentist |
UNKNOWN |
1430 E MAIN ST, SUITE 203 |
SANTA MARIA |
Santa Barbara |
93454 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1588672695 |
21250 |
21250 |
34.9528340951 |
-120.41307696 |
-117.867477936358 |
33.7790861138332 |
23820 |
Gomez, Rene |
1922313659 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.443346549004 |
34.0637399640282 |
23826 |
Deukmedjian, Grace |
1922323856 |
Physician |
UNKNOWN |
10833 Leconte Ave, Suite 265 |
Los Angeles |
UNKNOWN |
90095 |
California |
2014 |
2015 |
1 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-118.443346549004 |
34.0637399640282 |
23828 |
Coller, Ryan |
1922279801 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave, 12-335 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1922279801 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-117.867477936358 |
33.7790861138332 |
23831 |
Dhillon, Rajwinder |
1922339688 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
23832 |
Puri, Shikha |
1922339340 |
Dentist |
UNKNOWN |
530 South Main St., 219 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
23849 |
Urena, Felix |
1922392034 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
23850 |
Chung, Haewon |
1922392760 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
23859 |
Hundal-Sandhu, Harpreet |
1922408202 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.107891258175 |
34.01102663667 |
23860 |
shamsian, shahriyar |
1922408830 |
Dentist |
UNKNOWN |
137 N Montebello Blvd., #H |
Monte |
Los Angeles |
91316 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1114158151 |
21250 |
21250 |
34.0110266369 |
-118.107891258 |
-117.082544672299 |
32.5779786056282 |
23870 |
Chmilewski, Anne |
1922445485 |
Physician |
UNKNOWN |
1016 Outer Rd |
San Diego |
San Diego |
92154 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1922445485 |
21250 |
21250 |
32.5779786059 |
-117.082544672 |
-121.906003499862 |
37.3334310004404 |
23885 |
Kung, andrea |
1932105582 |
Physician |
UNKNOWN |
299 Stockton Ave. |
San Jose |
Santa Clara |
95126 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.333431 |
-121.9060035 |
-118.443346549004 |
34.0637399640282 |
23916 |
Cederbaum, Stephen |
1932121217 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2015 |
2016 |
2 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
29750 |
8500 |
34.0637399643 |
-118.443346549 |
-118.225138976882 |
33.9829418991494 |
23918 |
SAEDI, ARASH |
1932156700 |
Dentist |
UNKNOWN |
6318 Pacific Blvd |
Huntington Park |
Los Angeles |
90255 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1124406293 |
21250 |
21250 |
33.9829418992 |
-118.225138977 |
-117.869556381122 |
33.872068790942 |
23919 |
Aleemuddin, Perveen |
1932159019 |
Dentist |
UNKNOWN |
155 E Chapman Ave |
Placentia |
Orange |
92870 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1023220506 |
21250 |
21250 |
33.8720687912 |
-117.869556381 |
-117.920137327775 |
33.7613401947942 |
23922 |
Dang, David |
1932162385 |
Physician |
RHEUMATOLOGY |
13872 Harbor Blvd, Unit 1A |
Garden Grove |
Orange |
92843 |
California |
2012 |
2013 |
1 |
AIU |
DAVID D MD DANG |
1932162385 |
21250 |
21250 |
33.7613401953 |
-117.920137328 |
-117.867477936358 |
33.7790861138332 |
23923 |
jin, weimin |
1932161684 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.77221201777 |
36.8021879995766 |
23928 |
quinn, jennie |
1932181815 |
Nurse Practitioner |
UNKNOWN |
4646 N. First Street, Ste 102 |
Fresno |
Fresno |
93726 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1932181815 |
21250 |
21250 |
36.802188 |
-119.772212018 |
-121.376389500375 |
38.5562970003064 |
23940 |
BATH, SARWANDEEP |
1932211661 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-118.229692499809 |
34.142525999975 |
23946 |
Rodemich, Christine |
1932225281 |
Nurse Practitioner |
NURSE PRACTITIONER |
1540 E Colorado St |
Glendale |
Los Angeles |
91205 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1730299959 |
21250 |
21250 |
34.142526 |
-118.2296925 |
-117.07623900023 |
32.5956240002475 |
23947 |
guzman, jose |
1932226115 |
Dentist |
UNKNOWN |
2638 MAIN ST, SUITE J |
CHULA VISTA |
San Diego |
91911 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1932226115 |
21250 |
21250 |
32.595624 |
-117.076239 |
-118.187779127305 |
34.128848065286 |
23948 |
Marquez, Nishi |
1932220860 |
Physician |
UNKNOWN |
6957 N Figueroa St |
Los Angeles |
Los Angeles |
90042 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1477681096 |
21250 |
21250 |
34.1288480647 |
-118.187779127 |
-118.308918870809 |
33.751809704954 |
23953 |
Pham, Quan |
1932235652 |
Dentist |
UNKNOWN |
946 N Western Ave |
San Pedro |
Los Angeles |
90732 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1932235652 |
21250 |
21250 |
33.7518097051 |
-118.308918871 |
-118.306498500206 |
34.1691300001494 |
23962 |
Haddad-Hadaya, Najah |
1932252517 |
Dentist |
UNKNOWN |
221 W Alameda Ave, Ste 101 |
Burbank |
Los Angeles |
91502 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1801096953 |
21250 |
21250 |
34.16913 |
-118.3064985 |
-118.084666108054 |
34.0017855810398 |
23964 |
fatima, anees |
1932253861 |
Physician |
INTERNAL MEDICINE |
8825 whittier blvd |
pico rivera |
Los Angeles |
90660 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1932253861 |
21250 |
21250 |
34.0017855806 |
-118.084666108 |
-119.065671033192 |
34.3659315213227 |
23966 |
Luckeroth, Patricia |
1932252970 |
Physician |
UNKNOWN |
845 N 10th, Ste 2 |
Santa Paula |
Ventura |
93060 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1932252970 |
21250 |
21250 |
34.365931521 |
-119.065671033 |
-119.096155158334 |
36.2137461308793 |
23968 |
Oliveros, Lourdes |
1932255825 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
839 N Sequoia Ave |
Lindsay |
Tulare |
93247 |
California |
2015 |
2017 |
3 |
MU |
DELTA HLTH CARE DIST KAWEAH |
1104067636 |
38250 |
8500 |
36.2137461306 |
-119.096155158 |
-117.867477936358 |
33.7790861138332 |
23970 |
martin, george |
1932255452 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.045281573386 |
33.9395264339978 |
23972 |
hamilton, debbie |
1932258431 |
Nurse Practitioner |
UNKNOWN |
13429 Telegraph Rd |
Whittier |
Los Angeles |
90605 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1932258431 |
29750 |
8500 |
33.939526434 |
-118.045281573 |
-117.867477936358 |
33.7790861138332 |
23988 |
Setareh, Sepehr |
1932275062 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.168257932757 |
40.8033146487521 |
23996 |
Hay, Barry |
1932292497 |
Dentist |
UNKNOWN |
310 3rd Street |
Eureka |
Humboldt |
95501 |
California |
2011 |
2012 |
1 |
AIU |
DOOR COMM HEALTH CTRS OPEN |
1760666127 |
21250 |
21250 |
40.8033146489 |
-124.168257933 |
-118.132458176104 |
33.8536779230977 |
24001 |
Tran, Danny |
1932299070 |
Dentist |
UNKNOWN |
5129 Candlewood St |
Lakewood |
Los Angeles |
90712 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1932299070 |
21250 |
21250 |
33.8536779234 |
-118.132458176 |
-119.018416499822 |
35.3738699996009 |
24003 |
Fuentes, Maritess |
1932307485 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.501806410238 |
34.2001482533393 |
24009 |
Austin, Joseph |
1932314283 |
Physician |
VASCULAR SURGERY |
16917 Enadia Way |
Van Nuys |
Los Angeles |
91406 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1932314283 |
21250 |
21250 |
34.2001482531 |
-118.50180641 |
-117.867477936358 |
33.7790861138332 |
24012 |
ABD ALLAH, Alaa |
1932317716 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.299368988088 |
38.2892084034451 |
24013 |
Singh, Nancy |
1932319159 |
Nurse Practitioner |
NURSE PRACTITIONER |
2261 Elm St, Bldg B |
Napa |
Napa |
94559 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1932319159 |
21250 |
21250 |
38.289208403 |
-122.299368988 |
-118.446236463742 |
34.0652250001337 |
24019 |
Discepolo, William |
1932308137 |
Physician |
CARDIAC ELECTROPHYSIOLOGY |
200 Medical Plz, Suite 365 |
Los Angeles |
UNKNOWN |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1932308137 |
21250 |
21250 |
34.065225 |
-118.446236464 |
-115.528558499675 |
32.9786155433727 |
24022 |
Calderon, Kimberly |
1932332608 |
Nurse Practitioner |
UNKNOWN |
900 Main St |
Brawley |
Imperial |
92227 |
California |
2018 |
2019 |
5 |
MU |
DE SALUD DEL CLINICAS |
1649269747 |
55250 |
8500 |
32.9786155434 |
-115.5285585 |
-119.018416499822 |
35.3738699996009 |
24029 |
ZAPANTA, LYDIA |
1932341385 |
Physician |
OBSTETRICS/GYNECOLOGY |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-122.439077847764 |
37.7843622978818 |
24034 |
Leykina, Diana |
1932355310 |
Physician |
GENERAL PRACTICE |
2299 Post St, Suite Number #305 |
San Francisco |
San Francisco |
94115 |
California |
2014 |
2015 |
1 |
AIU |
DIANA Y MD LEYKINA |
1932355310 |
21250 |
21250 |
37.7843622975 |
-122.439077848 |
-118.476149731625 |
34.0317966960607 |
24035 |
Youssefi, David |
1932355385 |
Dentist |
UNKNOWN |
2428 Santa Monica Blvd, Suite 403 |
Santa Monica |
Los Angeles |
90404 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1295700151 |
21250 |
21250 |
34.0317966963 |
-118.476149732 |
-117.867477936358 |
33.7790861138332 |
24036 |
Saini, Trishal |
1932358215 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.96362599964 |
36.9755910002245 |
24040 |
Stark, Amrita |
1932363124 |
Physician |
UNKNOWN |
1820 41st Ave Ste D |
Capitola |
Santa Cruz |
95010 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1932363124 |
29750 |
8500 |
36.975591 |
-121.963626 |
-122.236999565278 |
37.4867480316964 |
24045 |
Ly, Mai |
1932365111 |
Dentist |
UNKNOWN |
193 Arch Street, Suite B-C |
Redwood City |
San Mateo |
94062 |
California |
2020 |
2020 |
3 |
MU |
Designated Payee Name not Found |
1124093752 |
38250 |
8500 |
37.4867480317 |
-122.236999565 |
-120.059783999832 |
36.7212239998877 |
24047 |
Johnson, Beverly |
1932373628 |
Dentist |
UNKNOWN |
942 S. Madera Ave |
Kerman |
Fresno |
93630 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1932373628 |
