| -118.150410277312 |
34.1311842098834 |
20 |
Perez, Susan |
1003041492 |
Physician |
UNKNOWN |
847 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2013 |
2014 |
2 |
MU |
HEALTH COMMUNITY |
1871689315 |
29750 |
8500 |
34.1311842101 |
-118.150410277 |
| -120.665034533017 |
35.2929800330022 |
26 |
HECK, TINA |
1003048620 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
77 Casa St., Ste. 201 |
San Luis Obispo |
San Luis Obispo |
93405 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.2929800333 |
-120.665034533 |
| -117.068053499569 |
33.1260569997308 |
27 |
Narayan, Archana |
1003053950 |
Physician |
INTERNAL MEDICINE |
1001 E. Grand Ave |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1487826772 |
21250 |
21250 |
33.126057 |
-117.0680535 |
| -119.424323611346 |
36.3520902351763 |
31 |
Lee, Alisia |
1003008855 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
30979 Road 67 |
Goshen |
Tulare |
93291 |
California |
2012 |
2013 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
29750 |
8500 |
36.3520902351 |
-119.424323611 |
| -121.913647032185 |
37.3017600004237 |
41 |
Kelleti, Arunasri |
1003080243 |
Physician |
UNKNOWN |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
29750 |
8500 |
37.30176 |
-121.913647032 |
| -122.659945408554 |
38.2688718730386 |
46 |
Trinh, Helen |
1003093691 |
Dentist |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
29750 |
8500 |
38.2688718726 |
-122.659945409 |
| -119.291498831706 |
36.5303014971165 |
55 |
Marks, Adam |
1003122391 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
12586 Ave. 408 |
Orosi |
Tulare |
93647 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
63750 |
8500 |
36.5303014971 |
-119.291498832 |
| -119.297551500202 |
36.3529349998504 |
62 |
Arzaga, Wendy |
1003123076 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
Visalia Health Care Center, 2611 N. Dinuba Blvd. |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
46750 |
8500 |
36.352935 |
-119.2975515 |
| -116.961791977218 |
33.2771591455781 |
67 |
Iskander, Marian |
1003136649 |
Dentist |
UNKNOWN |
50100 Golsh Road |
Valley Center |
San Diego |
92082 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH COUNCIL INDIAN |
1861449522 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
| -122.267252075423 |
37.8373378810384 |
70 |
Tringale, Erica |
1003152794 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.146546412287 |
32.7016590679117 |
77 |
Moss, William |
1003182395 |
Physician |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.647641434405 |
36.3243824628804 |
79 |
Baum, Manivanh |
1003180191 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
250 West 5th Street |
Hanford |
Kings |
93230 |
California |
2017 |
2018 |
5 |
MU |
HEALTHCARE FAMILY |
1821186727 |
55250 |
8500 |
36.3243824628 |
-119.647641434 |
| -118.27391808685 |
34.0286791746043 |
82 |
Bautista-Durand, Maria |
1003183146 |
Nurse Practitioner |
UNKNOWN |
2400 S Flower St |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2013 |
2 |
MU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
29750 |
8500 |
34.0286791754 |
-118.273918087 |
| -121.977238187592 |
37.5484010455718 |
84 |
Desai, Khushbu |
1003207747 |
Nurse Practitioner |
UNKNOWN |
39500 Liberty Street |
Fremont |
Alameda |
94538 |
California |
2016 |
2017 |
1 |
MU |
HEALTH CENTER TRI-CITY |
1942387188 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -120.431574485974 |
34.9366060311435 |
88 |
Granados, Elizabeth |
1003213869 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1414 S. Miller, Ste. 9 |
Santa Maria |
Santa Barbara |
93454 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
29750 |
8500 |
34.9366060312 |
-120.431574486 |
| -122.271160359963 |
37.7995061221099 |
90 |
Lieu, Macy |
1003214503 |
Nurse Practitioner |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2016 |
2016 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -117.298687104226 |
34.0966627016224 |
92 |
Hamilton, David |
1003203969 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -118.306952999581 |
34.0623180000757 |
98 |
Keegan, Jacquelyn |
1003235748 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600 |
Los Angeles |
UNKNOWN |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -120.665034533017 |
35.2929800330022 |
99 |
Foster, Lauren |
1003235904 |
Nurse Practitioner |
UNKNOWN |
77 Casa St, Suite 201-204 |
San Luis Obispo |
San Luis Obispo |
93405 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.2929800333 |
-120.665034533 |
| -119.042168222785 |
36.0512835430011 |
102 |
Zervic, Ashley |
1003249111 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2015 |
2016 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
29750 |
8500 |
36.0512835428 |
-119.042168223 |
| -117.298687104226 |
34.0966627016224 |
103 |
Jaqua, Ecler |
1003235235 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -118.14785214586 |
33.9723841209305 |
114 |
CHIU, CHING-YI |
1003289299 |
Nurse Practitioner |
UNKNOWN |
6513 S Garfield Ave |
Bell Gardens |
Los Angeles |
90201 |
California |
2020 |
2020 |
2 |
MU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
29750 |
8500 |
33.9723841213 |
-118.147852146 |
| -117.298687104226 |
34.0966627016224 |
115 |
Todd, Rose |
1003259367 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
118 |
Boyle, Brenda |
1003280934 |
Nurse Practitioner |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -122.267252075423 |
37.8373378810384 |
119 |
Bull, Shelley |
1003351560 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2016 |
2017 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -121.608820785051 |
39.1230674559984 |
122 |
Goyal, Kiran |
1003804865 |
Physician |
INTERNAL MEDICINE |
334 Samuel Dr |
Yuba City |
Sutter |
95991 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.1230674563 |
-121.608820785 |
| -117.298687104226 |
34.0966627016224 |
124 |
Yim, Sang |
1003294661 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.668297206551 |
33.5230211008432 |
128 |
Chae, Jun Ho |
1003811969 |
Physician |
FAMILY PRACTICE |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH CENTER CAMINO |
1366560393 |
21250 |
21250 |
33.523021101 |
-117.668297207 |
| -117.146546412287 |
32.7016590679117 |
135 |
Thorne, Christine |
1003251901 |
Physician |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.042168222785 |
36.0512835430011 |
161 |
Lomeli, Liberty |
1003860453 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 West Poplar |
Porterville |
Tulare |
93257 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
63750 |
8500 |
36.0512835428 |
-119.042168223 |
| -117.751073666616 |
34.0965576590088 |
170 |
Warren, James |
1003887993 |
Physician |
UNKNOWN |
250 W Bonita Ave, #200 |
Pomona |
Los Angeles |
91767 |
California |
2017 |
2018 |
4 |
MU |
HOLLEMBERG, AGRAWAL LAUPPE |
1366447781 |
46750 |
8500 |
34.0965576594 |
-117.751073667 |
| -120.498999995353 |
35.0266083603876 |
183 |
McGhee, James |
1003910019 |
Physician |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.982858017783 |
37.5491464747301 |
184 |
Do, Hanh-Nguyen |
1003907338 |
Physician |
OBSTETRICS/GYNECOLOGY |
39210 State Street, Suite 212 |
Fremont |
Alameda |
94538 |
California |
2013 |
2014 |
2 |
MU |
HANH-NGUYEN MD DO |
1003907338 |
29750 |
8500 |
37.5491464749 |
-121.982858018 |
| -119.432337876592 |
36.604178372334 |
195 |
Shankerman, Robert |
1003929340 |
Physician |
UNKNOWN |
1560 E Manning Ave |
Reedley |
Fresno |
93654 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS OF THE UNITED |
1528478211 |
46750 |
8500 |
36.6041783721 |
-119.432337877 |
| -122.646489753 |
41.7186503676204 |
196 |
Weathers, Jean |
1003931825 |
Nurse Practitioner |
NURSE PRACTITIONER |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2014 |
2015 |
3 |
MU |
HOSP SISKIYOU |
1093892275 |
38250 |
8500 |
41.7186503677 |
-122.646489753 |
| -117.866853000166 |
33.7811759997726 |
198 |
Ho, Jeffrey |
1003932963 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
4 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -117.866853000166 |
33.7811759997726 |
208 |
Fortades, Marita |
1003948803 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
4 |
MU |
HOSP OF ORANGE CHILDRENS |
1568599769 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -118.295770876924 |
33.7361339065546 |
212 |
Hanna, Hanaa |
1003954942 |
Physician |
UNKNOWN |
858 W 9th St Ste 101 |
San Pedro |
Los Angeles |
90731 |
California |
2012 |
2013 |
2 |
MU |
HANAA N MD HANNA |
1003954942 |
29750 |
8500 |
33.7361339067 |
-118.295770877 |
| -118.160352000145 |
34.0332704861441 |
236 |
Turner, Karla |
1003975566 |
Dentist |
UNKNOWN |
4816 E. 3rd Street |
Los Angeles |
Los Angeles |
90022 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
38250 |
8500 |
34.0332704862 |
-118.160352 |
| -116.920651500067 |
32.8611960001953 |
245 |
Sapra, Priya |
1003996513 |
Nurse Practitioner |
PHYSICIAN ASSISTANT |
10039 Vine St |
Lakeside |
San Diego |
92040 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1932384120 |
21250 |
21250 |
32.861196 |
-116.9206515 |
| -118.465047000219 |
34.193944496941 |
247 |
kim, kyu |
1013001379 |
Physician |
UNKNOWN |
15243 Vanowen St, suite 300 |
Van Nuys |
Los Angeles |
91405 |
California |
2020 |
2020 |
4 |
MU |
HYUN KIM MD INC KYU |
1114007754 |
46750 |
8500 |
34.1939444974 |
-118.465047 |
| -121.952709777734 |
38.3644974795751 |
254 |
Heeren, Matthew |
1013012632 |
Physician |
UNKNOWN |
421 Nut Tree Rd |
Vacaville |
Solano |
95687 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
63750 |
8500 |
38.3644974804 |
-121.952709778 |
| -118.246191531314 |
33.9426899692667 |
255 |
Brooks, Oliver |
1013013150 |
Physician |
PEDIATRIC MEDICINE |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
3 |
MU |
HEALTHCARE WATTS |
1477649119 |
38250 |
8500 |
33.9426899686 |
-118.246191531 |
| -121.696592074365 |
39.3638266606719 |
258 |
Inglet, Jennifer |
1013017995 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
520 Kentucky St. |
Gridley |
Butte |
95948 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.3638266614 |
-121.696592074 |
| -122.087431132241 |
37.6985251220368 |
259 |
Matthews, Helen |
1013015627 |
Physician |
UNKNOWN |
20055 Lake Chabot Rd, Suite 260 |
Castro Valley |
Alameda |
94546 |
California |
2015 |
2016 |
4 |
MU |
HELEN MD MATTHEWS |
1013015627 |
46750 |
8500 |
37.6985251218 |
-122.087431132 |
| -118.306952999581 |
34.0623180000757 |
263 |
Com, Gulnur |
1013026079 |
Physician |
UNKNOWN |
3701 Wilshire Blvd. Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.551722325625 |
39.5023306563348 |
269 |
Foronda, Jeanette |
1013033778 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2800 Lincoln Blvd |
Oroville |
Butte |
95966 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH AMPLA |
1811204555 |
21250 |
21250 |
39.5023306564 |
-121.551722326 |
| -118.226538563004 |
33.9827465690989 |
288 |
Hwang, David |
1013063833 |
Physician |
UNKNOWN |
6330 Rugby Ave Suite 200 |
Huntington Park |
Los Angeles |
90255 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1942431374 |
29750 |
8500 |
33.9827465692 |
-118.226538563 |
| -119.10016617423 |
36.4140270004457 |
292 |
Solorio, Gail |
1013067883 |
Nurse Practitioner |
UNKNOWN |
101 North Palm Street |
Woodlake |
Tulare |
93286 |
California |
2012 |
2013 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1164517744 |
29750 |
8500 |
36.414027 |
-119.100166174 |
| -118.081192075554 |
34.0805320962793 |
294 |
DUONG, HAN |
1013070234 |
Physician |
UNKNOWN |
8632 Valley Blvd, SUITE D |
Rosemead |
Los Angeles |
91770 |
California |
2016 |
2017 |
1 |
AIU |
HAN V MD INC DUONG |
1407074578 |
21250 |
21250 |
34.080532096 |
-118.081192076 |
| -121.566243988969 |
37.0163317440148 |
322 |
Rabitz, Mary |
1013101708 |
Nurse Practitioner |
UNKNOWN |
7861 Murray Ave |
Gilroy |
Santa Clara |
95020 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
63750 |
8500 |
37.0163317437 |
-121.566243989 |
| -118.308853204112 |
34.0164932961288 |
333 |
Chew, Kara |
1013116557 |
Physician |
INFECTIOUS DISEASE |
3834 S Western Avenue |
Los Angeles |
Los Angeles |
90062 |
California |
2011 |
2012 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -118.308853204112 |
34.0164932961288 |
342 |
Vo, Tran |
1013129873 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3834 S Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2015 |
2017 |
3 |
MU |
H E CLINIC AT RUTH T |
1023287679 |
38250 |
8500 |
34.0164932957 |
-118.308853204 |
| -119.291498831706 |
36.5303014971165 |
347 |
Reina, Osbalda |
1013156793 |
Dentist |
UNKNOWN |
12586 Ave. 408 |
Orosi |
Tulare |
93647 |
California |
2013 |
2014 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
38250 |
8500 |
36.5303014971 |
-119.291498832 |
| -117.866853000166 |
33.7811759997726 |
364 |
Taraman, Sharief |
1013118454 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St, Children's Hospital of Orange County, Neurology |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -117.866853000166 |
33.7811759997726 |
373 |
Kim, Sharon |
1013192426 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -122.292192420644 |
38.3212564181492 |
381 |
Roman, Jorge |
1013208628 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
46750 |
8500 |
38.3212564177 |
-122.292192421 |
| -118.306952999581 |
34.0623180000757 |
390 |
Fernandes, Danielle |
1013228154 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -120.498999995353 |
35.0266083603876 |
392 |
Salcido, Martha |
1013237866 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.271160359963 |
37.7995061221099 |
396 |
Chang, Anita |
1013233535 |
Physician |
UNKNOWN |
818 Webster St, Asian Health Services |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -117.298687104226 |
34.0966627016224 |
423 |
Davidge, Rachel |
1013304286 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -122.267252075423 |
37.8373378810384 |
426 |
Lakhole, Arathi |
1013309145 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
UNKNOWN |
94609 |
California |
2018 |
2019 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.280430497769 |
34.0727231525515 |
428 |
Gin, Lucy |
1013311620 |
Nurse Practitioner |
UNKNOWN |
150 N. Reno St |
Los Angeles |
Los Angeles |
90026 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
21250 |
21250 |
34.0727231529 |
-118.280430498 |
| -121.098758861632 |
38.9348505096434 |
446 |
Phipps, Don |
1013392083 |
Dentist |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
38.9348505095 |
-121.098758862 |
| -122.174891665318 |
39.9279294888549 |
449 |
Aguirre, Samantha |
1013466630 |
Dentist |
UNKNOWN |
740 Solano St |
Corning |
Tehama |
96021 |
California |
2018 |
2019 |
3 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
38250 |
8500 |
39.9279294893 |
-122.174891665 |
| -118.27391808685 |
34.0286791746043 |
455 |
HSU, JOHN |
1013903004 |
Physician |
UNKNOWN |
2400 South Flower St |
Los Angeles |
UNKNOWN |
90007 |
California |
2012 |
2013 |
2 |
MU |
HOSP ORTHOPAEDIC |
1689632374 |
29750 |
8500 |
34.0286791754 |
-118.273918087 |
| -117.946313999791 |
33.8324215409214 |
459 |
Chow, Bruce |
1013913441 |
Physician |
FAMILY PRACTICE |
1814 W. Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2012 |
2013 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1063659985 |
29750 |
8500 |
33.8324215409 |
-117.946314 |
| -121.456624499721 |
38.5712370003873 |
462 |
VanderPutten, Carl |
1013923101 |
Physician |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS ELICA |
1093974065 |
21250 |
21250 |
38.571237 |
-121.4566245 |
| -117.072893103134 |
33.1284570942196 |
471 |
Bravo, Ruth |
1013938224 |
Nurse Practitioner |
NURSE PRACTITIONER |
460 N Elm St |
Escondido |
San Diego |
92025 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
38250 |
8500 |
33.1284570937 |
-117.072893103 |
| -117.072893103134 |
33.1284570942196 |
472 |
Dekkers-O'Hare, Ingrid |
1013938968 |
Nurse Practitioner |
NURSE PRACTITIONER |
460 N Elm St |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
21250 |
21250 |
33.1284570937 |
-117.072893103 |
| -122.174891665318 |
39.9279294888549 |
506 |
Choi, Gabriel |
1023001674 |
Dentist |
UNKNOWN |
740 Solano St |
Corning |
Tehama |
96021 |
California |
2018 |
2019 |
5 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
55250 |
8500 |
39.9279294893 |
-122.174891665 |
| -117.009828643777 |
32.7148179660763 |
524 |
quintero, carolyn |
1023033156 |
Physician |
UNKNOWN |
8788 Jamacha Rd |
Spring Valley |
San Diego |
91977 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTERS FAMILY |
1508801069 |
29750 |
8500 |
32.7148179656 |
-117.009828644 |
| -122.267252075423 |
37.8373378810384 |
542 |
Shanahan, Robin |
1023050572 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -122.267252075423 |
37.8373378810384 |
544 |
Lal, Ashutosh |
1023048469 |
Physician |
UNKNOWN |
HematologyOncology, Children's Hospital, 747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.042168222785 |
36.0512835430011 |
551 |
Hernandez, Maria |
1023068525 |
Physician |
UNKNOWN |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
63750 |
8500 |
36.0512835428 |
-119.042168223 |
| -117.810910439365 |
33.7876950611782 |
577 |
Park, Heran |
1023107505 |
Physician |
UNKNOWN |
4010 E Chapman Ave Ste C |
Orange |
Orange |
92869 |
California |
2016 |
2017 |
5 |
MU |
HEALTH SERVICES CORP ALTAMED |
1316116221 |
55250 |
8500 |
33.7876950607 |
-117.810910439 |
| -122.174891665318 |
39.9279294888549 |
608 |
SHOOP, LEE |
1023143146 |
Physician |
UNKNOWN |
740 Solano Street |
Corning |
Tehama |
96021 |
California |
2018 |
2019 |
5 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
55250 |
8500 |
39.9279294893 |
-122.174891665 |
| -122.267252075423 |
37.8373378810384 |
622 |
Markoff, Anita |
1023163045 |
Nurse Practitioner |
UNKNOWN |
747 52nd St, Department of Endocrinology |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.659945408554 |
38.2688718730386 |
653 |
Finnemore, Rebecca |
1023214467 |
Physician |
UNKNOWN |
1179 North McDowell Blvd. |
Petaluma |
UNKNOWN |
94954 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -122.174891665318 |
39.9279294888549 |
654 |
McClough, Daniel |
1023220167 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
740 Solano Street |
Corning |
Tehama |
96021 |
California |
2018 |
2019 |
3 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
38250 |
8500 |
39.9279294893 |
-122.174891665 |
| -118.14785214586 |
33.9723841209305 |
659 |
Araya, Elen |
1023225281 |
Nurse Practitioner |
UNKNOWN |
6513 S. Garfield Ave |
Bell Gardens |
Los Angeles |
91201 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
29750 |
8500 |
33.9723841213 |
-118.147852146 |
| -118.306952999581 |
34.0623180000757 |
682 |
EVANS, ANNA |
1023277589 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.267252075423 |
37.8373378810384 |
685 |
Kuperman, Rachel |
1023286549 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.042168222785 |
36.0512835430011 |
689 |
Woolf, Matthew |
1023314820 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2013 |
2014 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
29750 |
8500 |
36.0512835428 |
-119.042168223 |
| -121.481662499625 |
38.5768799998122 |
703 |
Mergupe, Delilah |
1023360880 |
Nurse Practitioner |
UNKNOWN |
1820 J Street |
Sacramento |
UNKNOWN |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -121.940302499661 |
37.3266449995671 |
704 |
Morgan, Daniel |
1023360930 |
Physician |
UNKNOWN |
455 OConnor Dr, Suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -120.045810184592 |
36.94541455204 |
706 |
Alvarez, Eliezer |
1023366515 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1210 E Almond Ave |
Madera |
Madera |
93637 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
29750 |
8500 |
36.9454145522 |
-120.045810185 |
| -118.306952999581 |
34.0623180000757 |
708 |
Liu, Amy |
1023358611 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.298687104226 |
34.0966627016224 |
729 |
Ohara-Hsu, Miwako |
1023451903 |
Physician |
UNKNOWN |
250 S. G St, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -121.847423181635 |
37.3652589834154 |
738 |
Mansuri, Karishma |
1023562238 |
Dentist |
UNKNOWN |
2380 Montpelier Drive, Duite 200 & 400 |
San Jose |
Santa Clara |
95116 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER FOOTHILL |
1689950248 |
21250 |
21250 |
37.3652589828 |
-121.847423182 |
| -120.625581861214 |
40.4381384658176 |
755 |
Rea, Naomi |
1033123070 |
Nurse Practitioner |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
63750 |
8500 |
40.4381384662 |
-120.625581861 |
| -117.869578399224 |
33.7621620168636 |
777 |
CARBAYO, ANTONIO |
1033149356 |
Physician |
UNKNOWN |
1911 N Broadway |
Santa Ana |
Orange |
92706 |
California |
2019 |
2020 |
6 |
MU |
HEALTH UNIVERSITY FULL |
1467725846 |
63750 |
8500 |
33.7621620175 |
-117.869578399 |
| -120.045810184592 |
36.94541455204 |
782 |
Jackson, Dina |
1033155452 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2013 |
2013 |
2 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
29750 |
8500 |
36.9454145522 |
-120.045810185 |
| -119.05814321214 |
35.367815658366 |
783 |
Mathew, Elsita |
1033172622 |
Nurse Practitioner |
UNKNOWN |
5020 Commerce Dr |
Bakersfield |
Kern |
93309 |
California |
2016 |
2017 |
2 |
MU |
HILLS MEDICAL CORP OAK |
1386754273 |
29750 |
8500 |
35.3678156578 |
-119.058143212 |
| -122.895525975144 |
41.4570168451513 |
799 |
Wilson, Renee |
1033202452 |
Nurse Practitioner |
NURSE PRACTITIONER |
155 Diggles |
Etna |
Siskiyou |
96027 |
California |
2014 |
2015 |
3 |
MU |
HOSP SISKIYOU |
1093892275 |
38250 |
8500 |
41.4570168451 |
-122.895525975 |
| -117.081238499657 |
32.6425949998594 |
800 |
Crosby, Andrea |
1033200530 |
Nurse Practitioner |
NURSE PRACTITIONER |
251 Landis Street |
Chula Vista |
San Diego |
91910 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTERS OF FAMILY |
1346480837 |
29750 |
8500 |
32.642595 |
-117.0812385 |
| -117.915163058828 |
33.7774180953688 |
807 |
Navarro, Benjamin |
1033208608 |
Physician |
UNKNOWN |
12751 Harbor Blvd |
Garden Grove |
Orange |
92840 |
California |
2014 |
2015 |
4 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
46750 |
8500 |
33.7774180952 |
-117.915163059 |
| -120.055711580925 |
36.9628328372657 |
820 |
GARCIA, LAURA |
1033220405 |
Nurse Practitioner |
UNKNOWN |
344 E 6th St |
Madera |
Madera |
93638 |
California |
2017 |
2018 |
5 |
MU |
HEALTH CAMARENA |
1891778114 |
55250 |
8500 |
36.9628328373 |
-120.055711581 |
| -122.267252075423 |
37.8373378810384 |
830 |
Nichols, D. |
1033244058 |
Nurse Practitioner |
UNKNOWN |
747 52nd St. |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -121.287285000302 |
37.9665270002209 |
849 |
Capo Rome, Lucille |
1033262654 |
Nurse Practitioner |
UNKNOWN |
1212 N. California St. |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -122.455808999686 |
37.7487900001584 |
863 |
Sharma, Seema |
1033259270 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, Laguna Honda Hospital and Rehab Center, Medical Svcs |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -120.498999995353 |
35.0266083603876 |
874 |
ADELMAN, TRAVIS |
1033307343 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.068053499569 |
33.1260569997308 |
887 |
Flores, Xochitl |
1033340625 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1001 E Grand Ave |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
38250 |
8500 |
33.126057 |
-117.0680535 |
| -122.049873972306 |
38.2620150001922 |
907 |
Ramirez, Sherry |
1033375886 |
Physician |
UNKNOWN |
1860 Pennsylvania Ave, Ste 120 |
Fairfield |
UNKNOWN |
94533 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
21250 |
21250 |
38.262015 |
-122.049873972 |
| -119.042168222785 |
36.0512835430011 |
925 |
Lee, Gordon |
1033432604 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 West Poplar Avenue |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
63750 |
8500 |
36.0512835428 |
-119.042168223 |
| -117.298687104226 |
34.0966627016224 |
927 |
Kamen, Charles |
1033408679 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.288677500166 |
36.3322530002758 |
933 |
Zuniga, Rian |
1033439849 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE FAMILY |
1821186727 |
46750 |
8500 |
36.332253 |
-119.2886775 |
| -121.940302499661 |
37.3266449995671 |
939 |
Jeyasingh, Dinah |
1033473806 |
Physician |
UNKNOWN |
455 OConnor Dr Ste 240 |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -121.570951500112 |
37.0377899997088 |
942 |
Reyes, Wilibaldo |
1033484191 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
9460 No Name Uno Suite 200 |
Gilroy |
Santa Clara |
95148 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1144626649 |
38250 |
8500 |
37.03779 |
-121.5709515 |
| -117.865599124 |
33.7803484876926 |
945 |
Chin, Chana |
1033457270 |
Physician |
UNKNOWN |
1201 W. La Veta |
Orange |
Orange |
92868 |
California |
2015 |
2017 |
1 |
AIU |
HOSPITAL OF CHILDRENS |
1811080526 |
21250 |
21250 |
33.7803484883 |
-117.865599124 |
| -122.267252075423 |
37.8373378810384 |
947 |
Bartlett, Debra |
1033489349 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.113485500156 |
32.7150374537156 |
950 |
Kruczek, Kelly |
1033493747 |
Nurse Practitioner |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1346480837 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -118.290205477301 |
34.0955859100617 |
958 |
Kim, Deborah |
1033500483 |
Nurse Practitioner |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
46750 |
8500 |
34.0955859098 |
-118.290205477 |
| -119.521534499617 |
36.6049529997812 |
969 |
Reynoso-Garza, Rashell |
1033552252 |
Physician |
UNKNOWN |
650 Zediker Ave |
Parlier |
UNKNOWN |
93648 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS- UNITED |
1801878350 |
38250 |
8500 |
36.604953 |
-119.5215345 |
| -118.280430497769 |
34.0727231525515 |
970 |
Smith, Samantha |
1033535406 |
Nurse Practitioner |
UNKNOWN |
150 North Reno Street |
Los Angeles |
Los Angeles |
90026 |
California |
2020 |
2020 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
63750 |
8500 |
34.0727231529 |
-118.280430498 |
| -121.456624499721 |
38.5712370003873 |
983 |
Okolonwamu, Ofili |
1033661897 |
Physician |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
29750 |
8500 |
38.571237 |
-121.4566245 |
| -117.298687104226 |
34.0966627016224 |
990 |
Brick, Jonathan |
1033596168 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -118.306952999581 |
34.0623180000757 |
993 |
Termuhlen, Amanda |
1043208697 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -116.920651500067 |
32.8611960001953 |
1013 |
West, Thomas |
1043239403 |
Dentist |
UNKNOWN |
10039 Vine St |
Lakeside |
San Diego |
92040 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1932384120 |
21250 |
21250 |
32.861196 |
-116.9206515 |
| -118.306952999581 |
34.0623180000757 |
1057 |
Goodhue, Catherine |
1043310295 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.800410196274 |
37.2546844204497 |
1062 |
Kim, Steven |
1043313992 |
Physician |
UNKNOWN |
5504 Monterey Highway |
San Jose |
UNKNOWN |
95138 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1922485952 |
38250 |
8500 |
37.2546844202 |
-121.800410196 |
| -117.866853000166 |
33.7811759997726 |
1065 |
Chang, Richard |
1043317910 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -121.608820785051 |
39.1230674559984 |
1087 |
Grewal, Swipen |
1043362627 |
Physician |
UNKNOWN |
334 Samual Drive |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
17000 |
8500 |
39.1230674563 |
-121.608820785 |
| -117.810910439365 |
33.7876950611782 |
1096 |
ZAHED, SHAHROKH |
1043364433 |
Physician |
UNKNOWN |
4010 East Chapman Ave Suite C |
Orange |
Orange |
92868 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1316116221 |
29750 |
8500 |
33.7876950607 |
-117.810910439 |
| -117.810910439365 |
33.7876950611782 |
1098 |
abolhassani bloomer, tina |
1043382666 |
Nurse Practitioner |
UNKNOWN |
4010 E Chapman Ave, Suite C |
Orange |
Orange |
92869 |
California |
2017 |
2018 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1316116221 |
63750 |
8500 |
33.7876950607 |
-117.810910439 |
| -121.913647032185 |
37.3017600004237 |
1114 |
Shtrom, Olga |
1043403611 |
Dentist |
UNKNOWN |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
38250 |
8500 |
37.30176 |
-121.913647032 |
| -118.186105713808 |
33.987123482263 |
1117 |
REDDY, HARI |
1043411457 |
Dentist |
UNKNOWN |
4428 Slauson Ave |
Maywood |
Los Angeles |
90270 |
California |
2016 |
2016 |
1 |
AIU |
HARI K REDDY |
1043411457 |
21250 |
21250 |
33.9871234818 |
-118.186105714 |
| -118.187848176352 |
33.9730571996301 |
1128 |
Cortez-Pacheco, Carlos |
1043435712 |
Dentist |
UNKNOWN |
6901 1/2 Atlantic Ave |
Bell |
Los Angeles |
90201 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH GROUP, ALTAMED |
1518171016 |
21250 |
21250 |
33.9730572 |
-118.187848176 |
| -115.554800431894 |
32.9599604978787 |
1156 |
ZADEH, HAMID |
1043497860 |
Physician |
OBSTETRICS/GYNECOLOGY |
751 W Legion Rd, Ste 203 |
Brawley |
Imperial |
92227 |
California |
2013 |
2014 |
2 |
MU |
HAMID MD INC ZADEH |
1356655492 |
29750 |
8500 |
32.9599604977 |
-115.554800432 |
| -116.95219952229 |
32.8004502871511 |
1160 |
Lapadat, Connie |
1043511900 |
Nurse Practitioner |
UNKNOWN |
855 E Madison Ave |
El Cajon |
San Diego |
92020 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
38250 |
8500 |
32.8004502867 |
-116.952199522 |
| -122.267252075423 |
37.8373378810384 |
1165 |
shively, james |
1043518095 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -122.271160359963 |
37.7995061221099 |
1174 |
Liao, Philip |
1043541121 |
Dentist |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -122.659945408554 |
38.2688718730386 |
1175 |
Sandhu, Amrita |
1043542087 |
Physician |
UNKNOWN |
1179 N McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -120.06032040856 |
36.7286722489252 |
1202 |
Uch, Sakya |
1043627417 |
Dentist |
UNKNOWN |
449 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH TEAM, INC VALLEY |
1962567388 |
21250 |
21250 |
36.7286722491 |
-120.060320409 |
| -117.298687104226 |
34.0966627016224 |
1206 |
Samad, Tahmina |
1043621790 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
1213 |
Zhang, Eugenia |
1043630601 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.548944369687 |
36.5128992261185 |
1220 |
Fuentes, Arvin |
1043659014 |
Physician |
UNKNOWN |
1250 Smith Street |
Kingsburg |
Fresno |
93631 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH TEAM INC VALLEY |
1033598412 |
21250 |
21250 |
36.5128992258 |
-119.54894437 |
| -117.298687104226 |
34.0966627016224 |
1241 |
Cheng, Jeremiah |
1043698061 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -122.659945408554 |
38.2688718730386 |
1242 |
Ashcroft, Andrew |
1053306795 |
Physician |
FAMILY PRACTICE |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2016 |
2017 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -122.26118746393 |
37.8386955479612 |
1266 |
Simms-Mackey, Pamela |
1053358309 |
Physician |
UNKNOWN |
5220 Claremont Ave |
Oakland |
Alameda |
94618 |
California |
2018 |
2019 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8386955484 |
-122.261187464 |
| -117.960264000084 |
33.8649660002807 |
1270 |
Porecha, Harish |
1053362434 |
Physician |
NEUROLOGY |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CARE REPRODUCTIVE |
1508977414 |
21250 |
21250 |
33.864966 |
-117.960264 |
| -119.288673194212 |
36.3328544497731 |
1271 |
Varma, Rupa |
1053365940 |
Physician |
UNKNOWN |
401 E. School Ave. |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
55250 |
8500 |
36.3328544502 |
-119.288673194 |
| -117.034542000113 |
32.7433140004408 |
1273 |
Samuels, Elizabeth |
1053369439 |
Nurse Practitioner |
UNKNOWN |
7592 Broadway |
Lemon Grove |
San Diego |
91945 |
California |
2012 |
2013 |
1 |
AIU |
HLTH CTR OF SAN DIEGO FAMILY |
1427282466 |
21250 |
21250 |
32.743314 |
-117.034542 |
| -117.866853000166 |
33.7811759997726 |
1292 |
Clark, Susan |
1053401141 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -121.098758861632 |
38.9348505096434 |
1302 |
MULLIGAN, MICHAEL |
1053411892 |
Physician |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2013 |
2014 |
3 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
38250 |
8500 |
38.9348505095 |
-121.098758862 |
| -121.85994213662 |
37.2416247570769 |
1311 |
Roge, Claude |
1053421537 |
Physician |
UNKNOWN |
5671 Santa Teresa Blvd, Suite 105 |
San Jose |
Santa Clara |
95123 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
46750 |
8500 |
37.2416247574 |
-121.859942137 |
| -121.545819136144 |
39.1278335471805 |
1317 |
Johl, Harpreet |
1053423202 |
Physician |
UNKNOWN |
1908 N. Beale Road, Suite E |
Marysville |
Yuba |
95901 |
California |
2017 |
2018 |
5 |
MU |
HEALTH MEDICAL HARMONY |
1124130620 |
55250 |
8500 |
39.1278335467 |
-121.545819136 |
| -122.267252075423 |
37.8373378810384 |
1318 |
Zee, Eric |
1053426494 |
Physician |
PEDIATRIC MEDICINE |
747 52nd St, Suite 5409 |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -118.150795976753 |
34.1778106936086 |
1321 |
Louie, Lily |
1053437202 |
Nurse Practitioner |
UNKNOWN |
1855 N Fair Oaks |
Pasadena |
Los Angeles |
91103 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.1778106939 |
-118.150795977 |
| -119.521534499617 |
36.6049529997812 |
1352 |
Delao, Abran |
1053485789 |
Dentist |
UNKNOWN |
650 Zediker Ave |
Parlier |
Fresno |
93648 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS- UNITED |
1801878350 |
46750 |
8500 |
36.604953 |
-119.5215345 |
| -118.160352000145 |
34.0332704861441 |
1353 |
Mitchell, Cecilia |
1053483339 |
Dentist |
UNKNOWN |
4816 East 3rd Street |
Los Angeles |
Los Angeles |
90022 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
55250 |
8500 |
34.0332704862 |
-118.160352 |
| -116.074406832309 |
33.5692292361404 |
1383 |
Horchin, Radd |
1053535328 |
Dentist |
UNKNOWN |
91275 66th Ave, 300 |
Mecca |
Riverside |
92254 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CLINIC- MECCA |
1063684207 |
21250 |
21250 |
33.5692292356 |
-116.074406832 |
| -117.988308000114 |
33.7050629998576 |
1389 |
Minagar, Goli |
1053537423 |
Certified Nurse - Midwife |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2013 |
2017 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
0 |
0 |
33.705063 |
-117.988308 |
| -121.952709777734 |
38.3644974795751 |
1394 |
Lazarewicz, Nicolas |
1053540120 |
Nurse Practitioner |
NURSE PRACTITIONER |
421 Nut Tree Rd |
Vacaville |
Solano |
95687 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
63750 |
8500 |
38.3644974804 |
-121.952709778 |
| -122.292192420644 |
38.3212564181492 |
1399 |
Kim, Janice |
1053548446 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -120.055711580925 |
36.9628328372657 |
1411 |
Lee, Stephanie |
1053575845 |
Doctor of Optometry |
UNKNOWN |
344 E. 6th Street |
Madera |
Madera |
93638 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9628328373 |
-120.055711581 |
| -117.444104999646 |
33.9213149997875 |
1412 |
Felix, Sumi |
1053576801 |
Physician |
FAMILY PRACTICE |
9380 Magnolia Ave |
Riverside |
Riverside |
92503 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH SYSTEM INC COMMUNITY |
1548538911 |
21250 |
21250 |
33.921315 |
-117.444105 |
| -119.042168222785 |
36.0512835430011 |
1416 |
Flores, Michael |
1053586305 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 West Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2015 |
2016 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
55250 |
8500 |
36.0512835428 |
-119.042168223 |
| -118.187848176352 |
33.9730571996301 |
1437 |
Monteon, Wendy |
1053657791 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
6901 Atlantic Ave |
Bell |
Los Angeles |
90201 |
California |
2020 |
2020 |
4 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
46750 |
8500 |
33.9730572 |
-118.187848176 |
| -118.306952999581 |
34.0623180000757 |
1453 |
Kim, Sarah |
1053706135 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -118.264011576073 |
34.0526621276551 |
1454 |
Pahlavani, Atoosa |
1053708024 |
Dentist |
UNKNOWN |
1127 Wilshire Blvd., suite 1504 |
Los Angeles |
Los Angeles |
90017 |
California |
2018 |
2019 |
3 |
MU |
HEALTH and WELLNESS APLA |
1740490937 |
38250 |
8500 |
34.052662128 |
-118.264011576 |
| -119.650117579163 |
36.3270237618372 |
1466 |
SHAH, SWETANG |
1053744375 |
Physician |
UNKNOWN |
329 W. 8th Street, Suite 101 |
Hanford |
Kings |
93230 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
21250 |
21250 |
36.3270237616 |
-119.650117579 |
| -117.298687104226 |
34.0966627016224 |
1472 |
Cheung, Shauna |
1053730192 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.94732640439 |
34.0601917932167 |
1473 |
Caspe, Caroline |
1053754952 |
Nurse Practitioner |
UNKNOWN |
1300 S Sunset Ave |
West Covina |
Los Angeles |
91790 |
California |
2020 |
2020 |
4 |
MU |
HEALTH SERVICES ALTAMED |
1730481318 |
46750 |
8500 |
34.0601917926 |
-117.947326404 |
| -121.819527654278 |
37.3566314686674 |
1475 |
Khosa, Navreet |
1053771584 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1066 S White Rd |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
38250 |
8500 |
37.3566314689 |
-121.819527654 |
| -121.977238187592 |
37.5484010455718 |
1479 |
Baek, Kilhyo |
1053776914 |
Nurse Practitioner |
UNKNOWN |
39500 Liberty St |
Fremont |
Alameda |
94538 |
California |
2016 |
2017 |
1 |
MU |
HEALTH CENTER TRI-CITY |
1942387188 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -119.24573404509 |
35.7692914117693 |
1486 |
Roldan, Mary Janet |
1063414274 |
Dentist |
UNKNOWN |
1001 Main Street |
Delano |
Kern |
93215 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS NATIONAL |
1417962457 |
21250 |
21250 |
35.7692914124 |
-119.245734045 |
| -118.197726159734 |
33.927616836248 |
1492 |
Brockman, Lisa |
1063417798 |
Physician |
UNKNOWN |
3820 Martin Luther King Jr Blvd |
Lynwood |
Los Angeles |
90262 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SREVICES CORP ALTAMED |
1982990859 |
29750 |
8500 |
33.9276168359 |
-118.19772616 |
| -120.055711580925 |
36.9628328372657 |
1533 |
Yost, Elizabeth |
1063495109 |
Nurse Practitioner |
UNKNOWN |
344 E. 6th Street, Ste 101 |
Madera |
UNKNOWN |
93638 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CAMARENA |
1891778114 |
38250 |
8500 |
36.9628328373 |
-120.055711581 |
| -121.952709777734 |
38.3644974795751 |
1540 |
Newman, Stephen |
1063506756 |
Physician |
FAMILY PRACTICE |
421 Nut Tree Rd |
Vacaville |
Solano |
95687 |
California |
2017 |
2018 |
5 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
55250 |
8500 |
38.3644974804 |
-121.952709778 |
| -120.055711580925 |
36.9628328372657 |
1566 |
Sandoval, Guillermo |
1063552966 |
Physician |
PEDIATRIC MEDICINE |
344 E 6th St |
Madera |
Madera |
93638 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
36.9628328373 |
-120.055711581 |
| -122.267252075423 |
37.8373378810384 |
1578 |
Staggers, Barbara |
1063571453 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -118.095628711596 |
33.9679898013883 |
1598 |
Duag, Melissa |
1063588507 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
9436 E. Slauson Avenue |
Pico Rivera |
Los Angeles |
90660 |
California |
2014 |
2015 |
4 |
MU |
HEALTH SERVICES ALTAMED |
1710191283 |
46750 |
8500 |
33.9679898013 |
-118.095628712 |
| -122.267252075423 |
37.8373378810384 |
1613 |
Marsh, Anne |
1063612448 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.107079113011 |
32.6710405202039 |
1623 |
Banh, Amy |
1063633790 |
Dentist |
UNKNOWN |
135 Civic Center Dr, Ste 102 |
National City |
San Diego |
91950 |
California |
2016 |
2016 |
1 |
AIU |
HIROTA DMD A DENTAL CORP M |
1548509862 |
21250 |
21250 |
32.6710405201 |
-117.107079113 |
| -118.329789269359 |
34.0979749635737 |
1649 |
Miyazaki, Brian |
1063675718 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -121.969668357409 |
38.5216089870652 |
1658 |
Trader, Andrea |
1063696318 |
Physician |
UNKNOWN |
23 Main Street |
Davis |
Yolo |
95694 |
California |
2013 |
2013 |
2 |
MU |
HEATHCARE FNDTN WINTERS |
1992736086 |
29750 |
8500 |
38.5216089867 |
-121.969668357 |
| -118.150712999905 |
34.1313119999489 |
1661 |
Chaudhri, Nimra |
1063699148 |
Physician |
FAMILY PRACTICE |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2013 |
2014 |
2 |
MU |
HEALTH COMMUNITY |
1871689315 |
29750 |
8500 |
34.131312 |
-118.150713 |
| -118.095628711596 |
33.9679898013883 |
1691 |
Yoo, Carlos |
1063750479 |
Physician |
UNKNOWN |
9436 east slauson ave |
PICOR RIVERA |
Los Angeles |
90660 |
California |
2020 |
2020 |
5 |
MU |
HEALTH SERVICES ALTAMED |
1710191283 |
55250 |
8500 |
33.9679898013 |
-118.095628712 |
| -119.097576800329 |
36.4172857999997 |
1695 |
Muthyapu, Annapoorna |
1063767564 |
Physician |
UNKNOWN |
201 E. Lakeview Avenue |
Woodlake |
Tulare |
93286 |
California |
2017 |
2018 |
2 |
MU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
29750 |
8500 |
36.4172857999 |
-119.0975768 |
| -119.780754391002 |
36.3157019996476 |
1700 |
Brandenburg, Stacia |
1063793222 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1270 N Lemoore Ave |
Lemoore |
Kings |
93245 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS OF THE UNITED |
1477979722 |
21250 |
21250 |
36.315702 |
-119.780754391 |
| -118.095628711596 |
33.9679898013883 |
1704 |
Thomas, Kimberly |
1063812303 |
Nurse Practitioner |
UNKNOWN |
9436 Slauson Ave |
Pico Rivera |
Los Angeles |
90660 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SERVICES ALTAMED |
1710191283 |
29750 |
8500 |
33.9679898013 |
-118.095628712 |
| -118.290205477301 |
34.0955859100617 |
1706 |
Albert, Shira |
1063817831 |
Physician |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
29750 |
8500 |
34.0955859098 |
-118.290205477 |
| -118.150795976753 |
34.1778106936086 |
1713 |
Pham, Christine |
1063830412 |
Doctor of Optometry |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2020 |
2020 |
2 |
MU |
HEALTH COMMUNITY |
1871689315 |
29750 |
8500 |
34.1778106939 |
-118.150795977 |
| -122.267252075423 |
37.8373378810384 |
1728 |
Spinazzi, Noemi |
1063845170 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.444104999646 |
33.9213149997875 |
1736 |
Vargas, Dina |
1063873552 |
Nurse Practitioner |
UNKNOWN |
9380 Magnolia Ave |
Riverside |
Riverside |
92503 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM INC COMMUNITY |
1548538911 |
21250 |
21250 |
33.921315 |
-117.444105 |
| -122.174891665318 |
39.9279294888549 |
1737 |
Pierre, Colbert |
1063883171 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
740 Solano Street |
Corning |
Tehama |
96021 |
California |
2018 |
2019 |
3 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
38250 |
8500 |
39.9279294893 |
-122.174891665 |
| -115.569162842391 |
32.8311276918895 |
1745 |
sawaya, valerie |
1073061065 |
Certified Nurse - Midwife |
UNKNOWN |
2435 Marshall Ave |
Imperial |
Imperial |
92251 |
California |
2016 |
2018 |
1 |
AIU |
HAMID MD INC ZADEH |
1356655492 |
21250 |
21250 |
32.8311276922 |
-115.569162842 |
| -122.046216318029 |
38.261036358841 |
1753 |
Rumery, Christopher |
1073507018 |
Physician |
UNKNOWN |
1101 B. Gale Wilson Blvd, suite307 |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
55250 |
8500 |
38.2610363594 |
-122.046216318 |
| -121.847781867239 |
37.3650299278889 |
1756 |
Nguyen, Huy |
1073517306 |
Physician |
GASTROENTEROLOGY |
2340 Montpelier Dr, Ste A |
San Jose |
Santa Clara |
95116 |
California |
2014 |
2015 |
3 |
MU |
HUY A MD NGUYEN |
1073517306 |
38250 |
8500 |
37.3650299281 |
-121.847781867 |
| -117.249866999562 |
33.3689129998351 |
1757 |
Handojo, Troy |
1073506655 |
Physician |
FAMILY PRACTICE |
1328 S Mission Rd |
Fallbrook |
San Diego |
92028 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH SYSTEMS INC COMMUNITY |
1982756086 |
21250 |
21250 |
33.368913 |
-117.249867 |
| -117.071664499717 |
33.1292598686481 |
1762 |
Park, Renee |
1073526794 |
Dentist |
UNKNOWN |
425 N. Date St |
Escondido |
San Diego |
92025 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1437335353 |
21250 |
21250 |
33.1292598693 |
-117.0716645 |
| -117.39812850003 |
34.0700759999075 |
1763 |
Vo, Dat |
1073525044 |
Dentist |
UNKNOWN |
18601 Valley BLVD |
Bloomington |
San Bernardino |
92316 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH SYSTEMS COMMUNITY |
1487706347 |
21250 |
21250 |
34.070076 |
-117.3981285 |
| -121.55149361274 |
39.0972587433964 |
1765 |
Martinez, Francisco |
1073532479 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4941 Olivehurst |
Olivehurst |
Yuba |
95961 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH AMPLA |
1811204555 |
21250 |
21250 |
39.0972587427 |
-121.551493613 |
| -118.290488027201 |
34.0708265641946 |
1775 |
Ahn, Yung |
1073554184 |
Physician |
UNKNOWN |
184 S Bimini Pl |
Los Angeles |
Los Angeles |
90004 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1093886251 |
38250 |
8500 |
34.0708265636 |
-118.290488027 |
| -119.288677500166 |
36.3322530002758 |
1788 |
Barreto, William |
1073585725 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE FAMILY |
1821186727 |
63750 |
8500 |
36.332253 |
-119.2886775 |
| -119.207077446867 |
36.303327220375 |
1807 |
MUNIZ, GERARDO |
1073615944 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
730 N. Farmersville Blvd. |
Farmersville |
Tulare |
93223 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE FAMILY |
1821186727 |
55250 |
8500 |
36.3033272201 |
-119.207077447 |
| -121.96362599964 |
36.9755910002245 |
1809 |
Trolan, Therese |
1073616025 |
Physician |
PEDIATRIC MEDICINE |
1820 41st Ave Ste D |
Capitola |
Santa Cruz |
95010 |
California |
2013 |
2014 |
2 |
MU |
HEALTH MEDICAL DIGNITY |
1598961245 |
29750 |
8500 |
36.975591 |
-121.963626 |
| -119.291498831706 |
36.5303014971165 |
1826 |
Nakatsuchi, Hirofumi |
1073638086 |
Dentist |
UNKNOWN |
12586 Avenue 408 |
Orosi |
UNKNOWN |
93647 |
California |
2015 |
2016 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
29750 |
8500 |
36.5303014971 |
-119.291498832 |
| -121.287285000302 |
37.9665270002209 |
1828 |
GILL, PARAMJIT |
1073629218 |
Physician |
UNKNOWN |
1212 N california |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -119.289034030996 |
36.3341005980642 |
1856 |
Cisneros, Henry |
1073669503 |
Dentist |
UNKNOWN |
501 North Bridge Street |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
55250 |
8500 |
36.3341005984 |
-119.289034031 |
| -122.646489753 |
41.7186503676204 |
1858 |
Young, Norma |
1073675708 |
Nurse Practitioner |
NURSE PRACTITIONER |
475 Bruce St, Suite 500 |
Yreka |
Siskiyou |
96097 |
California |
2013 |
2014 |
2 |
MU |
HOSP SISKIYOU |
1093892275 |
29750 |
8500 |
41.7186503677 |
-122.646489753 |
| -120.498999995353 |
35.0266083603876 |
1860 |
Fory, Linda |
1073685814 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
17000 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.310027084682 |
34.1846741512911 |
1863 |
Gevorkyan, Hakop |
1073689386 |
Physician |
UNKNOWN |
333 E. Magnolia Blvd, #103 |
Burbank |
Los Angeles |
91502 |
California |
2016 |
2017 |
5 |
MU |
HEALTH MEDICAL ADVANCE |
1972679280 |
25500 |
8500 |
34.1846741507 |
-118.310027085 |
| -117.146546412287 |
32.7016590679117 |
1875 |
Cervantes, Sandra |
1073701041 |
Physician |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -119.650117579163 |
36.3270237618372 |
1879 |
Miller, Scott |
1073705315 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
329 W. 8th Street Suite 101 |
Hanford |
Kings |
93230 |
California |
2013 |
2014 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
29750 |
8500 |
36.3270237616 |
-119.650117579 |
| -118.814916497998 |
36.1330203400167 |
1880 |
Mating, Narwhals |
1073694378 |
Physician |
UNKNOWN |
35800 Highway 190 |
Springville |
Tulare |
93265 |
California |
2017 |
2018 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1386738177 |
63750 |
8500 |
36.1330203401 |
-118.814916498 |
| -121.953063614194 |
38.3545860351175 |
1883 |
Warner, Gregory |
1073704326 |
Physician |
INFECTIOUS DISEASE |
1010 Nut Tree Road, Suite 100B |
Vacaville |
Solano |
95687 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.354586035 |
-121.953063614 |
| -119.521534499617 |
36.6049529997812 |
1900 |
Leung, Herman |
1073745584 |
Dentist |
UNKNOWN |
650 Zediker Ave |
Parlier |
Fresno |
93648 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS- UNITED |
1801878350 |
55250 |
8500 |
36.604953 |
-119.5215345 |
| -118.329789269359 |
34.0979749635737 |
1903 |
Chawla, Faisal |
1073743951 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2014 |
2015 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -122.271160359963 |
37.7995061221099 |
1916 |
Liao, Christina |
1073786166 |
Dentist |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -119.218041199742 |
36.3890816388067 |
1935 |
Avila, Esther |
1073834065 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
33025 Road 159 |
Ivanhoe |
Tulare |
93235 |
California |
2012 |
2013 |
2 |
MU |
HLTHCARE NETWORK FAMILY |
1386670610 |
29750 |
8500 |
36.3890816392 |
-119.2180412 |
| -117.146546412287 |
32.7016590679117 |
1950 |
OWEN, MICHAEL |
1073869145 |
Nurse Practitioner |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -121.769568889193 |
38.5631938354272 |
1955 |
Miller, Caitlin |
1073894218 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
2051 John Jones Rd |
Davis |
Yolo |
95616 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1710087515 |
21250 |
21250 |
38.5631938352 |
-121.769568889 |
| -117.298687104226 |
34.0966627016224 |
1971 |
Matta, Yara |
1073932133 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.113485500156 |
32.7150374537156 |
1974 |
Miller, Jessica |
1073973368 |
Nurse Practitioner |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS OF SAN FAMILY |
1700821303 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -118.302879718224 |
34.0629495930493 |
1987 |
Kahn, Jonathan |
1083022164 |
Dentist |
UNKNOWN |
611 S KINGSLEY DR. |
Los Angeles |
Los Angeles |
90005 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH and WELLNESS APLA |
1740490937 |
21250 |
21250 |
34.0629495926 |
-118.302879718 |
| -120.498999995353 |
35.0266083603876 |
1995 |
Boren, Lori |
1083044721 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.098758861632 |
38.9348505096434 |
2036 |
West, Nancy |
1083638332 |
Physician |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2012 |
2013 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
38.9348505095 |
-121.098758862 |
| -120.498999995353 |
35.0266083603876 |
2040 |
Cury, George |
1083643878 |
Physician |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.252215999968 |
32.7827339998743 |
2041 |
BENTLEY, SUZANNE |
1083648844 |
Nurse Practitioner |
UNKNOWN |
3705 Mission Blvd. |
San Diego |
San Diego |
92109 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS OF SD FAM |
1386689701 |
21250 |
21250 |
32.782734 |
-117.252216 |
| -121.456624499721 |
38.5712370003873 |
2045 |
Ngo, richard |
1083647820 |
Nurse Practitioner |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95823 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
38250 |
8500 |
38.571237 |
-121.4566245 |
| -118.306952999581 |
34.0623180000757 |
2056 |
BHOJWANI, DEEPA |
1083683619 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.614466572374 |
39.1450130156382 |
2061 |
Naseem, Shahzad |
1083696439 |
Physician |
UNKNOWN |
931 Market St |
Yuba City |
Sutter |
95991 |
California |
2013 |
2014 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.1450130164 |
-121.614466572 |
| -117.668297206551 |
33.5230211008432 |
2098 |
Sarjeant, Donna |
1083752273 |
Nurse Practitioner |
NURSE PRACTITIONER |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CENTER CAMINO |
1366560393 |
29750 |
8500 |
33.523021101 |
-117.668297207 |
| -122.267252075423 |
37.8373378810384 |
2151 |
Lo, Christina |
1083810113 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.306952999581 |
34.0623180000757 |
2154 |
ANSELMO, DEAN |
1083820716 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.049873972306 |
38.2620150001922 |
2163 |
Villalon, Rachel |
1083842843 |
Physician |
UNKNOWN |
1860 Pennsylvania Ave, Ste 300 |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
46750 |
8500 |
38.262015 |
-122.049873972 |
| -117.866853000166 |
33.7811759997726 |
2192 |
Nieves, Delma |
1083894315 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -122.659945408554 |
38.2688718730386 |
2193 |
Pearson, Lisa |
1083894802 |
Physician |
UNKNOWN |
1179 North McDowell Blvd. |
Petaluma |
UNKNOWN |
94954 |
California |
2016 |
2017 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -122.292192420644 |
38.3212564181492 |
2212 |
nunez gallegos, jose luis |
1083935589 |
Physician |
UNKNOWN |
1141 Pear Tree Ln, Ste 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
38250 |
8500 |
38.3212564177 |
-122.292192421 |
| -120.458207277044 |
36.8604790526662 |
2213 |
Garcia, Javier |
1083940514 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
944 O St |
Firebaugh |
Fresno |
93622 |
California |
2016 |
2017 |
3 |
MU |
HEALTH TEAM INC VALLEY |
1558638601 |
38250 |
8500 |
36.8604790527 |
-120.458207277 |
| -121.613430264695 |
39.1443745680319 |
2214 |
Chhibar, Ruchika |
1083943732 |
Physician |
UNKNOWN |
1000 Sutter St |
Yuba City |
Sutter |
95991 |
California |
2013 |
2014 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.1443745679 |
-121.613430265 |
| -122.267252075423 |
37.8373378810384 |
2219 |
Esparza, Lynn |
1083949689 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -121.769568889193 |
38.5631938354272 |
2223 |
Lance, Simone |
1083956593 |
Certified Nurse - Midwife |
UNKNOWN |
2051 John Jones Rd |
Davis |
Yolo |
95616 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
38250 |
8500 |
38.5631938352 |
-121.769568889 |
| -119.297551500202 |
36.3529349998504 |
2224 |
Mackiney, Sandra |
1083943799 |
Nurse Practitioner |
UNKNOWN |
Visalia Health Care Center, 2611 N Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
29750 |
8500 |
36.352935 |
-119.2975515 |
| -118.122883944139 |
34.0682052886432 |
2226 |
Xu, Lynn |
1083959191 |
Nurse Practitioner |
UNKNOWN |
600 N Garfield Ave, 105 |
Monterey Park |
Los Angeles |
91754 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTER GARFIELD |
1760480610 |
21250 |
21250 |
34.0682052886 |
-118.122883944 |
| -117.298687104226 |
34.0966627016224 |
2228 |
Penhallurick, Tiffany |
1083952147 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -122.659945408554 |
38.2688718730386 |
2233 |
Larimore-Arenas, Darcie |
1083969943 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
46750 |
8500 |
38.2688718726 |
-122.659945409 |
| -120.498999995353 |
35.0266083603876 |
2249 |
dhaliwal, jaspal |
1093018269 |
Physician |
UNKNOWN |
150 Tejas Pl |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.329789269359 |
34.0979749635737 |
2250 |
Castillo, Patricia |
1093014557 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd, Ste 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -117.146546412287 |
32.7016590679117 |
2253 |
Haghollahi, Taravat |
1083959084 |
Dentist |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.146546412287 |
32.7016590679117 |
2267 |
Silva, Richard |
1093050858 |
Physician |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.042168222785 |
36.0512835430011 |
2268 |
Splawn, Darla |
1093049140 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
21250 |
21250 |
36.0512835428 |
-119.042168223 |
| -121.481662499625 |
38.5768799998122 |
2271 |
Esparza, Lluvia |
1093061665 |
Nurse Practitioner |
UNKNOWN |
1820 J Street |
Sacramento |
Sacramento |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -121.098758861632 |
38.9348505096434 |
2274 |
Mulligan, Meagan |
1093071078 |
Physician |
UNKNOWN |
11670 Atwood Road |
Auburn |
Placer |
95603 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
38.9348505095 |
-121.098758862 |
| -122.047352999941 |
38.2610944901187 |
2276 |
Karimi-Noori, Homa |
1093073231 |
Physician |
UNKNOWN |
1200 B Gale Wilson Blvd |
Fairfield |
Solano |
94533 |
California |
2016 |
2017 |
2 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
29750 |
8500 |
38.2610944902 |
-122.047353 |
| -122.459318999672 |
37.7637120003086 |
2282 |
Pham, Yen |
1093070310 |
Physician |
UNKNOWN |
500 Parnassus Avenue Mu 410 E Box 0316 |
San Francisco |
San Francisco |
94143 |
California |
2015 |
2015 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.763712 |
-122.459319 |
| -120.055711580925 |
36.9628328372657 |
2293 |
Edginton, Melissa |
1093136269 |
Nurse Practitioner |
UNKNOWN |
344 E 6th St |
Madera |
Madera |
93638 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9628328373 |
-120.055711581 |
| -121.980731580698 |
37.55797738285 |
2296 |
Jawed, Ismah |
1093144008 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1999 Mowry Ave, Suite F |
Fremont |
Alameda |
94538 |
California |
2016 |
2017 |
1 |
MU |
HEALTH CENTER TRI-CITY |
1942387188 |
21250 |
21250 |
37.5579773828 |
-121.980731581 |
| -121.098758861632 |
38.9348505096434 |
2305 |
Dzurella, Scott |
1093153322 |
Nurse Practitioner |
UNKNOWN |
11670 Atwood Road |
Auburn |
Placer |
95603 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -117.960264000084 |
33.8649660002807 |
2308 |
Shams, Maryam |
1093160764 |
Nurse Practitioner |
UNKNOWN |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2019 |
2020 |
2 |
MU |
HLTH CARE REPRODUCTIVE |
1508977414 |
29750 |
8500 |
33.864966 |
-117.960264 |
| -117.059665500363 |
33.125328000287 |
2313 |
Gamble, Catherine |
1093253726 |
Nurse Practitioner |
UNKNOWN |
612 Tranquility Gln |
Escondido |
San Diego |
92027 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH COUNCIL INDIAN |
1861449522 |
21250 |
21250 |
33.125328 |
-117.0596655 |
| -121.545819136144 |
39.1278335471805 |
2318 |
Xiong, Tou |
1093194920 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1908 N. Beale Road, Suite E |
Marysville |
UNKNOWN |
95901 |
California |
2017 |
2018 |
2 |
MU |
HEALTH MEDICAL HARMONY |
1124130620 |
29750 |
8500 |
39.1278335467 |
-121.545819136 |
| -121.953063614194 |
38.3545860351175 |
2323 |
Peterson, Robert |
1093717951 |
Physician |
UNKNOWN |
1010 Nut Tree Rd, STE 200 |
Vacaville |
Solano |
95687 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
55250 |
8500 |
38.354586035 |
-121.953063614 |
| -121.819527654278 |
37.3566314686674 |
2329 |
Liu, Hsin-Pei |
1093718678 |
Physician |
UNKNOWN |
1066 South White Road |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
38250 |
8500 |
37.3566314689 |
-121.819527654 |
| -117.146546412287 |
32.7016590679117 |
2334 |
Rosenbaum, Daniel |
1093735359 |
Physician |
UNKNOWN |
1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -120.498999995353 |
35.0266083603876 |
2338 |
Camacho, Miguel |
1093746364 |
Physician |
FAMILY PRACTICE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
29750 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.267252075423 |
37.8373378810384 |
2343 |
Hsieh, Charlotte |
1093745630 |
Physician |
INFECTIOUS DISEASE |
747 52nd St, Pediatric Infectious Diseases |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -121.769568889193 |
38.5631938354272 |
2345 |
Ghoddusi-Tabarsi, Farideh |
1093759987 |
Dentist |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
38250 |
8500 |
38.5631938352 |
-121.769568889 |
| -121.436356500352 |
38.5128719996431 |
2348 |
trinh, hoi |
1093763484 |
Physician |
INTERNAL MEDICINE |
6175 Stockton Blvd, 225 |
Sacramento |
Sacramento |
95824 |
California |
2012 |
2013 |
1 |
AIU |
HOI K MD TRINH |
1093763484 |
21250 |
21250 |
38.512872 |
-121.4363565 |
| -117.946313999791 |
33.8324215409214 |
2352 |
Bui, Lan |
1093770976 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1814 W Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2017 |
2018 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1063659985 |
63750 |
8500 |
33.8324215409 |
-117.946314 |
| -121.287285000302 |
37.9665270002209 |
2358 |
Blue, Christine |
1093786683 |
Physician |
UNKNOWN |
1212 North California Street |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -117.863549025867 |
33.7802805097378 |
2364 |
Kabeer, Mustafa |
1093795239 |
Physician |
PEDIATRIC MEDICINE |
1010 W La Veta Ave, SUITE 640 |
Orange |
UNKNOWN |
92868 |
California |
2012 |
2012 |
1 |
AIU |
HOSP OF ORANGE CHILDRENS |
1811080526 |
21250 |
21250 |
33.7802805095 |
-117.863549026 |
| -117.146546412287 |
32.7016590679117 |
2365 |
Chen, Tsuh-Yin |
1093803520 |
Physician |
UNKNOWN |
1809 NATIONAL AVE |
SAN DIEGO |
San Diego |
92113 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -122.659945408554 |
38.2688718730386 |
2367 |
Khalsa, Dalbir |
1093803751 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -122.267252075423 |
37.8373378810384 |
2372 |
Gleghorn, Elizabeth |
1093809659 |
Physician |
PEDIATRIC MEDICINE |
747 52nd street |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.289034030996 |
36.3341005980642 |
2415 |
Chen, Wilson |
1093871881 |
Physician |
PEDIATRIC MEDICINE |
501 North Bridge Street |
Visalia |
Tulare |
93291 |
California |
2014 |
2015 |
4 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
46750 |
8500 |
36.3341005984 |
-119.289034031 |
| -122.271160359963 |
37.7995061221099 |
2429 |
Chen, Tammy |
1093887721 |
Physician |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.271160359963 |
37.7995061221099 |
2435 |
Huang, Susan Mei |
1093894032 |
Physician |
INTERNAL MEDICINE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -119.800377524303 |
36.8843745979094 |
2442 |
Salazar, Janie |
1093908766 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL CHILDREN'S |
1275694184 |
21250 |
21250 |
36.8843745978 |
-119.800377524 |
| -122.659945408554 |
38.2688718730386 |
2447 |
Minikel, Michelle |
1093913113 |
Physician |
FAMILY PRACTICE |
1179 North McDowell Blvd. |
Petaluma |
UNKNOWN |
94954 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
38250 |
8500 |
38.2688718726 |
-122.659945409 |
| -122.267252075423 |
37.8373378810384 |
2466 |
Tester, June |
1093936841 |
Physician |
UNKNOWN |
747 52nd Street |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -121.287285000302 |
37.9665270002209 |
2506 |
Kubena, Jerry |
1104023563 |
Physician |
UNKNOWN |
1212 North California Street |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -121.913647032185 |
37.3017600004237 |
2509 |
Yoon, Soohyun |
1104026285 |
Physician |
PEDIATRIC MEDICINE |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1164643862 |
21250 |
21250 |
37.30176 |
-121.913647032 |
| -117.146546412287 |
32.7016590679117 |
2510 |
Sleiman, Joseph |
1093976748 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -119.288673194212 |
36.3328544497731 |
2520 |
Chiles, Jessica |
1104040781 |
Doctor of Optometry |
UNKNOWN |
401 E. School Ave |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
46750 |
8500 |
36.3328544502 |
-119.288673194 |
| -122.267731525589 |
37.8373514428149 |
2531 |
Ghoussaini, Kristen |
1104068444 |
Nurse Practitioner |
NURSE PRACTITIONER |
744 52nd St, SUITE 5203 |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373514427 |
-122.267731526 |
| -119.291498831706 |
36.5303014971165 |
2534 |
Cherry, Sean |
1104074533 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
12586 Avenue 408 |
Orosi |
Tulare |
93647 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
63750 |
8500 |
36.5303014971 |
-119.291498832 |
| -118.150795976753 |
34.1778106936086 |
2535 |
Self-Stoico, Allyson |
1104074707 |
Physician |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.1778106939 |
-118.150795977 |
| -122.049873972306 |
38.2620150001922 |
2540 |
Rehman, Shahid |
1104084458 |
Physician |
NEUROSURGERY |
1860 Pennsylvania Ave, 300B |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.262015 |
-122.049873972 |
| -117.946313999791 |
33.8324215409214 |
2558 |
LEUNG, WILSON |
1104151653 |
Dentist |
UNKNOWN |
1814 W. Lincoln Ave Suite B |
Anaheim |
Orange |
92801 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
29750 |
8500 |
33.8324215409 |
-117.946314 |
| -120.498999995353 |
35.0266083603876 |
2565 |
Cole, Sarah |
1104178961 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Pl |
Nipomo |
San Luis Obispo |
93444 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -122.267252075423 |
37.8373378810384 |
2576 |
Gaine, Shannon |
1104202621 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
2 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373378814 |
-122.267252075 |
| -121.810311631277 |
37.3465425807755 |
2580 |
Nguyen, Son |
1104217629 |
Dentist |
UNKNOWN |
1650 South White Road |
San Jose |
Santa Clara |
95127 |
California |
2020 |
2020 |
5 |
MU |
HEALTH CENTER TRI-CITY |
1780054379 |
55250 |
8500 |
37.3465425814 |
-121.810311631 |
| -117.298687104226 |
34.0966627016224 |
2581 |
Chundu, Madalitso |
1104203207 |
Physician |
UNKNOWN |
250 S. G St, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -121.85994213662 |
37.2416247570769 |
2582 |
Perera, Melanie |
1104223296 |
Nurse Practitioner |
UNKNOWN |
5671 Santa Teresa Blvd, 105 |
San Jose |
Santa Clara |
95123 |
California |
2015 |
2016 |
2 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
29750 |
8500 |
37.2416247574 |
-121.859942137 |
| -119.291498831706 |
36.5303014971165 |
2593 |
Echeverria, Letty |
1104251065 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
12586 Avenue 408 |
Orosi |
Tulare |
93647 |
California |
2014 |
2014 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
21250 |
21250 |
36.5303014971 |
-119.291498832 |
| -120.498999995353 |
35.0266083603876 |
2599 |
McKiernan, Meghan |
1104260454 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
29750 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.298687104226 |
34.0966627016224 |
2600 |
Kositsawat, Juthamas |
1104246016 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -118.306952999581 |
34.0623180000757 |
2601 |
Hernandez, Adriana |
1104282789 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.94732640439 |
34.0601917932167 |
2603 |
Villanueva, Jamie |
1104291442 |
Nurse Practitioner |
UNKNOWN |
1300 S Sunset Ave |
West Covina |
Los Angeles |
91790 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1730481318 |
38250 |
8500 |
34.0601917926 |
-117.947326404 |
| -121.828447588985 |
37.3773539107544 |
2607 |
Ma, Jessica |
1104376052 |
Dentist |
UNKNOWN |
242 La Pala Drive |
San Jose |
Santa Clara |
95127 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER FOOTHILL |
1912311440 |
21250 |
21250 |
37.3773539109 |
-121.828447589 |
| -117.869876536173 |
33.7265347058121 |
2618 |
Gedissman, Alberto |
1104814086 |
Physician |
UNKNOWN |
1515 S Broadway, Suite A |
Santa Ana |
Orange |
92707 |
California |
2016 |
2017 |
4 |
MU |
HEALTH SERVICES ALTAMED |
1760651814 |
46750 |
8500 |
33.7265347055 |
-117.869876536 |
| -118.536099371089 |
34.2019394546422 |
2619 |
Nguyen, Hung |
1104819945 |
Physician |
FAMILY PRACTICE |
7227 Reseda Blvd |
Reseda |
Los Angeles |
91335 |
California |
2013 |
2014 |
1 |
AIU |
HUNG V MD NGUYEN |
1104819945 |
21250 |
21250 |
34.2019394547 |
-118.536099371 |
| -120.339604557005 |
37.9783256989719 |
2620 |
Acuna, Estevan |
1104821032 |
Nurse Practitioner |
NURSE PRACTITIONER |
13975 Mono Way, Suite G |
Sonora |
Tuolumne |
95370 |
California |
2013 |
2014 |
2 |
MU |
HEALTH BOARD, INC MACT |
1366519431 |
29750 |
8500 |
37.9783256994 |
-120.339604557 |
| -119.288677500166 |
36.3322530002758 |
2634 |
Ayers, Robert |
1104842152 |
Physician |
UNKNOWN |
400 E. Oak Ave |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE FAMILY |
1821186727 |
46750 |
8500 |
36.332253 |
-119.2886775 |
| -122.292065021783 |
38.3212756123797 |
2635 |
Connick, Megan |
1104841576 |
Physician |
UNKNOWN |
1141 Pear Tree Lane |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212756122 |
-122.292065022 |
| -120.498999995353 |
35.0266083603876 |
2663 |
SINGH, AMANDEEP |
1104879956 |
Physician |
FAMILY PRACTICE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -121.098758861632 |
38.9348505096434 |
2671 |
McIntyre, Sharon |
1104892645 |
Physician |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -118.257286499772 |
34.12736100031 |
2672 |
Green, Germaine |
1104889344 |
Physician |
UNKNOWN |
1500 SOuth Central Avenue #100 |
Glendale |
Los Angeles |
91204 |
California |
2018 |
2019 |
4 |
MU |
HEALTH PHYSICIANS ADVENTIST |
1427310648 |
46750 |
8500 |
34.127361 |
-118.2572865 |
| -122.267252075423 |
37.8373378810384 |
2692 |
Botelho, Barbara |
1104925841 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.432940500104 |
34.1374139998563 |
2702 |
Kudtarkar, Swapna |
1104939172 |
Physician |
UNKNOWN |
17051 Sierra Lakes Pkwy Ste 101 |
Fontana |
UNKNOWN |
92336 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CARE GROUP INLAND |
1174760953 |
21250 |
21250 |
34.137414 |
-117.4329405 |
| -121.881777946595 |
37.3216654237204 |
2706 |
Pantiga, Manuel |
1104944750 |
Physician |
UNKNOWN |
100 Oak St |
San Jose |
Santa Clara |
95110 |
California |
2015 |
2016 |
3 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
38250 |
8500 |
37.3216654235 |
-121.881777947 |
| -118.308853204112 |
34.0164932961288 |
2713 |
Martins, David |
1104953074 |
Physician |
UNKNOWN |
3834 S Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2014 |
2015 |
3 |
MU |
H E CLINIC AT RUTH T |
1023287679 |
38250 |
8500 |
34.0164932957 |
-118.308853204 |
| -122.17568692771 |
39.9287670103893 |
2721 |
Kaur, Harpreet |
1104963313 |
Dentist |
UNKNOWN |
705 East Ave |
Corning |
Tehama |
96021 |
California |
2018 |
2019 |
5 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
34000 |
8500 |
39.9287670099 |
-122.175686928 |
| -119.366878876059 |
36.2046068380352 |
2734 |
Trapse, Felix |
1104975788 |
Physician |
UNKNOWN |
263 S. West Street |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NETWORK FAMILY |
1073997201 |
38250 |
8500 |
36.2046068384 |
-119.366878876 |
| -119.288677500166 |
36.3322530002758 |
2740 |
GARCIA, MARY |
1104978337 |
Nurse Practitioner |
UNKNOWN |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2017 |
2018 |
6 |
MU |
HEALTHCARE FAMILY |
1821186727 |
63750 |
8500 |
36.332253 |
-119.2886775 |
| -122.455808999686 |
37.7487900001584 |
2746 |
Parsa Nezhad, Firoozeh |
1104969229 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, Laguna Honda Hospital and Rehab Center, Medical Svcs |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -118.187848176352 |
33.9730571996301 |
2754 |
LUNA, AILEEN |
1114006871 |
Dentist |
UNKNOWN |
6901 Atlantic Ave |
Bell |
Los Angeles |
90201 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
29750 |
8500 |
33.9730572 |
-118.187848176 |
| -118.187848176352 |
33.9730571996301 |
2756 |
LUNA, CELLINI |
1114006889 |
Dentist |
UNKNOWN |
6901 Atlantic Ave. |
Bell |
Los Angeles |
90201 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
38250 |
8500 |
33.9730572 |
-118.187848176 |
| -118.108749717725 |
33.774946961633 |
2758 |
tejani, nasir |
1114008067 |
Physician |
UNKNOWN |
711 Pepper tree lane |
Long Beach |
Los Angeles |
90815 |
California |
2015 |
2017 |
3 |
MU |
H TEJANI MD, INC NASIR |
1114008067 |
38250 |
8500 |
33.7749469623 |
-118.108749718 |
| -122.047352999941 |
38.2610944901187 |
2773 |
Amster, Michael |
1114023058 |
Physician |
INTERVENTIONAL PAIN MANAGEMENT |
1200 B Gale Wilson Blvd |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
55250 |
8500 |
38.2610944902 |
-122.047353 |
| -122.646489753 |
41.7186503676204 |
2777 |
BEORIS, PETER |
1114030863 |
Physician |
EMERGENCY MEDICINE |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2011 |
2012 |
1 |
AIU |
HOSP SISKIYOU |
1093892275 |
21250 |
21250 |
41.7186503677 |
-122.646489753 |
| -121.981930322127 |
37.5565843419938 |
2786 |
DHILLON, HARPREET |
1114038221 |
Physician |
UNKNOWN |
2287 Mowry Avenue, Suite F |
Fremont |
Alameda |
94538 |
California |
2017 |
2017 |
6 |
MU |
HARPREET S MD INC DHILLON |
1265759088 |
63750 |
8500 |
37.5565843423 |
-121.981930322 |
| -121.545819136144 |
39.1278335471805 |
2788 |
Shaw, Fonda |
1114038320 |
Nurse Practitioner |
UNKNOWN |
1908 N Beale Rd, Ste. E |
Marysville |
Yuba |
95901 |
California |
2018 |
2019 |
6 |
MU |
HEALTH MEDICAL HARMONY |
1124130620 |
63750 |
8500 |
39.1278335467 |
-121.545819136 |
| -122.267252075423 |
37.8373378810384 |
2791 |
Turpin, Susan |
1114043270 |
Nurse Practitioner |
UNKNOWN |
747 52nd Street |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.146546412287 |
32.7016590679117 |
2810 |
Saunders, Lori |
1114029808 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -121.829149767947 |
37.3651956189827 |
2818 |
Vazquez, Alfonso |
1114092715 |
Dentist |
UNKNOWN |
3030 Alum Rock Ave |
San Jose |
Santa Clara |
95127 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1083654545 |
21250 |
21250 |
37.3651956189 |
-121.829149768 |
| -118.329789269359 |
34.0979749635737 |
2836 |
Patel, Ankur |
1114105129 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -118.589103220837 |
34.1665091409841 |
2840 |
Nourian, Hormoz |
1114115748 |
Dentist |
UNKNOWN |
20929 Ventura Blvd, Suite #19 |
Woodland Hills |
Los Angeles |
91364 |
California |
2016 |
2017 |
1 |
AIU |
Hormoz Nourian |
1114115748 |
21250 |
21250 |
34.1665091408 |
-118.589103221 |
| -120.498999995353 |
35.0266083603876 |
2841 |
Moore, Anika |
1114119732 |
Physician |
OBSTETRICS/GYNECOLOGY |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -122.659945408554 |
38.2688718730386 |
2846 |
Turner, Nicole |
1114123569 |
Physician |
FAMILY PRACTICE |
1179 North McDowell Blvd. |
Petaluma |
UNKNOWN |
94954 |
California |
2013 |
2014 |
3 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
38250 |
8500 |
38.2688718726 |
-122.659945409 |
| -119.650117579163 |
36.3270237618372 |
2859 |
Cheney, Nancy |
1114129004 |
Physician |
PEDIATRIC MEDICINE |
329 West 8th Suite 101 |
Hanford |
Kings |
93230 |
California |
2014 |
2015 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
38250 |
8500 |
36.3270237616 |
-119.650117579 |
| -121.613430264695 |
39.1443745680319 |
2869 |
Bath, Kami |
1114173465 |
Nurse Practitioner |
UNKNOWN |
1000 Sutter St |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.1443745679 |
-121.613430265 |
| -122.26118746393 |
37.8386955479612 |
2876 |
Razani, Nooshin |
1114176898 |
Physician |
PEDIATRIC MEDICINE |
5220 Claremont Ave |
Oakland |
Alameda |
94618 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8386955484 |
-122.261187464 |
| -118.329789269359 |
34.0979749635737 |
2882 |
Bender, Jeffrey |
1114196508 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -117.169628486565 |
33.5172337305523 |
2883 |
Louie, Trang |
1114198843 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
41840 Enterprise Circle N |
Temecula |
Riverside |
92590 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
29750 |
8500 |
33.5172337305 |
-117.169628487 |
| -122.271160359963 |
37.7995061221099 |
2890 |
Cheng, Joyce |
1114218153 |
Dentist |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -117.146546412287 |
32.7016590679117 |
2891 |
Contreras-Cerrillo, Ana |
1114221819 |
Dentist |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -120.06032040856 |
36.7286722489252 |
2893 |
nadipally, sudhakar |
1114227733 |
Physician |
UNKNOWN |
449 S. Madera Ave |
Kerman |
Fresno |
93630 |
California |
2015 |
2017 |
2 |
MU |
HEALTH TEAM, INC VALLEY |
1962567388 |
29750 |
8500 |
36.7286722491 |
-120.060320409 |
| -116.961791977218 |
33.2771591455781 |
2895 |
Fontecha, Ernest |
1114230232 |
Physician |
UNKNOWN |
50100 Golsh Rd. |
Valley Center |
San Diego |
92082 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH COUNCIL INDIAN |
1861449522 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
| -117.146546412287 |
32.7016590679117 |
2906 |
Chery, Farah |
1114183688 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -122.267252075423 |
37.8373378810384 |
2912 |
Salvetti, Britta |
1114266475 |
Physician |
UNKNOWN |
747 52nd Street |
Oakland |
Alameda |
94609 |
California |
2015 |
2015 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.988308000114 |
33.7050629998576 |
2919 |
Fouladi Rad, Shervin |
1114287497 |
Physician |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
29750 |
8500 |
33.705063 |
-117.988308 |
| -122.659945408554 |
38.2688718730386 |
2925 |
Chen, Iun-Iu |
1114288412 |
Physician |
UNKNOWN |
Petaluma Health Center, 1179 N McDowell Blvd |
Petaluma |
UNKNOWN |
94954 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