21250 |
21250 |
36.721224 |
-120.059784 |
-120.976776000112 |
37.6777260001548 |
24052 |
Buchler, Amy |
1932380201 |
Dentist |
UNKNOWN |
1236 Floyd Ave, Ste C |
Modesto |
Stanislaus |
95350 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1497931703 |
21250 |
21250 |
37.677726 |
-120.976776 |
-117.662478168433 |
33.499044388188 |
24056 |
Kao, David |
1932393246 |
Dentist |
UNKNOWN |
31952 Camino Capistrano, Suite C-14, C-16 |
San Juan Capistrano |
Orange |
92675 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1407196587 |
21250 |
21250 |
33.4990443877 |
-117.662478168 |
-119.021358529373 |
35.3298959997007 |
24057 |
LU, XIAOYU |
1932394475 |
Dentist |
UNKNOWN |
2707 South H Street, Suite B |
Bakersfield |
Kern |
93304 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1346584166 |
21250 |
21250 |
35.329896 |
-119.021358529 |
-117.327545999748 |
33.66886499972 |
24058 |
PATEL, SHEFALI |
1932394806 |
Dentist |
UNKNOWN |
141 N MAIN ST |
Lake Elsinore |
Riverside |
92530 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1740572197 |
21250 |
21250 |
33.668865 |
-117.327546 |
-117.867477936358 |
33.7790861138332 |
24059 |
Chen, Benson |
1932395910 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.395567999763 |
34.0720801696642 |
24062 |
Magarro, Leonel |
1932405156 |
Dentist |
UNKNOWN |
9986 Bloomington Avenue |
Bloomington |
San Bernardino |
92316 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1811195001 |
21250 |
21250 |
34.0720801698 |
-117.395568 |
-119.331090277894 |
36.2333848449347 |
24064 |
Chun, Frederick |
1932418464 |
Dentist |
UNKNOWN |
1979 Hillman St. |
Tulare |
Tulare |
93274 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1932418464 |
21250 |
21250 |
36.2333848453 |
-119.331090278 |
-117.867477936358 |
33.7790861138332 |
24065 |
Agatstein, Jacob |
1932410842 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.141090919211 |
40.7859195138745 |
24068 |
Mosher-Carbiener, Charmaine |
1932433950 |
Nurse Practitioner |
NURSE PRACTITIONER |
2412 Buhne Street |
Eureka |
Humboldt |
95501 |
California |
2016 |
2017 |
6 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
63750 |
8500 |
40.785919514 |
-124.141090919 |
-118.352365079285 |
33.8770852282008 |
24077 |
Pandya, Toral |
1932450616 |
Dentist |
UNKNOWN |
16910 South Hawthorne Blvd |
Lawndale |
Los Angeles |
90260 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1265671176 |
21250 |
21250 |
33.8770852281 |
-118.352365079 |
-116.961791977218 |
33.2771591455781 |
24079 |
Gerdik, Carrie |
1932451853 |
Nurse Practitioner |
UNKNOWN |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1932451853 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-117.867477936358 |
33.7790861138332 |
24092 |
QAYYUM, SHAMOON |
1932469137 |
Dentist |
UNKNOWN |
530 South Main St., APARTMENT # 203 |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.163974713262 |
32.7328816281847 |
24096 |
Kolinski, Jennifer |
1932487766 |
Nurse Practitioner |
NURSE PRACTITIONER |
2630 1st Ave |
San Diego |
San Diego |
92103 |
California |
2014 |
2015 |
3 |
MU |
DIEGO AMERICAN SAN |
1003902917 |
38250 |
8500 |
32.7328816275 |
-117.163974713 |
-118.333215000172 |
33.9444989996292 |
24102 |
Sonbolian, Fereshteh |
1932496700 |
Dentist |
UNKNOWN |
3530 W. Century Blvd, Unit 107 |
Inglewood |
Los Angeles |
90303 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1326210774 |
21250 |
21250 |
33.944499 |
-118.333215 |
-117.867477936358 |
33.7790861138332 |
24105 |
Hardyk, Benjamin |
1932498706 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.466403000098 |
38.565278999926 |
24107 |
McCoy, Stacy |
1932506185 |
Nurse Practitioner |
UNKNOWN |
1625 Stockton Blvd, Suite 106 |
Sacramento |
UNKNOWN |
95816 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1700991445 |
21250 |
21250 |
38.565279 |
-121.466403 |
-122.034923093126 |
37.9819975580409 |
24122 |
Warren, Kaitlin |
1932540705 |
Nurse Practitioner |
UNKNOWN |
2299 Bacon St, Suite 7 |
Concord |
Contra Costa |
94520 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1932540705 |
21250 |
21250 |
37.9819975582 |
-122.034923093 |
-120.662614243353 |
35.2848491050023 |
24143 |
Jenkins, Donella |
1942203609 |
Physician |
UNKNOWN |
1035 Peach Street Suite 301, HealthWorks |
San Luis Obispo |
San Luis Obispo |
93401 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1942203609 |
38250 |
8500 |
35.2848491052 |
-120.662614243 |
-122.014480500275 |
37.3525109998828 |
24147 |
Mehta, Dipa |
1942211073 |
Dentist |
UNKNOWN |
895 E Fremont Ave, Suite 101 |
Sunnyvale |
Santa Clara |
94087 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1942211073 |
21250 |
21250 |
37.352511 |
-122.0144805 |
-117.269253130028 |
34.5418492107725 |
24149 |
MONEKE, VICTOR |
1942211552 |
Physician |
OBSTETRICS/GYNECOLOGY |
15995 Tuscola Rd Ste 208 |
Apple Valley |
San Bernardino |
92307 |
California |
2014 |
2016 |
3 |
MU |
Designated Payee Name not Found |
1548554611 |
38250 |
8500 |
34.5418492107 |
-117.26925313 |
-118.131262702811 |
33.9361443508811 |
24153 |
Latif, Seema |
1942215686 |
Physician |
UNKNOWN |
11480 Brookshire Ave |
Downey |
Los Angeles |
90241 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1942215686 |
38250 |
8500 |
33.936144351 |
-118.131262703 |
-117.679068168161 |
35.6434185138534 |
24166 |
Bang, Robert |
1942228036 |
Dentist |
UNKNOWN |
501 W Joyner Ave, Suite B |
Ridgecrest |
Kern |
93555 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1942228036 |
21250 |
21250 |
35.643418514 |
-117.679068168 |
-117.210307499991 |
34.4713985232233 |
24173 |
woo, donna |
1942229273 |
Dentist |
UNKNOWN |
20779 Bear Valley Rd, Suite 7B |
Apple Valley |
San Bernardino |
92308 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1811194152 |
21250 |
21250 |
34.4713985226 |
-117.2103075 |
-115.57033504033 |
32.7792980599576 |
24175 |
Kapoor, Vishwa |
1942239892 |
Physician |
UNKNOWN |
1550 Pepper Dr, SUITE B & C |
El Centro |
Imperial |
92243 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1942239892 |
38250 |
8500 |
32.7792980597 |
-115.57033504 |
-118.094401165781 |
34.1680101355594 |
24177 |
BOUTROS, JASON |
1942243563 |
Physician |
UNKNOWN |
2750 E Washington Blvd, STE 260 |
Pasadena |
Los Angeles |
91107 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1942243563 |
21250 |
21250 |
34.1680101357 |
-118.094401166 |
-118.193679000086 |
33.9425640003284 |
24180 |
Yang, Katherine |
1942247184 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-118.443346549004 |
34.0637399640282 |
24194 |
Chung, Paul |
1942220777 |
Doctor of Optometry |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2017 |
2018 |
5 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
48166.67 |
8500 |
34.0637399643 |
-118.443346549 |
-119.018416499822 |
35.3738699996009 |
24201 |
Wayne, Vyn |
1942297296 |
Nurse Practitioner |
NURSE PRACTITIONER |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-122.535873000139 |
37.9473930000869 |
24222 |
Rand, Sheryl |
1942302930 |
Physician |
PSYCHIATRY |
250 Bon Air Rd, Unit B, Mental Health and Substance Use Services |
Greenbrae |
Marin |
94904 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1568525699 |
21250 |
21250 |
37.947393 |
-122.535873 |
-117.920158796391 |
33.7375806971914 |
24223 |
Nguyen, Quoc |
1942330469 |
Dentist |
UNKNOWN |
756 S Harbor Blvd |
Santa Ana |
Orange |
92704 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1306044375 |
21250 |
21250 |
33.7375806971 |
-117.920158796 |
-117.867477936358 |
33.7790861138332 |
24228 |
Omari, Tareq |
1942340682 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.239210541433 |
33.9404251049347 |
24234 |
Vu, Thai |
1942356415 |
Dentist |
UNKNOWN |
24266 Postal Ave, Suite 100 |
Moreno Valley |
Riverside |
92553 |
California |
2020 |
2020 |
2 |
MU |
Designated Payee Name not Found |
1942356415 |
29750 |
8500 |
33.9404251049 |
-117.239210541 |
-118.350406563612 |
33.9662819654404 |
24255 |
NICKELBERRY, BAMBI |
1942383740 |
Physician |
UNKNOWN |
248 N. Locust St |
Inglewood |
Los Angeles |
90301 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1972772655 |
21250 |
21250 |
33.966281965 |
-118.350406564 |
-121.031767615983 |
39.2202332261825 |
24259 |
Ramondino, Stephen |
1942388657 |
Physician |
UNKNOWN |
500 Crown Point Circle Ste 120 |
Grass Valley |
Nevada |
95945 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1982620399 |
21250 |
21250 |
39.2202332264 |
-121.031767616 |
-117.396726903024 |
33.9479224371708 |
24264 |
Zareh, Negeen |
1942392485 |
Dentist |
UNKNOWN |
6926 Brockton Ave, Suite 3 |
Riverside |
Riverside |
92506 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1780076034 |
21250 |
21250 |
33.9479224366 |
-117.396726903 |
-121.304308500237 |
38.5961400003608 |
24277 |
park, david |
1942410501 |
Dentist |
UNKNOWN |
10390 Coloma Rd, Ste A |
Rancho Cordova |
Sacramento |
95670 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1942410501 |
21250 |
21250 |
38.59614 |
-121.3043085 |
-124.146181542444 |
40.8024420806375 |
24281 |
Dittmer, Stephanie |
1942422688 |
Physician |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2018 |
2019 |
5 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
55250 |
8500 |
40.802442081 |
-124.146181542 |
-122.468651712407 |
37.666085554205 |
24282 |
DONG, QUANLI |
1942418264 |
Dentist |
UNKNOWN |
355 GELLERT BLVD, Suite 152 |
DALY CITY |
San Mateo |
94015 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1255616561 |
21250 |
21250 |
37.6660855537 |
-122.468651712 |
-118.208362725759 |
34.031120120797 |
24293 |
Rabizadeh, David |
1942423546 |
Dentist |
UNKNOWN |
2901 E Whittier Blvd, #D |
Los Angeles |
Los Angeles |
90023 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1700998101 |
21250 |
21250 |
34.031120121 |
-118.208362726 |
-121.6322074687 |
36.7036735826698 |
24308 |
Ku, Tony |
1942483581 |
Dentist |
UNKNOWN |
620 E. Alvin Drive, Ste G |
Salinas |
Monterey |
93906 |