46750 |
8500 |
38.2688718726 |
-122.659945409 |
| -118.238960898427 |
33.9891238982494 |
2930 |
Ngsee, Stephanie |
1114318896 |
Nurse Practitioner |
UNKNOWN |
1900 E Slauson Ave |
Huntington Park |
Los Angeles |
90255 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1790177582 |
38250 |
8500 |
33.9891238977 |
-118.238960898 |
| -122.292192420644 |
38.3212564181492 |
2933 |
Tsang, Jennifer |
1114340130 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Ln, Suite 100 |
Napa |
Napa |
94558 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
46750 |
8500 |
38.3212564177 |
-122.292192421 |
| -120.625581861214 |
40.4381384658176 |
2936 |
Garnett, Melissa |
1114384229 |
Nurse Practitioner |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CTR NORTHEASTERN |
1477563518 |
21250 |
21250 |
40.4381384662 |
-120.625581861 |
| -119.288673194212 |
36.3328544497731 |
2941 |
Abalos, Tigon |
1114475845 |
Dentist |
UNKNOWN |
401 E School Ave |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
21250 |
21250 |
36.3328544502 |
-119.288673194 |
| -122.292192420644 |
38.3212564181492 |
2942 |
Thompson, Summer |
1114471844 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -122.833730645353 |
38.9775920408401 |
2950 |
Greenlee, James |
1114901659 |
Nurse Practitioner |
UNKNOWN |
5290 State St. |
Kelseyville |
Lake |
95451 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
29750 |
8500 |
38.9775920411 |
-122.833730645 |
| -121.046477281701 |
39.2318036446226 |
2953 |
Nichol, James |
1114924966 |
Physician |
FAMILY PRACTICE |
1350 East Main St |
Grass Valley |
Nevada |
95945 |
California |
2013 |
2014 |
3 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
38250 |
8500 |
39.2318036454 |
-121.046477282 |
| -117.081238499657 |
32.6425949998594 |
2977 |
Farris, Rita |
1114913100 |
Nurse Practitioner |
NURSE PRACTITIONER |
251 Landis Street, Chula Vista Family Health Center |
Chula Vista |
San Diego |
91910 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.642595 |
-117.0812385 |
| -118.609362000356 |
34.2204840004363 |
3006 |
Nguyen, Hoang |
1124011952 |
Physician |
FAMILY PRACTICE |
22135 Roscoe Blvd, Suite 107 |
Canoga Park |
Los Angeles |
91304 |
California |
2011 |
2013 |
1 |
AIU |
HOANG D MD NGUYEN |
1124011952 |
21250 |
21250 |
34.220484 |
-118.609362 |
| -121.45538700021 |
38.552040000046 |
3013 |
DUCORE, JONATHAN |
1124001417 |
Physician |
UNKNOWN |
2521 Stockton Blvd, PEDS HEM/ONC CLINIC, 3RD FLOOR |
Sacramento |
Sacramento |
95817 |
California |
2017 |
2018 |
6 |
MU |
HEMOC REGENTS/UCDPBG/PED |
1356334452 |
63750 |
8500 |
38.55204 |
-121.455387 |
| -122.26118746393 |
37.8386955479612 |
3040 |
Lewis, Gena |
1124053830 |
Physician |
UNKNOWN |
5220 Claremont Ave |
Oakland |
Alameda |
94618 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8386955484 |
-122.261187464 |
| -122.292192420644 |
38.3212564181492 |
3041 |
Adelman, Mara |
1124053483 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
46750 |
8500 |
38.3212564177 |
-122.292192421 |
| -120.498999995353 |
35.0266083603876 |
3042 |
Ricardo-Ortiz, Marylin |
1124059225 |
Physician |
PEDIATRIC MEDICINE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -119.218041199742 |
36.3890816388067 |
3067 |
Rivas, Benito |
1124099049 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
33025 Road 159 |
Ivanhoe |
UNKNOWN |
93235 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
46750 |
8500 |
36.3890816392 |
-119.2180412 |
| -121.481662499625 |
38.5768799998122 |
3068 |
Tausheck, Cam Lan |
1124101563 |
Nurse Practitioner |
UNKNOWN |
1820 J Street |
Sacramento |
UNKNOWN |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -122.271160359963 |
37.7995061221099 |
3071 |
Loo, Evelyn |
1124107263 |
Physician |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -121.769568889193 |
38.5631938354272 |
3074 |
DOUTHITT, JOHN |
1124107602 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
63750 |
8500 |
38.5631938352 |
-121.769568889 |
| -119.678546596948 |
36.6307544269753 |
3076 |
CHANG, HONGQIU |
1124114095 |
Dentist |
UNKNOWN |
212 E. Merced St. |
Fowler |
Fresno |
93625 |
California |
2017 |
2018 |
2 |
MU |
HONGQIU DDS CHANG |
1124114095 |
29750 |
8500 |
36.6307544269 |
-119.678546597 |
| -122.026468500021 |
37.9249920003805 |
3080 |
Jones, Mary |
1124114715 |
Physician |
UNKNOWN |
2401 Shadelands Drive |
Walnut Creek |
Contra Costa |
94598 |
California |
2015 |
2016 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.924992 |
-122.0264685 |
| -117.867205977774 |
33.7797186061288 |
3083 |
Renella, Pierangelo |
1124117254 |
Physician |
PEDIATRIC MEDICINE |
505 S. Main St |
Orange |
Orange |
92868 |
California |
2013 |
2013 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.7797186059 |
-117.867205978 |
| -117.068053499569 |
33.1260569997308 |
3099 |
SMARANDACHE, ADINA |
1124133525 |
Physician |
INTERNAL MEDICINE |
1001 E. Grand Ave |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1487826772 |
21250 |
21250 |
33.126057 |
-117.0680535 |
| -122.267252075423 |
37.8373378810384 |
3103 |
Fong, Edward |
1124133574 |
Physician |
PEDIATRIC MEDICINE |
747 52nd St, Suite 5409 |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -119.572149938869 |
36.7068147769804 |
3111 |
Flores, Maria |
1124147285 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
2502 Jensen Ave |
Sanger |
Fresno |
93657 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS OF UNITED |
1992787444 |
21250 |
21250 |
36.7068147766 |
-119.572149939 |
| -122.267252075423 |
37.8373378810384 |
3121 |
Juarez, Lourdes |
1124156617 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.009828643777 |
32.7148179660763 |
3137 |
Gomez, Mirtha |
1124177761 |
Dentist |
UNKNOWN |
8788 Jamacha Road |
Spring Valley |
San Diego |
91977 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS FAMILY |
1508801069 |
21250 |
21250 |
32.7148179656 |
-117.009828644 |
| -118.210311555734 |
34.061888387639 |
3141 |
Farnham, Thomas |
1124186085 |
Physician |
UNKNOWN |
1701 Zonal Ave |
Los Angeles |
Los Angeles |
90033 |
California |
2014 |
2015 |
4 |
MU |
HEALTH SERVICES ALTAMED |
1346450103 |
46750 |
8500 |
34.061888388 |
-118.210311556 |
| -118.257507000048 |
34.1363789997911 |
3143 |
Yadegarian, Herach |
1124188628 |
Physician |
GENERAL PRACTICE |
800 S. Central Ave., Suite 308 |
Glendale |
UNKNOWN |
91204 |
California |
2014 |
2015 |
4 |
MU |
HERACH MD AMC YADEGARIAN |
1790817039 |
46750 |
8500 |
34.136379 |
-118.257507 |
| -119.77037549963 |
36.8359830004152 |
3154 |
CORONADO, HUGO |
1124196266 |
Dentist |
UNKNOWN |
6700 N 1st St #136 |
Fresno |
Fresno |
93710 |
California |
2014 |
2015 |
1 |
AIU |
HUGO RENE CORONADO |
1124196266 |
21250 |
21250 |
36.835983 |
-119.7703755 |
| -118.308853204112 |
34.0164932961288 |
3163 |
Essilfie, Patricia |
1124208731 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3834 S. Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2015 |
2016 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -120.690697383677 |
35.6188400360389 |
3171 |
Moser, Pamela |
1124217112 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
416 Spring St |
Paso Robles |
San Luis Obispo |
93446 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.6188400358 |
-120.690697384 |
| -121.829149767947 |
37.3651956189827 |
3179 |
TOSCANO, MICHELLE |
1124227343 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3030 ALUM ROCK AVENUE |
San Jose |
Santa Clara |
95127 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTER COMPRECARE |
1083654545 |
29750 |
8500 |
37.3651956189 |
-121.829149768 |
| -118.329789269359 |
34.0979749635737 |
3182 |
Suh, Peter |
1124234752 |
Dentist |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -117.915163058828 |
33.7774180953688 |
3190 |
Arriola, Adita |
1124246129 |
Nurse Practitioner |
UNKNOWN |
12751 Harbor Blvd |
Garden Grove |
Orange |
92840 |
California |
2017 |
2018 |
5 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
55250 |
8500 |
33.7774180952 |
-117.915163059 |
| -117.146546412287 |
32.7016590679117 |
3200 |
Keflezighi, Bahghi |
1124210844 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
4 |
MU |
HEALTH CENTERS FAMILY |
1982747671 |
46750 |
8500 |
32.701659068 |
-117.146546412 |
| -121.830641926684 |
37.3316186317945 |
3203 |
Mistry, Jigna |
1124267489 |
Nurse Practitioner |
UNKNOWN |
1835 Cunningham Ave |
San Jose |
Santa Clara |
95122 |
California |
2017 |
2018 |
4 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
46750 |
8500 |
37.3316186316 |
-121.830641927 |
| -121.953063614194 |
38.3545860351175 |
3218 |
Allen, Miya |
1124285150 |
Physician |
UNKNOWN |
1010 Nut Tree Rd, Suite 100B |
Vacaville |
UNKNOWN |
95687 |
California |
2017 |
2018 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
46750 |
8500 |
38.354586035 |
-121.953063614 |
| -117.996641889811 |
33.7738698732961 |
3226 |
Lee, Connery |
1124294145 |
Nurse Practitioner |
UNKNOWN |
7761 GARDEN GROVE BLVD |
GARDEN GROVE |
Orange |
92841 |
California |
2018 |
2018 |
2 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
29750 |
8500 |
33.7738698726 |
-117.99664189 |
| -118.814916497998 |
36.1330203400167 |
3247 |
Wilson, Kelly |
1124318027 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
35800 Highway 190 |
Springville |
Tulare |
93265 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1386738177 |
21250 |
21250 |
36.1330203401 |
-118.814916498 |
| -120.054490451773 |
36.963929180987 |
3254 |
Ramirez, Joel |
1124356829 |
Physician |
UNKNOWN |
124 So. A Street |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CAMARENA |
1891778114 |
38250 |
8500 |
36.9639291809 |
-120.054490452 |
| -122.292192420644 |
38.3212564181492 |
3266 |
Granados, Marnie |
1124382312 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2015 |
2016 |
2 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
29750 |
8500 |
38.3212564177 |
-122.292192421 |
| -118.146266999922 |
33.930710999613 |
3278 |
MENDOZA, SUSAN |
1124426127 |
Nurse Practitioner |
UNKNOWN |
12130 Paramount Blvd |
Downey |
Los Angeles |
90242 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES ALTAMED |
1902192875 |
21250 |
21250 |
33.930711 |
-118.146267 |
| -119.042168222785 |
36.0512835430011 |
3279 |
Martinez, Areli |
1124427232 |
Nurse Practitioner |
UNKNOWN |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
46750 |
8500 |
36.0512835428 |
-119.042168223 |
| -117.298687104226 |
34.0966627016224 |
3283 |
Agoston, Endre |
1124439781 |
Physician |
UNKNOWN |
250 SOUTH G STREET |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -118.306952999581 |
34.0623180000757 |
3284 |
Stavros, Sophia |
1124437934 |
Physician |
UNKNOWN |
3701 Wilshire Blvd. Suite 600 |
Los Angeles |
UNKNOWN |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.298687104226 |
34.0966627016224 |
3287 |
Siplon, Christopher |
1124415468 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.668297206551 |
33.5230211008432 |
3296 |
Perez, Melinda |
1124474994 |
Nurse Practitioner |
UNKNOWN |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER CAMINO |
1366560393 |
21250 |
21250 |
33.523021101 |
-117.668297207 |
| -117.667112410909 |
35.6424880662713 |
3310 |
Boggs, Helaine |
1134123672 |
Nurse Practitioner |
UNKNOWN |
1133 N. Chelsea Street |
Ridgecrest |
Kern |
93555 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SVS, INC NATIONAL |
1164456323 |
38250 |
8500 |
35.642488066 |
-117.667112411 |
| -121.977238187592 |
37.5484010455718 |
3332 |
Dickey, Jan |
1134153752 |
Physician |
INTERNAL MEDICINE |
39500 Liberty St |
Fremont |
Alameda |
94538 |
California |
2016 |
2014 |
4 |
MU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
46750 |
8500 |
37.5484010458 |
-121.977238188 |
| -117.072893103134 |
33.1284570942196 |
3336 |
Strazicich, Karla |
1134154958 |
Physician |
UNKNOWN |
460 N Elm St |
Escondido |
San Diego |
92025 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
38250 |
8500 |
33.1284570937 |
-117.072893103 |
| -122.895525975144 |
41.4570168451513 |
3362 |
Willett, Michael |
1134182348 |
Physician |
FAMILY PRACTICE |
155 Diggles Street |
Etna |
Siskiyou |
96027 |
California |
2011 |
2012 |
1 |
AIU |
HOSP SISKIYOU |
1093892275 |
21250 |
21250 |
41.4570168451 |
-122.895525975 |
| -119.297551500202 |
36.3529349998504 |
3372 |
SIDDIQI, NAEEM |
1134190374 |
Physician |
UNKNOWN |
Visalia Health Care Center, 2611 N. Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
55250 |
8500 |
36.352935 |
-119.2975515 |
| -117.072893103134 |
33.1284570942196 |
3380 |
Ede, Kekoa |
1134224843 |
Physician |
INTERNAL MEDICINE |
460 N. Elm St |
Escondido |
San Diego |
92025 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
38250 |
8500 |
33.1284570937 |
-117.072893103 |
| -118.329789269359 |
34.0979749635737 |
3386 |
TAKATA, GLENN |
1134225626 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2016 |
2017 |
4 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
46750 |
8500 |
34.0979749639 |
-118.329789269 |
| -122.267252075423 |
37.8373378810384 |
3388 |
Morrell, Rose-Ellen |
1134228778 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -120.498999995353 |
35.0266083603876 |
3392 |
Kohnke, Walter |
1134230360 |
Dentist |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.077809499809 |
32.7583889995527 |
3395 |
Brownell, Kristin |
1134232259 |
Physician |
UNKNOWN |
5454 El Cajon Blvd |
San Diego |
San Diego |
92115 |
California |
2015 |
2017 |
4 |
MU |
HEALTH CENTERS OF SAN FAMILY |
1023054004 |
46750 |
8500 |
32.758389 |
-117.0778095 |
| -117.160377516809 |
32.7500307121477 |
3397 |
KELLY, THOMAS |
1134236623 |
Physician |
UNKNOWN |
550 Washington St., Suite 300 |
SAN DIEGO |
San Diego |
92103 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE CHILDREN'S |
1881701332 |
46750 |
8500 |
32.7500307119 |
-117.160377517 |
| -121.098758861632 |
38.9348505096434 |
3404 |
singh, rekha |
1134252901 |
Physician |
UNKNOWN |
11670 atwood rd |
auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -117.301350476144 |
33.6671985478748 |
3408 |
Dang, Thai |
1134248701 |
Dentist |
UNKNOWN |
31569 Canyon Estate Drive, Suite 120 |
Lake Elsinore |
Riverside |
92532 |
California |
2016 |
2017 |
1 |
AIU |
H CORPORATION POURSHIRAZI |
1255606547 |
21250 |
21250 |
33.6671985481 |
-117.301350476 |
| -122.26118746393 |
37.8386955479612 |
3422 |
Benson, Mindy |
1134275456 |
Nurse Practitioner |
UNKNOWN |
5220 Claremont Ave |
Oakland |
Alameda |
94618 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8386955484 |
-122.261187464 |
| -119.018609999752 |
35.2949309997659 |
3427 |
gruber, edward |
1134280654 |
Dentist |
UNKNOWN |
1507 Panama Ln. # 102 |
Bakersfield |
Kern |
93307 |
California |
2015 |
2016 |
1 |
AIU |
Hacienda Dental |
1275772634 |
21250 |
21250 |
35.294931 |
-119.01861 |
| -122.267252075423 |
37.8373378810384 |
3430 |
Belapurkar, Sonali |
1134275068 |
Physician |
UNKNOWN |
747 52nd St, Childrens Hospital & Rsrch Ctr Oakland, Endocrinology |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.659945408554 |
38.2688718730386 |
3444 |
Hursh, Kevin |
1134294820 |
Dentist |
UNKNOWN |
1179 McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
29750 |
8500 |
38.2688718726 |
-122.659945409 |
| -120.721464839331 |
35.5525749120026 |
3455 |
Bouquin, Erin |
1134309958 |
Physician |
UNKNOWN |
325 Posada Lane |
Templeton |
San Luis Obispo |
93465 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
25500 |
8500 |
35.5525749117 |
-120.721464839 |
| -121.456646999859 |
38.5524089999754 |
3456 |
Chung, Jong |
1134311475 |
Physician |
UNKNOWN |
2516 Stockton Blvd, Room 245 |
Sacramento |
Sacramento |
95817 |
California |
2018 |
2019 |
4 |
MU |
HEMOC REGENTS/UCDPBG/PED |
1356334452 |
46750 |
8500 |
38.552409 |
-121.456647 |
| -118.302879718224 |
34.0629495930493 |
3476 |
Vitero, Steven |
1134339963 |
Dentist |
UNKNOWN |
611 S. KINGSLEY DR. |
Los Angeles |
Los Angeles |
90005 |
California |
2018 |
2019 |
3 |
MU |
HEALTH and WELLNESS APLA |
1740490937 |
38250 |
8500 |
34.0629495926 |
-118.302879718 |
| -119.05814321214 |
35.367815658366 |
3492 |
Samarany, Samir |
1134379126 |
Physician |
UNKNOWN |
5020 Commerce Drive |
Bakersfield |
Kern |
93309 |
California |
2016 |
2017 |
1 |
MU |
HILLS MEDICAL CORP OAK |
1386754273 |
21250 |
21250 |
35.3678156578 |
-119.058143212 |
| -117.145570500378 |
32.7245355472778 |
3493 |
Zahler, Marvin |
1134380710 |
Physician |
UNKNOWN |
34800 Bob Wilson Dr |
San Diego |
San Diego |
92134 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.7245355473 |
-117.1455705 |
| -118.306952999581 |
34.0623180000757 |
3502 |
Luu, Minnelly |
1134390651 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.62766813058 |
38.9499316736079 |
3503 |
willems, katherine |
1134393069 |
Nurse Practitioner |
UNKNOWN |
15230 Lakeshore Dr |
Clearlake |
Lake |
95422 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CLEARLAKE ADVENTIST |
1972593788 |
21250 |
21250 |
38.9499316736 |
-122.627668131 |
| -116.95219952229 |
32.8004502871511 |
3510 |
Thiermann, Paige |
1134411432 |
Physician |
UNKNOWN |
855 E Madison Ave |
El Cajon |
San Diego |
92020 |
California |
2015 |
2017 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
29750 |
8500 |
32.8004502867 |
-116.952199522 |
| -120.383824346117 |
36.7660952641851 |
3514 |
Shafii Noori, Shila |
1134420144 |
Physician |
UNKNOWN |
121 Barboza Street |
Mendota |
Fresno |
93640 |
California |
2018 |
2019 |
4 |
MU |
HLTH CTRS-MENDOTA UNITED |
1184606634 |
46750 |
8500 |
36.7660952642 |
-120.383824346 |
| -121.098758861632 |
38.9348505096434 |
3516 |
SEHGAL, SHIBANI |
1134420698 |
Dentist |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
38.9348505095 |
-121.098758862 |
| -122.267252075423 |
37.8373378810384 |
3519 |
Meddles, Katharine |
1134424963 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
2 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.329789269359 |
34.0979749635737 |
3522 |
Collins, Jolene |
1134427495 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2014 |
2015 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -121.940302499661 |
37.3266449995671 |
3528 |
Smith, Jessica |
1134460058 |
Physician |
UNKNOWN |
455 OConnor Dr, Suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -121.847419519595 |
37.3652603243046 |
3535 |
Huynh, Lan |
1134477185 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2380 Montpelier Dr, St 200 |
San Jose |
UNKNOWN |
95116 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1689950248 |
38250 |
8500 |
37.3652603239 |
-121.84741952 |
| -121.982096071676 |
37.556386070261 |
3538 |
Tseng, Yu-Tzu |
1134484850 |
Physician |
UNKNOWN |
2299 Mowry Ave, Suite 3B |
Fremont |
Alameda |
94538 |
California |
2016 |
2017 |
1 |
MU |
HEALTH CENTER TRI-CITY |
1942387188 |
21250 |
21250 |
37.5563860696 |
-121.982096072 |
| -118.150795976753 |
34.1778106936086 |
3546 |
Blakely, Adriana |
1134505464 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2020 |
2020 |
5 |
MU |
HEALTH COMMUNITY |
1871689315 |
55250 |
8500 |
34.1778106939 |
-118.150795977 |
| -118.21887650105 |
34.1237489947204 |
3554 |
Pineda, Myla |
1134533318 |
Nurse Practitioner |
UNKNOWN |
4448 York Boulevard |
Los Angeles |
Los Angeles |
90041 |
California |
2020 |
2020 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1801967062 |
63750 |
8500 |
34.123748995 |
-118.218876501 |
| -122.267252075423 |
37.8373378810384 |
3561 |
Webb, Karen |
1134554710 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.298687104226 |
34.0966627016224 |
3562 |
Chan, Ka Yee Clara |
1134531551 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -120.498999995353 |
35.0266083603876 |
3576 |
Wright, Saskia |
1134662638 |
Nurse Practitioner |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.46118324571 |
37.7624926958812 |
3588 |
Wong, Perry |
1144222084 |
Dentist |
UNKNOWN |
707 Parnassus Ave |
San Francisco |
San Francisco |
94143 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH BOARD, INC MACT |
1366519431 |
21250 |
21250 |
37.7624926957 |
-122.461183246 |
| -121.892717440258 |
37.3411630908041 |
3598 |
KHAN, NAYYAR |
1144250762 |
Physician |
UNKNOWN |
55 E Julian St |
San Jose |
Santa Clara |
95112 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTER COMPRECARE |
1083654545 |
29750 |
8500 |
37.3411630914 |
-121.89271744 |
| -119.289034030996 |
36.3341005980642 |
3614 |
Smythe, Gerald |
1144274036 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
501 North Bridge Street |
Visalia |
Tulare |
93291 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
21250 |
21250 |
36.3341005984 |
-119.289034031 |
| -121.769466165031 |
38.563128889087 |
3637 |
Taylor, Lyn |
1144308842 |
Physician |
UNKNOWN |
2050 John Jones Blvd |
Davis |
Yolo |
95616 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558366823 |
21250 |
21250 |
38.5631288895 |
-121.769466165 |
| -117.249866999562 |
33.3689129998351 |
3651 |
Little, Paul |
1144319211 |
Physician |
FAMILY PRACTICE |
1328 South Mission Road |
Fallbrook |
San Diego |
92028 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SYSTEMS INC COMMUNITY |
1982756086 |
21250 |
21250 |
33.368913 |
-117.249867 |
| -117.866853000166 |
33.7811759997726 |
3654 |
Chang, Anthony |
1144328360 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2013 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.781176 |
-117.866853 |
| -119.319628500255 |
36.6267149996975 |
3667 |
Scott, James |
1144354119 |
Dentist |
UNKNOWN |
445 11th St |
Orange Cove |
Fresno |
93646 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS- UNITED |
1649252198 |
55250 |
8500 |
36.626715 |
-119.3196285 |
| -117.867747295901 |
33.7421102963531 |
3670 |
Lim, Ellen |
1144354739 |
Nurse Practitioner |
UNKNOWN |
406 S Main St |
Santa Ana |
Orange |
92701 |
California |
2016 |
2017 |
5 |
MU |
HOSP ORANGE CO CHILDRENS |
1265569008 |
55250 |
8500 |
33.7421102957 |
-117.867747296 |
| -122.267252075423 |
37.8373378810384 |
3705 |
RAPHAEL, ROBERT |
1144387408 |
Physician |
UNKNOWN |
747 52nd St, Department of Hematology-Oncology |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -121.456624499721 |
38.5712370003873 |
3712 |
Haggard, Mary |
1144406380 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
29750 |
8500 |
38.571237 |
-121.4566245 |
| -119.097576800329 |
36.4172857999997 |
3717 |
Zuniga, Stephanie |
1144408089 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
201 East Lakeview Ave. |
Woodlake |
Tulare |
93286 |
California |
2013 |
2013 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
21250 |
21250 |
36.4172857999 |
-119.0975768 |
| -117.010788447029 |
32.7810780656003 |
3764 |
Vakil, Purvi |
1144517731 |
Dentist |
UNKNOWN |
5601 Grossmont Center Dr Ste 200 |
LA Mesa |
San Diego |
91942 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.7810780664 |
-117.010788447 |
| -118.280430497769 |
34.0727231525515 |
3765 |
Yousef, Dana |
1144513037 |
Nurse Practitioner |
UNKNOWN |
150 N. Reno St |
Los Angeles |
Los Angeles |
90026 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
46750 |
8500 |
34.0727231529 |
-118.280430498 |
| -121.456624499721 |
38.5712370003873 |
3776 |
Nolasco, Rowena |
1144549304 |
Nurse Practitioner |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
29750 |
8500 |
38.571237 |
-121.4566245 |
| -121.847419519595 |
37.3652603243046 |
3780 |
Patel, Charmee |
1144577206 |
Dentist |
UNKNOWN |
2380 Montpelier Drive, Suite 200 & 400 |
San Jose |
Santa Clara |
95116 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTER FOOTHILL |
1689950248 |
29750 |
8500 |
37.3652603239 |
-121.84741952 |
| -118.226538563004 |
33.9827465690989 |
3787 |
HTWAY, THI |
1144595190 |
Physician |
UNKNOWN |
6330 Rugby Ave, Ste 200 |
Huntington Park |
Los Angeles |
90255 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES CORP ALTAMED |
1942431374 |
21250 |
21250 |
33.9827465692 |
-118.226538563 |
| -121.940302499661 |
37.3266449995671 |
3803 |
Shumba, Takudzwa |
1144634205 |
Physician |
UNKNOWN |
455 O'Connor Dr., Suite 250 |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -117.298687104226 |
34.0966627016224 |
3810 |
Parlette, Karli |
1144649211 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
3812 |
Pham, Anh Tuan |
1144649476 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.042168222785 |
36.0512835430011 |
3813 |
GENOVESSE, KELSEY |
1144658188 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2014 |
2014 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
21250 |
21250 |
36.0512835428 |
-119.042168223 |
| -118.14785214586 |
33.9723841209305 |
3822 |
COUNCIL, DORIS |
1144680653 |
Nurse Practitioner |
UNKNOWN |
6513 S Garfield |
Bell Gardens |
Los Angeles |
90201 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
29750 |
8500 |
33.9723841213 |
-118.147852146 |
| -121.777841140256 |
37.2318480040822 |
3824 |
McLaughlin, Jessica |
1144686056 |
Nurse Practitioner |
UNKNOWN |
6840 Via Del Oro Ste 210 |
San Jose |
Santa Clara |
95119 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
29750 |
8500 |
37.2318480037 |
-121.77784114 |
| -122.659945408554 |
38.2688718730386 |
3843 |
English, Ioana |
1154313658 |
Dentist |
UNKNOWN |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
29750 |
8500 |
38.2688718726 |
-122.659945409 |
| -120.339604557005 |
37.9783256989719 |
3846 |
Derlet, Mikla |
1154323715 |
Physician |
PEDIATRIC MEDICINE |
13975 Mono Way Ste G |
Sonora |
Tuolumne |
95370 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH BOARD, INC MACT |
1366519431 |
21250 |
21250 |
37.9783256994 |
-120.339604557 |
| -118.306952999581 |
34.0623180000757 |
3873 |
GELLER, DAVID |
1154350528 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -119.289034030996 |
36.3341005980642 |
3876 |
Seidenrose, Jeff |
1154368157 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
501 North Bridge Street |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
63750 |
8500 |
36.3341005984 |
-119.289034031 |
| -117.146546412287 |
32.7016590679117 |
3888 |
Santoyo, Steven |
1154395440 |
Physician |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.146546412287 |
32.7016590679117 |
3895 |
Strickland, Matya |
1154400315 |
Nurse Practitioner |
NURSE PRACTITIONER |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -120.055711580925 |
36.9628328372657 |
3904 |
Wammack, Karin |
1154409969 |
Physician |
UNKNOWN |
344 E. 6th Street |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CAMARENA |
1891778114 |
38250 |
8500 |
36.9628328373 |
-120.055711581 |
| -117.866853000166 |
33.7811759997726 |
3907 |
Grant, Kenneth |
1154414225 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -118.306952999581 |
34.0623180000757 |
3921 |
Jensen, Aaron |
1154432482 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.866853000166 |
33.7811759997726 |
3922 |
Abdenur, Jose |
1154428027 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St, PSF Metabolic |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -119.297551500202 |
36.3529349998504 |
3925 |
Ow-Yong, Henry |
1154435428 |
Physician |
UNKNOWN |
Visalia Health Care Center, 2611 N. Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
55250 |
8500 |
36.352935 |
-119.2975515 |
| -122.011197180705 |
39.2078959333507 |
3938 |
Nguyen, Xuan |
1154456309 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
555 Fremont Street |
Colusa |
Colusa |
95932 |
California |
2015 |
2017 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.2078959331 |
-122.011197181 |
| -118.306952999581 |
34.0623180000757 |
3939 |
STROCKER, ALI |
1154447902 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.769568889193 |
38.5631938354272 |
3940 |
Eusebio, James |
1154454924 |
Physician |
UNKNOWN |
2051 John Jones Rd |
Davis |
Yolo |
95616 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558366823 |
21250 |
21250 |
38.5631938352 |
-121.769568889 |
| -119.521534499617 |
36.6049529997812 |
3942 |
Bazyani, Menouchehr |
1154461051 |
Physician |
UNKNOWN |
650 S Zediker Ave, bldg #1 |
Parlier |
UNKNOWN |
93648 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTERS- UNITED |
1801878350 |
21250 |
21250 |
36.604953 |
-119.5215345 |
| -122.267252075423 |
37.8373378810384 |
3951 |
GIAMMONA, ANDREW |
1154469393 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2014 |
2015 |
2 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373378814 |
-122.267252075 |
| -120.383824346117 |
36.7660952641851 |
3977 |
Thompson, Rogelio |
1154503449 |
Dentist |
UNKNOWN |
121 Barboza Street |
Mendota |
Fresno |
93640 |
California |
2016 |
2017 |
3 |
MU |
HLTH CTRS-MENDOTA UNITED |
1184606634 |
38250 |
8500 |
36.7660952642 |
-120.383824346 |
| -118.306952999581 |
34.0623180000757 |
3989 |
Vats, Divya |
1154515963 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.16804312479 |
33.5183736608158 |
4017 |
Ayon Martinez, Carlos |
1154583128 |
Physician |
FAMILY PRACTICE |
41715 Winchester Rd |
Temecula |
Riverside |
92590 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
38250 |
8500 |
33.5183736611 |
-117.168043125 |
| -122.267252075423 |
37.8373378810384 |
4021 |
Nguyen, Vivien |
1154586659 |
Physician |
UNKNOWN |
747 52nd St. |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.282691018376 |
33.9996060003167 |
4026 |
Franklin, Zeleen |
1154598092 |
Nurse Practitioner |
UNKNOWN |
4760 S Figueroa St |
Los Angeles |
Los Angeles |
90037 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CARE WESTERN |
1902906068 |
21250 |
21250 |
33.999606 |
-118.282691018 |
| -118.306952999581 |
34.0623180000757 |
4041 |
Clark, Pamela |
1154634483 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.174891665318 |
39.9279294888549 |
4061 |
Kyle, Melvin |
1154715100 |
Dentist |
UNKNOWN |
740 Solano Street |
Corning |
Tehama |
96021 |
California |
2018 |
2019 |
3 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
38250 |
8500 |
39.9279294893 |
-122.174891665 |
| -118.306952999581 |
34.0623180000757 |
4064 |
Huynh, Stella |
1154714046 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.298687104226 |
34.0966627016224 |
4077 |
Lee, Jenny |
1154731560 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.168033770042 |
33.5183898908808 |
4098 |
Beaman, Heather |
1164411369 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
41715 Winchester Rd, Ste 106 |
Temecula |
Riverside |
92590 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
21250 |
21250 |
33.5183898912 |
-117.16803377 |
| -120.045810184592 |
36.94541455204 |
4108 |
Anderson, Jon |
1164432969 |
Nurse Practitioner |
NURSE PRACTITIONER |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -117.068053499569 |
33.1260569997308 |
4117 |
Carney, Amy |
1164445227 |
Nurse Practitioner |
NURSE PRACTITIONER |
1001 E. Grand Ave |
Escondido |
San Diego |
92025 |
California |
2017 |
2018 |
4 |
MU |
HEALTHCARE NEIGHBORHOOD |
1487826772 |
46750 |
8500 |
33.126057 |
-117.0680535 |
| -119.810352082283 |
34.4349135278371 |
4124 |
John-Kelly, Helen |
1164453718 |
Physician |
UNKNOWN |
5333 Hollister Ave, Suite 250 |
Santa Barbara |
Santa Barbara |
93111 |
California |
2015 |
2017 |
1 |
AIU |
HELEN A MD JOHN-KELLY |
1164453718 |
21250 |
21250 |
34.4349135284 |
-119.810352082 |
| -120.06032040856 |
36.7286722489252 |
4133 |
Wille, Rozanne |
1164464731 |
Physician |
UNKNOWN |
449 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2014 |
2015 |
2 |
MU |
HEALTH TEAM, INC VALLEY |
1962567388 |
29750 |
8500 |
36.7286722491 |
-120.060320409 |
| -117.751073666616 |
34.0965576590088 |
4154 |
HONG, ERICKA |
1164494761 |
Physician |
UNKNOWN |
250 W. Bonita Ave, Suite 200 |
Pomona |
Los Angeles |
91767 |
California |
2017 |
2018 |
4 |
MU |
HOLLEMBERG, AGRAWAL LAUPPE |
1366447781 |
46750 |
8500 |
34.0965576594 |
-117.751073667 |
| -119.521534499617 |
36.6049529997812 |
4155 |
Tanner, Curtis |
1164502910 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
650 Zediker Ave |
Parlier |
UNKNOWN |
93648 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS- UNITED |
1801878350 |
55250 |
8500 |
36.604953 |
-119.5215345 |
| -117.125858514958 |
32.7011896748637 |
4157 |
Kaufhold, Anne |
1164508073 |
Physician |
FAMILY PRACTICE |
3177 Ocean View Blvd |
San Diego |
UNKNOWN |
92113 |
California |
2015 |
2017 |
4 |
MU |
HEALTH CENTER- COMPREHENSIVE |
1326225632 |
46750 |
8500 |
32.701189675 |
-117.125858515 |
| -121.769568889193 |
38.5631938354272 |
4169 |
LIMBOS, MARY ANN |
1164517108 |
Physician |
UNKNOWN |
2051 John Jones Rd |
Davis |
Yolo |
95617 |
California |
2017 |
2018 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
46750 |
8500 |
38.5631938352 |
-121.769568889 |
| -121.829149767947 |
37.3651956189827 |
4175 |
CORDERO, ROSSANA |
1164521779 |
Dentist |
UNKNOWN |
3030 ALUM ROCK AVE |
SAN JOSE |
Santa Clara |
95127 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1558491043 |
21250 |
21250 |
37.3651956189 |
-121.829149768 |
| -119.042168222785 |
36.0512835430011 |
4196 |
Garber, Lisa |
1164546404 |
Certified Nurse - Midwife |
UNKNOWN |
1107 West Poplar Avenue |
Porterville |
Tulare |
93291 |
California |
2017 |
2018 |
4 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
46750 |
8500 |
36.0512835428 |
-119.042168223 |
| -118.308853204112 |
34.0164932961288 |
4198 |
Clark, Michelle |
1164551545 |
Physician |
PSYCHIATRY |
3834 S Western Avenue |
Los Angeles |
Los Angeles |
90062 |
California |
2011 |
2012 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -117.867747295901 |
33.7421102963531 |
4199 |
Martinez-Wikefeldt, Maria Silvia |
1164554846 |
Physician |
UNKNOWN |
406 South Main Street |
Santa Ana |
Orange |
92701 |
California |
2016 |
2017 |
4 |
MU |
HOSP ORANGE CO CHILDRENS |
1265569008 |
46750 |
8500 |
33.7421102957 |
-117.867747296 |
| -118.246191531314 |
33.9426899692667 |
4202 |
Eyong, Philomina |
1164560264 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
3 |
MU |
HEALTHCARE CRENSHAW |
1225177751 |
38250 |
8500 |
33.9426899686 |
-118.246191531 |
| -122.174891665318 |
39.9279294888549 |
4205 |
LIm, Christopher |
1164563755 |
Dentist |
UNKNOWN |
740 Solano Street |
Corning |
Tehama |
96021 |
California |
2013 |
2015 |
1 |
AIU |
HILLS CLINIC ROLLING |
1992012306 |
21250 |
21250 |
39.9279294893 |
-122.174891665 |
| -117.125858514958 |
32.7011896748637 |
4212 |
Herrera, Lise |
1164573879 |
Dentist |
UNKNOWN |
3177 Ocean View Blvd |
San Diego |
San Diego |
92113 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTER- COMPREHENSIVE |
1326225632 |
21250 |
21250 |
32.701189675 |
-117.125858515 |
| -122.271160359963 |
37.7995061221099 |
4236 |
Nguyen, Suzanne |
1164605713 |
Physician |
FAMILY PRACTICE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.646489753 |
41.7186503676204 |
4245 |
Hamlin, Coretta |
1164622155 |
Physician |
INTERNAL MEDICINE |
475 Bruce Street |
Yreka |
Siskiyou |
96097 |
California |
2011 |
2012 |
1 |
AIU |
HOSP SISKIYOU |
1093892275 |
21250 |
21250 |
41.7186503677 |
-122.646489753 |
| -117.146546412287 |
32.7016590679117 |
4246 |
Voce, John |
1164618716 |
Physician |
OBSTETRICS/GYNECOLOGY |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -122.292192420644 |
38.3212564181492 |
4253 |
Eichenseher, Joseph |
1164628590 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
29750 |
8500 |
38.3212564177 |
-122.292192421 |
| -119.319628500255 |
36.6267149996975 |
4262 |
Sanchez, Manuel |
1164643227 |
Dentist |
UNKNOWN |
445 11th Street |
Orange Cove |
Fresno |
93646 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CENTERS- UNITED |
1649252198 |
29750 |
8500 |
36.626715 |
-119.3196285 |
| -120.498999995353 |
35.0266083603876 |
4272 |
Trottier, Pamela |
1164667895 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
8500 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.290635999851 |
34.0981185349425 |
4304 |
Danialifar, Tanaz |
1164721163 |
Physician |
UNKNOWN |
4650 W Sunset Blvd |
Los Angeles |
Los Angeles |
90027 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0981185351 |
-118.290636 |
| -122.659945408554 |
38.2688718730386 |
4306 |
Suh, Catherine |
1164732350 |
Dentist |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTR, INC PETALUMA |
1588656268 |
21250 |
21250 |
38.2688718726 |
-122.659945409 |
| -117.94732640439 |
34.0601917932167 |
4316 |
Ocampo, Liza Mae |
1164761193 |
Nurse Practitioner |
UNKNOWN |
1300 S. Sunset Ave |
West Covina |
Los Angeles |
91790 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SERVICES ALTAMED |
1730481318 |
29750 |
8500 |
34.0601917926 |
-117.947326404 |
| -119.291498831706 |
36.5303014971165 |
4319 |
Harris, Lisa |
1164771960 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
12586 Ave 408 |
Orosi |
Tulare |
93647 |
California |
2013 |
2013 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
21250 |
21250 |
36.5303014971 |
-119.291498832 |
| -120.045810184592 |
36.94541455204 |
4323 |
sandhu, Manpreet |
1164773628 |
Nurse Practitioner |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2015 |
2016 |
3 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
38250 |
8500 |
36.9454145522 |
-120.045810185 |
| -117.072893103134 |
33.1284570942196 |
4327 |
Sauriol, Tawny |
1164780219 |
Physician |
UNKNOWN |
460 N. Elm St |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
29750 |
8500 |
33.1284570937 |
-117.072893103 |
| -118.329789269359 |
34.0979749635737 |
4334 |
Jung, Christina |
1164797452 |
Physician |
PEDIATRIC MEDICINE |
6430W Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -122.271160359963 |
37.7995061221099 |
4346 |
Yui, Jeffrey |
1164857736 |
Dentist |
UNKNOWN |
818 Webster St. |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -120.498999995353 |
35.0266083603876 |
4350 |
Tran, Duong |
1164878773 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.570951500112 |
37.0377899997088 |
4357 |
Kaur, Amanpreet |
1164979217 |
Dentist |
UNKNOWN |
9460 No Name Uno, Suite 110 |
San Jose |
Santa Clara |
95020 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER FOOTHILL |
1144626649 |
21250 |
21250 |
37.03779 |
-121.5709515 |
| -120.498999995353 |
35.0266083603876 |
4379 |
Castillo-Ruiz, Rodolfo |
1174549182 |
Physician |
INTERNAL MEDICINE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -119.042168222785 |
36.0512835430011 |
4384 |
Hibbert, Morton |
1174550511 |
Physician |
UNKNOWN |
1107 W. Poplar |
Porterville |
Tulare |
93257 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
46750 |
8500 |
36.0512835428 |
-119.042168223 |
| -117.146546412287 |
32.7016590679117 |
4386 |
GOOLD, LAURA |
1174553259 |
Certified Nurse - Midwife |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -119.042168222785 |
36.0512835430011 |
4399 |
Delima, Patricia |
1174571061 |
Physician |
UNKNOWN |
1107 West Poplar |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
63750 |
8500 |
36.0512835428 |
-119.042168223 |
| -118.306952999581 |
34.0623180000757 |
4404 |
Mongkolrattanothai, Kanokporn |
1174592950 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600 |
Los Angeles |
UNKNOWN |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.866853000166 |
33.7811759997726 |
4416 |
Boon, Sheryl |
1174613244 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -118.240850401924 |
33.9455099329371 |
4426 |
khan, milly |
1174625404 |
Physician |
UNKNOWN |
1776 E Century Blvd |
Los Angeles |
Los Angeles |
90002 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES CORP ALTAMED |
1407278393 |
21250 |
21250 |
33.9455099331 |
-118.240850402 |
| -117.146546412287 |
32.7016590679117 |
4450 |
Merino, Richard |
1174628317 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -118.042403059354 |
34.0668916417359 |
4464 |
Khalatian, Rouben |
1174671747 |
Physician |
UNKNOWN |
3228 Santa Anita Ave |
El Monte |
Los Angeles |
91733 |
California |
2013 |
2016 |
2 |
MU |
HEALTH MEDICAL PRIME |
1538256193 |
29750 |
8500 |
34.0668916424 |
-118.042403059 |
| -122.271160359963 |
37.7995061221099 |
4489 |
Le, Huong |
1174693642 |
Dentist |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -118.329789269359 |
34.0979749635737 |
4495 |
URIBE, MARIA |
1174700157 |
Doctor of Optometry |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -117.169628486565 |
33.5172337305523 |
4498 |
Wright, Derrick |
1174708275 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
41840 Enterprise Cir N |
Temecula |
Riverside |
92590 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
29750 |
8500 |
33.5172337305 |
-117.169628487 |
| -117.146546412287 |
32.7016590679117 |
4524 |
DE LA ROSA, IVONNE |
1174695795 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -117.071664499717 |
33.1292598686481 |
4534 |
Coleson, Pamela |
1174757165 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
425 N Date St |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
46750 |
8500 |
33.1292598693 |
-117.0716645 |
| -118.150795976753 |
34.1778106936086 |
4540 |
Pantoja, Liliana |
1174777635 |
Dentist |
UNKNOWN |
1855 N Fair Oaks Ave, G100 |
Pasadena |
Los Angeles |
91103 |
California |
2014 |
2016 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.1778106939 |
-118.150795977 |
| -117.39812850003 |
34.0700759999075 |
4555 |
Grover, Eric |
1174801179 |
Physician |
UNKNOWN |
18601 Valley Boulevard |
Bloomington |
San Bernardino |
92316 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH SYSTEMS COMMUNITY |
1487706347 |
21250 |
21250 |
34.070076 |
-117.3981285 |
| -122.267731525589 |
37.8373514428149 |
4566 |
RAI, PARUL |
1174836209 |
Physician |
UNKNOWN |
744 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373514427 |
-122.267731526 |
| -122.62766813058 |
38.9499316736079 |
4570 |
Chinnock, Andrew |
1174844674 |
Nurse Practitioner |
UNKNOWN |
15230 Lakeshore Drive |
Clearlake |
Lake |
95422 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
46750 |
8500 |
38.9499316736 |
-122.627668131 |
| -122.267252075423 |
37.8373378810384 |
4573 |
Mostajelean, Ali |
1174848238 |
Physician |
UNKNOWN |
747 52nd St, Neurology Department |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.042168222785 |
36.0512835430011 |
4577 |
Packer, Spencer |
1174859730 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 W. Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2017 |
2018 |
4 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
46750 |
8500 |
36.0512835428 |
-119.042168223 |
| -119.559568368585 |
36.7060961826927 |
4579 |
Torres-Molina, Patricia |
1174870497 |
Dentist |
UNKNOWN |
1570 7th Street |
Sanger |
Fresno |
93657 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS OF THE UNITED |
1629599535 |
46750 |
8500 |
36.7060961826 |
-119.559568369 |
| -120.498999995353 |
35.0266083603876 |
4590 |
Bhatia, Geeta |
1174913925 |
Nurse Practitioner |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.456624499721 |
38.5712370003873 |
4592 |
Jiang, TingTing |
1174920060 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS ELICA |
1093974065 |
21250 |
21250 |
38.571237 |
-121.4566245 |
| -122.659945408554 |
38.2688718730386 |
4609 |
Daoud, Nicole |
1174999122 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1179 N McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
38250 |
8500 |
38.2688718726 |
-122.659945409 |
| -121.456624499721 |
38.5712370003873 |
4617 |
Jhang, Lily |
1184026759 |
Nurse Practitioner |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
38250 |
8500 |
38.571237 |
-121.4566245 |
| -120.054490451773 |
36.963929180987 |
4619 |
Yusifova, Nigar |
1184034811 |
Dentist |
UNKNOWN |
124 So. A Street |
Madera |
Madera |
93638 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9639291809 |
-120.054490452 |
| -120.102715753829 |
36.2053231687293 |
4621 |
Hom, Jennifer |
1184043432 |
Dentist |
UNKNOWN |
16928 11th Street |
Huron |
Fresno |
93234 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS- UNITED |
1134101686 |
38250 |
8500 |
36.2053231685 |
-120.102715754 |
| -117.996641889811 |
33.7738698732961 |
4622 |
Dang, Nancy |
1184037202 |
Doctor of Optometry |
UNKNOWN |
7761 Garden Grove Blvd |
Garden Grove |
Orange |
92841 |
California |
2018 |
2020 |
3 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
38250 |
8500 |
33.7738698726 |
-117.99664189 |
| -121.456624499721 |
38.5712370003873 |
4627 |
Moret, Benjamin |
1184055295 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3701 J street, Suite 201 |
Sacramento |
UNKNOWN |
95816 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS ELICA |
1093974065 |
21250 |
21250 |
38.571237 |
-121.4566245 |
| -122.271160359963 |
37.7995061221099 |
4628 |
Morimoto, Singe |
1184056038 |
Dentist |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -117.298687104226 |
34.0966627016224 |
4631 |
Gruzensky, Michaela |
1184035743 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -121.940302499661 |
37.3266449995671 |
4633 |
Sussman, Rachel |
1184064396 |
Physician |
UNKNOWN |
455 O'Connor Drive, Suite 250 |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -118.291514493599 |
33.9902842629085 |
4635 |
Sobol, Henry |
1184065971 |
Dentist |
UNKNOWN |
5703 S. Vermont Ave. |
Los Angeles |
Los Angeles |
90037 |
California |
2017 |
2018 |
2 |
MU |
Henry Sobol |
1184065971 |
29750 |
8500 |
33.9902842631 |
-118.291514494 |
| -118.150795976753 |
34.1778106936086 |
4638 |
deBoom, Rachel |
1184066649 |
Nurse Practitioner |
UNKNOWN |
1855 N Fair Oaks Ste 200 |
Pasadena |
Los Angeles |
91103 |
California |
2020 |
2020 |
3 |
MU |
HEALTH COMMUNITY |
1871689315 |
38250 |
8500 |
34.1778106939 |
-118.150795977 |
| -118.160352000145 |
34.0332704861441 |
4639 |
WALL, JESSICA |
1184065930 |
Physician |
UNKNOWN |
4816 East 3rd Street |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
21250 |
21250 |
34.0332704862 |
-118.160352 |
| -122.267252075423 |
37.8373378810384 |
4647 |
Steinbuchel, Petra |
1184605958 |
Physician |
UNKNOWN |
747 52nd st |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.071664499717 |
33.1292598686481 |
4667 |
Rodarte, Gabriel |
1184649212 |
Physician |
PSYCHIATRY |
425 N Date St, #203 |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE NEIGHBORHOOD |
1437335353 |
55250 |
8500 |
33.1292598693 |
-117.0716645 |
| -117.722929500096 |
34.0036289996787 |
4678 |
SHETH, HARSHA |
1184660771 |
Physician |
UNKNOWN |
13768 Roswell Ave, SUITE 115 |
Chino |
San Bernardino |
91710 |
California |
2016 |
2016 |
1 |
AIU |
HARSHA P MD INC SHETH |
1528174778 |
21250 |
21250 |
34.003629 |
-117.7229295 |
| -118.095628711596 |
33.9679898013883 |
4682 |
HARO, VICTORIA |
1184673311 |
Physician |
UNKNOWN |
9436 E slauson ave |
Pico rivera |
Los Angeles |
90660 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES ALTAMED |
1710191283 |
63750 |
8500 |
33.9679898013 |
-118.095628712 |
| -121.819527654278 |
37.3566314686674 |
4686 |
Raghavan, bina |
1184671901 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1066 South White Road |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
38250 |
8500 |
37.3566314689 |
-121.819527654 |
| -119.097576800329 |
36.4172857999997 |
4692 |
Trujillo, Joshua |
1184679284 |
Physician |
UNKNOWN |
201 E. Lakeview Avenue |
Woodlake |
Tulare |
93286 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
29750 |
8500 |
36.4172857999 |
-119.0975768 |
| -117.146546412287 |
32.7016590679117 |
4696 |
Glockner, Susan |
1184686495 |
Physician |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.113485500156 |
32.7150374537156 |
4702 |
Sana, Said |
1184697559 |
Physician |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1346480837 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -121.743060000419 |
38.544240000076 |
4708 |
Su, Dennis |
1184709487 |
Dentist |
UNKNOWN |
PO 1260 |
Davis |
Yolo |
95617 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
46750 |
8500 |
38.54424 |
-121.74306 |
| -118.273669355956 |
34.0271499386188 |
4745 |
Warnock, Robert |
1184757791 |
Nurse Practitioner |
UNKNOWN |
403 West Adams Blvd |
Los Angeles |
Los Angeles |
90007 |
California |
2014 |
2014 |
1 |
AIU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
21250 |
21250 |
34.0271499394 |
-118.273669356 |
| -118.167219000257 |
34.040411999814 |
4765 |
Sanchez, Christen |
1184792665 |
Nurse Practitioner |
UNKNOWN |
4560 E Cesar E Chavez Ave |
Los Angeles |
Los Angeles |
90022 |
California |
2013 |
2014 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
38250 |
8500 |
34.040412 |
-118.167219 |
| -121.564687168978 |
39.5037685958441 |
4766 |
Santivanez Williams, Debbie |
1184799132 |
Nurse Practitioner |
UNKNOWN |
2145 5th Avenue |
Oroville |
Butte |
95965 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLEARLAKE ADVENTIST |
1124018031 |
21250 |
21250 |
39.5037685959 |
-121.564687169 |
| -117.996641889811 |
33.7738698732961 |
4767 |
Nguyen, Tram |
1184805509 |
Nurse Practitioner |
UNKNOWN |
7761 Garden Grove Blvd. |
Garden Grove |
Orange |
92841 |
California |
2013 |
2014 |
3 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
38250 |
8500 |
33.7738698726 |
-117.99664189 |
| -121.829149767947 |
37.3651956189827 |
4782 |
ELMAN, STEVEN |
1184823304 |
Dentist |
UNKNOWN |
3030 ALUM ROCK AVE |
San Jose |
Santa Clara |
95127 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1558491043 |
21250 |
21250 |
37.3651956189 |
-121.829149768 |
| -117.267223499565 |
33.9159869996004 |
4792 |
Moore, Reginald |
1184842262 |
Dentist |
UNKNOWN |
22675 Alessandro blvd. |
Moreno Valley |
Riverside |
92553 |
California |
2012 |
2013 |
1 |
AIU |
HLTH SYSTEMS INC COMM |
1679749501 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -121.953063614194 |
38.3545860351175 |
4793 |
Lim, Angela |
1184842007 |
Physician |
FAMILY PRACTICE |
1010 Nut Tree Rd, Suite 200 |
Vacaville |
Solano |
95687 |
California |
2013 |
2014 |
1 |
AIU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
21250 |
21250 |
38.354586035 |
-121.953063614 |
| -122.271160359963 |
37.7995061221099 |
4802 |
Dang, Binh |
1184859480 |
Physician |
EMERGENCY MEDICINE |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -117.113485500156 |
32.7150374537156 |
4806 |
Mavrakis, Anastasios |
1184862989 |
Physician |
INTERNAL MEDICINE |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -122.292192420644 |
38.3212564181492 |
4810 |
Leighton, Lynette |
1184875056 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2017 |
2018 |
5 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
55250 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.455808999686 |
37.7487900001584 |
4814 |
Kansal, Namita |
1184883415 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, B200 |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -121.845447497004 |
39.7528200003428 |
4819 |
Courtice, Marian |
1184888216 |
Nurse Practitioner |
NURSE PRACTITIONER |
680 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.75282 |
-121.845447497 |
| -118.137019856781 |
34.1536558360481 |
4832 |
Omuson, Victoria |
1184920050 |
Nurse Practitioner |
UNKNOWN |
447 N. El Molino Ave. |
Pasadena |
Los Angeles |
91101 |
California |
2016 |
2017 |
1 |
AIU |
Heritage Clinic |
1306899091 |
21250 |
21250 |
34.1536558357 |
-118.137019857 |
| -120.498999995353 |
35.0266083603876 |
4836 |
Armijo, Israel |
1184933228 |
Dentist |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.871566830045 |
37.3508671210209 |
4850 |
Holguin, Ruth |
1184953127 |
Nurse Practitioner |
UNKNOWN |
1149 E Julian St, Bldg. H |
San Jose |
Santa Clara |
95116 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
38250 |
8500 |
37.3508671206 |
-121.87156683 |
| -117.668297206551 |
33.5230211008432 |
4854 |
Rivera, Christine |
1184960684 |
Nurse Practitioner |
UNKNOWN |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTER CAMINO |
1366560393 |
55250 |
8500 |
33.523021101 |
-117.668297207 |
| -122.267252075423 |
37.8373378810384 |
4855 |
Perrin, Hannah |
1184967028 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2015 |
2015 |
1 |
AIU |
Hannah Perrin |
1184967028 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -119.41239705508 |
36.3558581040683 |
4863 |
Folorunso, Oluwatosin |
1184976292 |
Physician |
UNKNOWN |
31180 Road 72 |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
29750 |
8500 |
36.355858104 |
-119.412397055 |
| -121.481662499625 |
38.5768799998122 |
4864 |
Lim, Jason |
1184980955 |
Dentist |
UNKNOWN |
1820 J ST |
Sacramento |
Sacramento |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -119.288673194212 |
36.3328544497731 |
4867 |
Unzicker, Daniel |
1184982548 |
Dentist |
UNKNOWN |
401 E. School Ave. |
Visalia |
Tulare |
93291 |
California |
2017 |
2018 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
38250 |
8500 |
36.3328544502 |
-119.288673194 |
| -118.396493540445 |
34.1889840002115 |
4885 |
Shamoeil, Homan |
1194025767 |
Dentist |
UNKNOWN |
6512 Laurel Canyon Blvd. |
North Hollywood |
Los Angeles |
91403 |
California |
2015 |
2016 |
1 |
AIU |
Homan Shamoeil |
1194025767 |
21250 |
21250 |
34.188984 |
-118.39649354 |
| -118.150795976753 |
34.1778106936086 |
4894 |
Wahby, Carolyn |
1194060046 |
Dentist |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.1778106939 |
-118.150795977 |
| -121.940302499661 |
37.3266449995671 |
4895 |
Celebi, Julie |
1194080911 |
Physician |
UNKNOWN |
455 OConnor Dr, Suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -120.06032040856 |
36.7286722489252 |
4898 |
Park, Ji Young |
1194084384 |
Physician |
UNKNOWN |
449 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH TEAM, INC VALLEY |
1962567388 |
21250 |
21250 |
36.7286722491 |
-120.060320409 |
| -117.298687104226 |
34.0966627016224 |
4905 |
Baker, Nancy |
1194085860 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -119.319628500255 |
36.6267149996975 |
4909 |
Benson, Caitlin |
1194115899 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
445 11th Street |
Orange Cove |
Fresno |
93646 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS- UNITED |
1649252198 |
46750 |
8500 |
36.626715 |
-119.3196285 |
| -118.246191531314 |
33.9426899692667 |
4913 |
Kim, Jung |
1194125807 |
Nurse Practitioner |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2015 |
2016 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -121.940302499661 |
37.3266449995671 |
4919 |
Shin, David |
1194139253 |
Physician |
UNKNOWN |
455 OConnor Dr, Suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -118.27391808685 |
34.0286791746043 |
4923 |
Cha, Angela |
1194096461 |
Nurse Practitioner |
UNKNOWN |
2400 South Flower St |
Los Angeles |
Contra Costa |
94596 |
California |
2013 |
2013 |
1 |
AIU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
21250 |
21250 |
34.0286791754 |
-118.273918087 |
| -117.885485449294 |
33.7108181339498 |
4944 |
Merchant, Alexa |
1194168724 |
Nurse Practitioner |
UNKNOWN |
2720 S. Bristol St, Stuite 110 |
Santa Ana |
Orange |
92704 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH SERVICES ALTAMED |
1760651814 |
21250 |
21250 |
33.7108181339 |
-117.885485449 |
| -121.953063614194 |
38.3545860351175 |
4954 |
Erskine, Thomas |
1194732339 |
Physician |
INTERNAL MEDICINE |
1010 Nut Tree Rd, Suite 100 |
Vacaville |
Solano |
95687 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.354586035 |
-121.953063614 |
| -117.294551908144 |
33.04413104741 |
4955 |
LE, TUYET |
1194735589 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
629 2nd St |
Encinitas |
San Diego |
92024 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
33.0441310475 |
-117.294551908 |
| -122.267252075423 |
37.8373378810384 |
4963 |
Olson, Jennifer |
1194739540 |
Physician |
UNKNOWN |
747 52nd Street, CHRCO Endocrinology |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.892388995156 |
34.0887406276779 |
4972 |
Lin, Hsin |
1194752279 |
Physician |
UNKNOWN |
315 N 3rd Ave, Suite 202 |
Covina |
Los Angeles |
91723 |
California |
2013 |
2013 |
2 |
MU |
HSIN L MD LIN |
1194752279 |
29750 |
8500 |
34.0887406275 |
-117.892388995 |
| -121.977238187592 |
37.5484010455718 |
4975 |
Yu, Cynthia |
1194761296 |
Nurse Practitioner |
UNKNOWN |
39500 Liberty |
Fremont |
Alameda |
94538 |
California |
2014 |
2015 |
3 |
MU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
38250 |
8500 |
37.5484010458 |
-121.977238188 |
| -120.045810184592 |
36.94541455204 |
4976 |
Fayad, Hamdan |
1194770578 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2016 |
2017 |
4 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
46750 |
8500 |
36.9454145522 |
-120.045810185 |
| -120.050882047069 |
36.9455571296579 |
4991 |
Acedo, Randolph |
1194803908 |
Physician |
UNKNOWN |
505 E. Almond Ave. |
Madera |
Madera |
93637 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
36.9455571302 |
-120.050882047 |
| -117.946313999791 |
33.8324215409214 |
4994 |
TEE, PETER |
1194804781 |
Dentist |
UNKNOWN |
1814 W LINCOLN AVE. |
ANAHEIM |
Orange |
92801 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1538303516 |
38250 |
8500 |
33.8324215409 |
-117.946314 |
| -117.866853000166 |
33.7811759997726 |
5001 |
Idries, Shaheen |
1194812263 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -118.306952999581 |
34.0623180000757 |
5005 |
HARRIS, DEBORAH |
1194818757 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.047352999941 |
38.2610944901187 |
5008 |
Long, James |
1194821868 |
Physician |
HEMATOLOGY/ONCOLOGY |
1200 B Gale Wilson Blvd |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.2610944902 |
-122.047353 |
| -119.678660202906 |
36.6289187730829 |
5025 |
Dhaliwal, Inderjit |
1194845206 |
Doctor of Optometry |
UNKNOWN |
106 E Main Street |
Fowler |
Fresno |
93625 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS OF THE UNITED |
1982079620 |
38250 |
8500 |
36.628918773 |
-119.678660203 |
| -121.977238187592 |
37.5484010455718 |
5030 |
Chavarkar, Milan |
1194852467 |
Nurse Practitioner |
UNKNOWN |
39500 Liberty Street, Tri City Health Center |
Fremont |
Alameda |
94538 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -117.668297206551 |
33.5230211008432 |
5038 |
Rodas, Sergio |
1194869693 |
Physician |
UNKNOWN |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTER CAMINO |
1366560393 |
55250 |
8500 |
33.523021101 |
-117.668297207 |
| -122.267252075423 |
37.8373378810384 |
5043 |
schreier, herbert |
1194870451 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.884374287443 |
33.7125916473867 |
5050 |
Alekal, Prashanti |
1194874693 |
Physician |
UNKNOWN |
1155 West Central Ave, Suites 104-107 |
Santa Ana |
Orange |
92707 |
California |
2020 |
2020 |
5 |
MU |
HEALTH SERVICES ALTAMED |
1760651814 |
55250 |
8500 |
33.7125916473 |
-117.884374287 |
| -117.883975500169 |
33.7601615118443 |
5055 |
Voight, Sharon |
1194884031 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1227 W 17th St, Suite 101 |
Santa Ana |
Orange |
92706 |
California |
2013 |
2014 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1053580175 |
38250 |
8500 |
33.7601615121 |
-117.8839755 |
| -118.27391808685 |
34.0286791746043 |
5057 |
Noel, Stanford |
1194888180 |
Physician |
ORTHOPEDIC SURGERY |
2400 South Flower Street |
Los Angeles |
Los Angeles |
90007 |
California |
2011 |
2012 |
1 |
AIU |
HOSP ORTHOPAEDIC |
1689632374 |
21250 |
21250 |
34.0286791754 |
-118.273918087 |
| -122.049873972306 |
38.2620150001922 |
5078 |
Khan, Parveen |
1194927392 |
Physician |
OBSTETRICS/GYNECOLOGY |
1860 Pennsylvania Ave |
Fairfield |
Solano |
94533 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
29750 |
8500 |
38.262015 |
-122.049873972 |
| -121.769568889193 |
38.5631938354272 |
5080 |
Tong, Andrew |
1194934695 |
Dentist |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
8500 |
8500 |
38.5631938352 |
-121.769568889 |
| -119.297551500202 |
36.3529349998504 |
5083 |
Ortiz Cruzado, Ernesto |
1194926394 |
Physician |
PSYCHIATRY |
Visalia Health Care Center, 2611 N. Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CARE CTR VISALIA |
1457385163 |
21250 |
21250 |
36.352935 |
-119.2975515 |
| -117.267223499565 |
33.9159869996004 |
5090 |
Castro, Mary |
1194947176 |
Physician |
FAMILY PRACTICE |
22675 Alessandro Blvd |
Moreno Valley |
Riverside |
92553 |
California |
2013 |
2013 |
2 |
MU |
HLTH SYSTEMS INC COMM |
1679749501 |
29750 |
8500 |
33.915987 |
-117.2672235 |
| -121.098758861632 |
38.9348505096434 |
5094 |
Nkadi, Tochuku |
1194952044 |
Doctor of Optometry |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
38.9348505095 |
-121.098758862 |
| -121.859941498102 |
37.2416232489139 |
5103 |
Banagan, Michaela |
1194963280 |
Nurse Practitioner |
UNKNOWN |
5671 Santa Teresa Blvd, San Jose |
San Jose |
Santa Clara |
95123 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
63750 |
8500 |
37.2416232487 |
-121.859941498 |
| -122.267731525589 |
37.8373514428149 |
5105 |
Madden, Jacqueline |
1194959213 |
Nurse Practitioner |
UNKNOWN |
744 52nd St, Department of Gastroenterology |
Oakland |
Alameda |
94609 |
California |
2015 |
2016 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373514427 |
-122.267731526 |
| -117.866853000166 |
33.7811759997726 |
5111 |
KAMATH, SUNIL |
1194985002 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.781176 |
-117.866853 |
| -118.290205477301 |
34.0955859100617 |
5115 |
Marx, Peter |
1194994632 |
Physician |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
38250 |
8500 |
34.0955859098 |
-118.290205477 |
| -119.042168222785 |
36.0512835430011 |
5119 |
Williams, Taujai |
1205004108 |
Physician |
UNKNOWN |
1107 W. Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2014 |
2014 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
38250 |
8500 |
36.0512835428 |
-119.042168223 |
| -117.113485500156 |
32.7150374537156 |
5132 |
Hogan, Roselynn |
1205019510 |
Nurse Practitioner |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1386689701 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -121.913647032185 |
37.3017600004237 |
5160 |
CHAUDHRY, MANU |
1205067980 |
Dentist |
UNKNOWN |
1333 Meridian Avenue |
San Jose |
Santa Clara |
95125 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
46750 |
8500 |
37.30176 |
-121.913647032 |
| -119.288673194212 |
36.3328544497731 |
5166 |
Le, Hoang |
1205075348 |
Physician |
UNKNOWN |
401 E. School Ave. |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
63750 |
8500 |
36.3328544502 |
-119.288673194 |
| -121.456646999859 |
38.5524089999754 |
5169 |
Dayan, Jonathan |
1205068392 |
Physician |
UNKNOWN |
2516 Stockton Blvd, Pediatric Cardiology |
Sacramento |
Sacramento |
95817 |
California |
2018 |
2019 |
3 |
MU |
HEMOC REGENTS/UCDPBG/PED |
1356334452 |
38250 |
8500 |
38.552409 |
-121.456647 |
| -122.292192420644 |
38.3212564181492 |
5173 |
Martorana, Elizabeth |
1205076361 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
63750 |
8500 |
38.3212564177 |
-122.292192421 |
| -120.044702271093 |
36.9453834840606 |
5179 |
khan, shagufta |
1205101904 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1250 E Almond Ave |
Madera |
Madera |
93637 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
29750 |
8500 |
36.945383484 |
-120.044702271 |
| -117.179198999834 |
32.8164299997447 |
5188 |
Ivanescu, Florina |
1205115045 |
Dentist |
UNKNOWN |
4134 Mount Alifan Pl Unit H |
San Diego |
San Diego |
92111 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.81643 |
-117.179199 |
| -117.885485449294 |
33.7108181339498 |
5192 |
Yang, Jason |
1205126547 |
Physician |
UNKNOWN |
2720 Bristol St Suite 110 |
Santa Ana |
Orange |
92704 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1760651814 |
38250 |
8500 |
33.7108181339 |
-117.885485449 |
| -117.865599124 |
33.7803484876926 |
5201 |
Steenari, Maija-Riikka |
1205157476 |
Physician |
UNKNOWN |
1201 W. La Veta Ave. |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.7803484883 |
-117.865599124 |
| -118.246191531314 |
33.9426899692667 |
5204 |
Szalas, Andrew |
1205159548 |
Nurse Practitioner |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2015 |
2016 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -122.659945408554 |
38.2688718730386 |
5208 |
Upton, Sean |
1205162450 |
Nurse Practitioner |
UNKNOWN |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -121.940316000283 |
37.3266539999822 |
5217 |
Sutherland, Rachel |
1205190402 |
Physician |
UNKNOWN |
455 OConnor Dr |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326654 |
-121.940316 |
| -120.383824346117 |
36.7660952641851 |
5239 |
Relingo, Sonia |
1205255817 |
Dentist |
UNKNOWN |
121 Barboza Street |
Mendota |
Fresno |
93640 |
California |
2018 |
2019 |
3 |
MU |
HLTH CTRS-MENDOTA UNITED |
1184606634 |
38250 |
8500 |
36.7660952642 |
-120.383824346 |
| -117.298687104226 |
34.0966627016224 |
5242 |
Billings, Tara |
1205249398 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
5251 |
Heisler, Marcus |
1205256955 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -121.545819136144 |
39.1278335471805 |
5256 |
Hanhan, Marsella |
1205295631 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1908 N Beale Rd, Suite E |
Marysville |
Yuba |
95901 |
California |
2017 |
2018 |
2 |
MU |
HEALTH MEDICAL HARMONY |
1124130620 |
29750 |
8500 |
39.1278335467 |
-121.545819136 |
| -121.800410196274 |
37.2546844204497 |
5259 |
Patel, Mital |
1205367703 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
5504 Monterey Highway |
San Jose |
Santa Clara |
95138 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER FOOTHILL |
1922485952 |
21250 |
21250 |
37.2546844202 |
-121.800410196 |
| -118.21887650105 |
34.1237489947204 |
5260 |
Sagaral, Emelou |
1205812500 |
Physician |
UNKNOWN |
4448 York Blvd. |
Los Angeles |
UNKNOWN |
90041 |
California |
2013 |
2014 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
38250 |
8500 |
34.123748995 |
-118.218876501 |
| -117.068053499569 |
33.1260569997308 |
5261 |
TASHER, DEAN |
1205817673 |
Physician |
UNKNOWN |
1001 E Grand Ave |
Escondido |
San Diego |
92025 |
California |
2015 |
2017 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1487826772 |
29750 |
8500 |
33.126057 |
-117.0680535 |
| -118.018971000411 |
33.9547320002816 |
5263 |
Boroujerdi-Rad, Hassan |
1205814837 |
Physician |
UNKNOWN |
14350 E. Whittier, 101 |
Whittier |
Los Angeles |
90605 |
California |
2018 |
2019 |
3 |
MU |
HASSAN BOROUJERDI-RAD |
1053326587 |
38250 |
8500 |
33.954732 |
-118.018971 |
| -122.62766813058 |
38.9499316736079 |
5285 |
marquette, gail |
1205851656 |
Nurse Practitioner |
UNKNOWN |
15230 Lakeshore Dr |
Clearlake |
Lake |
95422 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
38250 |
8500 |
38.9499316736 |
-122.627668131 |
| -116.95219952229 |
32.8004502871511 |
5291 |
Patel, Rakesh |
1205861010 |
Physician |
FAMILY PRACTICE |
855 E Madison Ave |
El Cajon |
San Diego |
92020 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
55250 |
8500 |
32.8004502867 |
-116.952199522 |
| -120.498999995353 |
35.0266083603876 |
5295 |
Ambrosio, Emilia |
1205865151 |
Physician |
UNKNOWN |
150 Tejas Pl, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.290517791163 |
34.0708151733816 |
5300 |
Vinetz, Robert |
1205879798 |
Physician |
UNKNOWN |
184 Bimini Pl |
Los Angeles |
Los Angeles |
90004 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1093886251 |
38250 |
8500 |
34.0708151735 |
-118.290517791 |
| -121.988663530098 |
38.354621951342 |
5324 |
DASSAH, HARRY |
1205917192 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
405 Boyd St |
Vacaville |
Solano |
95688 |
California |
2014 |
2015 |
3 |
MU |
HARRY DASSAH |
1962583435 |
38250 |
8500 |
38.3546219512 |
-121.98866353 |
| -120.558068419722 |
38.0818276902957 |
5327 |
Haley, Ann |
1205917515 |
Nurse Practitioner |
UNKNOWN |
52 S. Main St. |
Angels Camp |
Calaveras |
95222 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH BOARD, INC MACT |
1366519431 |
21250 |
21250 |
38.0818276899 |
-120.55806842 |
| -118.306952999581 |
34.0623180000757 |
5349 |
GAMER, SIMON |
1205949146 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.977238187592 |
37.5484010455718 |
5384 |
Li, Hongbo |
1215002589 |
Nurse Practitioner |
NURSE PRACTITIONER |
39500 Liberty Street, Tri City Health Center |
Fremont |
Alameda |
94538 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -117.866853000166 |
33.7811759997726 |
5395 |
Patel, Anup |
1215015888 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
4 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -117.866853000166 |
33.7811759997726 |
5408 |
Kirov, Ivan |
1215025044 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2011 |
2012 |
1 |
AIU |
HOSP OF ORANGE CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -117.866853000166 |
33.7811759997726 |
5411 |
Nickerson, Bruce |
1215026521 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -117.946795500412 |
33.8324204932113 |
5412 |
Sy, Helen |
1215026794 |
Physician |
UNKNOWN |
1820 W Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2016 |
2017 |
5 |
MU |
HEALTH SERVICES CORP ALTAMED |
1235376047 |
55250 |
8500 |
33.8324204929 |
-117.9467955 |
| -118.246191531314 |
33.9426899692667 |
5418 |
Yoon, Ruth |
1215033055 |
Physician |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE WATTS |
1477649119 |
29750 |
8500 |
33.9426899686 |
-118.246191531 |
| -121.769568889193 |
38.5631938354272 |
5423 |
AUERBACH, ARTHUR |
1215038765 |
Physician |
ORTHOPEDIC SURGERY |
2051 John Jones Blvd. |
Davis |
Yolo |
95616 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558366823 |
21250 |
21250 |
38.5631938352 |
-121.769568889 |
| -117.948073499992 |
33.7886104945787 |
5431 |
Tsai, Yvonne |
1215046016 |
Physician |
PEDIATRIC MEDICINE |
10602 Chapman Ave, suite 100 |
garden grove |
Orange |
92840 |
California |
2013 |
2013 |
2 |
MU |
HOSP OF ORANGE CHILDRENS |
1568599769 |
29750 |
8500 |
33.7886104948 |
-117.9480735 |
| -118.044259421935 |
34.0472553378636 |
5476 |
torres, victor |
1215131008 |
Nurse Practitioner |
UNKNOWN |
10408 Vacco St., Ste A |
South El Monte |
Los Angeles |
91733 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.0472553382 |
-118.044259422 |
| -118.187848176352 |
33.9730571996301 |
5478 |
Arzu, Rosa |
1215131164 |
Dentist |
UNKNOWN |
6901 1/2 S Atlantic Ave |
Bell |
Los Angeles |
90201 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
29750 |
8500 |
33.9730572 |
-118.187848176 |
| -117.996641889811 |
33.7738698732961 |
5486 |
Tran, Van |
1215145685 |
Dentist |
UNKNOWN |
7761 GARDEN GROVE BLVD |
Garden Grove |
Orange |
92841 |
California |
2015 |
2016 |
1 |
AIU |
HOA COMPREHENSIVE NHAN |
1497889158 |
21250 |
21250 |
33.7738698726 |
-117.99664189 |
| -118.320653347174 |
33.9164745472626 |
5492 |
Rochefort, Julie |
1215142443 |
Nurse Practitioner |
UNKNOWN |
2501 W. El Segundo Blvd, Suite B |
Hawthrone |
Los Angeles |
90250 |
California |
2020 |
2020 |
2 |
MU |
HEALTH SERVICES BEHAVIORAL |
1548659105 |
29750 |
8500 |
33.9164745471 |
-118.320653347 |
| -119.288677500166 |
36.3322530002758 |
5510 |
Munoz, Rocio |
1215198825 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE FAMILY |
1821186727 |
63750 |
8500 |
36.332253 |
-119.2886775 |
| -121.847419519595 |
37.3652603243046 |
5527 |
Quach, Tung |
1215230503 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2380 Montpelier Drive, Suite 200 |
San Jose |
Santa Clara |
95116 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1689950248 |
38250 |
8500 |
37.3652603239 |
-121.84741952 |
| -120.055711580925 |
36.9628328372657 |
5560 |
Kepics, Danielle |
1215325790 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
344 E. 6th Street |
Madera |
Madera |
93638 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9628328373 |
-120.055711581 |
| -122.271160359963 |
37.7995061221099 |
5572 |
Nguyen, Lan-Anh |
1215365572 |
Dentist |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -117.298687104226 |
34.0966627016224 |
5574 |
Wu, Melanie |
1215357223 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
5576 |
Pruitt, Crystal |
1215357793 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -120.054490451773 |
36.963929180987 |
5585 |
alroshaidan, mohammed |
1215485172 |
Dentist |
UNKNOWN |
124 So. A Street |
Madera |
UNKNOWN |
93638 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9639291809 |
-120.054490452 |
| -120.625581861214 |
40.4381384658176 |
5607 |
Holmes, Paul |
1215940168 |
Physician |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
38250 |
8500 |
40.4381384662 |
-120.625581861 |
| -117.125858514958 |
32.7011896748637 |
5612 |
Zink, Irene |
1215959549 |
Physician |
FAMILY PRACTICE |
3177 Ocean View Blvd |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
4 |
MU |
HEALTH CENTER- COMPREHENSIVE |
1326225632 |
46750 |
8500 |
32.701189675 |
-117.125858515 |
| -119.781445650396 |
36.8289375316418 |
5614 |
KHODAVERDIAN, ANOUSH |
1215967054 |
Physician |
UNKNOWN |
6327 N Fresno St, SUITE 108 |
Fresno |
Fresno |
93710 |
California |
2012 |
2013 |
1 |
AIU |
HAYKANOUSH KHODAVERDIAN |
1215967054 |
14166.67 |
14166.67 |
36.8289375323 |
-119.78144565 |
| -117.39812850003 |
34.0700759999075 |
5624 |
Davidson, Jeffrey |
1215983994 |
Dentist |
UNKNOWN |
18601 Valley Blvd |
Bloomington |
San Bernardino |
92316 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SYSTEMS COMMUNITY |
1487706347 |
21250 |
21250 |
34.070076 |
-117.3981285 |
| -121.418158500215 |
38.5725509998288 |
5631 |
Melchione, Julie |
1225005630 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
77 Cadillac Dr, Suite 230 |
Sacramento |
Sacramento |
95825 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124257324 |
21250 |
21250 |
38.572551 |
-121.4181585 |
| -121.55149361274 |
39.0972587433964 |
5638 |
Vanderberg, Dwayne |
1225012008 |
Physician |
INTERNAL MEDICINE |
4941 Olivehurst Ave |
Olivehurst |
Yuba |
95961 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.0972587427 |
-121.551493613 |
| -117.113485500156 |
32.7150374537156 |
5639 |
Keck, Vicki |
1225009376 |
Nurse Practitioner |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1346480837 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -122.273004185994 |
37.8119276013778 |
5642 |
lefevre, kathleen |
1225011752 |
Nurse Practitioner |
NURSE PRACTITIONER |
2221 Martin Luther King Jr Way |
Oakland |
Alameda |
94612 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
46750 |
8500 |
37.8119276008 |
-122.273004186 |
| -121.977238187592 |
37.5484010455718 |
5654 |
Reddy, Aruna |
1225034556 |
Physician |
FAMILY PRACTICE |
39500 Liberty Street, Tri City Health Center |
Fremont |
Alameda |
94538 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -118.306952999581 |
34.0623180000757 |
5661 |
Stevanovic, Milan |
1225040421 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600 |
Los Angeles |
UNKNOWN |
90010 |
California |
2018 |
2019 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.062318 |
-118.306953 |
| -122.292192420644 |
38.3212564181492 |
5689 |
Ha, Sonia |
1225100035 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
46750 |
8500 |
38.3212564177 |
-122.292192421 |
| -117.947213582641 |
34.0621575996935 |
5692 |
Oh, Hee |
1225106693 |
Physician |
INTERNAL MEDICINE |
1433 W Merced Ave #207 |
West Covina |
Los Angeles |
91790 |
California |
2012 |
2013 |
2 |
MU |
HEE YONG MD OH |
1225106693 |
29750 |
8500 |
34.0621576001 |
-117.947213583 |
| -122.267252075423 |
37.8373378810384 |
5719 |
Ma, Christine |
1225140395 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2020 |
2020 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -121.614466572374 |
39.1450130156382 |
5753 |
Boparai, Nanak |
1225183221 |
Physician |
UNKNOWN |
931 Market St |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.1450130164 |
-121.614466572 |
| -122.439591000025 |
37.7160389998 |
5756 |
Huang, Scott |
1225186257 |
Physician |
FAMILY PRACTICE |
888 Paris Street Suite 202 |
San Francisco |
San Francisco |
94112 |
California |
2016 |
2017 |
6 |
MU |
HOSPITAL'S CHINESE |
1164458402 |
63750 |
8500 |
37.716039 |
-122.439591 |
| -121.934391291825 |
37.3271164871362 |
5764 |
Mirza, Muneeza |
1225198351 |
Physician |
UNKNOWN |
2039 Forest Ave., Suite #105 |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
3 |
MU |
HEALTH CENTER INDIAN |
1629462312 |
38250 |
8500 |
37.3271164868 |
-121.934391292 |
| -122.267252075423 |
37.8373378810384 |
5811 |
Nayakwadi Singer, Monica |
1225282916 |
Physician |
UNKNOWN |
747 52nd st |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.042168222785 |
36.0512835430011 |
5822 |
Nepomuceno, Myanne |
1225310576 |
Physician |
UNKNOWN |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
38250 |
8500 |
36.0512835428 |
-119.042168223 |
| -119.71265849999 |
36.8083884896371 |
5823 |
Bhathal, Amarpaul |
1225316573 |
Physician |
UNKNOWN |
180 W Shaw Ave, Ste B |