California |
2013 |
2014 |
1 |
AIU |
DE SALUD DEL VALLE CLINICA |
1508994930 |
21250 |
21250 |
36.7036735825 |
-121.632207469 |
-117.867477936358 |
33.7790861138332 |
24310 |
Muralidharan, Asha |
1942479639 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.018416499822 |
35.3738699996009 |
24313 |
Eng, Lillian |
1942498522 |
Physician |
FAMILY PRACTICE |
1430 Truxtun Ave, STE 400 |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-121.45538700021 |
38.552040000046 |
24315 |
Balagtas, Jay Michael |
1942498928 |
Physician |
UNKNOWN |
2521 Stockton Boulevard |
Sacramento |
Sacramento |
95817 |
California |
2014 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1942498928 |
29750 |
8500 |
38.55204 |
-121.455387 |
-119.159698864611 |
34.2931563264034 |
24320 |
Saito, Hideto |
1942498993 |
Physician |
FAMILY PRACTICE |
200 S. Wells Road, Suite 100 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-124.146181542444 |
40.8024420806375 |
24329 |
Wong, Devin |
1942521232 |
Physician |
UNKNOWN |
2200 Tydd St |
Eureka |
Humboldt |
95501 |
California |
2017 |
2018 |
4 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
46750 |
8500 |
40.802442081 |
-124.146181542 |
-118.308918870809 |
33.751809704954 |
24343 |
Ghiam, Joshua |
1942557913 |
Dentist |
UNKNOWN |
946 N Western Ave |
San Pedro |
Los Angeles |
90732 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1942557913 |
21250 |
21250 |
33.7518097051 |
-118.308918871 |
-118.258168499976 |
33.8397840000316 |
24358 |
Yarber, Lenise |
1942582937 |
Dentist |
UNKNOWN |
20930 Bonita St. #Y |
Carson |
Los Angeles |
90746 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1821411968 |
21250 |
21250 |
33.839784 |
-118.2581685 |
-117.169275794942 |
32.7879564007673 |
24370 |
Kane, Sadie |
1942608161 |
Nurse Practitioner |
UNKNOWN |
7011 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2016 |
2017 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1457724858 |
21250 |
21250 |
32.787956401 |
-117.169275795 |
-118.575332175739 |
34.4365280762098 |
24373 |
Esparza, Ruben |
1942615877 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
25115 Avenue Stanford, Suite A-104 |
Valencia |
Los Angeles |
91355 |
California |
2016 |
2017 |
1 |
AIU |
DIXON FAMILY SAMUEL |
1154402675 |
21250 |
21250 |
34.4365280758 |
-118.575332176 |
-117.330668570898 |
33.8873971398662 |
24384 |
Jin, Diana |
1942675723 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
19040 Van Buren Blvd, #111 |
Riverside |
Riverside |
92508 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1255610242 |
21250 |
21250 |
33.8873971401 |
-117.330668571 |
-115.558425529814 |
32.7706346298843 |
24386 |
Tran, An |
1942680533 |
Nurse Practitioner |
UNKNOWN |
651 Wake Avenue |
El Centro |
Imperial |
92243 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1487741773 |
21250 |
21250 |
32.77063463 |
-115.55842553 |
-118.192009500438 |
33.7696200001629 |
24391 |
Rose, Bobby |
1942691266 |
Nurse Practitioner |
UNKNOWN |
200 Pine Ave. Suite 400, |
Long Beach |
Los Angeles |
90802 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1104942044 |
21250 |
21250 |
33.76962 |
-118.1920095 |
-121.657662037273 |
36.6585739607198 |
24396 |
Prager, Steven |
1952304842 |
Physician |
UNKNOWN |
45 E San Joaquin St |
Salinas |
Monterey |
93901 |
California |
2016 |
2018 |
2 |
MU |
Designated Payee Name not Found |
1952304842 |
29750 |
8500 |
36.6585739612 |
-121.657662037 |
-120.200152201963 |
39.3258536290418 |
24401 |
Walenta, Jason |
1952311060 |
Physician |
PSYCHIATRY |
10075 Levon Avenue |
Truckee |
Nevada |
96161 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1982620399 |
21250 |
21250 |
39.3258536287 |
-120.200152202 |
-118.222417940436 |
33.9690802626441 |
24420 |
Zaky, Amal |
1952337321 |
Physician |
UNKNOWN |
7648 Seville Ave |
Huntington Park |
Los Angeles |
90255 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1952337321 |
21250 |
21250 |
33.9690802631 |
-118.22241794 |
-118.131262702811 |
33.9361443508811 |
24427 |
VENUGOPAL, Bala |
1952352734 |
Physician |
PEDIATRIC MEDICINE |
11480 Brookshire Ave #204 |
Downey |
Los Angeles |
90241 |
California |
2016 |
2017 |
4 |
MU |
Designated Payee Name not Found |
1952352734 |
46750 |
8500 |
33.936144351 |
-118.131262703 |
-116.961791977218 |
33.2771591455781 |
24430 |
moses, mary |
1952355695 |
Nurse Practitioner |
NURSE PRACTITIONER |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1952355695 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-117.162691330341 |
32.7506151051031 |
24434 |
Yang, Jack |
1952365025 |
Physician |
UNKNOWN |
4033 3rd Ave, Suite 204 |
San Diego |
San Diego |
92103 |
California |
2015 |
2017 |
5 |
MU |
Designated Payee Name not Found |
1952365025 |
17000 |
8500 |
32.7506151054 |
-117.16269133 |
-117.022934025085 |
32.6178137069371 |
24436 |
DELVALLE VELEZ, JEANNETTE |
1952370074 |
Physician |
GERIATRIC MEDICINE |
754 MEDICAL CENTER CT, 101 |
Chula Vista |
San Diego |
91911 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1952370074 |
21250 |
21250 |
32.6178137074 |
-117.022934025 |
-118.446236463742 |
34.0652250001337 |
24438 |
Martinez, Julian |
1952324022 |
Physician |
UNKNOWN |
200 Medical Plaza Suite 265 |
Los Angeles |
UNKNOWN |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1952324022 |
21250 |
21250 |
34.065225 |
-118.446236464 |
-120.823715927648 |
38.6957791157137 |
24442 |
Rulison, John |
1952380446 |
Physician |
FAMILY PRACTICE |
4641 Missouri Flat Road |
Placerville |
El Dorado |
95667 |
California |
2016 |
2017 |
6 |
MU |
DORADO COUNTY COMM EL |
1609029362 |
63750 |
8500 |
38.6957791157 |
-120.823715928 |
-121.931761542861 |
37.3141238808125 |
24444 |
Aalami, Ingrid |
1952376550 |
Physician |
OBSTETRICS/GYNECOLOGY |
750 S Bascom Ave, OB/GYN Dept |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1588721500 |
29750 |
8500 |
37.314123881 |
-121.931761543 |
-124.146181542444 |
40.8024420806375 |
24445 |
DENNIS, TAMARA |
1952396103 |
Physician |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2018 |
2019 |
6 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
63750 |
8500 |
40.802442081 |
-124.146181542 |
-117.169517934705 |
32.7876688614289 |
24448 |
risser, joseph |
1952386765 |
Physician |
FAMILY PRACTICE |
6973 Linda Vista Rd |
San Diego |
San Diego |
92111 |
California |
2013 |
2014 |
3 |
MU |
DIEGO FAMILY CARE SAN |
1780665877 |
38250 |
8500 |
32.7876688612 |
-117.169517935 |
-121.933848295562 |
37.3114169996948 |
24456 |
Kyaw, Mya |
1952408247 |
Physician |
PSYCHIATRY |
871 Enborg Ct Unit 100 |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1952408247 |
21250 |
21250 |
37.311417 |
-121.933848296 |
-119.018416499822 |
35.3738699996009 |
24466 |
kankar, padmaja |
1952425936 |
Physician |
PEDIATRIC MEDICINE |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-118.452042334886 |
34.2196776458068 |
24480 |
Zinati, Behrooz |
1952442337 |
Dentist |
UNKNOWN |
14628 Titus St |
Panorama City |
Los Angeles |
91402 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1598985152 |
21250 |
21250 |
34.2196776464 |
-118.452042335 |
-117.867477936358 |
33.7790861138332 |
24486 |
Illich, Vanja |
1952448078 |
Dentist |
UNKNOWN |
530 South Main St., #C |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.647047314782 |
34.0888102208151 |
24490 |
Salami, Darvish |
1952450611 |
Dentist |
UNKNOWN |
300 E. 7th Street, Suite 1F |
Upland |
San Bernardino |
91786 |
California |
2017 |
2018 |
2 |
MU |
DDS INC UPLAND DNT EFTEKHARI |
1235107079 |
29750 |
8500 |
34.0888102206 |
-117.647047315 |
-118.187343371599 |
33.8090145901513 |
24491 |
Satuito, Mary |
1952451106 |
Dentist |
UNKNOWN |
455 E. Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
4 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
46750 |
8500 |
33.8090145898 |
-118.187343372 |
-118.088982000419 |
34.146159486771 |
24493 |
HADDAD, ISSAC |
1952453789 |
Physician |
UNKNOWN |
2990 E. COLORADO BLVD #105C |
PASADENA |
Los Angeles |
91107 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1952453789 |
29750 |
8500 |
34.1461594871 |
-118.088982 |
-118.443346549004 |
34.0637399640282 |
24494 |
Chambers, Eileen |
1952437501 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2014 |
2015 |
3 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
38250 |
8500 |
34.0637399643 |
-118.443346549 |
-119.159698864611 |
34.2931563264034 |
24497 |
AZHAR, FARID |
1952454241 |
Dentist |
UNKNOWN |
200 S. Wells Rd, Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
4 |
MU |
DEL CAMINO REAL CLINICAS |
1679631907 |
46750 |
8500 |
34.2931563259 |
-119.159698865 |
-117.962019000077 |
33.8330069995734 |
24526 |
Tran, Lisa |
1952494437 |
Dentist |
UNKNOWN |
2265 W Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1225132483 |
21250 |
21250 |
33.833007 |
-117.962019 |
-121.931844043068 |
37.3128740632874 |
24530 |
Bye, Susan |
1952497539 |
Nurse Practitioner |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1952497539 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.172253265676 |
34.68965664264 |
24538 |
MIRHOSSEINI, SEYEDHOSSEIN |
1952506818 |
Dentist |
UNKNOWN |
44409 Valley Central Way |
Lancaster |
Los Angeles |
93536 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1750672697 |
21250 |
21250 |
34.6896566427 |
-118.172253266 |
-117.887324065553 |
34.1286147838453 |
24540 |
trivedi, kiran |
1952513269 |
Dentist |
UNKNOWN |
958 E Alosta Ave |
Azusa |
Los Angeles |
91702 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1952513269 |
21250 |
21250 |
34.1286147839 |
-117.887324066 |
-118.293532020986 |
33.8315565468972 |
24542 |
Runic, Radmila |
1952521544 |
Physician |
OBSTETRICS/GYNECOLOGY |
1000 W Carson St, Box 480 |
Torrance |
Los Angeles |
90502 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1497759005 |
38250 |
8500 |
33.8315565466 |
-118.293532021 |
-118.131840000116 |
34.1404739997753 |
24547 |
Lim, Walter |
1952514713 |
Dentist |
UNKNOWN |