Clovis |
Fresno |
93612 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH TEAM INC VALLEY |
1750703237 |
21250 |
21250 |
36.8083884901 |
-119.7126585 |
| -121.913647032185 |
37.3017600004237 |
5825 |
chidambaram, kavitha |
1225317068 |
Physician |
UNKNOWN |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
46750 |
8500 |
37.30176 |
-121.913647032 |
| -120.498999995353 |
35.0266083603876 |
5837 |
Crook, Eric |
1225341472 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -122.271160359963 |
37.7995061221099 |
5846 |
Tsang, Sarah |
1225368087 |
Physician |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -117.077809499809 |
32.7583889995527 |
5849 |
LaRochelle, Anna |
1225317233 |
Nurse Practitioner |
UNKNOWN |
Family Health Centers of San Diego, Inc., 5454 El Cajon Blvd. |
San Diego |
San Diego |
92115 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CENTERS OF SAN FAMILY |
1023054004 |
38250 |
8500 |
32.758389 |
-117.0778095 |
| -121.940302499661 |
37.3266449995671 |
5853 |
Hoff, Lea |
1225392145 |
Physician |
UNKNOWN |
455 OConnor Dr, Ste 240 |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -119.424323611346 |
36.3520902351763 |
5881 |
Davis, David |
1225484975 |
Nurse Practitioner |
UNKNOWN |
30979 Road 67 |
Goshen |
Tulare |
93227 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
21250 |
21250 |
36.3520902351 |
-119.424323611 |
| -117.146546412287 |
32.7016590679117 |
5882 |
Merrill, Sarah |
1225399512 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -118.27391808685 |
34.0286791746043 |
5888 |
Bowen, Richard |
1235106246 |
Physician |
UNKNOWN |
2400 S. Flower St. |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2014 |
3 |
MU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
38250 |
8500 |
34.0286791754 |
-118.273918087 |
| -120.498999995353 |
35.0266083603876 |
5890 |
Raja, Natasha |
1235122292 |
Physician |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.952709777734 |
38.3644974795751 |
5892 |
Ovalle, Alfredo |
1235111022 |
Physician |
FAMILY PRACTICE |
421 Nut Tree Road |
Vacaville |
Solano |
95687 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
29750 |
8500 |
38.3644974804 |
-121.952709778 |
| -122.274557902425 |
37.8417165137062 |
5905 |
WATSON, HENRY |
1235142894 |
Physician |
UNKNOWN |
5709 Market St |
Oakland |
Alameda |
94608 |
California |
2015 |
2016 |
1 |
AIU |
HENRY G MD WATSON |
1235142894 |
21250 |
21250 |
37.8417165138 |
-122.274557902 |
| -117.16804312479 |
33.5183736608158 |
5915 |
Russell, Sarah |
1235154782 |
Physician |
FAMILY PRACTICE |
41715 Winchester Rd |
Temecula |
Riverside |
92591 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
38250 |
8500 |
33.5183736611 |
-117.168043125 |
| -120.498999995353 |
35.0266083603876 |
5917 |
Mercardante, Joseph |
1235157405 |
Dentist |
UNKNOWN |
150 Tejas Pl, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.146546412287 |
32.7016590679117 |
5919 |
Navarrete, Mary Jo |
1235160490 |
Nurse Practitioner |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -117.406827000066 |
34.5795030001634 |
5924 |
ROBLES-GRAY, YASMIN |
1235166810 |
Nurse Practitioner |
UNKNOWN |
11888 Bartlett Ave |
Adelanto |
San Bernardino |
92301 |
California |
2014 |
2015 |
1 |
AIU |
HEALTHCARE AMC HOPE |
1154361913 |
21250 |
21250 |
34.579503 |
-117.406827 |
| -121.977238187592 |
37.5484010455718 |
5932 |
Schulman, Jennie |
1235174665 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
39500 Liberty Street, Tri City Health Center |
Fremont |
Alameda |
94538 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -121.934391291825 |
37.3271164871362 |
5938 |
Padua, Narciso |
1235184219 |
Physician |
UNKNOWN |
2039 Forest Ave, Suite 105 |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER INDIAN |
1629462312 |
38250 |
8500 |
37.3271164868 |
-121.934391292 |
| -121.769568889193 |
38.5631938354272 |
5948 |
MEUX, MARY |
1235208299 |
Physician |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2014 |
2016 |
3 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
38250 |
8500 |
38.5631938352 |
-121.769568889 |
| -117.866853000166 |
33.7811759997726 |
5963 |
Torno, Lilibeth |
1235227943 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2011 |
2012 |
1 |
AIU |
HOSP OF ORANGE CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -118.290205477301 |
34.0955859100617 |
5966 |
Torres, Ronna |
1235227992 |
Dentist |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
29750 |
8500 |
34.0955859098 |
-118.290205477 |
| -122.267252075423 |
37.8373378810384 |
5967 |
ANOSHIRAVANI, ARASH |
1235230566 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2016 |
2017 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.071664499717 |
33.1292598686481 |
5985 |
Samorano, Rogelio |
1235266461 |
Physician |
PSYCHIATRY |
425 N Date St Ste 203 |
Escondido |
San Diego |
92025 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1437335353 |
29750 |
8500 |
33.1292598693 |
-117.0716645 |
| -122.267252075423 |
37.8373378810384 |
5992 |
Holland, Toshiko |
1235272345 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -121.098758861632 |
38.9348505096434 |
5997 |
Hoang, Nam |
1235276726 |
Dentist |
UNKNOWN |
11670 Atwood Road |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -118.246286910712 |
33.9467527186631 |
6008 |
Habtezghi, Hagos |
1235289679 |
Physician |
FAMILY PRACTICE |
9901 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2012 |
2013 |
1 |
AIU |
HAGOS MD HABTEZGHI |
1235289679 |
21250 |
21250 |
33.9467527194 |
-118.246286911 |
| -117.885485449294 |
33.7108181339498 |
6048 |
Le, Anh |
1235348038 |
Physician |
UNKNOWN |
2720 S. Bristol St. Suite 110 |
Santa Ana |
Orange |
92704 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH SERVICES ALTAMED |
1760651814 |
21250 |
21250 |
33.7108181339 |
-117.885485449 |
| -122.267252075423 |
37.8373378810384 |
6051 |
Newaskar, Manisha |
1235348855 |
Physician |
PEDIATRIC MEDICINE |
747 52nd St, Suite 5409 |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -121.481662499625 |
38.5768799998122 |
6052 |
Jackson, Rhonette |
1235352220 |
Physician |
UNKNOWN |
1820 J Street |
Sacramento |
Sacramento |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -117.866853000166 |
33.7811759997726 |
6054 |
Totoiu, Minodora |
1235339656 |
Physician |
UNKNOWN |
455 S Main St, PSF Neurology |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
4 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -118.160352000145 |
34.0332704861441 |
6089 |
Kurzman, Mark |
1235430018 |
Physician |
UNKNOWN |
4816 East 3rd Street |
Los Angeles |
Los Angeles |
90022 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
21250 |
21250 |
34.0332704862 |
-118.160352 |
| -117.146546412287 |
32.7016590679117 |
6108 |
Higgins, Lisa |
1235402793 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.034489528269 |
34.0387650003046 |
6115 |
KIM, HYUN JUNG |
1235488685 |
Dentist |
UNKNOWN |
11834 Bryant St, #103 |
Yucaipa |
San Bernardino |
92399 |
California |
2016 |
2017 |
1 |
AIU |
HYUN JUNG KIM |
1235488685 |
21250 |
21250 |
34.038765 |
-117.034489528 |
| -119.218041199742 |
36.3890816388067 |
6121 |
Garcia, Mateo |
1235523150 |
Nurse Practitioner |
UNKNOWN |
33025 Road 159 |
Ivanhoe |
Tulare |
93235 |
California |
2016 |
2017 |
1 |
AIU |
HLTHCARE NETWORK FAMILY |
1386670610 |
21250 |
21250 |
36.3890816392 |
-119.2180412 |
| -117.298687104226 |
34.0966627016224 |
6131 |
Cho, Jeffrey |
1235549429 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2018 |
2019 |
4 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
46750 |
8500 |
34.0966627019 |
-117.298687104 |
| -120.690697383677 |
35.6188400360389 |
6139 |
Orlando, Dorothy |
1235574054 |
Nurse Practitioner |
UNKNOWN |
416 Spring St, Suite 201 |
Paso Robles |
San Luis Obispo |
93446 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.6188400358 |
-120.690697384 |
| -118.303731000285 |
34.0638749999313 |
6141 |
GO, SUJEONG |
1235588963 |
Nurse Practitioner |
UNKNOWN |
3727 W 6th St Ste 210 |
Los Angeles |
Los Angeles |
90020 |
California |
2020 |
2020 |
5 |
MU |
HEALTH EDUCATION KOREAN |
1437377454 |
55250 |
8500 |
34.063875 |
-118.303731 |
| -122.061934495181 |
39.0211917707837 |
6152 |
Molina, Jose |
1245224658 |
Physician |
INTERNAL MEDICINE |
89 Putnam Way |
Arbuckle |
Colusa |
95912 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.0211917707 |
-122.061934495 |
| -121.456624499721 |
38.5712370003873 |
6158 |
Thao, Cha |
1245230069 |
Physician |
UNKNOWN |
3701 J Street, Suite 201 |
Sacramento |
Sacramento |
95816 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
46750 |
8500 |
38.571237 |
-121.4566245 |
| -122.47496099975 |
37.6803539999372 |
6159 |
SANTIESTEBAN, HECTOR |
1245235738 |
Physician |
NEPHROLOGY |
1800 Sullivan Ave, Rm 101 |
Daly City |
San Mateo |
94015 |
California |
2014 |
2014 |
2 |
MU |
HECTOR MD SANTIESTEBAN |
1245235738 |
29750 |
8500 |
37.680354 |
-122.474961 |
| -118.150712999905 |
34.1313119999489 |
6168 |
Novero, Carlette |
1245246412 |
Physician |
UNKNOWN |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2013 |
2014 |
2 |
MU |
HEALTH COMMUNITY |
1871689315 |
29750 |
8500 |
34.131312 |
-118.150713 |
| -120.625581861214 |
40.4381384658176 |
6180 |
SEARCY, EILEEN |
1245258912 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1850 Spring Ridge Drive |
Susanville |
Lassen |
96130 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
63750 |
8500 |
40.4381384662 |
-120.625581861 |
| -122.046216318029 |
38.261036358841 |
6196 |
Elmes, Cornelis |
1245280460 |
Physician |
ORTHOPEDIC SURGERY |
1101 B Gale Wilson Blvd, Suite 101C |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
55250 |
8500 |
38.2610363594 |
-122.046216318 |
| -121.977238187592 |
37.5484010455718 |
6197 |
Puri-Kumar, Suksham |
1245269406 |
Physician |
PEDIATRIC MEDICINE |
39500 Liberty Street, Tri-City Health Center |
Fremont |
Alameda |
94538 |
California |
2016 |
2014 |
4 |
MU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
46750 |
8500 |
37.5484010458 |
-121.977238188 |
| -121.613430264695 |
39.1443745680319 |
6241 |
Krasinski, Wieslawa |
1245342492 |
Physician |
FAMILY PRACTICE |
1000 SUTTER ST |
Yuba City |
Sutter |
95991 |
California |
2014 |
2015 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.1443745679 |
-121.613430265 |
| -122.659945408554 |
38.2688718730386 |
6301 |
Geiger, Donna |
1245440064 |
Nurse Practitioner |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
29750 |
8500 |
38.2688718726 |
-122.659945409 |
| -120.43393612725 |
34.9091173157116 |
6303 |
Fairburn, Andrew |
1245442342 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2801 Santa Maria Way Bldg A |
Santa Maria |
Santa Barbara |
93458 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
34.9091173155 |
-120.433936127 |
| -117.863549025867 |
33.7802805097378 |
6314 |
Huoh, Kevin |
1245471275 |
Physician |
UNKNOWN |
1010 W La Veta Ave, Suite 640 |
Orange |
UNKNOWN |
92868 |
California |
2014 |
2014 |
1 |
AIU |
HOSPITAL OF CHILDRENS |
1811080526 |
21250 |
21250 |
33.7802805095 |
-117.863549026 |
| -117.146546412287 |
32.7016590679117 |
6316 |
Smoot, Charles |
1245490358 |
Physician |
FAMILY PRACTICE |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
4 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
46750 |
8500 |
32.701659068 |
-117.146546412 |
| -118.018971000411 |
33.9547320002816 |
6317 |
Boroujerdi-Rad, Laleh |
1245474378 |
Physician |
UNKNOWN |
14350 E. Whittier Blvd, # 101 |
Whittier |
Los Angeles |
90605 |
California |
2018 |
2019 |
3 |
MU |
HASSAN BOROUJERDI-RAD |
1053326587 |
38250 |
8500 |
33.954732 |
-118.018971 |
| -118.306952999581 |
34.0623180000757 |
6322 |
McFarren, Alicia |
1245497072 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.864809155118 |
39.754714593104 |
6324 |
Vang, Kham |
1245511096 |
Dentist |
UNKNOWN |
236 W East Ave Ste H |
Chico |
Butte |
95926 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH AMPLA |
1811204555 |
21250 |
21250 |
39.7547145932 |
-121.864809155 |
| -119.207077446867 |
36.303327220375 |
6331 |
Horner, Erika |
1245531474 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
730 N Farmersville Blvd |
Farmersville |
Tulare |
93223 |
California |
2013 |
2013 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1326317819 |
21250 |
21250 |
36.3033272201 |
-119.207077447 |
| -121.481662499625 |
38.5768799998122 |
6353 |
Lee, Mary |
1245589936 |
Dentist |
UNKNOWN |
1820 J St |
Sacramento |
Sacramento |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -121.934391291825 |
37.3271164871362 |
6354 |
Nguyen, Jenny |
1245592278 |
Physician |
UNKNOWN |
2039 Forest Ave Suite 105 |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTER INDIAN |
1629462312 |
46750 |
8500 |
37.3271164868 |
-121.934391292 |
| -117.113485500156 |
32.7150374537156 |
6361 |
Carson, Corey |
1245599778 |
Physician |
UNKNOWN |
823 Gateway Center Way |
SAN DIEGO |
San Diego |
92102 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CENTERS OF SAN FAMILY |
1700821303 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -122.267252075423 |
37.8373378810384 |
6362 |
Eng, Katherine |
1245627348 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2020 |
2020 |
2 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.298687104226 |
34.0966627016224 |
6367 |
Jacobson, Laura |
1245617497 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.289034030996 |
36.3341005980642 |
6376 |
Bloom, Andrew |
1245665884 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
501 North Bridge Street |
Visalia |
UNKNOWN |
93291 |
California |
2016 |
2017 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
38250 |
8500 |
36.3341005984 |
-119.289034031 |
| -120.055711580925 |
36.9628328372657 |
6382 |
Joseph, Ben |
1245783224 |
Nurse Practitioner |
UNKNOWN |
344 E. 6th Street |
Madera |
Madera |
93638 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9628328373 |
-120.055711581 |
| -117.751073666616 |
34.0965576590088 |
6386 |
Knoll, Carrie |
1255302238 |
Physician |
UNKNOWN |
250 W Bonita Ave, #200 |
Pomona |
Los Angeles |
91767 |
California |
2017 |
2018 |
4 |
MU |
HOLLEMBERG, AGRAWAL LAUPPE |
1366447781 |
46750 |
8500 |
34.0965576594 |
-117.751073667 |
| -122.659945408554 |
38.2688718730386 |
6396 |
Redwood, Fiona |
1255323945 |
Physician |
OBSTETRICS/GYNECOLOGY |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -117.146546412287 |
32.7016590679117 |
6410 |
Lapina, Lori |
1245670413 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.288677500166 |
36.3322530002758 |
6430 |
Browne, Patti |
1255378022 |
Physician |
DERMATOLOGY |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -119.024238944572 |
36.069502507235 |
6431 |
Borland, Koren |
1255383352 |
Dentist |
UNKNOWN |
323 West Putnam |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1558554519 |
63750 |
8500 |
36.0695025068 |
-119.024238945 |
| -121.845447497004 |
39.7528200003428 |
6451 |
Ory, Linda |
1255405189 |
Nurse Practitioner |
UNKNOWN |
680 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.75282 |
-121.845447497 |
| -116.958715795797 |
33.7528766336497 |
6452 |
Behmlopez, Bertrand |
1255405502 |
Physician |
HOSPICE/PALLIATIVE CARE |
391 N San Jacinto St |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1811193618 |
21250 |
21250 |
33.7528766338 |
-116.958715796 |
| -122.201680947418 |
39.7416732839949 |
6470 |
Croal, Francis |
1255430658 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1211 Cortina Dr |
Orland |
Glenn |
95963 |
California |
2015 |
2017 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.7416732839 |
-122.201680947 |
| -117.954770703605 |
33.7538777013949 |
6472 |
Quach, Hung |
1255428975 |
Physician |
UNKNOWN |
14382 Brookhurst St |
Garden Grove |
Orange |
92843 |
California |
2016 |
2017 |
4 |
MU |
HUNG T MD QUACH |
1255428975 |
46750 |
8500 |
33.7538777007 |
-117.954770704 |
| -122.267252075423 |
37.8373378810384 |
6478 |
HARMATZ, PAUL |
1255435301 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.211605648682 |
34.0445816183471 |
6479 |
YOO-PARK, SEUNGBIN |
1255432282 |
Physician |
UNKNOWN |
2219 E 1st street |
Los Angeles |
Los Angeles |
90033 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1134492937 |
38250 |
8500 |
34.0445816178 |
-118.211605649 |
| -120.102715753829 |
36.2053231687293 |
6512 |
Richardson, John |
1255480406 |
Dentist |
UNKNOWN |
16928 11th Street |
Huron |
Fresno |
93234 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS- UNITED |
1134101686 |
21250 |
21250 |
36.2053231685 |
-120.102715754 |
| -117.146546412287 |
32.7016590679117 |
6526 |
Corry, ANDREA |
1255489571 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -117.915163058828 |
33.7774180953688 |
6542 |
Choi, Bryan |
1255525499 |
Physician |
UNKNOWN |
12751 Harbor Blvd |
Garden Grove |
Orange |
92840 |
California |
2018 |
2019 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
63750 |
8500 |
33.7774180952 |
-117.915163059 |
| -117.169628486565 |
33.5172337305523 |
6543 |
Butler, Rachel |
1255524831 |
Nurse Practitioner |
UNKNOWN |
41840 Enterprise Circle North |
Temecula |
Riverside |
92590 |
California |
2014 |
2015 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
21250 |
21250 |
33.5172337305 |
-117.169628487 |
| -118.308853204112 |
34.0164932961288 |
6555 |
Leffall, Sharon |
1255543005 |
Nurse Practitioner |
UNKNOWN |
3834 S Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2011 |
2012 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -117.866853000166 |
33.7811759997726 |
6565 |
Reh, Christina |
1255579371 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
4 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -118.240669996123 |
34.0651434855835 |
6571 |
Wong, Dustin |
1255587549 |
Physician |
INTERNAL MEDICINE |
625 W college St # 201 |
Los Angeles |
Los Angeles |
90012 |
California |
2013 |
2013 |
1 |
AIU |
HY PHUNG MD INC NGO |
1144385766 |
21250 |
21250 |
34.0651434857 |
-118.240669996 |
| -117.94732640439 |
34.0601917932167 |
6572 |
El Raheb, Rosette |
1255588638 |
Dentist |
UNKNOWN |
1300 south sunset ave. |
west covina |
Los Angeles |
91790 |
California |
2016 |
2017 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1730481318 |
38250 |
8500 |
34.0601917926 |
-117.947326404 |
| -122.292192420644 |
38.3212564181492 |
6575 |
Honda, Kimberlee |
1255589958 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
5 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
55250 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.292065021783 |
38.3212756123797 |
6590 |
Singh, Sita |
1255634473 |
Physician |
UNKNOWN |
1141 Pear Tree Lane |
Napa |
Napa |
94558 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212756122 |
-122.292065022 |
| -122.267252075423 |
37.8373378810384 |
6597 |
Bseikri, Mustafa |
1255653309 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -120.055711580925 |
36.9628328372657 |
6601 |
Dalma, Catherine Grace |
1255657524 |
Dentist |
UNKNOWN |
344 E 6th St |
Madera |
Madera |
93638 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9628328373 |
-120.055711581 |
| -117.146546412287 |
32.7016590679117 |
6603 |
Wan, Devon |
1255666228 |
Dentist |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -121.481662499625 |
38.5768799998122 |
6609 |
Bloom, Shelley |
1255680393 |
Nurse Practitioner |
UNKNOWN |
1820 J Street |
Sacramento |
Sacramento |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -118.308853204112 |
34.0164932961288 |
6612 |
Sheppard, James |
1255686044 |
Physician |
UNKNOWN |
3834 S. Western Ave |
Los Angeles |
UNKNOWN |
90062 |
California |
2016 |
2017 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -121.940302499661 |
37.3266449995671 |
6626 |
Tran, Jennifer |
1255745311 |
Physician |
UNKNOWN |
455 O'Connor Dr., Suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -122.271160359963 |
37.7995061221099 |
6633 |
Le, Camha |
1255769717 |
Physician |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2016 |
2016 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -122.659945408554 |
38.2688718730386 |
6645 |
Weinstock, Ken |
1265406268 |
Physician |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2017 |
2018 |
5 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
55250 |
8500 |
38.2688718726 |
-122.659945409 |
| -120.625581861214 |
40.4381384658176 |
6646 |
Braatz, Steven |
1265403117 |
Physician |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
63750 |
8500 |
40.4381384662 |
-120.625581861 |
| -116.920651500067 |
32.8611960001953 |
6683 |
McFarland, Nathan |
1265462196 |
Physician |
INTERNAL MEDICINE |
10039 Vine St |
Lakeside |
San Diego |
92040 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE NEIGHBORHOOD |
1932384120 |
55250 |
8500 |
32.861196 |
-116.9206515 |
| -117.146546412287 |
32.7016590679117 |
6689 |
Briere, Sarah |
1265469563 |
Nurse Practitioner |
NURSE PRACTITIONER |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -122.267252075423 |
37.8373378810384 |
6690 |
Wright, James |
1265461636 |
Physician |
UNKNOWN |
747 52nd St, Children's Hospital and Research Center Oakland |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.41239705508 |
36.3558581040683 |
6694 |
Persell, Erik |
1265471320 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
31180 Road 72 |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE FAMILY |
1821186727 |
63750 |
8500 |
36.355858104 |
-119.412397055 |
| -117.09901800028 |
32.7554820003941 |
6714 |
Nguyen, Huong |
1265506794 |
Physician |
UNKNOWN |
4444 El Cajon Blvd, Suite #6 |
San Diego |
San Diego |
92115 |
California |
2014 |
2014 |
1 |
AIU |
HUONG MD NGUYEN |
1265506794 |
21250 |
21250 |
32.755482 |
-117.099018 |
| -122.271160359963 |
37.7995061221099 |
6717 |
Yuen, Rayna Lynn |
1265508444 |
Physician |
PEDIATRIC MEDICINE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.154338983757 |
37.7253635979517 |
6721 |
Li, Ho- Yin |
1265515290 |
Physician |
ANESTHESIOLOGY |
237 Estudillo Ave, Suite 203 |
San Leandro |
Alameda |
94577 |
California |
2014 |
2015 |
1 |
MU |
HO-YIN A MD INC LI |
1104015486 |
21250 |
21250 |
37.7253635975 |
-122.154338984 |
| -119.042168222785 |
36.0512835430011 |
6731 |
Manalang, Evelyn |
1265520894 |
Physician |
UNKNOWN |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
63750 |
8500 |
36.0512835428 |
-119.042168223 |
| -117.146546412287 |
32.7016590679117 |
6755 |
ESPINOZA, MICHELLE |
1265557037 |
Dentist |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.996641889811 |
33.7738698732961 |
6757 |
Quang, Ngoc Hao |
1265560890 |
Dentist |
UNKNOWN |
7761 GARDEN GROVE BLVD |
GARDEN GROVE |
Orange |
92841 |
California |
2018 |
2020 |
3 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
38250 |
8500 |
33.7738698726 |
-117.99664189 |
| -122.646489753 |
41.7186503676204 |
6790 |
Palmer, Chad |
1265619464 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2014 |
2015 |
1 |
MU |
HOSP SISKIYOU |
1093892275 |
21250 |
21250 |
41.7186503677 |
-122.646489753 |
| -121.769568889193 |
38.5631938354272 |
6797 |
Weinberg, Horst |
1265627764 |
Physician |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558366823 |
21250 |
21250 |
38.5631938352 |
-121.769568889 |
| -120.060353194245 |
36.7271851227952 |
6808 |
shah, sneha |
1265642797 |
Dentist |
UNKNOWN |
517 S. Madera Ave |
Kerman |
Fresno |
93630 |
California |
2014 |
2015 |
2 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
29750 |
8500 |
36.7271851231 |
-120.060353194 |
| -117.432940500104 |
34.1374139998563 |
6810 |
Arciniega, Jose |
1265642052 |
Physician |
FAMILY PRACTICE |
17051 Sierra Lakes Pkwy, Suite 101 |
Fontana |
UNKNOWN |
92336 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CARE GROUP INLAND |
1174760953 |
21250 |
21250 |
34.137414 |
-117.4329405 |
| -122.659945408554 |
38.2688718730386 |
6815 |
James, LeAnn |
1265659023 |
Certified Nurse - Midwife |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -121.769568889193 |
38.5631938354272 |
6816 |
boehler, barbara |
1265659981 |
Certified Nurse - Midwife |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
63750 |
8500 |
38.5631938352 |
-121.769568889 |
| -120.044702271093 |
36.9453834840606 |
6824 |
Dotson, Patricia |
1265681407 |
Nurse Practitioner |
NURSE PRACTITIONER |
1250 E Almond Ave |
Madera |
Madera |
93637 |
California |
2013 |
2013 |
2 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
29750 |
8500 |
36.945383484 |
-120.044702271 |
| -119.097576800329 |
36.4172857999997 |
6833 |
Alosh, Humam |
1265696975 |
Physician |
UNKNOWN |
201 E. Lakeview Ave |
Woodlake |
Tulare |
93286 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
46750 |
8500 |
36.4172857999 |
-119.0975768 |
| -121.613430264695 |
39.1443745680319 |
6853 |
Gandhi, Reshma |
1265748602 |
Physician |
UNKNOWN |
1000 Sutter St |
Yuba City |
Sutter |
95991 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH AMPLA |
1811204555 |
21250 |
21250 |
39.1443745679 |
-121.613430265 |
| -118.160352000145 |
34.0332704861441 |
6863 |
Malhotra, Justinder |
1265767925 |
Physician |
UNKNOWN |
4816 East 3rd Street |
Los Angeles |
Los Angeles |
90022 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
29750 |
8500 |
34.0332704862 |
-118.160352 |
| -118.150795976753 |
34.1778106936086 |
6875 |
Panosian, Onnig |
1265814586 |
Physician |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2020 |
2020 |
4 |
MU |
HEALTH COMMUNITY |
1871689315 |
46750 |
8500 |
34.1778106939 |
-118.150795977 |
| -118.280430497769 |
34.0727231525515 |
6881 |
Gill, Trisha |
1265838932 |
Nurse Practitioner |
UNKNOWN |
150 N Reno St |
Los Angeles |
Los Angeles |
90026 |
California |
2016 |
2018 |
2 |
MU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
29750 |
8500 |
34.0727231529 |
-118.280430498 |
| -117.667112410909 |
35.6424880662713 |
6889 |
Ibrahim, George |
1265861801 |
Dentist |
UNKNOWN |
1133 N Chelsea Street |
Ridgecrest |
Kern |
93555 |
California |
2018 |
2019 |
2 |
MU |
HEALTH SVS, INC NATIONAL |
1164456323 |
29750 |
8500 |
35.642488066 |
-117.667112411 |
| -121.913647032185 |
37.3017600004237 |
6890 |
Muhammed, Saira |
1265877948 |
Dentist |
UNKNOWN |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
46750 |
8500 |
37.30176 |
-121.913647032 |
| -117.298687104226 |
34.0966627016224 |
6892 |
Liou, Szu-Wen |
1265852412 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
6893 |
Lukowski, Michael |
1265844476 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.288673194212 |
36.3328544497731 |
6895 |
Omololu, Adeyimika |
1265878441 |
Physician |
UNKNOWN |
401 E School Ave |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
38250 |
8500 |
36.3328544502 |
-119.288673194 |
| -121.769568889193 |
38.5631938354272 |
6897 |
perlman, shawna |
1265972319 |
Nurse Practitioner |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558366823 |
21250 |
21250 |
38.5631938352 |
-121.769568889 |
| -121.55149361274 |
39.0972587433964 |
6903 |
Amani, Belquis |
1275512907 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
4941 Olivehurst Ave |
Olivehurst |
Yuba |
95961 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.0972587427 |
-121.551493613 |
| -122.292192420644 |
38.3212564181492 |
6904 |
Hartung, Beth |
1275501488 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
46750 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.452949027875 |
37.7730257337507 |
6924 |
O'Brien, Robert |
1275557381 |
Physician |
PSYCHIATRY |
2235 Hayes St, 5th Floor |
San Francisco |
San Francisco |
94117 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE WEST CATHOLIC |
1780727792 |
21250 |
21250 |
37.7730257341 |
-122.452949028 |
| -121.61449268419 |
39.1458860882724 |
6929 |
Treat, Vonda |
1275558108 |
Nurse Practitioner |
UNKNOWN |
935 Market St |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.1458860883 |
-121.614492684 |
| -117.146546412287 |
32.7016590679117 |
6931 |
Ascher, Ralph |
1275543258 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -120.498999995353 |
35.0266083603876 |
6934 |
Pop, Simona |
1275564874 |
Physician |
FAMILY PRACTICE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -122.049873972306 |
38.2620150001922 |
6939 |
Zopfi, John |
1275581886 |
Physician |
GENERAL SURGERY |
1860 Pennsylvania Ave, Suite 200 |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.262015 |
-122.049873972 |
| -118.290205477301 |
34.0955859100617 |
6940 |
Celo, Eric |
1275576845 |
Physician |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2020 |
2020 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
63750 |
8500 |
34.0955859098 |
-118.290205477 |
| -122.292192420644 |
38.3212564181492 |
6953 |
Leaning, Katharine |
1275595191 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -117.94732640439 |
34.0601917932167 |
6957 |
Manuel, Gloria |
1275605867 |
Physician |
UNKNOWN |
1300 South Sunset Avenue |
West Covina |
Los Angeles |
91790 |
California |
2017 |
2018 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1730481318 |
38250 |
8500 |
34.0601917926 |
-117.947326404 |
| -117.125858514958 |
32.7011896748637 |
6980 |
Meza-Crespo, Maximo |
1275636870 |
Physician |
UNKNOWN |
3177 OCEAN VIEW BLVD |
SAN DIEGO |
San Diego |
92113 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTER- COMPREHENSIVE |
1326225632 |
21250 |
21250 |
32.701189675 |
-117.125858515 |
| -117.866853000166 |
33.7811759997726 |
6983 |
Ashouri, Negar |
1275630154 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St, PSF Infectious Disease |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.781176 |
-117.866853 |
| -117.68964629624 |
34.0390042226668 |
6986 |
Mahfoozi, Hassan |
1275640344 |
Physician |
PSYCHIATRY |
11780 Central Ave Suite 100 |
Chino |
San Bernardino |
91710 |
California |
2013 |
2014 |
2 |
MU |
HASSAN M MD MAHFOOZI |
1275640344 |
29750 |
8500 |
34.0390042226 |
-117.689646296 |
| -120.498999995353 |
35.0266083603876 |
6987 |
Savidan, Michael |
1275643868 |
Dentist |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -116.920651500067 |
32.8611960001953 |
6993 |
noriega, david |
1275648685 |
Dentist |
UNKNOWN |
10039 Vine St Ste B |
Lakeside |
UNKNOWN |
92040 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1932384120 |
21250 |
21250 |
32.861196 |
-116.9206515 |
| -117.890522999936 |
33.7601489168391 |
7014 |
Kani, Hossein |
1275665515 |
Physician |
UNKNOWN |
1629 W 17th St, Suite A |
Santa Ana |
Orange |
92706 |
California |
2012 |
2013 |
1 |
AIU |
HOSSEIN MD KANI |
1275665515 |
21250 |
21250 |
33.7601489171 |
-117.890523 |
| -120.055711580925 |
36.9628328372657 |
7016 |
TIYAAMORNWONG, KEVIN |
1275672503 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
344 E 6th St |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CAMARENA |
1891778114 |
63750 |
8500 |
36.9628328373 |
-120.055711581 |
| -116.976458822617 |
32.781601269583 |
7021 |
Davis, Tracie |
1275680738 |
Physician |
UNKNOWN |
1111 W. Chase Avenue |
El Cajon |
San Diego |
92020 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.7816012698 |
-116.976458823 |
| -121.098758861632 |
38.9348505096434 |
7022 |
Panek, Karen |
1275680654 |
Physician |
UNKNOWN |
11670 Atwood Rd, Chapa-de Indian Health Clinic |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -118.306952999581 |
34.0623180000757 |
7039 |
Doyle, Melissa |
1275717902 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.953063614194 |
38.3545860351175 |
7066 |
Grumstrup, karen |
1275756611 |
Nurse Practitioner |
UNKNOWN |
1010 nut tree road, suite 200 |
Vacaville |
UNKNOWN |
95687 |
California |
2016 |
2017 |
2 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
29750 |
8500 |
38.354586035 |
-121.953063614 |
| -120.060353194245 |
36.7271851227952 |
7090 |
Deol, Harmandeep |
1275812968 |
Nurse Practitioner |
UNKNOWN |
517 S. Madera Ave |
Kerman |
Fresno |
93630 |
California |
2018 |
2019 |
6 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
63750 |
8500 |
36.7271851231 |
-120.060353194 |
| -117.252215999968 |
32.7827339998743 |
7093 |
Shafto, Janel |
1275814428 |
Nurse Practitioner |
UNKNOWN |
3705 Mission Blvd. |
San Diego |
San Diego |
92109 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS OF SD FAM |
1386689701 |
21250 |
21250 |
32.782734 |
-117.252216 |
| -122.049873972306 |
38.2620150001922 |
7109 |
Weber, Lauren |
1275849903 |
Physician |
UNKNOWN |
1860 Pennsylvania Avenue, Suite 300 |
Fairfield |
Solano |
94533 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
25500 |
8500 |
38.262015 |
-122.049873972 |
| -122.271160359963 |
37.7995061221099 |
7118 |
Lim, Suzy |
1275863680 |
Physician |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -120.498999995353 |
35.0266083603876 |
7121 |
Elston, Matthew |
1275874414 |
Dentist |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -119.650117579163 |
36.3270237618372 |
7136 |
Edwards, Koneechia |
1275909525 |
Nurse Practitioner |
UNKNOWN |
329 W. 8th Street, Suite 101 |
Hanford |
Kings |
93230 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
21250 |
21250 |
36.3270237616 |
-119.650117579 |
| -117.298687104226 |
34.0966627016224 |
7145 |
Tsay, Eric |
1275911364 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
7150 |
Mitchell, Cory |
1275943060 |
Physician |
UNKNOWN |
250 South G Street |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -120.413511000133 |
34.952874498959 |
7159 |
Paillet, Nazifa |
1275955262 |
Nurse Practitioner |
UNKNOWN |
1418 E Main St, 210 |
Santa Maria |
Santa Barbara |
93454 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
34.952874499 |
-120.413511 |
| -117.146546412287 |
32.7016590679117 |
7160 |
Schaerer, Daniel |
1275966061 |
Physician |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.650117579163 |
36.3270237618372 |
7171 |
Nakatsuchi, Thomas |
1285008169 |
Dentist |
UNKNOWN |
329 W 8th St, SUITE 101 |
Hanford |
Kings |
93230 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
21250 |
21250 |
36.3270237616 |
-119.650117579 |
| -119.683336253066 |
34.9463547693572 |
7177 |
Bosma, Heather |
1285037614 |
Nurse Practitioner |
UNKNOWN |
4711 Highway 166 |
New Cuyama |
Santa Barbara |
93254 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
34.9463547688 |
-119.683336253 |
| -117.298687104226 |
34.0966627016224 |
7191 |
rajani, mohsin |
1285044073 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.650117579163 |
36.3270237618372 |
7194 |
Johnson, Michele |
1285069120 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
329 W 8th St, suite 101 |
Hanford |
Kings |
93230 |
California |
2015 |
2016 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
29750 |
8500 |
36.3270237616 |
-119.650117579 |
| -121.614466572374 |
39.1450130156382 |
7208 |
Mullick, Alpna |
1285622837 |
Physician |
UNKNOWN |
931 Market St |
Yuba City |
Sutter |
95991 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.1450130164 |
-121.614466572 |
| -118.101041999888 |
34.1461074942655 |
7221 |
Kim, Hong |
1285650275 |
Dentist |
UNKNOWN |
2379 E Colorado Blvd |
Pasadena |
Los Angeles |
91107 |
California |
2015 |
2015 |
1 |
AIU |
Hong Ku Kim |
1285650275 |
21250 |
21250 |
34.1461074943 |
-118.101042 |
| -118.036888796081 |
33.817684036689 |
7224 |
Kwong, Bertram |
1285653980 |
Doctor of Optometry |
UNKNOWN |
9959 Walker St |
Cypress |
Orange |
90630 |
California |
2015 |
2016 |
1 |
AIU |
HA T OD INC KWONG |
1265520803 |
21250 |
21250 |
33.8176840368 |
-118.036888796 |
| -118.552608000159 |
34.1865965232111 |
7226 |
Moradi, Hamid |
1285654772 |
Physician |
UNKNOWN |
19231 Victory Blvd, suite 210 |
Reseda |
Los Angeles |
91335 |
California |
2011 |
2012 |
1 |
AIU |
HAMID MD MORADI |
1285654772 |
21250 |
21250 |
34.1865965227 |
-118.552608 |
| -120.498999995353 |
35.0266083603876 |
7231 |
Arellano, Jesse |
1285659284 |
Physician |
FAMILY PRACTICE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -121.977238187592 |
37.5484010455718 |
7242 |
Doughty, Susan |
1285676759 |
Nurse Practitioner |
NURSE PRACTITIONER |
39500 Liberty Street, Tri City Health Center |
Fremont |
Alameda |
94538 |
California |
2016 |
2014 |
4 |
MU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
46750 |
8500 |
37.5484010458 |
-121.977238188 |
| -118.27391808685 |
34.0286791746043 |
7248 |
Hoechlin, Donald |
1285689752 |
Physician |
EMERGENCY MEDICINE |
2400 South Flower Street |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2014 |
2 |
MU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
29750 |
8500 |
34.0286791754 |
-118.273918087 |
| -122.292192420644 |
38.3212564181492 |
7253 |
Wilson, Douglas |
1285693572 |
Physician |
FAMILY PRACTICE |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
55250 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.267252075423 |
37.8373378810384 |
7269 |
Long, Dayna |
1285707638 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -121.769568889193 |
38.5631938354272 |
7273 |
CHAVES-OCHOA, NIDIA |
1285713784 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
29750 |
8500 |
38.5631938352 |
-121.769568889 |
| -121.769568889193 |
38.5631938354272 |
7274 |
Sivakumaran, Muthumanimoli |
1285713867 |
Physician |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
25500 |
8500 |
38.5631938352 |
-121.769568889 |
| -121.098758861632 |
38.9348505096434 |
7276 |
Youngblood, John |
1285714782 |
Physician |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -122.455808999686 |
37.7487900001584 |
7277 |
Thompson, Steven |
1285714006 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, Room B200 |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -121.046477281701 |
39.2318036446226 |
7280 |
Kudulis, Deanna |
1285715052 |
Nurse Practitioner |
NURSE PRACTITIONER |
1350 E. main st |
grass valley |
Nevada |
95945 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
39.2318036454 |
-121.046477282 |
| -121.953069922039 |
38.3538725732607 |
7292 |
Vikstrom, Brian |
1285730820 |
Physician |
UNKNOWN |
1020 NUT TREE RD STE 390 |
VACAVILLE |
Solano |
95687 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
63750 |
8500 |
38.3538725729 |
-121.953069922 |
| -118.246191531314 |
33.9426899692667 |
7295 |
Winge, Ralph |
1285731968 |
Dentist |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE WATTS |
1477649119 |
29750 |
8500 |
33.9426899686 |
-118.246191531 |