310 S. LAKE AVE., LOWER LEVEL |
PASADENA |
Los Angeles |
91101 |
California |
2016 |
2017 |
1 |
AIU |
DDS Rouhani |
1497020119 |
21250 |
21250 |
34.140474 |
-118.13184 |
-118.25692200005 |
34.0039565093854 |
24550 |
HERRERA, GASTON |
1952528002 |
Physician |
GENERAL PRACTICE |
1061 E VERNON AVE #F |
Los Angeles |
Los Angeles |
90011 |
California |
2016 |
2017 |
3 |
MU |
DEL SOCORRO MEDICAL CLINICA |
1215263827 |
38250 |
8500 |
34.003956509 |
-118.256922 |
-118.448487000075 |
34.2140850003225 |
24552 |
Borna, Mahshid |
1952539637 |
Dentist |
UNKNOWN |
7864 Van Nuys Blvd |
Van Nuys |
Los Angeles |
91402 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1639375488 |
21250 |
21250 |
34.214085 |
-118.448487 |
-120.668645018753 |
35.2567782080479 |
24558 |
Pedersen, Jac |
1952553091 |
Dentist |
UNKNOWN |
3221 S Higuera St, Ste. 100 |
San Luis Obispo |
San Luis Obispo |
93401 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1386032407 |
21250 |
21250 |
35.2567782084 |
-120.668645019 |
-119.159698864611 |
34.2931563264034 |
24559 |
FAWELL, JUSTIN |
1952552291 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S. Wells Rd., Suite 150 |
VENTURA |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1427276278 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-120.480325406692 |
37.3194002599141 |
24561 |
RIAD, MOHAMED |
1952555237 |
Dentist |
UNKNOWN |
645 W OLIVE AVE, SUITE 115 |
MERCED |
Merced |
95348 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1952318529 |
21250 |
21250 |
37.3194002601 |
-120.480325407 |
-117.867477936358 |
33.7790861138332 |
24564 |
Minjarez, Pete |
1952555906 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
24574 |
Awad, Angel |
1952568040 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.759613094669 |
36.7669253905943 |
24583 |
Gardezy, Najia |
1952597460 |
Dentist |
UNKNOWN |
10561 Merritt St |
Castroville |
Monterey |
95012 |
California |
2015 |
2016 |
3 |
MU |
DE SALUD DEL CLINICA |
1013058106 |
38250 |
8500 |
36.7669253905 |
-121.759613095 |
-119.047184999988 |
35.2959594698537 |
24585 |
Cruz, Eleanore |
1952598765 |
Dentist |
UNKNOWN |
4004 PANAMA LANE, Suite 500 |
BAKERSFIELD |
Kern |
93313 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1215296074 |
21250 |
21250 |
35.2959594696 |
-119.047185 |
-121.626878573687 |
36.6796192540254 |
24604 |
Chang, Stephen |
1952664914 |
Doctor of Optometry |
UNKNOWN |
950 Circle Dr |
Salinas |
Monterey |
93905 |
California |
2015 |
2016 |
2 |
MU |
DE SALUD DEL CLINICA |
1023159811 |
29750 |
8500 |
36.6796192539 |
-121.626878574 |
-124.083714126805 |
40.8760468021183 |
24608 |
Pittayathikhun, Tammy |
1952672099 |
Nurse Practitioner |
UNKNOWN |
785 18th Street |
Arcata |
Humboldt |
95521 |
California |
2015 |
2016 |
2 |
MU |
DOOR COMM HLTH CTRS OPEN |
1689778813 |
29750 |
8500 |
40.8760468021 |
-124.083714127 |
-122.153565841091 |
37.7052153019447 |
24612 |
de Leon, Anne Michelle |
1952695694 |
Nurse Practitioner |
UNKNOWN |
3081 Teagarden St |
San Leandro |
Alameda |
94577 |
California |
2016 |
2016 |
1 |
AIU |
DAVIS STREET COMMUNITY THE |
1215358924 |
21250 |
21250 |
37.7052153025 |
-122.153565841 |
-118.187343371599 |
33.8090145901513 |
24614 |
Van Houten, Tera |
1952696486 |
Dentist |
UNKNOWN |
455 E. Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
4 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
46750 |
8500 |
33.8090145898 |
-118.187343372 |
-119.13169066839 |
36.2988754701269 |
24628 |
Rios, Helen |
1952754525 |
Nurse Practitioner |
UNKNOWN |
1014 San Juan Ave |
Exeter |
Tulare |
93221 |
California |
2016 |
2017 |
1 |
AIU |
DELTA HEALTHCARE KAWEAH |
1043272172 |
21250 |
21250 |
36.2988754701 |
-119.131690668 |
-121.649026499673 |
36.6600059997771 |
24631 |
Johnson, Sharmaine |
1952777484 |
Nurse Practitioner |
UNKNOWN |
335 Katherine Ave Ste 3 |
Salinas |
Monterey |
93901 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1952777484 |
21250 |
21250 |
36.660006 |
-121.6490265 |
-119.159698864611 |
34.2931563264034 |
24637 |
Ferris, Natalie |
1952792335 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1679631907 |
38250 |
8500 |
34.2931563259 |
-119.159698865 |
-117.55890939885 |
33.8737806684431 |
24647 |
Yabar, Wilmer |
1962411579 |
Dentist |
UNKNOWN |
675 E Grand Blvd, Ste 104 |
Corona |
Riverside |
92879 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1609077361 |
21250 |
21250 |
33.8737806684 |
-117.558909399 |
-118.187343371599 |
33.8090145901513 |
24655 |
Taylor, David |
1962416859 |
Dentist |
UNKNOWN |
455 E. Columbia Street, Suite 32 |
Long Beach |
Los Angeles |
90806 |
California |
2018 |
2019 |
3 |
MU |
DENTAL HEALTH CHILDREN'S |
1760517213 |
38250 |
8500 |
33.8090145898 |
-118.187343372 |
-118.275535583201 |
34.0288800246934 |
24681 |
Silver, Roy |
1962465310 |
Physician |
OBSTETRICS/GYNECOLOGY |
2502 S Figueroa st |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1962465310 |
21250 |
21250 |
34.0288800252 |
-118.275535583 |
-119.13169066839 |
36.2988754701269 |
24684 |
Awad, Mira |
1962470922 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1014 San Juan Avenue |
Exeter |
Tulare |
93221 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1962470922 |
21250 |
21250 |
36.2988754701 |
-119.131690668 |
-119.159698864611 |
34.2931563264034 |
24688 |
Mendoza, Jose |
1962471078 |
Nurse Practitioner |
UNKNOWN |
200 S. Wells Rd, Suite 150 |
Ventura |
Ventura |
93004 |
California |
2018 |
2019 |
5 |
MU |
DEL CAMINO REAL CLINICAS |
1912123431 |
55250 |
8500 |
34.2931563259 |
-119.159698865 |
-121.769725499832 |
36.9169110002425 |
24702 |
Solinas, Jeffrey |
1962498006 |
Physician |
FAMILY PRACTICE |
1150 Main St, Ste 3 |
Watsonville |
Santa Cruz |
95076 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1962498006 |
29750 |
8500 |
36.916911 |
-121.7697255 |
-122.408336258412 |
37.793988954027 |
24704 |
Louie, Dexter |
1962501700 |
Physician |
OTOLARYNGOLOGY |
929 Clay St, Suite 501 |
San Francisco |
San Francisco |
94108 |
California |
2014 |
2015 |
4 |
MU |
DEXTER MD LOUIE |
1295893345 |
46750 |
8500 |
37.7939889545 |
-122.408336258 |
-117.160377516809 |
32.7500307121477 |
24706 |
Govender, Shamini |
1962504423 |
Physician |
UNKNOWN |
550 Washington St, Ste 300 |
San Diego |
San Diego |
92103 |
California |
2014 |
2015 |
3 |
MU |
Designated Payee Name not Found |
1962504423 |
38250 |
8500 |
32.7500307119 |
-117.160377517 |
-117.926413557839 |
34.0094014807938 |
24708 |
Pharar, Vijay |
1962506972 |
Dentist |
UNKNOWN |
17311 Valley Blvd # B |
LA Puente |
Los Angeles |
91744 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1962506972 |
21250 |
21250 |
34.0094014811 |
-117.926413558 |
-122.067924543883 |
38.257512822259 |
24719 |
SON, JEONG |
1962514695 |
Dentist |
UNKNOWN |
1363 Oliver Road, Suite A |
Fairfield |
Solano |
94534 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1962514695 |
21250 |
21250 |
38.2575128218 |
-122.067924544 |
-117.710425994564 |
33.6092109530231 |
24721 |
Soraya, kristin |
1962520734 |
Dentist |
UNKNOWN |
23961 Calle De La Magdalena, ste. 431 |
Laguna Hills |
Orange |
92653 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1962520734 |
21250 |
21250 |
33.6092109531 |
-117.710425995 |
-121.862700000305 |
36.5863950001292 |
24726 |
Liu, Sara |
1962527770 |
Physician |
UNKNOWN |
1900 Garden Rd, Suite 110 |
Monterey |
Monterey |
93940 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1962527770 |
14166.67 |
14166.67 |
36.586395 |
-121.8627 |
-117.435685293042 |
34.0868837246043 |
24737 |
yang, lan |
1962539403 |
Dentist |
UNKNOWN |
9193 Sierra Ave, Suite D |
Fontana |
San Bernardino |
92335 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP FONTANA |
1205051000 |
21250 |
21250 |
34.0868837252 |
-117.435685293 |
-118.193679000086 |
33.9425640003284 |
24744 |
HO, LILLIAN |
1962558221 |
Dentist |
UNKNOWN |
4444 Tweedy Blvd |
South Gate |
Los Angeles |
90280 |
California |
2015 |
2016 |
1 |
AIU |
DENTAL GROUP CHILDREN'S |
1366549545 |
21250 |
21250 |
33.942564 |
-118.193679 |
-118.396491247173 |
34.2077081073433 |
24751 |
Mosqueda, Lourdes |
1962557108 |
Physician |
UNKNOWN |
7544 Laurel Canyon Blvd, Suite 1 |
Hollywood |
Los Angeles |
91605 |
California |
2020 |
2020 |
4 |
MU |
DE SILVA M.D. A PROF JANESRI |
1326278490 |
46750 |
8500 |
34.2077081071 |
-118.396491247 |
-115.558425529814 |
32.7706346298843 |
24752 |
YAN, LEON |
1962569228 |
Physician |
UNKNOWN |
651 Wake Ave |
El Centro |
Imperial |
92243 |
California |
2018 |
2019 |
5 |
MU |
DE SALUD DEL CLINICAS |
1487741773 |
55250 |
8500 |
32.77063463 |
-115.55842553 |
-117.867477936358 |
33.7790861138332 |
24753 |
Gad, Mona |
1962564013 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-120.982234500022 |
37.6472045360605 |
24757 |
raras, teresa |
1962572743 |
Physician |
PSYCHIATRY |
800 Scenic Drive |
Modesto |
Stanislaus |
95350 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1831227974 |
21250 |
21250 |
37.6472045364 |
-120.9822345 |
-118.325951999785 |
33.8824259996602 |
24758 |
QUIZON, NICOLAS |
1962571034 |
Dentist |
UNKNOWN |
16300 Crenshaw Blvd, STE 108 |
Torrance |
Los Angeles |
90504 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1326306077 |
21250 |
21250 |
33.882426 |
-118.325952 |
-124.141090919211 |
40.7859195138745 |
24774 |
Taylor, Ellen |
1962598680 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
2412 Buhne Street |
Eureka |
Humboldt |
95501 |
California |
2017 |
2018 |
6 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
63750 |
8500 |
40.785919514 |
-124.141090919 |
-117.66381299977 |
33.5611710003415 |
24788 |
Kay, James |
1962616656 |
Physician |
UNKNOWN |
27800 Medical Center Rd |
Mission Viejo |
Orange |
92691 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1962616656 |
21250 |
21250 |
33.561171 |
-117.663813 |
-117.867477936358 |
33.7790861138332 |
24802 |
Abdelhadi, Hatem |
1962658955 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.416122999577 |
34.0138709998468 |
24803 |
Wittenberg Bravard, Judy |
1962664136 |
Nurse Practitioner |
UNKNOWN |
11101 Venice Blvd |
Los Angeles |
Los Angeles |
90034 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1962664136 |
29750 |
8500 |
34.013871 |
-118.416123 |
-117.867477936358 |
33.7790861138332 |
24806 |
Nadella, Deepika |
1962673681 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.146181542444 |
40.8024420806375 |
24813 |
Metcalfe, Kristen |
1962690594 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2018 |
2019 |
5 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
55250 |
8500 |
40.802442081 |
-124.146181542 |
-117.902300932442 |
33.753448320084 |
24820 |
Shokoohy, Fariba |
1962694869 |
Physician |
FAMILY PRACTICE |
1002 N Fairview St |
Santa Ana |
Orange |
92703 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1962694869 |
21250 |
21250 |
33.75344832 |
-117.902300932 |
-118.308918870809 |
33.751809704954 |
24827 |
Kimura, Jennifer |
1962717637 |
Dentist |
UNKNOWN |
946 N Western Ave |
San Pedro |
Los Angeles |
90732 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1962717637 |
21250 |
21250 |
33.7518097051 |
-118.308918871 |
-117.867477936358 |
33.7790861138332 |
24829 |
Tran, Khoi |
1962719120 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.152477366337 |
34.0313667805526 |
24840 |
Antonio, Cynthia |
1962745554 |
Nurse Practitioner |
UNKNOWN |
5240 Beverly Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1962745554 |
21250 |
21250 |
34.031366781 |
-118.152477366 |
-119.781351569619 |
36.8367656956804 |
24846 |
Luu, Hong |
1962758748 |
Doctor of Optometry |
UNKNOWN |
6767 N Fresno Street, Suite 101 |
Fresno |
UNKNOWN |
93710 |
California |
2018 |
2019 |
4 |
MU |
DAVID B MD INC KAYE |
1811068455 |
46750 |
8500 |
36.8367656961 |
-119.78135157 |
-117.47380489438 |
33.9050536770856 |
24868 |
Espino, Elizabeth |
1962823260 |
Dentist |
UNKNOWN |
10925 Magnolia Ave |
Riverside |
Riverside |
92505 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1972922250 |
21250 |
21250 |
33.9050536769 |
-117.473804894 |
-118.467036000211 |
34.2354984751746 |
24874 |
Shouhed, Jonathan |
1962836650 |
Dentist |
UNKNOWN |
15350 Nordhoff Street |
North Hills |
Los Angeles |
91343 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1962836650 |
21250 |
21250 |
34.2354984746 |
-118.467036 |
-117.168696243936 |
33.5172965472979 |
24877 |
Lim, Richard |
1962842575 |
Dentist |
UNKNOWN |
41790 Winchester Rd, Suite D |
Temecula |
Riverside |
92590 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1497146872 |
21250 |
21250 |
33.5172965467 |
-117.168696244 |
-120.827405971908 |
38.706282365339 |
24888 |
Rasmussen, Dale |
1962880864 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4327 Golden Center Drive |
Placerville |
El Dorado |
95667 |
California |
2020 |
2020 |
5 |
MU |
DORADO COUNTY COMM EL |
1316050107 |
55250 |
8500 |
38.706282365 |
-120.827405972 |
-124.083714126805 |
40.8760468021183 |
24897 |
Lam, Dung Gloria |
1972052496 |
Nurse Practitioner |
UNKNOWN |
785 18th St |
Arcata |
Humboldt |
95521 |
California |
2018 |
2019 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
38250 |
8500 |
40.8760468021 |
-124.083714127 |
-116.969501323727 |
33.7294678923294 |
24920 |
patel, vimal |
1972531754 |
Dentist |
UNKNOWN |
240 E Stetson Ave |
Hemet |
Riverside |
92543 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1972531754 |
21250 |
21250 |
33.7294678924 |
-116.969501324 |
-121.931844043068 |
37.3128740632874 |
24922 |
PELAYO, LETICIA |
1972532034 |
Physician |
UNKNOWN |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1972532034 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-116.961791977218 |
33.2771591455781 |
24924 |
DAVIDSON, ELAINE |
1972534691 |
Physician |
FAMILY PRACTICE |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1972534691 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
-117.958457426669 |
33.7815671383128 |
24932 |
Heidelbaugh, Shelly |
1972545747 |
Physician |
UNKNOWN |
12462 Brookhurst St, #A&B |
Garden Grove |
Orange |
92840 |
California |
2015 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1972545747 |
29750 |
8500 |
33.7815671385 |
-117.958457427 |
-124.146181542444 |
40.8024420806375 |
24934 |
BAIRD, DONALD |
1972554301 |
Physician |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2018 |
2019 |
6 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
63750 |
8500 |
40.802442081 |
-124.146181542 |
-118.443346549004 |
34.0637399640282 |
24943 |
Perens, Gregory |
1972530988 |
Physician |
PEDIATRIC MEDICINE |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1972530988 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-117.653022000365 |
34.0705785032953 |
24946 |
ESPARZA, OSCAR |
1972576130 |
Dentist |
UNKNOWN |
213 W G St |
Ontario |
San Bernardino |
91762 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1972576130 |
21250 |
21250 |
34.0705785032 |
-117.653022 |
-117.455048185925 |
33.9156370338221 |
24948 |
Kwon, Ohjae |
1972576866 |
Dentist |
UNKNOWN |
9939 Magnolia Ave |
Riverside |
Riverside |
92503 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1881741429 |
21250 |
21250 |
33.9156370345 |
-117.455048186 |
-121.289971500085 |
37.9695690002092 |
24949 |
Chao, Andrew |
1972578896 |
Physician |
UNKNOWN |
1617 N California St, Ste. 2D |
Stockton |
San Joaquin |
95204 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1972578896 |
21250 |
21250 |
37.969569 |
-121.2899715 |
-118.143020916782 |
34.025680699105 |
24959 |
Rodriguez, Miguel |
1972600880 |
Physician |
INTERNAL MEDICINE |
5836 E Beverly Blvd |
Los Angeles |
Los Angeles |
90022 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1972600880 |
29750 |
8500 |
34.0256806986 |
-118.143020917 |
-118.312361722016 |
34.0616663558177 |
24962 |
Barnajian, Parnaz |
1972608123 |
Dentist |
UNKNOWN |
3932 Wilshire Blvd, Ste. 100 |
Los Angeles |
Los Angeles |
90010 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1528070703 |
21250 |
21250 |
34.0616663563 |
-118.312361722 |
-121.983514514783 |
37.5494993399226 |
24963 |
Bessega, Samantha |
1972574325 |
Physician |
INTERNAL MEDICINE |
39184 State St, Tri-City Health Center |
Fremont |
Alameda |
94538 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1972574325 |
21250 |
21250 |
37.54949934 |
-121.983514515 |
-122.264479755137 |
37.5041641603478 |
24969 |
Parikh, Dipty |
1972622058 |
Dentist |
UNKNOWN |
1512 San Carlos Ave |
San Carlos |
San Mateo |
94070 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1972622058 |
21250 |
21250 |
37.5041641603 |
-122.264479755 |
-117.086269499638 |
32.6968215067072 |
24973 |
Crawford, Michael |
1972628196 |
Dentist |
UNKNOWN |
5060 Logan Ave |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1972628196 |
21250 |
21250 |
32.6968215071 |
-117.0862695 |
-121.315126499988 |
38.7053369998027 |
24975 |
jang, weonsuk |
1972630374 |
Dentist |
UNKNOWN |
6416 Tupelo Dr |
Citrus Heights |
Sacramento |
95621 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1306035456 |
21250 |
21250 |
38.705337 |
-121.3151265 |
-118.208727034825 |
33.9067317445744 |
24986 |
MURTHY, NAGARAJ |
1972643500 |
Dentist |
UNKNOWN |
1601 N Long Beach Blvd |
Compton |
Los Angeles |
90221 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1972643500 |
21250 |
21250 |
33.9067317454 |
-118.208727035 |
-121.29371550007 |
37.9687049999358 |
24987 |
Oronce, Maria Theresa |
1972643799 |
Dentist |
UNKNOWN |
1610 N El Dorado St, Suite 4 |
Stockton |
San Joaquin |
95204 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1073879243 |
21250 |
21250 |
37.968705 |
-121.2937155 |
-121.422356999576 |
38.4389999996503 |
24990 |
Trieu, My Hanh |
1972644052 |
Dentist |
UNKNOWN |
8735 Center Parkway, #150 |
Sacramento |
Sacramento |
95823 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1972644052 |
21250 |
21250 |
38.439 |
-121.422357 |
-118.352347046979 |
33.9017639327594 |
24991 |
Hanna, Hanna |
1972648061 |
Dentist |
UNKNOWN |
14314 Hawthorne Blvd |
Lawndale |
Los Angeles |
90260 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1972648061 |
21250 |
21250 |
33.901763933 |
-118.352347047 |
-116.542844999997 |
33.8372639998338 |
24992 |
Domagalski, Jason |
1972647170 |
Physician |
UNKNOWN |
555 E Tachevah Dr, Ste 2E-107 |
Palm Springs |
Riverside |
92262 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1558797118 |
21250 |
21250 |
33.837264 |
-116.542845 |
-118.278165262917 |
34.0544193004104 |
24994 |
Ramirez, William |
1972644524 |
Dentist |
UNKNOWN |
811 S Alvarado St |
Los Angeles |
Los Angeles |
90057 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1972644524 |
21250 |
21250 |
34.0544192998 |
-118.278165263 |
-117.152095919991 |
32.797887147374 |
24995 |
Rawlings, William |
1972648137 |
Dentist |
UNKNOWN |
8110 Birmingham Way |
San Diego |
San Diego |
92123 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DE LA COMUNI CENTRO |
1477730737 |
21250 |
21250 |
32.7978871469 |
-117.15209592 |
-120.827405971908 |
38.706282365339 |
24997 |
Williams, Charlene |
1972649275 |
Nurse Practitioner |
NURSE PRACTITIONER |
4327 Golden Center Drive |
Placerville |
El Dorado |
95667 |
California |
2011 |
2012 |
1 |
AIU |
DORADO COUNTY COMM EL |
1316050107 |
21250 |
21250 |
38.706282365 |
-120.827405972 |
-118.109628000132 |
34.0100730000689 |
24998 |
Salmassian, Reza |
1972655009 |
Dentist |
UNKNOWN |
833 W Whittier |
Montebello |
Los Angeles |
90640 |
California |
2015 |
2015 |
1 |
AIU |
DENTALVILLE |
1558588566 |
21250 |
21250 |
34.010073 |
-118.109628 |
-118.187954999624 |
34.0361999998302 |
25000 |
Sabounjian, Jack |
1972659548 |
Dentist |
UNKNOWN |
3635 E. First Street |
Los Angeles |
Los Angeles |
90063 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1770654410 |
21250 |
21250 |
34.0362 |
-118.187955 |
-117.783972068556 |
33.7082332566595 |
25001 |
aziz, manal |
1972664985 |
Dentist |
UNKNOWN |
14150 Culver Dr, Suite 205 |
Irvine |
Orange |