| -122.409720000278 |
37.7957700001854 |
7301 |
TAN, HO |
1285737692 |
Physician |
UNKNOWN |
890 Jackson St, Suite 202 |
San Francisco |
San Francisco |
94133 |
California |
2014 |
2015 |
4 |
MU |
HO T MD TAN |
1285737692 |
46750 |
8500 |
37.79577 |
-122.40972 |
| -118.262955494101 |
34.1584777067808 |
7313 |
Rostamloo, Helen |
1285759514 |
Physician |
INTERNAL MEDICINE |
435 Arden Ave Ste 430 |
Glendale |
Los Angeles |
91203 |
California |
2012 |
2013 |
2 |
MU |
HELEN R MD ROSTAMLOO |
1285759514 |
29750 |
8500 |
34.1584777069 |
-118.262955494 |
| -116.976458822617 |
32.781601269583 |
7316 |
LEONARD, BEVERLY |
1285772392 |
Nurse Practitioner |
UNKNOWN |
1111 W. Chase Avenue |
El Cajon |
San Diego |
92020 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1104861681 |
21250 |
21250 |
32.7816012698 |
-116.976458823 |
| -122.455808999686 |
37.7487900001584 |
7338 |
Leiner, Helena |
1285774414 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, Room B200, Laguna Honda Hospital and Rehab Center, Medical Svcs |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -121.481662499625 |
38.5768799998122 |
7366 |
Bandyopadhyay, Sunanda |
1285843086 |
Dentist |
UNKNOWN |
1820 J ST |
Sacramento |
Sacramento |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -117.113485500156 |
32.7150374537156 |
7377 |
Handron, Christopher |
1285865253 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
823 GATEWAY CENTER WAY |
San Diego |
San Diego |
92102 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -121.977238187592 |
37.5484010455718 |
7381 |
Swemba, Ellyn |
1285871442 |
Nurse Practitioner |
PHYSICIAN ASSISTANT |
39500 Liberty St, Tri City Health Center |
Fremont |
Alameda |
94538 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -120.458091706067 |
36.8604447669125 |
7396 |
Sra, Jaswinder |
1285922898 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
927 O Street |
Firebaugh |
Fresno |
93622 |
California |
2014 |
2015 |
2 |
MU |
HEALTH TEAM INC VALLEY |
1558638601 |
29750 |
8500 |
36.8604447674 |
-120.458091706 |
| -118.21887650105 |
34.1237489947204 |
7397 |
Rodriguez, Margarita |
1285912741 |
Physician |
UNKNOWN |
4448 York Boulevard |
Los Angeles |
Los Angeles |
90041 |
California |
2020 |
2020 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1801967062 |
63750 |
8500 |
34.123748995 |
-118.218876501 |
| -121.098758861632 |
38.9348505096434 |
7401 |
Borruso, Adam |
1285931147 |
Nurse Practitioner |
UNKNOWN |
11670 Atwood Road |
Auburn |
Placer |
95603 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -118.095628711596 |
33.9679898013883 |
7410 |
Quach, Phuong |
1285950626 |
Physician |
UNKNOWN |
9436 E Slauson Ave |
Pico Rivera |
Los Angeles |
90660 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES ALTAMED |
1710191283 |
21250 |
21250 |
33.9679898013 |
-118.095628712 |
| -120.498999995353 |
35.0266083603876 |
7416 |
chau, eric |
1285970418 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -120.045810184592 |
36.94541455204 |
7419 |
Ramirez, Grisell |
1285987941 |
Nurse Practitioner |
UNKNOWN |
1210 E Almond Ave |
Madera |
Madera |
93637 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -117.94732640439 |
34.0601917932167 |
7425 |
Castillo, Sanjuana |
1285991562 |
Physician |
UNKNOWN |
1300 S. Sunset Ave. |
West Covina |
Los Angeles |
91790 |
California |
2020 |
2020 |
6 |
MU |
HEALTH SERVICES ALTAMED |
1730481318 |
63750 |
8500 |
34.0601917926 |
-117.947326404 |
| -122.292065021783 |
38.3212756123797 |
7429 |
Dugan, Joy |
1285996611 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1141 Pear Tree Lane |
Napa |
Napa |
94558 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212756122 |
-122.292065022 |
| -122.267252075423 |
37.8373378810384 |
7431 |
Gehringer, Dane |
1295004711 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -120.458091706067 |
36.8604447669125 |
7451 |
Bangar, Satnam |
1295051571 |
Physician |
UNKNOWN |
927 O Street |
Firebaugh |
Fresno |
93622 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH TEAM INC VALLEY |
1558638601 |
21250 |
21250 |
36.8604447674 |
-120.458091706 |
| -122.267252075423 |
37.8373378810384 |
7452 |
Winstead, Michael |
1295051340 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2015 |
2016 |
2 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.298687104226 |
34.0966627016224 |
7474 |
Lezcano, Sheila |
1295098390 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -120.060353194245 |
36.7271851227952 |
7477 |
Sangha, Bhupinder |
1295137784 |
Nurse Practitioner |
UNKNOWN |
517 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2018 |
2019 |
4 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
46750 |
8500 |
36.7271851231 |
-120.060353194 |
| -117.113485500156 |
32.7150374537156 |
7481 |
Tahriri, Bahareh |
1295147387 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1346480837 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -119.042168222785 |
36.0512835430011 |
7495 |
Frenkel, Andrey |
1295196020 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2017 |
2018 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
29750 |
8500 |
36.0512835428 |
-119.042168223 |
| -120.339604557005 |
37.9783256989719 |
7519 |
Reina, Robert |
1295739845 |
Physician |
INTERNAL MEDICINE |
13975 Mono Way, Ste G |
Sonora |
Tuolumne |
95370 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH BOARD, INC MACT |
1366519431 |
21250 |
21250 |
37.9783256994 |
-120.339604557 |
| -117.146546412287 |
32.7016590679117 |
7526 |
Sebring, Jan |
1295750339 |
Nurse Practitioner |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
4 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
46750 |
8500 |
32.701659068 |
-117.146546412 |
| -120.102715753829 |
36.2053231687293 |
7527 |
Reyes, Juan |
1295751253 |
Physician |
OBSTETRICS/GYNECOLOGY |
16928 11th Street |
Huron |
Fresno |
93234 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS- UNITED |
1134101686 |
21250 |
21250 |
36.2053231685 |
-120.102715754 |
| -117.695510749222 |
33.9632110702348 |
7532 |
Bai, Hua |
1295756336 |
Physician |
PEDIATRIC MEDICINE |
15944 Los Serranos Country Club Dr |
Chino Hills |
UNKNOWN |
91709 |
California |
2012 |
2012 |
1 |
AIU |
HUA MD BAI |
1295756336 |
21250 |
21250 |
33.9632110696 |
-117.695510749 |
| -121.769568889193 |
38.5631938354272 |
7544 |
Stockburger, John |
1295776029 |
Physician |
UNKNOWN |
2051 John Jones Rd., Suite 100 |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
29750 |
8500 |
38.5631938352 |
-121.769568889 |
| -117.168033770042 |
33.5183898908808 |
7559 |
Lee, Ted |
1295804292 |
Physician |
FAMILY PRACTICE |
41715 Winchester Rd, #106 |
Temecula |
Riverside |
92591 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
21250 |
21250 |
33.5183898912 |
-117.16803377 |
| -119.572149938869 |
36.7068147769804 |
7587 |
Chapa, Mercedes |
1295842326 |
Physician |
PEDIATRIC MEDICINE |
2502 E. Jensen Ave |
Sanger |
Fresno |
93657 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS OF UNITED |
1992787444 |
21250 |
21250 |
36.7068147766 |
-119.572149939 |
| -117.996641889811 |
33.7738698732961 |
7600 |
Nguyen, Giang |
1295859452 |
Dentist |
UNKNOWN |
7761 GARDEN GROVE BLVD |
GARDEN GROVE |
UNKNOWN |
92641 |
California |
2018 |
2020 |
3 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
38250 |
8500 |
33.7738698726 |
-117.99664189 |
| -117.867747295901 |
33.7421102963531 |
7606 |
cheng, judy |
1295867075 |
Physician |
UNKNOWN |
406 S. MAIN ST |
SANTA ANA |
Orange |
92701 |
California |
2016 |
2017 |
4 |
MU |
HOSP ORANGE CO CHILDRENS |
1265569008 |
46750 |
8500 |
33.7421102957 |
-117.867747296 |
| -120.054490451773 |
36.963929180987 |
7617 |
Kratzer, Paul |
1295880995 |
Physician |
UNKNOWN |
124 So. A Street |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CAMARENA |
1891778114 |
55250 |
8500 |
36.9639291809 |
-120.054490452 |
| -119.781415239821 |
36.8287269877603 |
7632 |
Ekmekchyan, Hakob |
1295899581 |
Dentist |
UNKNOWN |
6307 N Fresno St Ste 105 |
Fresno |
Fresno |
93710 |
California |
2014 |
2014 |
1 |
AIU |
Hakob Ekmekchyan |
1295899581 |
21250 |
21250 |
36.8287269883 |
-119.78141524 |
| -121.046477281701 |
39.2318036446226 |
7650 |
Woods, Matthew |
1295933513 |
Dentist |
UNKNOWN |
1350 E Main St |
Grass Valley |
Nevada |
95945 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
39.2318036454 |
-121.046477282 |
| -121.828447588985 |
37.3773539107544 |
7654 |
Tolosa, Leandra |
1295939817 |
Dentist |
UNKNOWN |
242 La Pala Drive |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1912311440 |
38250 |
8500 |
37.3773539109 |
-121.828447589 |
| -117.985531499779 |
33.817539506643 |
7656 |
Qiao, Bingsheng |
1295936631 |
Dentist |
UNKNOWN |
2801 W. Ball Road, Suite 10 |
Anaheim |
Orange |
92804 |
California |
2014 |
2014 |
1 |
AIU |
HAROLD DDS INC. CHOI |
1770785651 |
21250 |
21250 |
33.8175395074 |
-117.9855315 |
| -119.288677500166 |
36.3322530002758 |
7685 |
Ojewole, Abiola |
1306011077 |
Physician |
UNKNOWN |
400 E. Oak Avenue |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -117.168033770042 |
33.5183898908808 |
7687 |
Forsman, Shana |
1306026737 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
41715 Winchester Rd, Suite 106 |
Temecula |
Riverside |
92590 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
21250 |
21250 |
33.5183898912 |
-117.16803377 |
| -119.289034030996 |
36.3341005980642 |
7690 |
Fraley, Jennifer |
1306019195 |
Physician |
OBSTETRICS/GYNECOLOGY |
501 N Bridge St |
Visalia |
Tulare |
93291 |
California |
2013 |
2013 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
21250 |
21250 |
36.3341005984 |
-119.289034031 |
| -122.270318063028 |
37.8745526393928 |
7704 |
meyer, gretchen |
1306066576 |
Nurse Practitioner |
UNKNOWN |
2016 Delaware St # A |
Berkeley |
Alameda |
94709 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8745526392 |
-122.270318063 |
| -121.614466572374 |
39.1450130156382 |
7722 |
Choi, Jonathan |
1306105770 |
Physician |
UNKNOWN |
931 Market St |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.1450130164 |
-121.614466572 |
| -118.27391808685 |
34.0286791746043 |
7733 |
Nelson, Lauren |
1306117882 |
Nurse Practitioner |
UNKNOWN |
2400 S Flower St |
Los Angeles |
Los Angeles |
90007 |
California |
2012 |
2013 |
1 |
AIU |
HOSP ORTHOPAEDIC |
1689632374 |
21250 |
21250 |
34.0286791754 |
-118.273918087 |
| -119.297551500202 |
36.3529349998504 |
7735 |
Popescu, Mara |
1306114624 |
Nurse Practitioner |
UNKNOWN |
Visalia Health Care Center, 2611 N. Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
29750 |
8500 |
36.352935 |
-119.2975515 |
| -120.498999995353 |
35.0266083603876 |
7762 |
Renk, Emily |
1306193560 |
Dentist |
UNKNOWN |
150 Tejas Place |
Santa Maria |
San Luis Obispo |
93444 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
29750 |
8500 |
35.0266083603 |
-120.498999995 |
| -119.424323611346 |
36.3520902351763 |
7764 |
Nguyen, Christina |
1306198627 |
Dentist |
UNKNOWN |
30979 Road 67 |
Goshen |
Tulare |
93227 |
California |
2013 |
2013 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
21250 |
21250 |
36.3520902351 |
-119.424323611 |
| -117.960264000084 |
33.8649660002807 |
7774 |
Pinedo, Victor |
1306231576 |
Nurse Practitioner |
UNKNOWN |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2020 |
2020 |
5 |
MU |
HLTH CARE REPRODUCTIVE |
1508977414 |
55250 |
8500 |
33.864966 |
-117.960264 |
| -119.097576800329 |
36.4172857999997 |
7777 |
Tam, Stella |
1306259080 |
Dentist |
UNKNOWN |
201 E. Lakeview Ave |
Woodlake |
Tulare |
93286 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
46750 |
8500 |
36.4172857999 |
-119.0975768 |
| -117.146546412287 |
32.7016590679117 |
7778 |
Sepulveda, Joe |
1306165402 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -122.271160359963 |
37.7995061221099 |
7788 |
Wan, Dorothy |
1306287883 |
Nurse Practitioner |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -121.913647032185 |
37.3017600004237 |
7834 |
Minocha, Anu |
1306867437 |
Dentist |
UNKNOWN |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1164643862 |
21250 |
21250 |
37.30176 |
-121.913647032 |
| -120.498999995353 |
35.0266083603876 |
7836 |
Mcbride, David |
1306871082 |
Physician |
FAMILY PRACTICE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -121.792352061199 |
38.6788942804467 |
7841 |
Quade, Rita |
1306875125 |
Physician |
UNKNOWN |
175 W Court St |
Woodland |
Yolo |
95695 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.6788942797 |
-121.792352061 |
| -122.271160359963 |
37.7995061221099 |
7845 |
Kwong, Anson |
1306886528 |
Dentist |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -118.132120228865 |
34.1712806020182 |
7853 |
Hantman, David |
1306890462 |
Physician |
FAMILY PRACTICE |
1460 N. Lake Ave Suite 107 |
Pasadena |
Los Angeles |
91104 |
California |
2013 |
2014 |
3 |
MU |
HUMAN SERVICES CORP URDC |
1114963642 |
38250 |
8500 |
34.171280602 |
-118.132120229 |
| -122.271160359963 |
37.7995061221099 |
7862 |
Yee, Lisa Mae |
1306915301 |
Physician |
FAMILY PRACTICE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.271160359963 |
37.7995061221099 |
7864 |
Lee, George |
1306916895 |
Physician |
FAMILY PRACTICE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
3 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
38250 |
8500 |
37.7995061221 |
-122.27116036 |
| -117.866853000166 |
33.7811759997726 |
7866 |
Singh, Jasjit |
1306915848 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -117.915163058828 |
33.7774180953688 |
7879 |
Chen Tsai, Cathy |
1306935887 |
Physician |
UNKNOWN |
12751 Harbor Boulevard |
Garden Grove |
Orange |
92840 |
California |
2013 |
2014 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
38250 |
8500 |
33.7774180952 |
-117.915163059 |
| -118.465047000219 |
34.193944496941 |
7881 |
hwang, eun |
1306938998 |
Physician |
UNKNOWN |
15243 Vanowen St, Suite 300 |
Van Nuys |
Los Angeles |
91405 |
California |
2020 |
2020 |
3 |
MU |
HYUN KIM MD INC KYU |
1114007754 |
38250 |
8500 |
34.1939444974 |
-118.465047 |
| -122.659945408554 |
38.2688718730386 |
7892 |
Williamson, Barbara |
1306943451 |
Certified Nurse - Midwife |
UNKNOWN |
Petaluma Health Center, 1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
46750 |
8500 |
38.2688718726 |
-122.659945409 |
| -119.042168222785 |
36.0512835430011 |
7916 |
Martin, Debra |
1306979281 |
Nurse Practitioner |
UNKNOWN |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
63750 |
8500 |
36.0512835428 |
-119.042168223 |
| -121.046477281701 |
39.2318036446226 |
7920 |
Schultz, Allan |
1306983846 |
Dentist |
UNKNOWN |
1350 E Main St |
Grass Valley |
Nevada |
95945 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
39.2318036454 |
-121.046477282 |
| -121.969668357409 |
38.5216089870652 |
7931 |
Moen, Holly |
1306994769 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
23 Main St |
Winters |
Yolo |
95694 |
California |
2013 |
2013 |
1 |
AIU |
HEATHCARE FNDTN WINTERS |
1992736086 |
21250 |
21250 |
38.5216089867 |
-121.969668357 |
| -117.996641889811 |
33.7738698732961 |
7934 |
ta, phuong |
1316001373 |
Physician |
UNKNOWN |
7761 Garden Grove Blvd |
Garden Grove |
Orange |
92841 |
California |
2015 |
2016 |
1 |
AIU |
HOA COMPREHENSIVE NHAN |
1497889158 |
21250 |
21250 |
33.7738698726 |
-117.99664189 |
| -121.988663530098 |
38.354621951342 |
7963 |
Dassah, Norma |
1316034978 |
Physician |
GENERAL PRACTICE |
405 Boyd St |
Vacaville |
Solano |
95688 |
California |
2014 |
2015 |
3 |
MU |
HARRY DASSAH |
1962583435 |
38250 |
8500 |
38.3546219512 |
-121.98866353 |
| -117.867747295901 |
33.7421102963531 |
7994 |
Lum, Melissa |
1316079122 |
Physician |
UNKNOWN |
406 S. Main St. |
Santa Ana |
Orange |
92701 |
California |
2016 |
2017 |
4 |
MU |
HOSP ORANGE CO CHILDRENS |
1265569008 |
46750 |
8500 |
33.7421102957 |
-117.867747296 |
| -122.049873972306 |
38.2620150001922 |
8020 |
Smith, Sarah |
1316137730 |
Physician |
OBSTETRICS/GYNECOLOGY |
1860 Pennsylvania Ave, Suite 300 |
Fairfield |
Solano |
94533 |
California |
2013 |
2014 |
1 |
AIU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
21250 |
21250 |
38.262015 |
-122.049873972 |
| -119.694748416007 |
35.6160764787466 |
8026 |
Vielman, Ludim |
1316144975 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
21138 Paso Robles Hwy |
Lost Hills |
Kern |
93249 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SERVICES NATIONAL |
1376558221 |
21250 |
21250 |
35.6160764788 |
-119.694748416 |
| -119.271564041947 |
35.884328300111 |
8051 |
Torres, Jose |
1316174162 |
Dentist |
UNKNOWN |
476 E Washinton Avenue |
Earlimart |
Tulare |
93219 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS- UNITED |
1417939968 |
55250 |
8500 |
35.8843283 |
-119.271564042 |
| -121.85994213662 |
37.2416247570769 |
8063 |
Manosca, Agnes |
1316217987 |
Nurse Practitioner |
UNKNOWN |
5671 Santa Teresa Blvd, 105 |
San Jose |
Santa Clara |
95123 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
29750 |
8500 |
37.2416247574 |
-121.859942137 |
| -117.146546412287 |
32.7016590679117 |
8066 |
Oh, Kyungseok |
1316220239 |
Dentist |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.366590981888 |
33.2029770476527 |
8082 |
Ross, Rachel |
1316248420 |
Physician |
PSYCHIATRY |
1701 Mission Ave |
Oceanside |
San Diego |
92058 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH SYSTEMS, INC MENTAL |
1760431670 |
21250 |
21250 |
33.202977048 |
-117.366590982 |
| -122.267252075423 |
37.8373378810384 |
8084 |
Brantley, Antrina |
1316248115 |
Nurse Practitioner |
NURSE PRACTITIONER |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -122.271160359963 |
37.7995061221099 |
8085 |
Love, Thomas |
1316253560 |
Dentist |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -118.306952999581 |
34.0623180000757 |
8090 |
Coffey Sandoval, Josephine |
1316259609 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.146546412287 |
32.7016590679117 |
8098 |
Skropeta, Lila |
1316292337 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -120.498999995353 |
35.0266083603876 |
8099 |
Jangaard, Trey |
1316296155 |
Dentist |
UNKNOWN |
150 Tejas Pl |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -119.288673194212 |
36.3328544497731 |
8103 |
Kochhar, Runit |
1316329568 |
Dentist |
UNKNOWN |
401 E School Ave |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
29750 |
8500 |
36.3328544502 |
-119.288673194 |
| -117.298687104226 |
34.0966627016224 |
8110 |
La, An |
1316358179 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.071664499717 |
33.1292598686481 |
8113 |
Deatrick, Veronica |
1316371180 |
Nurse Practitioner |
UNKNOWN |
425 N Date St, Escondido |
Escondido |
San Diego |
92025 |
California |
2014 |
2015 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1437335353 |
21250 |
21250 |
33.1292598693 |
-117.0716645 |
| -117.298687104226 |
34.0966627016224 |
8117 |
Vega, Erica |
1316367469 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -118.264011576073 |
34.0526621276551 |
8131 |
Lettsome, Jennifer |
1316397896 |
Nurse Practitioner |
UNKNOWN |
1127 Wilshire Blvd., suite 1504 |
Los Angeles |
Los Angeles |
90017 |
California |
2018 |
2019 |
3 |
MU |
HEALTH and WELLNESS APLA |
1740490937 |
38250 |
8500 |
34.052662128 |
-118.264011576 |
| -120.060353194245 |
36.7271851227952 |
8153 |
Morgan, Sarah |
1316950058 |
Physician |
UNKNOWN |
517 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2018 |
2019 |
5 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
55250 |
8500 |
36.7271851231 |
-120.060353194 |
| -120.498999995353 |
35.0266083603876 |
8158 |
Kramer, W |
1316962335 |
Physician |
GENERAL PRACTICE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.488180935801 |
37.6828724074357 |
8178 |
Ng, Lyra |
1316989932 |
Physician |
UNKNOWN |
93 Skyline Plz |
Daly City |
San Mateo |
94015 |
California |
2016 |
2017 |
6 |
MU |
HOSPITAL ASSOCIATION CHINESE |
1740435585 |
63750 |
8500 |
37.6828724072 |
-122.488180936 |
| -121.716625499967 |
38.5661250002686 |
8183 |
Kingston, Roger |
1316999600 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
2301 Roualt St |
Davis |
Yolo |
95618 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558366823 |
21250 |
21250 |
38.566125 |
-121.7166255 |
| -120.667483841106 |
35.4771461729576 |
8184 |
Wichmann, Philip |
1326000803 |
Physician |
UNKNOWN |
7512 Morro Rd |
Atascadero |
San Luis Obispo |
93422 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.4771461729 |
-120.667483841 |
| -117.960264000084 |
33.8649660002807 |
8187 |
Kilgore, Larry |
1326001157 |
Nurse Practitioner |
NURSE PRACTITIONER |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CARE REPRODUCTIVE |
1508977414 |
21250 |
21250 |
33.864966 |
-117.960264 |
| -122.659945408554 |
38.2688718730386 |
8198 |
Pendleton, John |
1326030024 |
Physician |
FAMILY PRACTICE |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2016 |
2017 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -121.847781867239 |
37.3650299278889 |
8202 |
Trinh, Huy |
1326041658 |
Physician |
GASTROENTEROLOGY |
2340 Montpelier Dr, Ste A |
San Jose |
Santa Clara |
95116 |
California |
2014 |
2015 |
3 |
MU |
HUY MD TRINH |
1326041658 |
38250 |
8500 |
37.3650299281 |
-121.847781867 |
| -121.848146455994 |
37.3633154828233 |
8229 |
Nguyen, Hai |
1326079997 |
Physician |
FAMILY PRACTICE |
210 N Jackson Ave, Suite 20 |
San Jose |
Santa Clara |
95116 |
California |
2011 |
2012 |
1 |
AIU |
HAI H MD NGUYEN |
1326079997 |
21250 |
21250 |
37.3633154835 |
-121.848146456 |
| -120.102715753829 |
36.2053231687293 |
8232 |
Batario, Temistocles |
1326082579 |
Physician |
FAMILY PRACTICE |
16928 11th Street |
Huron |
Fresno |
93234 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CENTERS- UNITED |
1134101686 |
46750 |
8500 |
36.2053231685 |
-120.102715754 |
| -120.383824346117 |
36.7660952641851 |
8240 |
Cypress, Michael |
1326103250 |
Doctor of Optometry |
UNKNOWN |
121 Barboza Street |
Mendota |
Fresno |
93640 |
California |
2018 |
2019 |
3 |
MU |
HLTH CTRS-MENDOTA UNITED |
1184606634 |
38250 |
8500 |
36.7660952642 |
-120.383824346 |
| -121.977238187592 |
37.5484010455718 |
8250 |
Nazneen, Nikhat |
1326115627 |
Physician |
PEDIATRIC MEDICINE |
39500 Liberty Street |
Fremont |
Alameda |
94538 |
California |
2016 |
2014 |
4 |
MU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
46750 |
8500 |
37.5484010458 |
-121.977238188 |
| -117.279418499864 |
33.9318089998855 |
8257 |
Mba, Helena |
1326124447 |
Physician |
UNKNOWN |
6485 Day St #203 |
Riverside |
Riverside |
92507 |
California |
2020 |
2020 |
6 |
MU |
HELENA O MD INC MBA |
1992850150 |
63750 |
8500 |
33.931809 |
-117.2794185 |
| -118.246191531314 |
33.9426899692667 |
8258 |
Sek, Kosal |
1326118878 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -118.306952999581 |
34.0623180000757 |
8270 |
BORZUTZKY, CLAUDIA |
1326130956 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90020 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -118.329789269359 |
34.0979749635737 |
8272 |
PATEL, MONA |
1326134032 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
LOS ANGELES |
Los Angeles |
90028 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
38250 |
8500 |
34.0979749639 |
-118.329789269 |
| -122.267252075423 |
37.8373378810384 |
8293 |
Daly, Veronica |
1326151176 |
Physician |
UNKNOWN |
747 52nd St, CHRCO Child Development Center |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.146546412287 |
32.7016590679117 |
8300 |
Achar, Suriti |
1326132754 |
Physician |
UNKNOWN |
1809 National Ave., Family Health Centers of San Diego, Inc |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -122.271160359963 |
37.7995061221099 |
8303 |
Choi, Ricky |
1326170291 |
Physician |
PEDIATRIC MEDICINE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -121.55149361274 |
39.0972587433964 |
8307 |
Crawford, Cathleen |
1326174194 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4941 Olivehurst Avenue |
Olivehurst |
Yuba |
95961 |
California |
2015 |
2017 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.0972587427 |
-121.551493613 |
| -119.05814321214 |
35.367815658366 |
8309 |
Bailey, Kenneth |
1326175597 |
Physician |
UNKNOWN |
5020 Commerce Dr |
Bakersfield |
Kern |
93309 |
California |
2016 |
2017 |
1 |
AIU |
HILLS MEDICAL CORP OAK |
1386754273 |
21250 |
21250 |
35.3678156578 |
-119.058143212 |
| -122.267252075423 |
37.8373378810384 |
8321 |
Jones, Pamela |
1326186016 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -118.338935927651 |
34.0089031367704 |
8323 |
negussie, suzanna |
1326188210 |
Physician |
UNKNOWN |
3756 Santa Rosalia Drive, Suite320 |
Los Angeles |
Los Angeles |
90008 |
California |
2018 |
2019 |
6 |
MU |
HILLS PEDIATRICS BALDWIN |
1679019202 |
63750 |
8500 |
34.0089031368 |
-118.338935928 |
| -119.10016617423 |
36.4140270004457 |
8329 |
Navarro, Isaac |
1326203811 |
Dentist |
UNKNOWN |
101 North Palm Street |
Woodlake |
Tulare |
93286 |
California |
2015 |
2016 |
5 |
MU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
55250 |
8500 |
36.414027 |
-119.100166174 |
| -116.95219952229 |
32.8004502871511 |
8339 |
Nguyen, Lillian |
1326218421 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
855 E Madison Ave |
El Cajon |
San Diego |
92020 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
21250 |
21250 |
32.8004502867 |
-116.952199522 |
| -121.098758861632 |
38.9348505096434 |
8343 |
Kiesselbach, Amy |
1326234659 |
Dentist |
UNKNOWN |
11670 Atwood Rd. |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -121.484614999982 |
38.5727000004047 |
8355 |
Dermawan, Jasmine |
1326239773 |
Dentist |
UNKNOWN |
AQUARIAN FREE MEDICAL CLINIC |
SACRAMENTO |
Sacramento |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.5727 |
-121.484615 |
| -119.650117579163 |
36.3270237618372 |
8369 |
Rodriguez Palacios, Guadalupe |
1326276304 |
Physician |
OBSTETRICS/GYNECOLOGY |
329 West 8th Street, Suite 101 |
Hanford |
Kings |
93230 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
21250 |
21250 |
36.3270237616 |
-119.650117579 |
| -119.042562774253 |
36.0512326143937 |
8388 |
Mirenayat, Amirali |
1326313057 |
Dentist |
UNKNOWN |
1133 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NETWRK FAMILY |
1558554519 |
46750 |
8500 |
36.0512326139 |
-119.042562774 |
| -118.045836668228 |
34.0764334702285 |
8399 |
Chin, Julia |
1326336264 |
Physician |
UNKNOWN |
10418 Valley Blvd Suite A |
El Monte |
UNKNOWN |
91731 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES CORP ALTAMED |
1619263597 |
21250 |
21250 |
34.0764334701 |
-118.045836668 |
| -122.292192420644 |
38.3212564181492 |
8416 |
Hines, Anna |
1326382516 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
38250 |
8500 |
38.3212564177 |
-122.292192421 |
| -119.288673194212 |
36.3328544497731 |
8424 |
SIDHU, KOMAL |
1326427840 |
Dentist |
UNKNOWN |
401 E. School Ave |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
21250 |
21250 |
36.3328544502 |
-119.288673194 |
| -117.298687104226 |
34.0966627016224 |
8429 |
Williams, Robin |
1326427683 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
8430 |
Perry, Carolina |
1326451824 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -122.659945408554 |
38.2688718730386 |
8431 |
Brotherton, Anne |
1326467804 |
Nurse Practitioner |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
38250 |
8500 |
38.2688718726 |
-122.659945409 |
| -117.146546412287 |
32.7016590679117 |
8436 |
Macy, Melissa |
1326488719 |
Physician |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -118.306952999581 |
34.0623180000757 |
8439 |
Zheng, Yuhua |
1326479908 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -119.042562774253 |
36.0512326143937 |
8440 |
Le, Steven Han |
1326584582 |
Dentist |
UNKNOWN |
1133 W. Poplar Ave, |
Porterville |
Tulare |
93257 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1558554519 |
29750 |
8500 |
36.0512326139 |
-119.042562774 |
| -121.969668357409 |
38.5216089870652 |
8461 |
Davis, William |
1336145689 |
Physician |
FAMILY PRACTICE |
23 Main St |
Winters |
Yolo |
95694 |
California |
2012 |
2012 |
1 |
AIU |
HEATHCARE FNDTN WINTERS |
1992736086 |
21250 |
21250 |
38.5216089867 |
-121.969668357 |
| -118.329789269359 |
34.0979749635737 |
8467 |
Pace, James |
1336151232 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -120.498999995353 |
35.0266083603876 |
8498 |
Jung, Kin |
1336205178 |
Physician |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2017 |
2018 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.160352000145 |
34.0332704861441 |
8503 |
Redoblado, Ronald |
1336204866 |
Dentist |
UNKNOWN |
4816 East 3rd Street |
Los Angeles |
Los Angeles |
90022 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
29750 |
8500 |
34.0332704862 |
-118.160352 |
| -122.271160359963 |
37.7995061221099 |
8515 |
Sam, Peter |
1336227453 |
Physician |
FAMILY PRACTICE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -117.146546412287 |
32.7016590679117 |
8526 |
O'Mara, Robert |
1336174382 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Avenue, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -121.287478500233 |
38.0040120003536 |
8543 |
OLOWOYEYE, JOHN |
1336256726 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
1801 E March Ln, SUITE A-170 |
Stockton |
San Joaquin |
95210 |
California |
2012 |
2013 |
2 |
MU |
HEART and MEDICAL CLINIC DELTA |
1013030006 |
29750 |
8500 |
38.004012 |
-121.2874785 |
| -117.125858514958 |
32.7011896748637 |
8558 |
Basiliere, Katherine |
1336277136 |
Nurse Practitioner |
NURSE PRACTITIONER |
3177 OCEAN VIEW BLVD |
SAN DIEGO |
San Diego |
92113 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTER- COMPREHENSIVE |
1326225632 |
21250 |
21250 |
32.701189675 |
-117.125858515 |
| -118.238960898427 |
33.9891238982494 |
8589 |
Hsieh, Bertran |
1336330323 |
Physician |
UNKNOWN |
1900 E. Slauson Ave |
Huntington Park |
Los Angeles |
90255 |
California |
2017 |
2018 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1790177582 |
38250 |
8500 |
33.9891238977 |
-118.238960898 |
| -122.292065021783 |
38.3212756123797 |
8590 |
KAUR, AMARDEEP |
1336331644 |
Dentist |
UNKNOWN |
1141 Pear Tree Lane |
Napa |
Napa |
94558 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212756122 |
-122.292065022 |
| -117.146546412287 |
32.7016590679117 |
8598 |
Blumenthal, Jill |
1336308378 |
Physician |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -118.306952999581 |
34.0623180000757 |
8611 |
Scott-Wyard, Phoebe |
1336356203 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600, Childrens Hospital Los Angeles Medical Group |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.267252075423 |
37.8373378810384 |
8621 |
Lionetti, Geraldina |
1336387299 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -121.098758861632 |
38.9348505096434 |
8622 |
Guan, Huan |
1336379247 |
Doctor of Optometry |
UNKNOWN |
11670 Atwood Road |
Auburn |
Placer |
95603 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -121.608820785051 |
39.1230674559984 |
8623 |
Yazdi, Mitra |
1336395458 |
Physician |
FAMILY PRACTICE |
334 Samuel Dr |
Yuba City |
Sutter |
95991 |
California |
2013 |
2014 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.1230674563 |
-121.608820785 |
| -117.298687104226 |
34.0966627016224 |
8658 |
Ezinwa, Ngozi |
1336467380 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -121.456624499721 |
38.5712370003873 |
8672 |
Kageyama, Sachiko |
1336551340 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
29750 |
8500 |
38.571237 |
-121.4566245 |
| -117.298687104226 |
34.0966627016224 |
8674 |
Lords, Justeen |
1336528785 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -122.142199500407 |
37.4270039997348 |
8679 |
Clarke-Spangler, Caitlin |
1336562891 |
Nurse Practitioner |
UNKNOWN |
270 Grant Ave |
Palo Alto |
Santa Clara |
94306 |
California |
2017 |
2018 |
4 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
46750 |
8500 |
37.427004 |
-122.1421995 |
| -117.298687104226 |
34.0966627016224 |
8680 |
willard, brent |
1336551084 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -120.260892026246 |
37.1205884967617 |
8688 |
Skena, Anita |
1336583376 |
Nurse Practitioner |
UNKNOWN |
401 Trinity Ave |
Chowchilla |
Madera |
93610 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
37.1205884972 |
-120.260892026 |
| -117.146546412287 |
32.7016590679117 |
8691 |
Shah, Ruchi |
1336585009 |
Physician |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.042168222785 |
36.0512835430011 |
8692 |
Spilker, Chad |
1336579663 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 W. Poplar |
Porterville |
Tulare |
93257 |
California |
2015 |
2016 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
29750 |
8500 |
36.0512835428 |
-119.042168223 |
| -121.940302499661 |
37.3266449995671 |
8693 |
Narula, Neha |
1336586130 |
Physician |
UNKNOWN |
455 OConnor Dr, Suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER OF INDIAN |
1114290780 |
38250 |
8500 |
37.326645 |
-121.9403025 |
| -122.292192420644 |
38.3212564181492 |
8701 |
Perez, Mayra |
1336597004 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
29750 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.659945408554 |
38.2688718730386 |
8711 |
Clark, Julie |
1346216389 |
Physician |
OBSTETRICS/GYNECOLOGY |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CTR, INC PETALUMA |
1588656268 |
21250 |
21250 |
38.2688718726 |
-122.659945409 |
| -117.748901865029 |
34.077042683573 |
8712 |
Paliwal, Yogesh |
1346217551 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
1818 N Orange Grove Ave, Suite 206 |
Pomona |
Los Angeles |
91767 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE, INC INDUS |
1508907874 |
46750 |
8500 |
34.0770426836 |
-117.748901865 |
| -122.17568692771 |
39.9287670103893 |
8714 |
Chen, Andrew |
1346224946 |
Dentist |
UNKNOWN |
705 East St |
Corning |
Tehama |
96021 |
California |
2017 |
2018 |
3 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
38250 |
8500 |
39.9287670099 |
-122.175686928 |
| -122.292192420644 |
38.3212564181492 |
8715 |
Buller, Juancarlos |
1346219557 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
38250 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.659945408554 |
38.2688718730386 |
8737 |
Komatsu, Judith |
1346261005 |
Nurse Practitioner |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -121.969668357409 |
38.5216089870652 |
8740 |
rosenberg, matthew |
1346270402 |
Physician |
FAMILY PRACTICE |
23 Main St |
Winters |
Yolo |
95694 |
California |
2012 |
2012 |
1 |
AIU |
HEATHCARE FNDTN WINTERS |
1992736086 |
21250 |
21250 |
38.5216089867 |
-121.969668357 |
| -121.845447497004 |
39.7528200003428 |
8743 |
Cottrell, Maria |
1346274826 |
Physician |
UNKNOWN |
680 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.75282 |
-121.845447497 |
| -118.282691018376 |
33.9996060003167 |
8772 |
johnson, veassa |
1346308756 |
Physician |
INTERNAL MEDICINE |
4760 S Figueroa St |
Los Angeles |
Los Angeles |
90037 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CARE WESTERN |
1902906068 |
21250 |
21250 |
33.999606 |
-118.282691018 |
| -118.43762955516 |
34.0505314044008 |
8787 |
Nadjat-Haiem, Beatrice |
1346330172 |
Physician |
UNKNOWN |
1762 Westwood Blvd, 300 |
Los Angeles |
Los Angeles |
90024 |
California |
2014 |
2015 |
4 |
MU |
HEALTHCARE INTEGRATED |
1801805056 |
46750 |
8500 |
34.0505314036 |
-118.437629555 |
| -118.150712999905 |
34.1313119999489 |
8791 |
WARD, ANDRETTE |
1346333010 |
Physician |
UNKNOWN |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2013 |
2014 |
2 |
MU |
HEALTH COMMUNITY |
1871689315 |
29750 |
8500 |
34.131312 |
-118.150713 |
| -117.113485500156 |
32.7150374537156 |
8794 |
Brodsky, Mark |
1346337904 |
Physician |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1346480837 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -118.046275753223 |
33.9675408463331 |
8795 |
Gonzales, Fernando |
1346343225 |
Physician |
GENERAL PRACTICE |
12444 Washington Blvd |
Whittier |
Los Angeles |
90602 |
California |
2018 |
2019 |
6 |
MU |
HONDO MEDICAL GROUP RIO |
1609972777 |
63750 |
8500 |
33.9675408458 |
-118.046275753 |
| -120.498999995353 |
35.0266083603876 |
8799 |
Ripple, Richard |
1346345493 |
Physician |
PEDIATRIC MEDICINE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -120.055711580925 |
36.9628328372657 |
8806 |
Sumner, Jessie |
1346351764 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
344 E. 6th Street |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CAMARENA |
1891778114 |
55250 |
8500 |
36.9628328373 |
-120.055711581 |
| -121.613430264695 |
39.1443745680319 |
8809 |
Day, Sandra |
1346364841 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1000 Sutter St |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.1443745679 |
-121.613430265 |
| -119.572149938869 |
36.7068147769804 |
8813 |
MIN, YE |
1346371895 |
Physician |
UNKNOWN |
2502 E Jenson Ave |
Sanger |
Fresno |
93657 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS OF UNITED |
1992787444 |
46750 |
8500 |
36.7068147766 |
-119.572149939 |
| -120.739836165806 |
38.384683896045 |
8829 |
Yang, Ming-Jye |
1346386075 |
Dentist |
UNKNOWN |
12150 New York Ranch Rd |
Jackson |
Amador |
95642 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH BOARD, INC MACT |
1366519431 |
21250 |
21250 |
38.3846838962 |
-120.739836166 |
| -122.271160359963 |
37.7995061221099 |
8840 |
Nguyen-Magdael, Gina |
1346410289 |
Nurse Practitioner |
NURSE PRACTITIONER |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -117.667112410909 |
35.6424880662713 |
8846 |
silagon, francis |
1346422698 |
Dentist |
UNKNOWN |
1133 N. Chelsea Street |
Ridgecrest |
Kern |
93555 |
California |
2013 |
2014 |
2 |
MU |
HEALTH SVS, INC NATIONAL |
1164456323 |
29750 |
8500 |
35.642488066 |
-117.667112411 |
| -122.271160359963 |
37.7995061221099 |
8854 |
Kwon, Jin |
1346446796 |
Physician |
FAMILY PRACTICE |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
3 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
38250 |
8500 |
37.7995061221 |
-122.27116036 |
| -116.968630500297 |
33.2941320001917 |
8864 |
Burgett, Mark |
1346464260 |
Dentist |
UNKNOWN |
16650 Hwy 76 |
Pauma Valley |
San Diego |
92061 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CARE NEIGHBORHOOD |
1407031693 |
21250 |
21250 |
33.294132 |
-116.9686305 |
| -122.452949027875 |
37.7730257337507 |
8868 |
lesko, louis |
1346466521 |
Physician |
UNKNOWN |
2235 Hayes St, 5th Floor |
San Francisco |
San Francisco |
94117 |
California |
2016 |
2017 |
5 |
MU |
HEALTHCARE WEST CATHOLIC |
1780727792 |
55250 |
8500 |
37.7730257341 |
-122.452949028 |
| -122.267252075423 |
37.8373378810384 |
8874 |
Agrawal, Anurag |
1346485026 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.292192420644 |
38.3212564181492 |
8880 |
Johnson, Tristin |
1346496767 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -121.55149361274 |
39.0972587433964 |
8883 |
Alamshahi, Kaneshka |
1346510419 |
Physician |
UNKNOWN |
4941 Olivehurst Ave |
Olivehurst |
Yuba |
95961 |
California |
2015 |
2017 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.0972587427 |
-121.551493613 |
| -118.187848176352 |
33.9730571996301 |
8887 |
Andalon, Darrell |
1346514106 |
Dentist |
UNKNOWN |
6901 S. Atlantic Ave |
Bell |
Los Angeles |
90201 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
38250 |
8500 |
33.9730572 |
-118.187848176 |
| -117.946313999791 |
33.8324215409214 |
8898 |
Angulo, Marco |
1346530342 |
Physician |
UNKNOWN |
1814 W Lincoln Ave, Stes. A & B |
Anahiem |
Orange |
92801 |
California |
2020 |
2020 |
5 |
MU |
HEALTH SERVICES CORP ALTAMED |
1063659985 |
55250 |
8500 |
33.8324215409 |
-117.946314 |
| -118.095628711596 |
33.9679898013883 |
8910 |
Somsanith, Keith Aaron |
1346553427 |
Physician |
UNKNOWN |
9436 E. Slauson Ave |
Pico Rivera |
Los Angeles |
90660 |
California |
2020 |
2020 |
5 |
MU |
HEALTH SERVICES ALTAMED |
1710191283 |
55250 |
8500 |
33.9679898013 |
-118.095628712 |
| -121.793209065646 |
38.6851030199884 |
8912 |
Rose, Jason |
1346555620 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
8 N Cottonwood St |
Woodland |
Yolo |
95695 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CTRS COMMUNICARE |
1558469064 |
55250 |
8500 |
38.6851030196 |
-121.793209066 |
| -122.267252075423 |
37.8373378810384 |
8917 |
Aslan, Ivy |
1346571833 |
Physician |
PEDIATRIC MEDICINE |
747 52nd st |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.267252075423 |
37.8373378810384 |
8920 |
Kaiser, Scott |
1346578911 |
Physician |
UNKNOWN |
747 52nd St. |
Oakland |
Alameda |
94609 |
California |
2015 |
2016 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -121.940302499661 |
37.3266449995671 |
8942 |
Teng, Valerie |
1346680568 |
Physician |
UNKNOWN |
455 OConnor Dr Ste 200 |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -117.298687104226 |
34.0966627016224 |
8946 |
Reed, Jamian |
1346652997 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -121.55149361274 |
39.0972587433964 |
8953 |
Valrey, Karl |
1356325120 |
Physician |
INTERNAL MEDICINE |
4941 Olivehurst Ave |
Olivehurst |
Yuba |
95961 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.0972587427 |
-121.551493613 |
| -117.954784204228 |
33.7564213285815 |
8957 |
Dang, Hiep |
1356328900 |
Physician |
FAMILY PRACTICE |
14160 Brookhurst Street |
Garden Grove |
Orange |
92843 |
California |
2020 |
2020 |
6 |
MU |
HIEP D DO DANG |
1356328900 |
63750 |
8500 |
33.7564213292 |
-117.954784204 |
| -120.06800046415 |
36.9561069200984 |
8965 |
KANG, HO |
1356349260 |
Physician |
PHYSICAL MEDICINE AND REHABILITATION |
816 W Yosemite Ave, Suite 102 |
Madera |
Madera |
93637 |
California |
2012 |
2012 |
1 |
AIU |
HO MD KANG |
1356349260 |
21250 |
21250 |
36.9561069199 |
-120.068000464 |
| -117.072893103134 |
33.1284570942196 |
8980 |
Mitchell, Cathy |
1356365365 |
Nurse Practitioner |
UNKNOWN |
460 N Elm St |
Escondido |
San Diego |
92025 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
29750 |
8500 |
33.1284570937 |
-117.072893103 |
| -121.636893388919 |
39.145062454069 |
8981 |
Vangala, Hemalatha |
1356374029 |
Physician |
INTERNAL MEDICINE |
1445 Veterans Memorial Cir, Ste B |
Yuba City |
Sutter |
95993 |
California |
2012 |
2013 |
1 |
AIU |
HEMALATHA MD VANGALA |
1356374029 |
21250 |
21250 |
39.1450624542 |
-121.636893389 |
| -117.146546412287 |
32.7016590679117 |
8982 |
zand, fariba |
1356373674 |
Physician |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -117.139801499639 |
32.697288000341 |
8983 |
ESPARZA, EZEQUIEL |
1356375497 |
Physician |
PSYCHIATRY |
2204 National Ave |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1013952597 |
21250 |
21250 |
32.697288 |
-117.1398015 |
| -117.072893103134 |
33.1284570942196 |
8984 |
Schultz, James |
1356376164 |
Physician |
UNKNOWN |
460 N Elm St |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
46750 |
8500 |
33.1284570937 |
-117.072893103 |
| -117.867612831967 |
33.7569843671349 |
8989 |
choa, josephine |
1356384408 |
Physician |
INTERNAL MEDICINE |
1400 N Main St |
Santa Ana |
Orange |
92701 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1740427657 |
63750 |
8500 |
33.7569843666 |
-117.867612832 |
| -118.303731000285 |
34.0638749999313 |
9000 |
KONG, VICTOR |
1356393573 |
Physician |
INTERNAL MEDICINE |
3727 W. 6TH ST, SUITE 200 |
LOS ANGELES |
Los Angeles |
90020 |
California |
2018 |
2019 |
3 |
MU |
HEALTH EDUCATION KOREAN |
1437377454 |
38250 |
8500 |
34.063875 |
-118.303731 |
| -117.267223499565 |
33.9159869996004 |
9001 |
Singh, Hardev |
1356404073 |
Dentist |
UNKNOWN |
22675 Alessandro Blvd |
Moreno Valley |
Riverside |
92553 |
California |
2011 |
2012 |
1 |
AIU |
HLTH SYSTEMS INC COMM |
1679749501 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -122.049873972306 |
38.2620150001922 |
9019 |
Dembner, Jeffrey |
1356423271 |
Physician |
NEUROSURGERY |
1860 Pennsylvania Ave, Suite 320 |
Fairfield |
Solano |
94533 |
California |
2014 |
2015 |
1 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
21250 |
21250 |
38.262015 |
-122.049873972 |
| -121.61449268419 |
39.1458860882724 |
9031 |
Phung, Huy |
1356443485 |
Physician |
UNKNOWN |
935 Market St |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.1458860883 |
-121.614492684 |
| -118.246191531314 |
33.9426899692667 |
9039 |
Ayala, Gloria |
1356447072 |
Dentist |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE WATTS |
1477649119 |
29750 |
8500 |
33.9426899686 |
-118.246191531 |
| -117.298687104226 |
34.0966627016224 |
9059 |
Shannon, Kevin |
1356470314 |
Physician |
UNKNOWN |
250 South G Street |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
5 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
34000 |
8500 |
34.0966627019 |
-117.298687104 |
| -122.174891665318 |
39.9279294888549 |
9063 |
LAIR, BRIAN |
1356476196 |
Physician |
UNKNOWN |
740 Solano St |
Corning |
Tehama |
96021 |
California |
2018 |
2019 |
5 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
55250 |
8500 |
39.9279294893 |
-122.174891665 |
| -119.289034030996 |
36.3341005980642 |
9091 |
Dresel-Velasquez, K |
1356509699 |
Physician |
UNKNOWN |
501 N. Bridge St |
Visalia |
Tulare |
93291 |
California |
2014 |
2014 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
21250 |
21250 |
36.3341005984 |
-119.289034031 |
| -117.866853000166 |
33.7811759997726 |
9093 |
Galion, Anjalee |
1356500268 |
Physician |
UNKNOWN |
455 S Main St, Division of Pediatric Neurology |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
4 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -121.913647032185 |
37.3017600004237 |
9094 |
Husaini, Zaha |
1356520019 |
Physician |
UNKNOWN |
1333 MERIDIAN AVE |
SAN JOSE |
Santa Clara |
95125 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
38250 |
8500 |
37.30176 |
-121.913647032 |
| -121.85994213662 |
37.2416247570769 |
9100 |
Saleh-Werthman, Elia |
1356527485 |
Nurse Practitioner |
UNKNOWN |
5671 Santa Teresa Blvd Ste 105 |
San Jose |
UNKNOWN |
95123 |
California |
2016 |
2017 |
5 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
55250 |
8500 |
37.2416247574 |
-121.859942137 |
| -119.288677500166 |
36.3322530002758 |
9112 |
ARAICH, MANJIT |
1356554133 |
Nurse Practitioner |
UNKNOWN |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2015 |
2016 |
1 |
MU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -121.913647032185 |
37.3017600004237 |
9119 |
Hughes, Janet |
1356549653 |
Nurse Practitioner |
UNKNOWN |
1333 Meridian Ave, Indian Health Center of Santa Clara Valley |
San Jose |
Santa Clara |
95125 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTER OF SANT INDIAN |
1881997963 |
46750 |
8500 |
37.30176 |
-121.913647032 |
| -120.055711580925 |
36.9628328372657 |
9121 |
Nassar, Crystal |
1356572671 |
Dentist |
UNKNOWN |
344 E. 6th Street |
Madera |
UNKNOWN |
93638 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9628328373 |
-120.055711581 |
| -118.211605648682 |
34.0445816183471 |
9127 |
TREDINNICK, SILVANNA |
1356573935 |
Dentist |
UNKNOWN |
2219 E 1st St |
Los Angeles |
Los Angeles |
90033 |
California |
2020 |
2020 |
4 |
MU |
HEALTH SERVICES CORP ALTAMED |
1134492937 |
46750 |
8500 |
34.0445816178 |
-118.211605649 |
| -119.271564041947 |
35.884328300111 |
9137 |
Kim, Jongjin |
1356605836 |
Physician |
UNKNOWN |
476 E Washington Ave |
Earlimart |
Tulare |
93219 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS- UNITED |
1417939968 |
46750 |
8500 |
35.8843283 |
-119.271564042 |
| -119.042168222785 |
36.0512835430011 |
9149 |
Song, Karen |
1356632947 |
Physician |
OBSTETRICS/GYNECOLOGY |
1107 W. Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2013 |
2014 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
29750 |
8500 |
36.0512835428 |
-119.042168223 |
| -120.498999995353 |
35.0266083603876 |
9153 |
Lerch, Julia |
1356662969 |
Dentist |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -120.498999995353 |
35.0266083603876 |
9163 |
McConnell, Michael |
1356693683 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -119.800377524303 |
36.8843745979094 |
9168 |
Choi, Stephanie |
1356699086 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL CHILDREN'S |
1275694184 |
21250 |
21250 |
36.8843745978 |
-119.800377524 |
| -121.811586301567 |
37.3063241389479 |
9178 |
Le, My-Phuc |
1356739973 |
Physician |
UNKNOWN |
1642 East Capitol Expressway |
San Jose |
Santa Clara |
95121 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTER OF SANT INDIAN |
1881997963 |
46750 |
8500 |
37.3063241385 |
-121.811586302 |
| -118.160352000145 |
34.0332704861441 |
9202 |
Craemer, Gena |
1356892343 |
Nurse Practitioner |
UNKNOWN |
4816 East 3rd Street |
Los Angeles |
Los Angeles |
90022 |
California |
2020 |
2020 |
5 |
MU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
55250 |
8500 |
34.0332704862 |
-118.160352 |
| -117.298687104226 |
34.0966627016224 |
9203 |
Zolotnik, Ilya |
1356785364 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -120.055711580925 |
36.9628328372657 |
9206 |
BERNSTEIN, KENNETH |
1366425357 |
Physician |
UNKNOWN |
344 E 6th St |
Madera |
Madera |
93638 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CAMARENA |
1891778114 |
63750 |
8500 |
36.9628328373 |
-120.055711581 |
| -121.287380480425 |
38.1263654580995 |
9230 |
Sabet, Abdollah |
1366468555 |
Physician |
UNKNOWN |
1209 W Tokay Street, Suite 5 |
Lodi |
San Joaquin |
95240 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
38.1263654577 |
-121.28738048 |
| -122.292192420644 |
38.3212564181492 |
9232 |
Dobbs, Donald |
1366470189 |
Dentist |
UNKNOWN |
1141 Pear Tree Ln, Suite 100 |
Napa |
Napa |
94558 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -118.124604000075 |
34.0628850001427 |
9236 |
TSAI, HENRY |
1366476764 |
Physician |
OBSTETRICS/GYNECOLOGY |
201 W GARVEY AVE, STE 310 |
MONTEREY PARK |
Los Angeles |
91754 |
California |
2013 |
2014 |
3 |
MU |
HENRY H MD TSAI |
1366476764 |
38250 |
8500 |
34.062885 |
-118.124604 |
| -120.498999995353 |
35.0266083603876 |
9237 |
Kaplan, Jeffrey |
1366477028 |
Physician |
PEDIATRIC MEDICINE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -120.498999995353 |
35.0266083603876 |
9238 |
Sevilla-Bodine, Sharon |
1366479859 |
Physician |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -117.915163058828 |
33.7774180953688 |
9239 |
Le, Tim |
1366480188 |
Physician |
FAMILY PRACTICE |
12751 Harbor Blvd. |
Garden Grove |
Orange |
92840 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
21250 |
21250 |
33.7774180952 |
-117.915163059 |
| -118.308853204112 |
34.0164932961288 |
9242 |
Butler, Derrick |
1366487225 |
Physician |
FAMILY PRACTICE |
3834 S Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2014 |
2015 |
3 |
MU |
H E CLINIC AT RUTH T |
1023287679 |
38250 |
8500 |
34.0164932957 |
-118.308853204 |
| -118.259788482952 |
34.0626808180654 |
9248 |
Oganyan, Hakop |
1366472045 |
Physician |
GENERAL PRACTICE |
111 N. Glendale Blvd. |
Los Angeles |
Los Angeles |
90026 |
California |
2014 |
2015 |
3 |
MU |
HAKOP K MD OGANYAN |
1366472045 |
38250 |
8500 |
34.0626808185 |
-118.259788483 |
| -117.866853000166 |
33.7811759997726 |
9273 |
Katz, Mitchell |
1366530107 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -121.977238187592 |
37.5484010455718 |
9282 |
Heck, Judy |
1366549719 |
Nurse Practitioner |
UNKNOWN |
39500 Liberty Street |
Fremont |
Alameda |
94538 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CENTER TRI-CITY |
1942387188 |
29750 |
8500 |
37.5484010458 |
-121.977238188 |
| -119.289034030996 |
36.3341005980642 |
9290 |
Cabatu, Agnes |
1366555641 |
Physician |
UNKNOWN |
501 North Bridge Street |
Visalia |
Tulare |
93291 |
California |
2015 |
2016 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
55250 |
8500 |
36.3341005984 |
-119.289034031 |
| -121.287285000302 |
37.9665270002209 |
9295 |
Graff, Robert |
1366560112 |
Physician |
UNKNOWN |
1212 N California St |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -122.267849994182 |
37.8371699632233 |
9326 |
Hilk, Susan |
1366589558 |
Nurse Practitioner |
UNKNOWN |
747 52nd St., Children's Hospital Oakland |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8371699628 |
-122.267849994 |
| -117.988308000114 |
33.7050629998576 |
9330 |
Castro, William |
1366607848 |
Physician |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2020 |
2020 |
4 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
46750 |
8500 |
33.705063 |
-117.988308 |
| -122.267252075423 |
37.8373378810384 |
9332 |
Zambrano, Adriana |
1366605131 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2015 |
2016 |
3 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.271160359963 |
37.7995061221099 |
9334 |
Nguyen, Mychi |
1366615163 |
Physician |
INTERNAL MEDICINE |
818 Webster St |
oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -117.866853000166 |
33.7811759997726 |
9335 |
Patel, Sonal |
1366608879 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL OF CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -117.298687104226 |
34.0966627016224 |
9363 |
Scharf, Shivani |
1366646440 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -118.308853204112 |
34.0164932961288 |
9372 |
Hawkins, Darla |
1366643256 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3834 S Western |
Los Angeles |
Los Angeles |
90062 |
California |
2013 |
2014 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -118.150795976753 |
34.1778106936086 |
9373 |
Yarchuk, Yana |
1366677254 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.1778106939 |
-118.150795977 |
| -118.306952999581 |
34.0623180000757 |
9392 |
VandenBerg, Curtis |
1366735532 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.85994213662 |
37.2416247570769 |
9411 |
Heerboth, Amanda |
1366787772 |
Nurse Practitioner |
UNKNOWN |
5671 Santa Teresa Blvd, Suite 105 |
San Jose |
Santa Clara |
95123 |
California |
2017 |
2018 |
4 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
46750 |
8500 |
37.2416247574 |
-121.859942137 |
| -120.383824346117 |
36.7660952641851 |
9416 |
Hatlavongsa, Kongsab |
1366798530 |
Dentist |
UNKNOWN |
121 Barboza St |
Mendota |
Fresno |
93640 |
California |
2018 |
2019 |
5 |
MU |
HLTH CTRS-MENDOTA UNITED |
1184606634 |
55250 |
8500 |
36.7660952642 |
-120.383824346 |
| -121.456624499721 |
38.5712370003873 |
9418 |
Lorenzo, Ashley |
1366801193 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS ELICA |
1093974065 |
21250 |
21250 |
38.571237 |
-121.4566245 |
| -120.055711580925 |
36.9628328372657 |
9437 |
Bhatia, Shelja |
1366859019 |
Dentist |
UNKNOWN |
344 E. 6th Street |
Madera |
Madera |
93638 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9628328373 |
-120.055711581 |
| -120.055711580925 |
36.9628328372657 |
9439 |
Young, Sarah |
1366864241 |
Nurse Practitioner |
UNKNOWN |
344 E 6th St |
Madera |
Madera |
93638 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9628328373 |
-120.055711581 |
| -119.288673194212 |
36.3328544497731 |
9440 |
Henschel, Kelsey |
1366872459 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
401 E. School Ave |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
38250 |
8500 |
36.3328544502 |
-119.288673194 |
| -117.298687104226 |
34.0966627016224 |
9442 |
Eller, MaryEllen |
1366862047 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.668297206551 |
33.5230211008432 |
9443 |
Jackson, Emily |
1366883696 |
Dentist |
UNKNOWN |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER CAMINO |
1366560393 |
21250 |
21250 |
33.523021101 |
-117.668297207 |
| -120.055711580925 |
36.9628328372657 |
9446 |
Lara, Nathaniel |
1366899940 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
344 E. 6th Street |
Madera |
Madera |
93638 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
36.9628328373 |
-120.055711581 |
| -118.150795976753 |
34.1778106936086 |
9447 |
nguyen, anh |
1366983595 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1855 N Fair Oaks Ave |
Pasadena |
Los Angeles |
91103 |
California |
2020 |
2020 |
4 |
MU |
HEALTH COMMUNITY |
1871689315 |
46750 |
8500 |
34.1778106939 |
-118.150795977 |
| -117.960264000084 |
33.8649660002807 |
9452 |
Kim, Jessica |
1366990798 |
Nurse Practitioner |
UNKNOWN |
501 S Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2016 |
2016 |
1 |
AIU |
HLTH CARE REPRODUCTIVE |
1508977414 |
21250 |
21250 |
33.864966 |
-117.960264 |
| -121.953063614194 |
38.3545860351175 |
9455 |
Brooks, Andrew |
1376519561 |
Physician |
ORTHOPEDIC SURGERY |
1010 Nut Tree Rd, Suite 200 |
Vacaville |
Solano |
95687 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
63750 |
8500 |
38.354586035 |
-121.953063614 |
| -122.659945408554 |
38.2688718730386 |
9461 |
Oryn, Danielle |
1376535070 |
Physician |
FAMILY PRACTICE |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2016 |
2017 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -121.098758861632 |
38.9348505096434 |
9467 |
Iwamura, Hanh |
1376547752 |
Dentist |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -119.288673194212 |
36.3328544497731 |
9472 |
Chapin, Travis |
1376554055 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
401 E. School Ave. |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
55250 |
8500 |
36.3328544502 |
-119.288673194 |
| -122.617551013868 |
38.7487816038879 |
9484 |
FORDHAM, KIMBERLY |
1376568808 |
Physician |
UNKNOWN |
21337 Bush Street |
Middletown |
Lake |
95461 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1972593788 |
55250 |
8500 |
38.7487816039 |
-122.617551014 |
| -122.267252075423 |
37.8373378810384 |
9493 |
Padua, Eric |
1376582114 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2016 |
2017 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.195381204679 |
34.1216932848173 |
9495 |
Paul, Carey |
1376594804 |
Physician |
FAMILY PRACTICE |
7291 Boulder Ave Ste 2C |
Highland |
San Bernardino |
92346 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE GROUP INLAND |
1700836475 |
21250 |
21250 |
34.1216932846 |
-117.195381205 |
| -117.278731203782 |
34.1181212010326 |
9497 |
Nguyen, Son |
1376593889 |
Physician |
FAMILY PRACTICE |
1033 N Waterman Ave, Ste E |
San Bernardino |
San Bernardino |
92410 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE GROUP AMC INLAND |
1235309428 |
21250 |
21250 |
34.1181212007 |
-117.278731204 |
| -118.213622999802 |
33.9551909998648 |
9514 |
SASSOON, CHARLES |
1376612424 |
Physician |
GENERAL PRACTICE |
3175 E. FIRESTONE BL |
SOUTH GATE |
Los Angeles |
90280 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CARE MED MULTI |
1861418576 |
21250 |
21250 |
33.955191 |
-118.213623 |
| -118.43762955516 |
34.0505314044008 |
9545 |
JAVDAN, PARVIZ |
1376640235 |
Physician |
GASTROENTEROLOGY |
1762 Westwood Blvd, SUITE 300 |
Los Angeles |
Los Angeles |
90024 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE INTEGRATED |
1801805056 |
21250 |
21250 |
34.0505314036 |
-118.437629555 |
| -122.267252075423 |
37.8373378810384 |
9547 |
Rishon, Anne |
1376646489 |
Nurse Practitioner |
UNKNOWN |
747 52nd St. |
Oakland |
Alameda |
94578 |
California |
2020 |
2020 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.146546412287 |
32.7016590679117 |
9554 |
Buechner, Charlene |
1376663831 |
Physician |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.668297206551 |
33.5230211008432 |
9559 |
Molina De Briones, Dulce |
1376667568 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTER CAMINO |
1366560393 |
55250 |
8500 |
33.523021101 |
-117.668297207 |
| -122.267252075423 |
37.8373378810384 |
9560 |
Krupitsky, Carrie |
1376670281 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.042168222785 |
36.0512835430011 |
9610 |
Lazaro, Vanessa |
1376766741 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1107 West Poplar |
Porterville |
Tulare |
93257 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
21250 |
21250 |
36.0512835428 |
-119.042168223 |
| -121.977238187592 |
37.5484010455718 |
9613 |
Afnan, Jia |
1376763698 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
39500 Liberty Street, Tri City Health Center |
Fremont |
Alameda |
94538 |
California |
2016 |
2014 |
4 |
MU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
46750 |
8500 |
37.5484010458 |
-121.977238188 |
| -119.291498831706 |
36.5303014971165 |
9624 |
Caragay, Mae |
1376794222 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
12586 Ave. 408 |
Orosi |
Tulare |
93647 |
California |
2012 |
2013 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
29750 |
8500 |
36.5303014971 |
-119.291498832 |
| -119.297551500202 |
36.3529349998504 |
9631 |
McMillan, Christine |
1376812073 |
Nurse Practitioner |
UNKNOWN |
2611 N. Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2015 |
2017 |
2 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
29750 |
8500 |
36.352935 |
-119.2975515 |
| -122.267252075423 |
37.8373378810384 |
9640 |
Luce, John |
1376830596 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
2 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.329789269359 |
34.0979749635737 |
9641 |
Stafford, Bethany |
1376830224 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -119.297551500202 |
36.3529349998504 |
9647 |
Ongbongan, kRISCHEL |
1376833186 |
Nurse Practitioner |
UNKNOWN |
Visalia Health Care Center, 2611 N Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
29750 |
8500 |
36.352935 |
-119.2975515 |
| -117.146546412287 |
32.7016590679117 |
9649 |
Hoelzer, Catherine |
1376842955 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -120.498999995353 |
35.0266083603876 |
9650 |
Quiroz, Vanessa |
1376848762 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
29750 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.769568889193 |
38.5631938354272 |
9663 |
Quiggle, Dexter |
1376866772 |
Dentist |
UNKNOWN |
2051 John Jones Rd |
Davis |
Yolo |
95616 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
38250 |
8500 |
38.5631938352 |
-121.769568889 |
| -118.211605648682 |
34.0445816183471 |
9676 |
Marrin, Bridget |
1376899450 |
Nurse Practitioner |
UNKNOWN |
2219 E First Street |
Los Angeles |
Los Angeles |
90033 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES CORP ALTAMED |
1134492937 |
21250 |
21250 |
34.0445816178 |
-118.211605649 |
| -117.298687104226 |
34.0966627016224 |
9679 |
Liu, Taryn |
1376930602 |
Physician |
UNKNOWN |
250 SOUTH G STREET |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -121.819527654278 |
37.3566314686674 |
9683 |
Chin, Stephanie |
1376927806 |
Nurse Practitioner |
UNKNOWN |
1066 South White Road |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
38250 |
8500 |
37.3566314689 |
-121.819527654 |
| -118.306952999581 |
34.0623180000757 |
9692 |
Chen, Shanon |
1376957456 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.960264000084 |
33.8649660002807 |
9699 |
Vasquez Garcia, Jenna |
1376984096 |
Nurse Practitioner |
UNKNOWN |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2016 |
2016 |
1 |
AIU |
HLTH CARE REPRODUCTIVE |
1508977414 |
21250 |
21250 |
33.864966 |
-117.960264 |
| -118.264011576073 |
34.0526621276551 |
9704 |
Lee, Hanna |
1386002616 |
Dentist |
UNKNOWN |
1127 Wilshire Blvd., suite 1504 |
Los Angeles |
Los Angeles |
90017 |
California |
2018 |
2019 |
3 |
MU |
HEALTH and WELLNESS APLA |
1740490937 |
38250 |
8500 |
34.052662128 |
-118.264011576 |
| -117.298687104226 |
34.0966627016224 |
9705 |
Cuevas, Christen |
1386021145 |
Physician |
UNKNOWN |
250 South G Street |
San Bernardino |
San Bernardino |
92401 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -121.940302499661 |
37.3266449995671 |
9706 |
Pham, Nhat |
1386026086 |
Physician |
UNKNOWN |
455 O'Connor Dr., Ste 200 |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CENTER OF INDIAN |
1114290780 |
29750 |
8500 |
37.326645 |
-121.9403025 |
| -122.659945408554 |
38.2688718730386 |
9710 |
Benenhaley, Leesa |
1386040129 |
Nurse Practitioner |
UNKNOWN |
1179 N McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
38250 |
8500 |
38.2688718726 |
-122.659945409 |
| -120.498999995353 |
35.0266083603876 |
9727 |
Pahlevanlou, Golnaz |
1386076073 |
Dentist |
UNKNOWN |
150 Tejas Pl |
Nipomo |
San Luis Obispo |
93444 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -119.319628500255 |
36.6267149996975 |
9731 |
Voyles, Stephanie |
1386081776 |
Physician |
UNKNOWN |
445 11th Street |
Orange Cove |
Fresno |
93646 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTERS- UNITED |
1649252198 |
21250 |
21250 |
36.626715 |
-119.3196285 |
| -121.777841140256 |
37.2318480040822 |
9734 |
Kim, Jieun |
1386084333 |
Nurse Practitioner |
UNKNOWN |
6840 Via Del Oro, 210 |
San Jose |
UNKNOWN |
95119 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLINICS SCHOOL |
1376683151 |
21250 |
21250 |
37.2318480037 |
-121.77784114 |
| -119.288673194212 |
36.3328544497731 |
9737 |
Antolinez Morales, Vanessa |
1386198166 |
Dentist |
UNKNOWN |
401 E. School Ave |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
21250 |
21250 |
36.3328544502 |
-119.288673194 |
| -117.298687104226 |
34.0966627016224 |
9743 |
Urquhart, Melissa |
1386088110 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.396726903024 |
33.9479224371708 |
9744 |
CARSTENS, HERMAN |
1386611242 |
Physician |
UNKNOWN |
6926 Brockton Ave, SUITE 7 |
Riverside |
Riverside |
92506 |
California |
2015 |
2015 |
2 |
MU |
HERMAN A MD CARSTENS |
1386611242 |
29750 |
8500 |
33.9479224366 |
-117.396726903 |
| -121.551722325625 |
39.5023306563348 |
9748 |
St Clair, Donald |
1386627933 |
Physician |
FAMILY PRACTICE |
2800 Lincoln Blvd |
Oroville |
Butte |
95966 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.5023306564 |
-121.551722326 |
| -122.62766813058 |
38.9499316736079 |
9767 |
Jennings, Raymond |
1386659167 |
Physician |
UNKNOWN |
15230 Lakeshore Dr |
Clearlake |
Lake |
95422 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
46750 |
8500 |
38.9499316736 |
-122.627668131 |
| -118.306952999581 |
34.0623180000757 |
9769 |
arora, bhavana |
1386662575 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.145105833168 |
38.2163044274075 |
9771 |
Ghods, Ehsan |
1386663508 |
Physician |
FAMILY PRACTICE |
5140 Business Center Drive, Suite 200 |
Fairfield |
Solano |
94534 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.2163044266 |
-122.145105833 |
| -121.829149767947 |
37.3651956189827 |
9774 |
SANTIAGO, ANGELITA |
1386670669 |
Physician |
UNKNOWN |
3030 ALUM ROCK AVE |
San Jose |
Santa Clara |
95127 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTER COMPRECARE |
1083654545 |
29750 |
8500 |
37.3651956189 |
-121.829149768 |
| -121.977238187592 |
37.5484010455718 |
9781 |
Mogri, Durriyah |
1386670784 |
Physician |
PEDIATRIC MEDICINE |
39500 Liberty St, Tri-City Health Center |
Fremont |
Alameda |
94538 |
California |
2017 |
2018 |
5 |
MU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
55250 |
8500 |
37.5484010458 |
-121.977238188 |
| -120.498999995353 |
35.0266083603876 |
9793 |
Paikoff, Lawrence |
1386694404 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
29750 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.952709777734 |
38.3644974795751 |
9799 |
GOYAL, MADHAV |
1386697878 |
Physician |
UNKNOWN |
421 Nut Tree Rd |
Vacaville |
Solano |
95687 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
46750 |
8500 |
38.3644974804 |
-121.952709778 |
| -122.271160359963 |
37.7995061221099 |
9820 |
Lo, Susan |
1386723435 |
Physician |
FAMILY PRACTICE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.267252075423 |
37.8373378810384 |
9830 |
Hastings, Caroline |
1386733418 |
Physician |
UNKNOWN |
747 52nd Street |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.867205977774 |
33.7797186061288 |
9870 |
Morchi, Gira |
1386790996 |
Physician |
UNKNOWN |
505 S. Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.7797186059 |
-117.867205978 |
| -122.267252075423 |
37.8373378810384 |
9873 |
Goes, Constance |
1386792950 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -122.271160359963 |
37.7995061221099 |
9876 |
Tse, Chung |
1386796183 |
Physician |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
3 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
8500 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.292192420644 |
38.3212564181492 |
9895 |
Elacio, Cheryl |
1386838332 |
Dentist |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
29750 |
8500 |
38.3212564177 |
-122.292192421 |
| -119.042168222785 |
36.0512835430011 |
9926 |
Aguirre, Anthony Ryan |
1386907624 |
Physician |
FAMILY PRACTICE |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
29750 |
8500 |
36.0512835428 |
-119.042168223 |
| -119.042168222785 |
36.0512835430011 |
9929 |
Joo, Eric |
1386922979 |
Dentist |
UNKNOWN |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
55250 |
8500 |
36.0512835428 |
-119.042168223 |
| -118.329789269359 |
34.0979749635737 |
9933 |
PEREZ, VANESSA |
1386924504 |
Physician |
PEDIATRIC MEDICINE |
6430 W Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2014 |
2015 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -120.625581861214 |
40.4381384658176 |
9946 |
Poulsen, Tessa |
1386944304 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTR NORTHEASTERN |
1477563518 |
21250 |
21250 |
40.4381384662 |
-120.625581861 |
| -120.498999995353 |
35.0266083603876 |
9947 |
Ebner, Susan |
1386952919 |
Nurse Practitioner |
NURSE PRACTITIONER |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -117.865599124 |
33.7803484876926 |
9961 |
Wong, Gregory |
1386977288 |
Physician |
UNKNOWN |
1201 W La Veta Ave |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL OF CHILDRENS |
1811080526 |
21250 |
21250 |
33.7803484883 |
-117.865599124 |
| -119.800377524303 |
36.8843745979094 |
9963 |
OSENA, JAYLENE |
1386979227 |
Nurse Practitioner |
UNKNOWN |
9300 Valley Children's Place |
Madera |
Madera |
93636 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL CHILDREN'S |
1275694184 |
21250 |
21250 |
36.8843745978 |
-119.800377524 |
| -121.769568889193 |
38.5631938354272 |
9974 |
ADELMAN, NICOLE |
1386991677 |
Certified Nurse - Midwife |
UNKNOWN |
2051 John Jones Rd |
Davis |
Yolo |
95616 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558366823 |
21250 |
21250 |
38.5631938352 |
-121.769568889 |
| -117.39812850003 |
34.0700759999075 |
9986 |
Floyd, Alisha |
1396031878 |
Physician |
PEDIATRIC MEDICINE |
18601 Valley BLVD |
Bloomington |
San Bernardino |
92316 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH SYSTEMS COMMUNITY |
1487706347 |
21250 |
21250 |
34.070076 |
-117.3981285 |
| -117.988308000114 |
33.7050629998576 |
10008 |
Haguewood, Corinne |
1396060950 |
Nurse Practitioner |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2012 |
2013 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
29750 |
8500 |
33.705063 |
-117.988308 |
| -117.865599124 |
33.7803484876926 |
10016 |
Gage, Susan |
1396060554 |
Physician |
UNKNOWN |
1201 W. LA VETA |
ORANGE |
Orange |
92868 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL OF CHILDRENS |
1811080526 |
21250 |
21250 |
33.7803484883 |
-117.865599124 |
| -118.306952999581 |
34.0623180000757 |
10019 |
Brady, Ryan |
1396087136 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -120.383824346117 |
36.7660952641851 |
10021 |
Key, Christopher |
1396093902 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
121 Barboza Street |
Mendota |
Fresno |
93640 |
California |
2018 |
2019 |
4 |
MU |
HLTH CTRS-MENDOTA UNITED |
1184606634 |
46750 |
8500 |
36.7660952642 |
-120.383824346 |
| -118.095628711596 |
33.9679898013883 |
10023 |
Jose, Elisea |
1396101366 |
Nurse Practitioner |
UNKNOWN |
9436 E. Slauson Ave |
Pico Rivera |
Los Angeles |
90660 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SERVICES ALTAMED |
1710191283 |
29750 |
8500 |
33.9679898013 |
-118.095628712 |
| -121.527873000139 |
38.5876259998401 |
10032 |
Fjeld, Kerri |
1396141743 |
Nurse Practitioner |
UNKNOWN |
500 Jefferson Blvd., Suite 180 |
West Sacramento |
Yolo |
95605 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CTRS COMMUNICARE |
1710087515 |
29750 |
8500 |
38.587626 |
-121.527873 |
| -118.095628711596 |
33.9679898013883 |
10041 |
Omnes, Ayra |
1396169629 |
Nurse Practitioner |
UNKNOWN |
9436 E. Slauson Ave |
Pico Rivera |
Los Angeles |
90660 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1710191283 |
38250 |
8500 |
33.9679898013 |
-118.095628712 |
| -118.306952999581 |
34.0623180000757 |
10048 |
Cosimini, Michael |
1396175931 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.201680947418 |
39.7416732839949 |
10059 |
Chary, Rajini |
1396721023 |
Physician |
UNKNOWN |
1211 Cortina Dr |
Orland |
Glenn |
95963 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.7416732839 |
-122.201680947 |
| -120.42122668956 |
34.9342988725949 |
10085 |
tank, himat |
1396761003 |
Physician |
UNKNOWN |
1505 S. Shepard Dr. Suite 102 |
Santa Maria |
Santa Barbara |
93454 |
California |
2011 |
2012 |
1 |
AIU |
HIMAT G MD TANK |
1396761003 |
21250 |
21250 |
34.9342988732 |
-120.42122669 |
| -118.246191531314 |
33.9426899692667 |
10092 |
Ahmed, Rabia |
1396772596 |
Physician |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
3 |
MU |
HEALTHCARE WATTS |
1477649119 |
38250 |
8500 |
33.9426899686 |
-118.246191531 |
| -121.456624499721 |
38.5712370003873 |
10099 |
Ilie, Razvan |
1396799425 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3701 J St, Ste 201 |
Sacramento |
Sacramento |
95816 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
38250 |
8500 |
38.571237 |
-121.4566245 |
| -122.271160359963 |
37.7995061221099 |
10115 |
Kim, Daniela |
1396815304 |
Physician |
INTERNAL MEDICINE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.659945408554 |
38.2688718730386 |
10136 |
Hochstoeger, Grace |
1396834354 |
Nurse Practitioner |
NURSE PRACTITIONER |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CTR, INC PETALUMA |
1588656268 |
21250 |
21250 |
38.2688718726 |
-122.659945409 |
| -122.267252075423 |
37.8373378810384 |
10147 |
Haining, Robert |
1396841680 |
Physician |
PHYSICAL MEDICINE AND REHABILITATION |
747 52nd Street, CHO Rehabilitation |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.146546412287 |
32.7016590679117 |
10150 |
Berry, Gladys |
1396846036 |
Dentist |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -120.045810184592 |
36.94541455204 |
10160 |
Noyes, Bruce |
1396862249 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1210 E Almond Ave |
Madera |
Madera |
93637 |
California |
2015 |
2016 |
4 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
46750 |
8500 |
36.9454145522 |
-120.045810185 |
| -121.892717440258 |
37.3411630908041 |
10167 |
Leong, Clifford |
1396864112 |
Physician |
UNKNOWN |
55 E Julian St |
San Jose |
Santa Clara |
95112 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1083654545 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
| -120.721464839331 |
35.5525749120026 |
10170 |
Keene, Mellie |
1396865770 |
Nurse Practitioner |
UNKNOWN |
325 Posada Ln, Suite A & B |
Templeton |
San Luis Obispo |
93465 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.5525749117 |
-120.721464839 |
| -119.56283100015 |
36.0980134919292 |
10181 |
Swanson, Barry |
1396880324 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1209 Whitney Ave |
Corcoran |
Kings |
93212 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS- UNITED |
1417939968 |
55250 |
8500 |
36.0980134918 |
-119.562831 |
| -118.329789269359 |
34.0979749635737 |
10200 |
Bhombal, Shazia |
1396897070 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -118.306952999581 |
34.0623180000757 |
10226 |
Jaffray, Julie |
1396942470 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.252215999968 |
32.7827339998743 |
10234 |
Gepshtein, Yana |
1396956512 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
3705 Mission Blvd. |
San Diego |
San Diego |
92109 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTERS OF FAMILY |
1386689701 |
29750 |
8500 |
32.782734 |
-117.252216 |
| -122.052187649141 |
38.2758300032521 |
10235 |
Yang, Judy |
1396966396 |
Physician |
UNKNOWN |
2458 Hilborn Rd |
Fairfield |
Solano |
94534 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.2758300025 |
-122.052187649 |
| -117.146546412287 |
32.7016590679117 |
10246 |
Samadi, Esther |
1396986204 |
Physician |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -118.306952999581 |
34.0623180000757 |
10255 |
Langille, Megan |
1396991253 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600, Childrens Hospital Los Angeles Medical Group |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.608820785051 |