92604 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1417234162 |
21250 |
21250 |
33.7082332573 |
-117.783972069 |
-122.265386154847 |
37.8217304104302 |
25003 |
Hicks, Kimberly |
1972661254 |
Physician |
INTERNAL MEDICINE |
3317 Elm St, Suite 102 |
Oakland |
Alameda |
94609 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1972661254 |
21250 |
21250 |
37.8217304105 |
-122.265386155 |
-117.992169000099 |
33.7594770000636 |
25004 |
Nguyen, Hung |
1972667079 |
Doctor of Optometry |
UNKNOWN |
7841 Westminster BLVD |
Westminster |
Orange |
92683 |
California |
2016 |
2017 |
1 |
MU |
Designated Payee Name not Found |
1972667079 |
21250 |
21250 |
33.759477 |
-117.992169 |
-119.79148950024 |
36.7756739999552 |
25005 |
Gonzalez, Jose |
1972668499 |
Dentist |
UNKNOWN |
2735 N Blackstone Ave |
Fresno |
Fresno |
93703 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1457551491 |
21250 |
21250 |
36.775674 |
-119.7914895 |
-117.867477936358 |
33.7790861138332 |
25007 |
Kolchansky, Mark |
1972667863 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.236999565278 |
37.4867480316964 |
25008 |
northcutt, michael |
1972669174 |
Dentist |
UNKNOWN |
193 ARCH ST, STE B-C |
REDWOOD CITY |
San Mateo |
94062 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1124093752 |
21250 |
21250 |
37.4867480317 |
-122.236999565 |
-121.771267523278 |
36.9394563240502 |
25014 |
Sachdev, Deepak |
1972679884 |
Dentist |
UNKNOWN |
122 Thicket Ln |
Freedom |
Santa Cruz |
95019 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1972679884 |
21250 |
21250 |
36.9394563239 |
-121.771267523 |
-122.006156950083 |
39.2058893552096 |
25015 |
toribio, Gerardo |
1972679496 |
Physician |
PSYCHIATRY |
162 E Carson St, Suite A |
Colusa |
Colusa |
95932 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1902929052 |
21250 |
21250 |
39.2058893545 |
-122.00615695 |
-121.931844043068 |
37.3128740632874 |
25023 |
Walker, Jeffrey |
1972685931 |
Physician |
UNKNOWN |
751 S Bascom Ave, Pediatrics Dept |
San Jose |
Santa Clara |
95128 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1972685931 |
29750 |
8500 |
37.3128740633 |
-121.931844043 |
-118.344703500266 |
33.9644815478852 |
25032 |
Guevara, Doris |
1972696383 |
Dentist |
UNKNOWN |
652 E Regent St |
Inglewood |
Los Angeles |
90301 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1073719373 |
21250 |
21250 |
33.9644815476 |
-118.3447035 |
-121.931844043068 |
37.3128740632874 |
25038 |
Wang, Clifford |
1972698769 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave, Internal Medicine Dept |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1588721500 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-121.049985338253 |
37.6978277040853 |
25045 |
Tran, Anthony |
1972703601 |
Dentist |
UNKNOWN |
4048 Dale Road, Suite 203 |
Modesto |
Stanislaus |
95350 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1417072729 |
21250 |
21250 |
37.6978277041 |
-121.049985338 |
-117.867477936358 |
33.7790861138332 |
25052 |
ALVAREZ, MARIA LOURDES |
1972710317 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.081873000139 |
32.682419999983 |
25062 |
Velasquez, Sharon |
1972732584 |
Physician |
FAMILY PRACTICE |
2400 E. 8TH STREET, SUITE A |
NATIONAL CITY |
San Diego |
91950 |
California |
2016 |
2017 |
5 |
MU |
DE SALUD DE LA CENTRO |
1598907487 |
55250 |
8500 |
32.68242 |
-117.081873 |
-117.867477936358 |
33.7790861138332 |
25064 |
Aujla, Nina |
1972742922 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.248041151878 |
33.9181844426579 |
25080 |
GU, YIXIONG |
1972783066 |
Dentist |
UNKNOWN |
23750 ALESSANDRO BLVD, Suite O-102 |
MORENO VALLEY |
Riverside |
92553 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1891068748 |
21250 |
21250 |
33.9181844427 |
-117.248041152 |
-118.084720499951 |
34.5797370001625 |
25082 |
Sanderson, Vanessa |
1972783868 |
Dentist |
UNKNOWN |
2508 E. Palmdale Blvd. |
Palmdale |
Los Angeles |
93550 |
California |
2013 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1972783868 |
21250 |
21250 |
34.579737 |
-118.0847205 |
-118.605927964304 |
34.1893799995873 |
25083 |
massoumi, Sayeh |
1972795953 |
Dentist |
UNKNOWN |
6543 Topanga Cyn Blvd |
Woodland Hills |
Los Angeles |
91303 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1083887178 |
21250 |
21250 |
34.18938 |
-118.605927964 |
-118.244744999682 |
34.1459010000312 |
25088 |
Mirmarashi, Babak |
1972772457 |
Dentist |
UNKNOWN |
814 E. Broadway St. Suite 4 |
Glendale |
UNKNOWN |
91205 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1902296395 |
21250 |
21250 |
34.145901 |
-118.244745 |
-122.296689000297 |
40.4506349998055 |
25098 |
Cates, Jeri |
1972831519 |
Nurse Practitioner |
UNKNOWN |
2830 East St |
Anderson |
Shasta |
96007 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1972831519 |
21250 |
21250 |
40.450635 |
-122.296689 |
-118.284093419376 |
33.9600357772294 |
25108 |
NAFISI, NIKZAD |
1972855658 |
Dentist |
UNKNOWN |
600 W Manchester Ave, Suite 2 |
Los Angeles |
Los Angeles |
90044 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1972855658 |
21250 |
21250 |
33.9600357774 |
-118.284093419 |
-117.867477936358 |
33.7790861138332 |
25119 |
AlHassan, Waleed |
1972895977 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-116.956336499929 |
33.7841549995537 |
25121 |
Barve, Pranav |
1972899839 |
Physician |
UNKNOWN |
341 E Main St, suite 100 |
San Jacinto |
Riverside |
92583 |
California |
2016 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1972899839 |
29750 |
8500 |
33.784155 |
-116.9563365 |
-119.018416499822 |
35.3738699996009 |
25150 |
Nguyen, Trang |
1982011227 |
Dentist |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-124.146181542444 |
40.8024420806375 |
25153 |
Stroup, Allegra |
1982018966 |
Nurse Practitioner |
UNKNOWN |
2200 Tydd St |
Eureka |
Humboldt |
95501 |
California |
2017 |
2018 |
3 |
MU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
38250 |
8500 |
40.802442081 |
-124.146181542 |
-117.867477936358 |
33.7790861138332 |
25160 |
Kim, Jung |
1982031589 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.268789999958 |
38.6443529996913 |
25167 |
Musser, James |
1982085650 |
Dentist |
UNKNOWN |
10425 Fair Oaks Blvd, Suite 101 |
Fair Oaks |
Sacramento |
95628 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1982085650 |
21250 |
21250 |
38.644353 |
-121.26879 |
-124.083714126805 |
40.8760468021183 |
25168 |
Denton, Heidi |
1982086385 |
Physician |
UNKNOWN |
785 18th St |
Arcata |
Humboldt |
95521 |
California |
2018 |
2019 |
3 |
MU |
DOOR COMM HLTH CTRS OPEN |
1689778813 |
38250 |
8500 |
40.8760468021 |
-124.083714127 |
-118.264014622976 |
34.0306219386516 |
25170 |
Avalos, Jose |
1982086278 |
Nurse Practitioner |
UNKNOWN |
122 E Washington Blvd |
Los Angeles |
Los Angeles |
90015 |
California |
2016 |
2018 |
1 |
AIU |
Designated Payee Name not Found |
1982086278 |
21250 |
21250 |
34.0306219387 |
-118.264014623 |
-121.814644500144 |
37.3078620003311 |
25173 |
Le, Tuan |
1982602710 |
Physician |
INTERNAL MEDICINE |
1569 Lexann Ave, Suite 122 |
San Jose |
Santa Clara |
95121 |
California |
2013 |
2013 |
2 |
MU |
Designated Payee Name not Found |
1982602710 |
29750 |
8500 |
37.307862 |
-121.8146445 |
-121.931844043068 |
37.3128740632874 |
25184 |
McCarthy, Michael |
1982616553 |
Physician |
INTERNAL MEDICINE |
751 S Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1982616553 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.019744216123 |
34.8880684179232 |
25188 |
lee, sungho |
1982625711 |
Dentist |
UNKNOWN |
570 E Virginia Way |
Barstow |
San Bernardino |
92311 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1598808453 |
21250 |
21250 |
34.888068418 |
-117.019744216 |
-119.17556099984 |
34.1953289996337 |
25192 |
Maiti, Srimati |
1982627170 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
NURSE PRACTITIONER |
650 Meta Street, Clinicas Del Camino Real Inc |
Oxnard |
Ventura |
93030 |
California |
2018 |
2019 |
4 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
46750 |
8500 |
34.195329 |
-119.175561 |
-120.647045100951 |
35.2751501739414 |
25201 |
Dolezal, Kathryn |
1982645180 |
Nurse Practitioner |
NURSE PRACTITIONER |
2180 Johnson Ave |
San Luis Obispo |
San Luis Obispo |
93401 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1376754143 |
21250 |
21250 |
35.2751501744 |
-120.647045101 |
-117.954694203675 |
33.7360635004302 |
25234 |
Ngo, Dean |
1982690582 |
Physician |
UNKNOWN |
15606 Brookhurst Street, Suite B |
Westminster |
Orange |
92683 |
California |
2018 |
2019 |
6 |
MU |
DEAN B MD INC NGO |
1508990664 |
42500 |
8500 |
33.7360635 |
-117.954694204 |
-121.299578999771 |
37.9611179998958 |
25238 |
SOUTHMAYD, ROBERT |
1982700969 |
Physician |
OBSTETRICS/GYNECOLOGY |
420 W Acacia St, SUITE 11 |
Stockton |
San Joaquin |
95203 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1073619060 |
21250 |
21250 |
37.961118 |
-121.299579 |
-117.115844789705 |
32.7140570020291 |
25245 |
De la Mora, Oscar |
1982703898 |
Physician |
PEDIATRIC MEDICINE |
995 Gateway Center Way Ste 202, Apt/Suite |
San Diego |
San Diego |
92102 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1982703898 |
21250 |
21250 |
32.7140570019 |
-117.11584479 |
-117.259848000285 |
33.9187320002816 |
25246 |
DEZA, ROCIO |
1982707907 |
Dentist |
UNKNOWN |
23080 Alessandro Blvd, Suite 201 |
Moreno Valley |
Riverside |
92553 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1548612856 |
21250 |
21250 |
33.918732 |
-117.259848 |
-117.867477936358 |
33.7790861138332 |
25278 |
Alvisse, Carlo |
1982740296 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-115.558425529814 |
32.7706346298843 |
25280 |
Shirey, Philip |
1982750253 |
Nurse Practitioner |
UNKNOWN |
651 Wake Ave, Ste. 4 |
El Centro |
Imperial |
92243 |
California |
2011 |
2012 |
1 |
AIU |
DE SALUD DEL CLINICAS |
1487741773 |
21250 |
21250 |
32.77063463 |
-115.55842553 |
-119.159698864611 |
34.2931563264034 |
25288 |
Bimbela, Alfredo |
1982746749 |
Nurse Practitioner |
CLINICAL PSYCHOLOGIST |
200 S. Wells Road, Suite 250 |
Ventura |
Ventura |
93004 |
California |
2012 |
2013 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-117.985531499779 |
33.817539506643 |
25289 |
NGUYEN, MINH |
1982759163 |
Dentist |
UNKNOWN |
2801 W. BALL RD, Suite 10 |
ANAHEIM |
Orange |
92804 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1770785651 |
21250 |
21250 |
33.8175395074 |
-117.9855315 |
-117.867477936358 |
33.7790861138332 |
25293 |
niknafs, kourosh |
1982762985 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.335127483147 |
34.021215000372 |
25298 |
Bae, Peter |
1982772240 |
Dentist |
UNKNOWN |
3651 Crenshaw Blvd. |
Los Angeles |
Los Angeles |
90016 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1659689016 |
21250 |
21250 |
34.021215 |
-118.335127483 |
-117.867477936358 |
33.7790861138332 |
25301 |
Fagin-Hutchings, Mark |
1982772737 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-123.659181999949 |
41.23062599999 |
25305 |
Smith, Eva |
1982773099 |
Physician |
PREVENTATIVE MEDICINE |
1200 Airport Road |
Hoopa |
Humboldt |
95546 |
California |
2013 |
2015 |
2 |
MU |
Designated Payee Name not Found |
1982773099 |
29750 |
8500 |
41.230626 |
-123.659182 |
-118.284884999943 |
34.0523784823811 |
25308 |
kim, john |
1982777918 |
Dentist |
UNKNOWN |
2528 West Olympic Blvd., Suite 110-111 |
Los Angeles |
Los Angeles |
90006 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1982777918 |
21250 |
21250 |
34.0523784823 |
-118.284885 |
-117.692675999798 |
34.063104512963 |
25311 |
Starks, D'Mitri |
1982785390 |
Physician |
UNKNOWN |
5153 Holt Blvd., Suite B2 |
Montclair |
San Bernardino |
91763 |
California |
2011 |
2012 |
1 |
AIU |
D'MITRI MD STARKS |
1982785390 |
21250 |
21250 |
34.0631045134 |
-117.692676 |
-117.956889000027 |
33.788330999676 |
25317 |
Tran, Ken |
1982791786 |
Dentist |
UNKNOWN |
10092 Chapman Ave Ste 4 |
Garden Grove |
Orange |
92840 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1144321464 |
21250 |
21250 |
33.788331 |
-117.956889 |
-118.010002725345 |
33.8172890994124 |
25318 |
Agha, Maissa |
1982792115 |
Dentist |
UNKNOWN |
3441 W Ball Rd, Suite A |
Anaheim |
Orange |
92804 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1982792115 |
21250 |
21250 |
33.8172890994 |
-118.010002725 |
-117.888678000289 |
33.7883670004368 |
25321 |
CHANG, JAE C |
1982784070 |
Physician |
HEMATOLOGY |
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH |
ORANGE |
Orange |
92868 |
California |
2011 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1407058787 |
21250 |
21250 |
33.788367 |
-117.888678 |
-118.427552999671 |
34.2016560000245 |
25325 |
Nargizyan, Hovsep |
1982799276 |
Dentist |
UNKNOWN |
13521 Sherman Way, Suite H |
Van Nuys |
Los Angeles |
91405 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1104269976 |
21250 |
21250 |
34.201656 |
-118.427553 |
-117.169275794942 |
32.7879564007673 |
25329 |
LUNDEBERG, PATRICIA |
1982799888 |
Physician |
UNKNOWN |
7011 Linda Vista Road |
San Diego |
San Diego |
92111 |
California |
2016 |
2017 |
1 |
AIU |
DIEGO FAMILY CARE SAN |
1457724858 |
21250 |
21250 |
32.787956401 |
-117.169275795 |
-119.17556099984 |
34.1953289996337 |
25337 |
BAKSHANDEH, SYD |
1982820932 |
Physician |
INTERNAL MEDICINE |
650 Meta Street |
Oxnard |
Ventura |
93030 |
California |
2015 |
2017 |
3 |
MU |
DEL CAMINO REAL CLINICAS |
1396961884 |
38250 |
8500 |
34.195329 |
-119.175561 |
-118.284884999943 |
34.0523784823811 |
25343 |
Kim, James |
1982821666 |
Dentist |
UNKNOWN |
2528 West Olympic Blvd., Suite 110-111 |
Los Angeles |
Los Angeles |
90006 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1982821666 |
21250 |
21250 |
34.0523784823 |
-118.284885 |
-118.188290982743 |
33.8055299996099 |
25377 |
Bhangoo, Amrit |
1982882254 |
Physician |
UNKNOWN |
2650 Elm Ave, Ste # 210 |
Long Beach |
Los Angeles |
90806 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1982882254 |
21250 |
21250 |
33.80553 |
-118.188290983 |
-117.867477936358 |
33.7790861138332 |
25390 |
Arjmandi, Mojgan |
1982903084 |
Dentist |
UNKNOWN |
530 S Main Street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-118.090578296151 |
34.0525919409653 |
25396 |
Xu, Shaun |
1982915799 |
Dentist |
UNKNOWN |
2111 N. San Gabriel Blvd, Suite I |
Rosemead |
Los Angeles |
91770 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1356717565 |
21250 |
21250 |
34.0525919409 |
-118.090578296 |
-120.469905714877 |
37.3186136067326 |
25398 |
El-Zuhery, Hossam |
1982922993 |
Dentist |
UNKNOWN |
45 W OLIVE AVE, Suite 115 |
MERCED |
Merced |
95348 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1952318529 |
21250 |
21250 |
37.3186136065 |
-120.469905715 |
-117.161098636393 |
32.7504236969961 |
25402 |
Passero, Frank |
1982928636 |
Physician |
UNKNOWN |
4020 Fifth Ave |
San Diego |
San Diego |
92103 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1982928636 |
21250 |
21250 |
32.7504236966 |
-117.161098636 |
-117.867477936358 |
33.7790861138332 |
25408 |
Aghakhan-Moheb, Ahmad |
1982937850 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
25410 |
Park, Olivia |
1982952198 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-122.798916000373 |
39.0927060001818 |
25412 |
Reams, Douglas |
1982943510 |
Dentist |
UNKNOWN |
6075 East Highway 20 |
Lucerne |
Lake |
95458 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1558442905 |
21250 |
21250 |
39.092706 |
-122.798916 |
-117.867477936358 |
33.7790861138332 |
25414 |
MAHESHWARI, MUKESH |
1982958039 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.018416499822 |
35.3738699996009 |
25423 |
Taveros, Mel Clark |
1982973582 |
Physician |
UNKNOWN |
1430 Truxtun Ave |
Bakersfield |
Kern |
93301 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1245234673 |
21250 |
21250 |
35.37387 |
-119.0184165 |
-117.897956417355 |
34.0725451614301 |
25426 |
razi, miriam |
1982981957 |
Dentist |
UNKNOWN |
2233 E. Garvey Ave N |
West Covina |
Los Angeles |
91791 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1992892616 |
21250 |
21250 |
34.0725451614 |
-117.897956417 |
-117.261547488726 |
33.9357600004237 |
25436 |
Shin, Sang gyu |
1992013080 |
Dentist |
UNKNOWN |
12625 FREDERICK ST, STE F4 |
MORENO VALLEY |
Riverside |
92553 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1821425232 |
21250 |
21250 |
33.93576 |
-117.261547489 |
-121.376389500375 |
38.5562970003064 |
25453 |
Fuentes-Colasse, Jessica |
1992072060 |
Dentist |
UNKNOWN |
8890 Cal Center Drive |
Sacramento |
Sacramento |
95826 |
California |
2018 |
2019 |
3 |
MU |
DINSHAW SARKARI ADC CHERAG |
1821152562 |
38250 |
8500 |
38.556297 |
-121.3763895 |
-123.211126833337 |
39.1278118681233 |
25455 |
Sevilla Perez, Shamir |
1992077572 |
Dentist |
UNKNOWN |
333 Laws Avenue |
Ukiah |
Mendocino |
95482 |
California |
2016 |
2017 |
2 |
MU |
Designated Payee Name not Found |
1992077572 |
29750 |
8500 |
39.1278118679 |
-123.211126833 |
-117.867477936358 |
33.7790861138332 |
25461 |
Dharma, Kanchan |
1992090856 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
25467 |
Tajbakhsh, Anahita |
1992088306 |
Dentist |
UNKNOWN |
530 South Main St., Suite # 6984 |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
25471 |
bakhtiari, bahareh |
1992104004 |
Dentist |
UNKNOWN |
530 south main street, Norwalk and Keily |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-121.626878573687 |
36.6796192540254 |
25492 |
Garcia, Jocelyn |
1992198212 |
Nurse Practitioner |
UNKNOWN |
950 Circle Dr |
Salinas |
UNKNOWN |
93905 |
California |
2016 |
2017 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.6796192539 |
-121.626878574 |
-119.159698864611 |
34.2931563264034 |
25493 |
Patel, Nisha |
1992195127 |
Dentist |
UNKNOWN |
200 S Wells Rd, Suite 200 |
Ventura |
Ventura |
93004 |
California |
2016 |
2016 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.132092000046 |
34.1793720003176 |
25502 |
CAMPBELL, DAVID |
1992703763 |
Dentist |
UNKNOWN |
1955 LAKE AVE. |
ALTADENA |
Los Angeles |
91001 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1194724070 |
21250 |
21250 |
34.179372 |
-118.132092 |
-120.413076960333 |
34.9528340951175 |
25506 |
Kleinsasser, Rick |
1992714273 |
Dentist |
UNKNOWN |
1430 E Main St Ste 203 |
Santa Maria |
Santa Barbara |
93454 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1992714273 |
21250 |
21250 |
34.9528340951 |
-120.41307696 |
-119.159698864611 |
34.2931563264034 |
25510 |
Kassem, Zoheir |
1992718654 |
Physician |
PSYCHIATRY |
200 S Wells Rd |
Ventura |
Ventura |
93004 |
California |
2011 |
2012 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1396961884 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-118.443346549004 |
34.0637399640282 |
25513 |
Singer, Jennifer |
1992725170 |
Physician |
UROLOGY |
10833 Le Conte Ave |
Los Angeles |
Los Angeles |
90095 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1992725170 |
21250 |
21250 |
34.0637399643 |
-118.443346549 |
-115.532288999937 |
32.9786554903586 |
25523 |
Admani, Mohammad |
1992734842 |
Physician |
UNKNOWN |
565 Main Street |
Brawley |
Imperial |
92227 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1992734842 |
21250 |
21250 |
32.9786554899 |
-115.532289 |
-117.646504155742 |
34.0888076001906 |
25524 |
Sheth, Deepak |
1992733323 |
Physician |
UROLOGY |
360 E 7th St, #C |
Upland |
San Bernardino |
91786 |
California |
2012 |
2013 |
1 |
AIU |
DEEPAK MD SHETH |
1992733323 |
21250 |
21250 |
34.0888076 |
-117.646504156 |
-122.418999000104 |
37.7885970003513 |
25531 |
Palmer, Teresa |
1992743009 |
Physician |
FAMILY PRACTICE |
1333 Bush St |
San Francisco |
San Francisco |
94109 |
California |
2013 |
2014 |
2 |
MU |
Designated Payee Name not Found |
1043218134 |
29750 |
8500 |
37.788597 |
-122.418999 |
-118.251382500002 |
34.1338320001468 |
25533 |
Doyan, Richard |
1992740765 |
Physician |
EMERGENCY MEDICINE |
1030 S Glendale Ave Ste#200 |
Glendale |
Los Angeles |
91205 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1992740765 |
21250 |
21250 |
34.133832 |
-118.2513825 |
-118.33225199983 |
33.9482069997533 |
25534 |
Sourehnissani, Mehran |
1992745285 |
Physician |
UNKNOWN |
3451 W Century Blvd, b-1 |
Inglewood |
Los Angeles |
90303 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1992745285 |
21250 |
21250 |
33.948207 |
-118.332252 |
-121.626707703398 |
36.6771240931025 |
25535 |
Desai, Rupal |
1992750053 |
Physician |
UNKNOWN |
219 N Sanborn Rd |
Salinas |
Monterey |
93905 |
California |
2014 |
2016 |
1 |
AIU |
DE SALUD DEL CLINICA |
1023159811 |
21250 |
21250 |
36.677124093 |
-121.626707703 |
-116.074152000414 |
33.5692744864285 |
25542 |
Hacopian, Ava |
1992759369 |
Physician |
FAMILY PRACTICE |
91275 66th Avenue |
Mecca |
Riverside |
92254 |
California |
2013 |
2014 |
2 |
MU |
DE SALUD DEL CLINICAS |
1932280633 |
29750 |
8500 |
33.5692744859 |
-116.074152 |
-118.443346549004 |
34.0637399640282 |
25546 |
Gomperts, Brigitte |
1992728109 |
Physician |
UNKNOWN |
10833 Le Conte Ave, 12-441 MDCC |
Los Angeles |
Los Angeles |
90095 |
California |
2017 |
2018 |
6 |
MU |
DEPT OF PEDIATRICS UCLA |
1982667663 |
63750 |
8500 |
34.0637399643 |
-118.443346549 |
-121.646448867321 |
39.148807518852 |
25555 |
Singh, Harjinder |
1992781611 |
Dentist |
UNKNOWN |
1675 Butte House Rd |
Yuba City |
Sutter |
95993 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1093974347 |
21250 |
21250 |
39.1488075185 |
-121.646448867 |
-122.011428025883 |
39.7405420843498 |
25556 |
Milosevic, Milivoj |
1992788392 |
Physician |
FAMILY PRACTICE |
231 Main St. |
Hamilton City |
Glenn |
95951 |
California |
2011 |
2012 |
1 |
AIU |
Designated Payee Name not Found |
1811204555 |
21250 |
21250 |
39.7405420835 |
-122.011428026 |
-117.833381999879 |
33.7525380002286 |
25559 |
Reich, Daniel |
1992794176 |
Physician |
OBSTETRICS/GYNECOLOGY |
801 N Tustin Ave, Ste 306 |
Santa Ana |
Orange |
92705 |
California |
2014 |
2015 |
3 |
MU |
DANIEL S MD INC REICH |
1992794176 |
38250 |
8500 |
33.752538 |
-117.833382 |
-122.302116777567 |
37.995938119049 |
25562 |
Clayman, Lewis |
1992799613 |
Dentist |
UNKNOWN |
2150 Appian Way, Ste 201 |
Pinole |
Contra Costa |
94564 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1710118708 |
21250 |
21250 |
37.9959381191 |
-122.302116778 |
-118.084357681961 |
33.9043103379518 |
25572 |
Supnet, Medardo |
1992817860 |
Physician |
UNKNOWN |
11637 The Plz |
Norwalk |
Los Angeles |
90650 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1992817860 |
21250 |
21250 |
33.9043103379 |
-118.084357682 |
-117.162691330341 |
32.7506151051031 |
25573 |
Mayer, Dennis |
1992817092 |
Physician |
GENERAL SURGERY |
4033 3rd avenue, suite 204 |
San Diego |
San Diego |
92103 |
California |
2013 |
2013 |
1 |
AIU |
DENNIS E MD MAYER |
1992817092 |
21250 |
21250 |
32.7506151054 |
-117.16269133 |
-118.441300513108 |
34.3150502190924 |
25579 |
AKHAMZADEH, SHERVIN |
1992828347 |
Dentist |
UNKNOWN |
14114 Polk Street |
Sylmar |
Los Angeles |
91342 |
California |
2016 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1598835225 |
21250 |
21250 |
34.3150502187 |
-118.441300513 |
-118.194129000153 |
33.7769999996503 |
25582 |
Diaz, Arceli |
1992831408 |
Dentist |
UNKNOWN |
825 Pacific Ave |
Long Beach |
Los Angeles |
90813 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1992831408 |
21250 |
21250 |
33.777 |
-118.194129 |
-118.189375529157 |
33.8246639997438 |
25584 |
Nucum, Daryl |
1992832430 |
Physician |
PSYCHIATRY |
3711 Long Beach Blvd Ste 600 |
Long Beach |
Los Angeles |
90807 |
California |
2012 |
2013 |
1 |
AIU |
Daryl Hidalgo Nucum |
1992832430 |
21250 |
21250 |
33.824664 |
-118.189375529 |
-117.935238239953 |
34.0361128591212 |
25598 |
Faeldan, Paraluman |
1992852206 |
Dentist |
UNKNOWN |
16018 Amar Rd |
City of Industry |
Los Angeles |
91744 |
California |
2016 |
2017 |
1 |
AIU |
DENTISTRY FAMILY |
1487090411 |
21250 |
21250 |
34.0361128594 |
-117.93523824 |
-118.343977795938 |
33.9386258034381 |
25600 |
ko, sue |
1992856827 |
Dentist |
UNKNOWN |
10715 S PRAIRIE AVE |
INGLEWOOD |
Los Angeles |
90303 |
California |
2014 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1598998817 |
21250 |
21250 |
33.9386258029 |
-118.343977796 |
-120.862786499997 |
37.5967495232719 |
25612 |
CHOO, CHRISTOPHER |
1992870356 |
Dentist |
UNKNOWN |
7206 HUGHSON AVE |
HUGHSON |
Stanislaus |
95326 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1750793634 |
21250 |
21250 |
37.5967495234 |
-120.8627865 |
-117.935336239975 |
34.0361128591212 |
25617 |
Kpaduwa, Stella |
1992872550 |
Physician |
UNKNOWN |
16008 Amar Road |
City of Industry |
Los Angeles |
91744 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1992872550 |
21250 |
21250 |
34.0361128594 |
-117.93533624 |
-117.966433500406 |
33.8313149997875 |
25618 |
Camones, Victor |
1992884431 |
Dentist |
UNKNOWN |
2364 West Lincoln Avenue |
Anaheim |
Orange |
92801 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1205017746 |
21250 |
21250 |
33.831315 |
-117.9664335 |
-121.46161949984 |
38.496834000189 |
25619 |
KIM, LOUIS |
1992875603 |
Dentist |
UNKNOWN |
3811 Florin Road, Suite 8 |
Sacramento |
Sacramento |
95823 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1174761522 |
21250 |
21250 |
38.496834 |
-121.4616195 |
-120.576734784083 |
37.3667888030608 |
25642 |
Ido-Bachour, houda |
1992907547 |
Dentist |
UNKNOWN |
3605 Hospital Rd Ste A |
Atwater |
Merced |
95301 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1992907547 |
21250 |
21250 |
37.3667888032 |
-120.576734784 |
-117.199134000034 |
33.1517249999089 |
25644 |
Urrea, Jorge |
1992905061 |
Dentist |
UNKNOWN |
100 N Rancho Santa Fe Rd, suite 123 |
San Marcos |
San Diego |
92069 |
California |
2015 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1760646467 |
21250 |
21250 |
33.151725 |
-117.199134 |
-118.586488500444 |
34.200970472909 |
25645 |
THE, POPPY |
1992911408 |
Dentist |
UNKNOWN |
20800 Sherman Way |
Winnetka |
Los Angeles |
91306 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1992911408 |
21250 |
21250 |
34.2009704729 |
-118.5864885 |
-116.952862499805 |
32.8077314592395 |
25646 |
Job, Allen |
1992917926 |
Dentist |
UNKNOWN |
742 Broadway |
El Cajon |
San Diego |
92021 |
California |
2013 |
2014 |
1 |
AIU |
Designated Payee Name not Found |
1114143310 |
21250 |
21250 |
32.8077314591 |
-116.9528625 |
-118.309003481725 |
34.04212200043 |
25648 |
Kohanbash, Farzad |
1992914675 |
Dentist |
UNKNOWN |
1720 S Western Ave |
Los Angeles |
Los Angeles |
90006 |
California |
2016 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1942526157 |
21250 |
21250 |
34.042122 |
-118.309003482 |
-117.234844194404 |
33.193069356066 |
25651 |
irani, mehrnaz |
1992927032 |
Dentist |
UNKNOWN |
950 Civic Center Drive, STE B |
VISTA |
San Diego |
92083 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1558593178 |
21250 |
21250 |
33.1930693561 |
-117.234844194 |
-118.288757289118 |
33.881645055375 |
25657 |
Broome, Ametra |
1992931729 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
742 W Gardena Blvd |
Gardena |
Los Angeles |
90247 |
California |
2014 |
2015 |
1 |
AIU |
Designated Payee Name not Found |
1992931729 |
21250 |
21250 |
33.8816450555 |
-118.288757289 |
-117.28419445571 |
34.4710539596725 |
25664 |
el ahdab, samih |
1992941397 |
Physician |
UNKNOWN |
17330 Bear Valley Rd, A 106 |
Victorville |
San Bernardino |
92395 |
California |
2015 |
2016 |
1 |
AIU |
Designated Payee Name not Found |
1992941397 |
21250 |
21250 |
34.4710539598 |
-117.284194456 |
-121.40568449964 |
38.5977510000087 |
25665 |
Tekeste, Mina |
1992950844 |
Nurse Practitioner |
UNKNOWN |
1750 Wright St |
Sacramento |
Sacramento |
95825 |
California |
2013 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1992950844 |
21250 |
21250 |
38.597751 |
-121.4056845 |
-117.867477936358 |
33.7790861138332 |
25667 |
Avinash, unknown |
1992945349 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-117.867477936358 |
33.7790861138332 |
25668 |
Ramos, Blanca |
1992955082 |
Dentist |
UNKNOWN |
530 south main street |
Orange |
Orange |
92868 |
California |
2015 |
2015 |
1 |
AIU |
DENTAL SERVICES WESTERN |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-119.159698864611 |
34.2931563264034 |
25670 |
Stefanova, Nina |
1992955769 |
Physician |
UNKNOWN |
200 S Wells Rd, Suite #200 |
Ventura |
Ventura |
93004 |
California |
2015 |
2016 |
1 |
AIU |
DEL CAMINO REAL CLINICAS |
1316163736 |
21250 |
21250 |
34.2931563259 |
-119.159698865 |
-121.931844043068 |
37.3128740632874 |
25679 |
Kim, Hyung |
1992970206 |
Physician |
INTERNAL MEDICINE |
751 S. Bascom Ave |
San Jose |
Santa Clara |
95128 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1992970206 |
21250 |
21250 |
37.3128740633 |
-121.931844043 |
-117.867477936358 |
33.7790861138332 |
25683 |
Kartalian, Armne |
1992976484 |
Dentist |
UNKNOWN |
530 South Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Dental Western |
1477627156 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
-124.146181542444 |
40.8024420806375 |
25685 |
Gurung, Kamal |
1992988273 |
Physician |
UNKNOWN |
2200 Tydd Street |
Eureka |
Humboldt |
95501 |
California |
2013 |
2014 |
1 |
AIU |
DOOR COMMUNITY HEALTH OPEN |
1669569109 |
21250 |
21250 |
40.802442081 |
-124.146181542 |
-122.408336258412 |
37.793988954027 |
25689 |
Yuen, Jenny |
1992999569 |
Doctor of Optometry |
UNKNOWN |
929 Clay St., Ste. 503 |
San Francisco |
San Francisco |
94108 |
California |
2015 |
2017 |
1 |
AIU |
Designated Payee Name not Found |
1972835452 |
21250 |
21250 |
37.7939889545 |
-122.408336258 |
-120.839790394611 |
38.6822133192893 |
25691 |
Ziese, Siri |
1992998496 |
Dentist |
UNKNOWN |
6400 Pleasant Valley Road |
El Dorado |
El Dorado |
95623 |
California |
2012 |
2013 |
1 |
AIU |
Designated Payee Name not Found |
1992998496 |
21250 |
21250 |
38.6822133194 |
-120.839790395 |