39.1230674559984 |
10261 |
Ritchey, Erin |
1407036932 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
334 Samuel Dr |
Yuba City |
Sutter |
95991 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.1230674563 |
-121.608820785 |
| -117.920232595658 |
33.7475374369033 |
10272 |
NGUYEN, HUONG |
1407053390 |
Dentist |
UNKNOWN |
316 N Harbor Blvd |
Santa Ana |
Orange |
92703 |
California |
2018 |
2019 |
2 |
MU |
HUONG THIEN DDS NGUYEN |
1407053390 |
29750 |
8500 |
33.7475374366 |
-117.920232596 |
| -118.213622999802 |
33.9551909998648 |
10274 |
Coppen, Ann Marie |
1407050867 |
Nurse Practitioner |
UNKNOWN |
3175 E Firestone Blvd |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CARE MED MULTI |
1861418576 |
21250 |
21250 |
33.955191 |
-118.213623 |
| -118.306952999581 |
34.0623180000757 |
10282 |
Pelayo, Juan |
1407068463 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -120.740132151577 |
38.3845988219781 |
10294 |
Trusnovic, William |
1407105695 |
Physician |
UNKNOWN |
12140 New York Ranch Rd |
Jackson |
Amador |
95642 |
California |
2014 |
2014 |
1 |
AIU |
HEALTH BOARD, INC MACT |
1366519431 |
21250 |
21250 |
38.3845988223 |
-120.740132152 |
| -121.940302499661 |
37.3266449995671 |
10300 |
Casper, Sarah |
1407119498 |
Physician |
UNKNOWN |
455 OConnor Dr, suite 240 |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -122.526586758972 |
37.9411629879816 |
10302 |
Engellau, Diana |
1407121908 |
Nurse Practitioner |
UNKNOWN |
490 Riviera Cir |
Larkspur |
Marin |
94939 |
California |
2011 |
2013 |
1 |
AIU |
HEALTH CENTER RITTER |
1194765917 |
21250 |
21250 |
37.9411629883 |
-122.526586759 |
| -122.047352999941 |
38.2610944901187 |
10304 |
Gallegos, Julian |
1407120082 |
Nurse Practitioner |
UNKNOWN |
1200 B Gale Wilson Blvd |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
46750 |
8500 |
38.2610944902 |
-122.047353 |
| -121.769568889193 |
38.5631938354272 |
10305 |
Jones, Krista |
1407128259 |
Certified Nurse - Midwife |
UNKNOWN |
2051 John Jones Rd |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
55250 |
8500 |
38.5631938352 |
-121.769568889 |
| -121.828447588985 |
37.3773539107544 |
10315 |
Yang, Inphing |
1407167554 |
Dentist |
UNKNOWN |
242 La Pala Drive |
San Jose |
Santa Clara |
95127 |
California |
2020 |
2020 |
5 |
MU |
HEALTH CENTER TRI-CITY |
1780054379 |
55250 |
8500 |
37.3773539109 |
-121.828447589 |
| -121.977238187592 |
37.5484010455718 |
10317 |
Baldocchi, Hillary |
1407171705 |
Nurse Practitioner |
UNKNOWN |
39500 Liberty St |
Fremont |
Alameda |
94538 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER TRI-CITY |
1942387188 |
38250 |
8500 |
37.5484010458 |
-121.977238188 |
| -118.306952999581 |
34.0623180000757 |
10325 |
Baron Nelson, Mary |
1407178775 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -119.042168222785 |
36.0512835430011 |
10326 |
Dowd, Vanessa |
1407179153 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
55250 |
8500 |
36.0512835428 |
-119.042168223 |
| -118.306952999581 |
34.0623180000757 |
10330 |
Mirzaian, Christine |
1407196140 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.298687104226 |
34.0966627016224 |
10342 |
Nguyen, Emily |
1407235625 |
Physician |
UNKNOWN |
250 S. G St, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -120.721464839331 |
35.5525749120026 |
10362 |
Fairburn, Christopher |
1407804206 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
325 Posada Lane |
Templeton |
San Luis Obispo |
93465 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.5525749117 |
-120.721464839 |
| -121.47911549998 |
38.576330999676 |
10364 |
Raghuraman, Karthik |
1407809015 |
Dentist |
UNKNOWN |
2020 J st. |
sacramento |
Sacramento |
95811 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
63750 |
8500 |
38.576331 |
-121.4791155 |
| -118.27391808685 |
34.0286791746043 |
10368 |
Scaduto, Anthony |
1407815434 |
Physician |
ORTHOPEDIC SURGERY |
2400 S. Flower St. |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2014 |
3 |
MU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
38250 |
8500 |
34.0286791754 |
-118.273918087 |
| -122.646489753 |
41.7186503676204 |
10384 |
DeRouchey, Louis |
1407850498 |
Physician |
FAMILY PRACTICE |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2014 |
2015 |
3 |
MU |
HOSP SISKIYOU |
1093892275 |
38250 |
8500 |
41.7186503677 |
-122.646489753 |
| -121.55149361274 |
39.0972587433964 |
10404 |
Grey, Indira |
1407875487 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
4941 Olivehurst Ave |
Olivehurst |
Yuba |
95961 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.0972587427 |
-121.551493613 |
| -121.446589500105 |
38.5497450003315 |
10414 |
Herman, Kristin |
1407878796 |
Physician |
UNKNOWN |
2825 50th St. |
Sacramento |
Sacramento |
95817 |
California |
2016 |
2017 |
4 |
MU |
HEMOC REGENTS/UCDPBG/PED |
1356334452 |
39667 |
8500 |
38.549745 |
-121.4465895 |
| -118.280430497769 |
34.0727231525515 |
10415 |
Strodtbeck, Susan |
1407886393 |
Physician |
UNKNOWN |
150 North Reno Street |
Los Angeles |
Los Angeles |
90026 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
21250 |
21250 |
34.0727231529 |
-118.280430498 |
| -117.086351014188 |
33.1300120786945 |
10419 |
Cerda, Gabrielle |
1407887748 |
Physician |
PSYCHIATRY |
125 W Mission Ave, Suite 103 |
Escondido |
San Diego |
92025 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH SYSTEMS, INC MENTAL |
1760431670 |
21250 |
21250 |
33.1300120785 |
-117.086351014 |
| -118.282691018376 |
33.9996060003167 |
10444 |
savage, arnold |
1407924046 |
Physician |
INTERNAL MEDICINE |
4760 S Figueroa St |
Los Angeles |
Los Angeles |
90037 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CARE WESTERN |
1902906068 |
29750 |
8500 |
33.999606 |
-118.282691018 |
| -121.769568889193 |
38.5631938354272 |
10445 |
Kim, haejin |
1407927908 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2051 John Jones Rd |
Davis |
Yolo |
95617 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
46750 |
8500 |
38.5631938352 |
-121.769568889 |
| -121.777841140256 |
37.2318480040822 |
10457 |
Williams, Rebecca |
1407942139 |
Nurse Practitioner |
UNKNOWN |
6840 Via Del Oro, 210 |
San Jose |
Santa Clara |
95119 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
38250 |
8500 |
37.2318480037 |
-121.77784114 |
| -118.246191531314 |
33.9426899692667 |
10462 |
Seamster, Roderick |
1407951551 |
Physician |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -122.13664674705 |
41.2521636667199 |
10467 |
Hentrich, Denis |
1407954100 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
116 W. Minnesota Avenue |
McCloud |
Siskiyou |
96057 |
California |
2017 |
2018 |
2 |
MU |
HEALTHCARE CLINIC MCCLOUD |
1164428488 |
29750 |
8500 |
41.2521636666 |
-122.136646747 |
| -119.424323611346 |
36.3520902351763 |
10475 |
Bartel, Patricia |
1407965478 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
30979 Road 67 |
Goshen |
Tulare |
93227 |
California |
2015 |
2016 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
29750 |
8500 |
36.3520902351 |
-119.424323611 |
| -122.271160359963 |
37.7995061221099 |
10482 |
Chiang, Guei Mei |
1407981798 |
Dentist |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2011 |
2013 |
1 |
AIU |
HEALTH SVS ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -117.971028000042 |
33.9397944949201 |
10490 |
RAMKUMAR, HAMSA |
1407994551 |
Physician |
UNKNOWN |
2250 W Whittier Blvd Ste 100 |
LA Habra |
Orange |
90631 |
California |
2019 |
2020 |
6 |
MU |
HAMSA MD INC RAMKUMAR |
1407994551 |
63750 |
8500 |
33.9397944951 |
-117.971028 |
| -120.498999995353 |
35.0266083603876 |
10508 |
GALVEZ, CONNIE |
1417009671 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.187848176352 |
33.9730571996301 |
10521 |
ross, soraya |
1417028192 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
6901 Atlantic Ave |
Bell |
Los Angeles |
90201 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
63750 |
8500 |
33.9730572 |
-118.187848176 |
| -122.046216318029 |
38.261036358841 |
10530 |
Pena, Cynthia |
1417031717 |
Physician |
ANESTHESIOLOGY |
1101 B. Gale Wilson Blvd |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.2610363594 |
-122.046216318 |
| -121.098758861632 |
38.9348505096434 |
10536 |
Conroy, James |
1417035114 |
Physician |
UNKNOWN |
11670 Atwood Road |
Auburn |
Placer |
95603 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -118.43762955516 |
34.0505314044008 |
10537 |
Sheibani, Malek |
1417036369 |
Physician |
UROLOGY |
1762 Westwood Blvd, Suite 300 |
Los Angeles |
Los Angeles |
90024 |
California |
2012 |
2013 |
2 |
MU |
HEALTHCARE INTEGRATED |
1801805056 |
29750 |
8500 |
34.0505314036 |
-118.437629555 |
| -122.452949027875 |
37.7730257337507 |
10544 |
Perlite, Thomas |
1417048174 |
Physician |
GYNECOLOGICAL ONCOLOGY |
2235 HAYES ST 5TH FLOOR |
San Francisco |
San Francisco |
94117 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE WEST CATHOLIC |
1780727792 |
21250 |
21250 |
37.7730257341 |
-122.452949028 |
| -122.271160359963 |
37.7995061221099 |
10558 |
Chen, Ann |
1417065020 |
Dentist |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -121.913647032185 |
37.3017600004237 |
10568 |
Joshi, Jasmeen |
1417082777 |
Dentist |
UNKNOWN |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1164643862 |
21250 |
21250 |
37.30176 |
-121.913647032 |
| -122.659945408554 |
38.2688718730386 |
10570 |
Hameed, Fasih |
1417083031 |
Physician |
FAMILY PRACTICE |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2016 |
2017 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -122.267252075423 |
37.8373378810384 |
10574 |
Burton, Rhonda |
1417084328 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -122.833730645353 |
38.9775920408401 |
10590 |
MENTGES, EUNICE |
1417093055 |
Nurse Practitioner |
UNKNOWN |
5290 State St |
Kelseyville |
Lake |
95451 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
46750 |
8500 |
38.9775920411 |
-122.833730645 |
| -122.646489753 |
41.7186503676204 |
10618 |
Thomas, Nicole |
1417145798 |
Physician |
GENERAL SURGERY |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2013 |
2014 |
2 |
MU |
HOSP SISKIYOU |
1093892275 |
29750 |
8500 |
41.7186503677 |
-122.646489753 |
| -119.264546657202 |
35.4951170403192 |
10624 |
Ayad, Amira |
1417150715 |
Physician |
FAMILY PRACTICE |
655 S. Central Valley Hwy |
Shafter |
Kern |
93263 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS, INC NATIONAL |
1366463085 |
21250 |
21250 |
35.4951170396 |
-119.264546657 |
| -119.297551500202 |
36.3529349998504 |
10638 |
Lin, Nicholas |
1417168998 |
Physician |
UNKNOWN |
Visalia Health Care Center, 2611 N. Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
55250 |
8500 |
36.352935 |
-119.2975515 |
| -122.267731525589 |
37.8373514428149 |
10646 |
Jagodzinski, Jason |
1417188061 |
Physician |
UNKNOWN |
744 52nd St, OPC 1st Floor, Orthopaedics Clinic |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373514427 |
-122.267731526 |
| -118.306952999581 |
34.0623180000757 |
10658 |
Zelaya, Jami |
1417222027 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.913647032185 |
37.3017600004237 |
10668 |
Saberon, Charlene |
1417247743 |
Nurse Practitioner |
UNKNOWN |
1333 Meridian Avenue |
San Jose |
Santa Clara |
95125 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
29750 |
8500 |
37.30176 |
-121.913647032 |
| -120.06032040856 |
36.7286722489252 |
10672 |
Dominguez, Ronald |
1417257452 |
Physician |
UNKNOWN |
449 South Madera Ave |
Kerman |
Fresno |
93630 |
California |
2016 |
2017 |
3 |
MU |
HEALTH TEAM, INC VALLEY |
1962567388 |
38250 |
8500 |
36.7286722491 |
-120.060320409 |
| -122.052187649141 |
38.2758300032521 |
10688 |
More, Patricia |
1417296708 |
Nurse Practitioner |
UNKNOWN |
2458 Hilborn Rd |
Fairfield |
Solano |
94534 |
California |
2019 |
2020 |
6 |
MU |
HEALTHCARE GROUP NORTHBAY |
1780736736 |
63750 |
8500 |
38.2758300025 |
-122.052187649 |
| -117.298687104226 |
34.0966627016224 |
10704 |
Caballes, Marissa |
1417334467 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.113485500156 |
32.7150374537156 |
10709 |
LUSCHE, DAVID |
1417389644 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
823 GATEWAY CENTER WAY |
San Diego |
San Diego |
92102 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -121.769568889193 |
38.5631938354272 |
10716 |
Edge, Isabel |
1417396326 |
Physician |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
29750 |
8500 |
38.5631938352 |
-121.769568889 |
| -117.071512870423 |
33.1291137414061 |
10724 |
Tsai-Tulagan, Bertha |
1417914268 |
Physician |
PEDIATRIC MEDICINE |
426 N. Date St |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1265618185 |
21250 |
21250 |
33.1291137408 |
-117.07151287 |
| -120.498999995353 |
35.0266083603876 |
10728 |
GAWLIK, JOHN |
1417927096 |
Dentist |
UNKNOWN |
150 Tejas Pl, Suite 150 |
Nipomo |
San Luis Obispo |
93444 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -121.819527654278 |
37.3566314686674 |
10729 |
Sheidaei, Noushin |
1417392879 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1066 South White Street, St 170 |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
38250 |
8500 |
37.3566314689 |
-121.819527654 |
| -120.625581861214 |
40.4381384658176 |
10752 |
Brown, Dean |
1417960352 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
63750 |
8500 |
40.4381384662 |
-120.625581861 |
| -121.977238187592 |
37.5484010455718 |
10756 |
Ramos-Scott, Chereamie |
1417966870 |
Nurse Practitioner |
NURSE PRACTITIONER |
39500 Liberty Street, Tri-City Health Center |
Fremont |
Alameda |
94538 |
California |
2018 |
2019 |
4 |
MU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
46750 |
8500 |
37.5484010458 |
-121.977238188 |
| -122.267252075423 |
37.8373378810384 |
10768 |
Lee, Brian |
1417987033 |
Physician |
INFECTIOUS DISEASE |
747 52nd St, Division of Infectious Diseases |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -121.977238187592 |
37.5484010455718 |
10770 |
CARPIO, FRANCISCO |
1417991407 |
Physician |
PEDIATRIC MEDICINE |
39500 Liberty St, Tri City Health Center |
Fremont |
Alameda |
94538 |
California |
2014 |
2015 |
3 |
MU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
38250 |
8500 |
37.5484010458 |
-121.977238188 |
| -117.071512870423 |
33.1291137414061 |
10796 |
O'NEILL, THERESE |
1427065762 |
Certified Nurse - Midwife |
UNKNOWN |
426 N Date Street |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1265618185 |
38250 |
8500 |
33.1291137408 |
-117.07151287 |
| -122.292192420644 |
38.3212564181492 |
10815 |
Wishart, Kathleen |
1427084011 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
46750 |
8500 |
38.3212564177 |
-122.292192421 |
| -117.866853000166 |
33.7811759997726 |
10816 |
Tirakitsoontorn, Pornchai |
1427085810 |
Physician |
PEDIATRIC MEDICINE |
455 S. Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -118.042403059354 |
34.0668916417359 |
10898 |
Khalatian, Maria |
1427191055 |
Physician |
UNKNOWN |
3228 Santa Anita Ave |
El Monte |
Los Angeles |
91733 |
California |
2013 |
2014 |
2 |
MU |
HEALTH MEDICAL PRIME |
1538256193 |
29750 |
8500 |
34.0668916424 |
-118.042403059 |
| -121.85994213662 |
37.2416247570769 |
10923 |
Ennen, Rebecca |
1427235811 |
Nurse Practitioner |
UNKNOWN |
5671 Santa Teresa Blvd, Suite 105 |
San Jose |
Santa Clara |
95123 |
California |
2015 |
2016 |
3 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
38250 |
8500 |
37.2416247574 |
-121.859942137 |
| -122.292192420644 |
38.3212564181492 |
10956 |
Samuel, Georgina |
1427296292 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
5 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
55250 |
8500 |
38.3212564177 |
-122.292192421 |
| -119.042168222785 |
36.0512835430011 |
10969 |
Perez, Marilyn |
1427334424 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2014 |
2015 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
38250 |
8500 |
36.0512835428 |
-119.042168223 |
| -117.113485500156 |
32.7150374537156 |
10982 |
Antalan, Tessa |
1427346758 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS OF SAN FAMILY |
1700821303 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -118.280430497769 |
34.0727231525515 |
10992 |
Aung, Moe |
1427370618 |
Physician |
UNKNOWN |
150 North Reno Street |
Los Angeles |
Los Angeles |
90026 |
California |
2020 |
2020 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
42500 |
8500 |
34.0727231529 |
-118.280430498 |
| -119.650117579163 |
36.3270237618372 |
10994 |
Sidhu, Paramvir |
1427373315 |
Physician |
UNKNOWN |
329 W. 8th St., Suite 101 |
Hanford |
Kings |
93230 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
46750 |
8500 |
36.3270237616 |
-119.650117579 |
| -121.769568889193 |
38.5631938354272 |
10998 |
Chen, Mei-Lin |
1427375666 |
Physician |
FAMILY PRACTICE |
2051 John Jones Rd |
Davis |
Yolo |
95616 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558366823 |
21250 |
21250 |
38.5631938352 |
-121.769568889 |
| -121.952709777734 |
38.3644974795751 |
11000 |
Katzaroff, Michelle |
1427382233 |
Physician |
INTERNAL MEDICINE |
421 Nut Tree Rd |
Vacaville |
Solano |
95687 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
46750 |
8500 |
38.3644974804 |
-121.952709778 |
| -118.150795976753 |
34.1778106936086 |
11011 |
Anyikam, Claribell |
1427399583 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.1778106939 |
-118.150795977 |
| -121.847419519595 |
37.3652603243046 |
11017 |
Lee, Bryant |
1427432756 |
Dentist |
UNKNOWN |
2380 Montpelier Drive, suite 200 & 400 |
San Jose |
Santa Clara |
95116 |
California |
2020 |
2020 |
5 |
MU |
HEALTH CENTER TRI-CITY |
1780054379 |
55250 |
8500 |
37.3652603239 |
-121.84741952 |
| -117.885485449294 |
33.7108181339498 |
11023 |
Tang, Cheryl |
1427452416 |
Nurse Practitioner |
UNKNOWN |
2720 S Bristol St Suite 110 |
Santa Ana |
Orange |
92704 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SERVICES ALTAMED |
1760651814 |
29750 |
8500 |
33.7108181339 |
-117.885485449 |
| -121.819527654278 |
37.3566314686674 |
11026 |
Rocha, Sheri |
1427409192 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1066 South White Street |
San Jose |
Santa Clara |
95127 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
29750 |
8500 |
37.3566314689 |
-121.819527654 |
| -122.292192420644 |
38.3212564181492 |
11033 |
Brady, Tamara |
1427474949 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -121.456624499721 |
38.5712370003873 |
11041 |
Goodenow, Todd |
1427495167 |
Physician |
UNKNOWN |
3701 J street, Suite 201 |
Sacramento |
Sacramento |
95816 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
38250 |
8500 |
38.571237 |
-121.4566245 |
| -119.572149938869 |
36.7068147769804 |
11043 |
Aulakh, Bobby |
1427494061 |
Physician |
UNKNOWN |
2502 E Jenson Ave |
Sanger |
Fresno |
93657 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS OF UNITED |
1992787444 |
38250 |
8500 |
36.7068147766 |
-119.572149939 |
| -120.625581861214 |
40.4381384658176 |
11054 |
Natali, Vincent |
1437117447 |
Physician |
UNKNOWN |
1850 Spring Ridge Drive |
Susanville |
Lassen |
96130 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
29750 |
8500 |
40.4381384662 |
-120.625581861 |
| -122.646489753 |
41.7186503676204 |
11062 |
Eastman, Wilfred |
1437129939 |
Physician |
ORTHOPEDIC SURGERY |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2014 |
2015 |
3 |
MU |
HOSP SISKIYOU |
1093892275 |
38250 |
8500 |
41.7186503677 |
-122.646489753 |
| -120.625581861214 |
40.4381384658176 |
11073 |
Carlton, Samuel |
1437156866 |
Physician |
UNKNOWN |
1850 Spring Ridge Drive |
Susanville |
Lassen |
96130 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
63750 |
8500 |
40.4381384662 |
-120.625581861 |
| -122.62766813058 |
38.9499316736079 |
11077 |
Valdivia, Elsa |
1437165479 |
Physician |
UNKNOWN |
15230 Lakeshore Dr |
Clearlake |
Lake |
95422 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
46750 |
8500 |
38.9499316736 |
-122.627668131 |
| -118.329789269359 |
34.0979749635737 |
11078 |
Cheung, Clement |
1437165826 |
Physician |
UNKNOWN |
6430 Sunset Blvd; Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -120.498999995353 |
35.0266083603876 |
11084 |
Ganpule, Sanjay |
1437173085 |
Physician |
INTERNAL MEDICINE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -122.439591000025 |
37.7160389998 |
11091 |
Huie, Victor |
1437181617 |
Physician |
INTERNAL MEDICINE |
888 Paris Street #202, Excelsior Health Services |
San Francisco |
San Francisco |
94112 |
California |
2016 |
2017 |
6 |
MU |
HOSPITAL'S CHINESE |
1164458402 |
63750 |
8500 |
37.716039 |
-122.439591 |
| -117.866853000166 |
33.7811759997726 |
11124 |
LEBEL, SYLVIE |
1437221058 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL OF CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -117.146546412287 |
32.7016590679117 |
11125 |
Alegria, Marco |
1437224466 |
Dentist |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -121.52703443719 |
38.5881220371024 |
11133 |
WARDEN, KIMBERLY |
1437238953 |
Nurse Practitioner |
UNKNOWN |
500B Jefferson Blvd #180 |
West Sacramento |
UNKNOWN |
95605 |
California |
2017 |
2018 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1710087515 |
46750 |
8500 |
38.5881220371 |
-121.527034437 |
| -121.769568889193 |
38.5631938354272 |
11135 |
LUNDEN, LORRAINE |
1437238920 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2016 |
2017 |
6 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
63750 |
8500 |
38.5631938352 |
-121.769568889 |
| -118.251863999724 |
34.1462905170937 |
11147 |
Avanesian, Hamlet |
1437260080 |
Dentist |
UNKNOWN |
316 E Broadway, Suite A |
Glendale |
Los Angeles |
91205 |
California |
2016 |
2017 |
1 |
AIU |
Hamlet S. Avanesian |
1437260080 |
21250 |
21250 |
34.1462905168 |
-118.251864 |
| -122.003008739262 |
39.207665777054 |
11148 |
De Silva, Leanne |
1437260619 |
Nurse Practitioner |
UNKNOWN |
717 Bridge St |
Colusa |
Colusa |
95932 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLEARLAKE ADVENTIST |
1124018031 |
21250 |
21250 |
39.2076657768 |
-122.003008739 |
| -121.913647032185 |
37.3017600004237 |
11164 |
Campbell, Susan |
1437284775 |
Physician |
UNKNOWN |
1333 MERIDIAN AVE |
SAN JOSE |
Santa Clara |
95125 |
California |
2019 |
2020 |
6 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
63750 |
8500 |
37.30176 |
-121.913647032 |
| -120.625581861214 |
40.4381384658176 |
11170 |
Giddings, Charles |
1437287273 |
Dentist |
UNKNOWN |
1850 Spring Ridge Drive |
Susanville |
Lassen |
96130 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTR NORTHEASTERN |
1477563518 |
21250 |
21250 |
40.4381384662 |
-120.625581861 |
| -118.187848176352 |
33.9730571996301 |
11178 |
Amin, Ajaykumar |
1437302007 |
Physician |
UNKNOWN |
6901 S Atlantic Ave |
Bell |
Los Angeles |
90201 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
63750 |
8500 |
33.9730572 |
-118.187848176 |
| -121.319898809083 |
37.9844147243601 |
11182 |
Kazmi, Syed |
1437310273 |
Physician |
UNKNOWN |
4422 N Pershing Ave |
Stockton |
San Joaquin |
95207 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.9844147236 |
-121.319898809 |
| -122.049873972306 |
38.2620150001922 |
11183 |
Marengo, Jason |
1437311974 |
Physician |
PLASTIC AND RECONSTRUCTIVE SURGERY |
1860 Pennsylvania Ave |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.262015 |
-122.049873972 |
| -121.829149767947 |
37.3651956189827 |
11190 |
Min-Tun, Michael |
1437325941 |
Dentist |
UNKNOWN |
3030 ALUM ROCK AVE |
San Jose |
Santa Clara |
95127 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1558491043 |
21250 |
21250 |
37.3651956189 |
-121.829149768 |
| -122.460389999599 |
37.7246429999745 |
11198 |
filman, myrna |
1437345394 |
Nurse Practitioner |
UNKNOWN |
1701 Ocean Ave |
San Francisco |
San Francisco |
94112 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
38250 |
8500 |
37.724643 |
-122.46039 |
| -119.977181164679 |
37.5009891560248 |
11200 |
Sahasakmontri, Panida |
1437345311 |
Dentist |
UNKNOWN |
5192 Hospital Road |
Mariposa |
Mariposa |
95338 |
California |
2013 |
2014 |
2 |
MU |
HEALTH BOARD, INC MACT |
1366519431 |
29750 |
8500 |
37.5009891562 |
-119.977181165 |
| -117.907672501185 |
33.6195589248046 |
11204 |
MOHAN, UTHARA |
1437352556 |
Physician |
UNKNOWN |
601 Dover Dr, SUITE 2 |
Newport Beach |
Orange |
92663 |
California |
2020 |
2020 |
5 |
MU |
HARBOR CARDIOLOGY NEWPORT |
1952692782 |
55250 |
8500 |
33.6195589248 |
-117.907672501 |
| -120.498999995353 |
35.0266083603876 |
11207 |
Coleman, Diana |
1437354768 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.931844043068 |
37.3128740632874 |
11226 |
Bymaster, Angela |
1437392263 |
Physician |
UNKNOWN |
751 S BASCOM AVENUE, 210 |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
63750 |
8500 |
37.3128740633 |
-121.931844043 |
| -118.306952999581 |
34.0623180000757 |
11228 |
Su, Jennifer |
1437391901 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600 |
Los Angeles |
UNKNOWN |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.292192420644 |
38.3212564181492 |
11234 |
Wyborny, Tessa |
1437410966 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -117.068053499569 |
33.1260569997308 |
11270 |
Konyn, Catherine |
1437488160 |
Nurse Practitioner |
UNKNOWN |
1001 E Grand Ave |
Escondido |
San Diego |
92025 |
California |
2017 |
2018 |
4 |
MU |
HEALTHCARE NEIGHBORHOOD |
1487826772 |
46750 |
8500 |
33.126057 |
-117.0680535 |
| -119.650117579163 |
36.3270237618372 |
11273 |
Schuck, Katelyn |
1437496486 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
329 W 8th St, Suite 101 |
Hanford |
Kings |
93230 |
California |
2016 |
2017 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
38250 |
8500 |
36.3270237616 |
-119.650117579 |
| -122.659945408554 |
38.2688718730386 |
11282 |
Williams, Lauren |
1437563624 |
Physician |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
46750 |
8500 |
38.2688718726 |
-122.659945409 |
| -117.94732640439 |
34.0601917932167 |
11295 |
Sharma, Dhruv |
1437603966 |
Physician |
UNKNOWN |
1300 S Sunset Ave |
West Covina |
Los Angeles |
91790 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1730481318 |
38250 |
8500 |
34.0601917926 |
-117.947326404 |
| -117.946313999791 |
33.8324215409214 |
11305 |
Arano, Silverio |
1447229851 |
Physician |
UNKNOWN |
1814 West Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2020 |
2020 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1063659985 |
63750 |
8500 |
33.8324215409 |
-117.946314 |
| -120.045810184592 |
36.94541455204 |
11311 |
Brunn, Karl |
1447243803 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1210 E Almond Ave |
Madera |
Madera |
93637 |
California |
2012 |
2013 |
2 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
29750 |
8500 |
36.9454145522 |
-120.045810185 |
| -118.290205477301 |
34.0955859100617 |
11319 |
Burger, Harold |
1447251681 |
Physician |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
38250 |
8500 |
34.0955859098 |
-118.290205477 |
| -121.973969142962 |
38.5199856172425 |
11320 |
Heard, Carl |
1447262316 |
Physician |
FAMILY PRACTICE |
310 Main St |
Winters |
Yolo |
95694 |
California |
2013 |
2014 |
1 |
AIU |
HEATHCARE FNDTN WINTERS |
1992736086 |
21250 |
21250 |
38.5199856167 |
-121.973969143 |
| -117.072893103134 |
33.1284570942196 |
11327 |
Bravo, Andres |
1447273594 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
460 N Elm St |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
46750 |
8500 |
33.1284570937 |
-117.072893103 |
| -122.26118746393 |
37.8386955479612 |
11341 |
Tinajero-Deck, Lydia |
1447287222 |
Physician |
UNKNOWN |
5220 Claremont Ave |
Oakland |
Alameda |
94618 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8386955484 |
-122.261187464 |
| -118.095628711596 |
33.9679898013883 |
11366 |
Perez-Rodriguez, Carlos |
1447332432 |
Physician |
UNKNOWN |
9436 Slauson Ave |
Pico Rivera |
Los Angeles |
90660 |
California |
2020 |
2020 |
6 |
MU |
HEALTH SERVICES ALTAMED |
1710191283 |
63750 |
8500 |
33.9679898013 |
-118.095628712 |
| -117.885485449294 |
33.7108181339498 |
11375 |
Bright, Maria |
1447336276 |
Nurse Practitioner |
UNKNOWN |
2720 S. Bristol St. Ste 110 |
Santa Ana |
Orange |
92704 |
California |
2016 |
2017 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1760651814 |
38250 |
8500 |
33.7108181339 |
-117.885485449 |
| -121.481662499625 |
38.5768799998122 |
11381 |
Fa, Christina |
1447347968 |
Physician |
UNKNOWN |
1820 J ST |
Sacramento |
Sacramento |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -117.946795500412 |
33.8324204932113 |
11385 |
Maldonado, Donald |
1447349014 |
Physician |
UNKNOWN |
1820 W Lincoln Avenue |
Anaheim |
Orange |
92801 |
California |
2016 |
2017 |
5 |
MU |
HEALTH SERVICES CORP ALTAMED |
1235376047 |
55250 |
8500 |
33.8324204929 |
-117.9467955 |
| -117.946795500412 |
33.8324204932113 |
11389 |
So, Norma |
1447349923 |
Physician |
UNKNOWN |
1820 W Lincoln Avenue |
Anaheim |
UNKNOWN |
92601 |
California |
2013 |
2014 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1235376047 |
38250 |
8500 |
33.8324204929 |
-117.9467955 |
| -119.521534499617 |
36.6049529997812 |
11392 |
Yee, Ron |
1447358007 |
Physician |
FAMILY PRACTICE |
650 S Zediker Ave |
Parlier |
Fresno |
93648 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTERS- UNITED |
1801878350 |
29750 |
8500 |
36.604953 |
-119.5215345 |
| -117.249866999562 |
33.3689129998351 |
11403 |
Larcher-Rowland, Karen |
1447369244 |
Nurse Practitioner |
UNKNOWN |
1328 S Mission Rd |
Fallbrook |
San Diego |
92028 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SYSTEMS INC COMMUNITY |
1982756086 |
21250 |
21250 |
33.368913 |
-117.249867 |
| -122.267252075423 |
37.8373378810384 |
11405 |
Birnbaum, Daniel |
1447368410 |
Physician |
UNKNOWN |
747 52nd St, Department of Neurology |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.288677500166 |
36.3322530002758 |
11407 |
Baron, Norman |
1447378682 |
Physician |
UNKNOWN |
400 E. Oak Avenue |
Visalia |
Tulare |
93291 |
California |
2015 |
2016 |
1 |
MU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -117.267223499565 |
33.9159869996004 |
11424 |
Uy, Girlie |
1447412762 |
Dentist |
UNKNOWN |
22675 Alessandro BLVD |
Moreno Valley |
Riverside |
92553 |
California |
2016 |
2017 |
1 |
AIU |
HLTH SYSTEMS INC COMM |
1679749501 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -119.572149938869 |
36.7068147769804 |
11442 |
LE, CHI |
1447448253 |
Physician |
UNKNOWN |
2502 E Jensen Ave |
Sanger |
Fresno |
93657 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS OF UNITED |
1992787444 |
55250 |
8500 |
36.7068147766 |
-119.572149939 |
| -117.125858514958 |
32.7011896748637 |
11447 |
Celestin-Ramsey, Akanke |
1447450275 |
Nurse Practitioner |
UNKNOWN |
3177 Ocean View Blvd |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
4 |
MU |
HEALTH CENTER- COMPREHENSIVE |
1326225632 |
46750 |
8500 |
32.701189675 |
-117.125858515 |
| -122.267252075423 |
37.8373378810384 |
11453 |
Butensky, Ellen |
1447463229 |
Nurse Practitioner |
UNKNOWN |
747 52nd Street, OPC 1st Floor |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.081238499657 |
32.6425949998594 |
11460 |
THIRUNAGARI, HARRSHA |
1447472212 |
Physician |
UNKNOWN |
251 Landis Avenue |
Chula Vista |
San Diego |
91910 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTERS OF FAMILY |
1346480837 |
29750 |
8500 |
32.642595 |
-117.0812385 |
| -120.740132151577 |
38.3845988219781 |
11463 |
Watson, Matthew |
1447468210 |
Physician |
INTERNAL MEDICINE |
12140 New York Ranch Road |
Jackson |
Amador |
95642 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH BOARD, INC MACT |
1366519431 |
21250 |
21250 |
38.3845988223 |
-120.740132152 |
| -116.95219952229 |
32.8004502871511 |
11471 |
Tessema, Sinafikish |
1447501507 |
Nurse Practitioner |
UNKNOWN |
855 E. Madison Ave |
El Cajon |
San Diego |
92020 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
21250 |
21250 |
32.8004502867 |
-116.952199522 |
| -121.098758861632 |
38.9348505096434 |
11484 |
Catinari Shakked, Sara |
1447540216 |
Physician |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -120.498999995353 |
35.0266083603876 |
11485 |
Christopher, Shannon |
1447542642 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -119.042168222785 |
36.0512835430011 |
11490 |
Detubio, Maria Carmela |
1447548458 |
Physician |
UNKNOWN |
1107 W. Poplar |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
29750 |
8500 |
36.0512835428 |
-119.042168223 |
| -117.146546412287 |
32.7016590679117 |
11495 |
Patel, Shreya |
1447468137 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -118.306952999581 |
34.0623180000757 |
11497 |
Rangan, Kasey |
1447573167 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -119.291498831706 |
36.5303014971165 |
11505 |
Ribakoff, Jacob |
1447587605 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
12586 Ave. 408 |
Orosi |
Tulare |
93647 |
California |
2013 |
2014 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
38250 |
8500 |
36.5303014971 |
-119.291498832 |
| -117.146546412287 |
32.7016590679117 |
11515 |
Garcia, DeAna |
1447567995 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.298687104226 |
34.0966627016224 |
11526 |
Semenova, Yelena |
1447670260 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
11528 |
Smits, Jonathan |
1447679667 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.647641434405 |
36.3243824628804 |
11544 |
CRYNS, DAVID |
1457311813 |
Physician |
UNKNOWN |
250 West 5th Street |
Hanford |
Kings |
93230 |
California |
2017 |
2018 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
63750 |
8500 |
36.3243824628 |
-119.647641434 |
| -117.751073666616 |
34.0965576590088 |
11547 |
Hollenberg, Sandra |
1457322430 |
Physician |
UNKNOWN |
250 W Bonita Ave, #200 |
Pomona |
Los Angeles |
91767 |
California |
2017 |
2018 |
4 |
MU |
HOLLEMBERG, AGRAWAL LAUPPE |
1366447781 |
46750 |
8500 |
34.0965576594 |
-117.751073667 |
| -117.919760704293 |
33.7301460000379 |
11550 |
Nguyen, Hoang |
1457329179 |
Physician |
INTERNAL MEDICINE |
16040 Harbor Blvd, Ste. G |
Fountain Valley |
Orange |
92708 |
California |
2013 |
2014 |
3 |
MU |
HOANG T MD INC NGUYEN |
1457329179 |
38250 |
8500 |
33.730146 |
-117.919760704 |
| -116.959614428063 |
33.7493816109726 |
11567 |
Panse, Milind |
1457362394 |
Physician |
ORTHOPEDIC SURGERY |
1225 E Latham Ave, Suite A |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1184820987 |
21250 |
21250 |
33.7493816109 |
-116.959614428 |
| -119.042168222785 |
36.0512835430011 |
11583 |
Neal-Parker, Shirley |
1457381105 |
Physician |
UNKNOWN |
1107 W. Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
55250 |
8500 |
36.0512835428 |
-119.042168223 |
| -121.769568889193 |
38.5631938354272 |
11588 |
Rudell, Barbara |
1457386955 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
2051 John Jones Blvd. |
Davis |
Yolo |
95616 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558366823 |
21250 |
21250 |
38.5631938352 |
-121.769568889 |
| -119.288677500166 |
36.3322530002758 |
11589 |
Gordon, Tate |
1457386765 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -118.27391808685 |
34.0286791746043 |
11594 |
SILVA, MAURICIO |
1457391468 |
Physician |
ORTHOPEDIC SURGERY |
2400 S Flower St |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2014 |
3 |
MU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
38250 |
8500 |
34.0286791754 |
-118.273918087 |
| -118.145935171671 |
33.7882749053626 |
11625 |
Moore, Hezekiah |
1457444275 |
Physician |
UNKNOWN |
1703 Termino Ave Ste 204 |
Long Beach |
Los Angeles |
90804 |
California |
2016 |
2018 |
1 |
AIU |
HEZEKIAH MD MOORE |
1457444275 |
21250 |
21250 |
33.7882749045 |
-118.145935172 |
| -121.456646999859 |
38.5524089999754 |
11631 |
MALOGOLOWKIN, MARCIO |
1457451270 |
Physician |
UNKNOWN |
2516 Stockton Boulevard |
Sacramento |
Sacramento |
95817 |
California |
2018 |
2019 |
3 |
MU |
HEMOC REGENTS/UCDPBG/PED |
1356334452 |
38250 |
8500 |
38.552409 |
-121.456647 |
| -117.915163058828 |
33.7774180953688 |
11644 |
Perez, Leonardo |
1457459547 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
12751 Harbor Blvd |
Garden Grove |
Orange |
92840 |
California |
2016 |
2017 |
5 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
55250 |
8500 |
33.7774180952 |
-117.915163059 |
| -118.329789269359 |
34.0979749635737 |
11663 |
Holloway, Robert |
1457488587 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -117.075404495021 |
33.1234056688366 |
11666 |
Vishtell, Larissa |
1457496390 |
Nurse Practitioner |
UNKNOWN |
215 S. Hickory Ave #212 |
Escondido |
San Diego |
92025 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1720264641 |
38250 |
8500 |
33.1234056686 |
-117.075404495 |
| -117.071664499717 |
33.1292598686481 |
11680 |
Persaud, Pria |
1457528440 |
Physician |
UNKNOWN |
425 N Date St, #203 |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
29750 |
8500 |
33.1292598693 |
-117.0716645 |
| -121.913647032185 |
37.3017600004237 |
11684 |
Moody, parivash |
1457536518 |
Nurse Practitioner |
UNKNOWN |
1333 Meridian Avenue |
San Jose |
Santa Clara |
95125 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
46750 |
8500 |
37.30176 |
-121.913647032 |
| -121.881777946595 |
37.3216654237204 |
11692 |
Hart, Michael |
1457545147 |
Nurse Practitioner |
UNKNOWN |
100 Oak St |
San Jose |
Santa Clara |
95110 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
63750 |
8500 |
37.3216654235 |
-121.881777947 |
| -117.071512870423 |
33.1291137414061 |
11700 |
Wade-Kempiak, Kristen |
1457559668 |
Physician |
PEDIATRIC MEDICINE |
426 N Date St |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1265618185 |
21250 |
21250 |
33.1291137408 |
-117.07151287 |
| -117.125858514958 |
32.7011896748637 |
11708 |
Ortega, Lia |
1457577439 |
Dentist |
UNKNOWN |
3177 OCEAN VIEW BLVD |
SAN DIEGO |
San Diego |
92113 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTER- COMPREHENSIVE |
1326225632 |
21250 |
21250 |
32.701189675 |
-117.125858515 |
| -118.246191531314 |
33.9426899692667 |
11711 |
fletcher, brandi |
1457579989 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2015 |
2016 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -117.146546412287 |
32.7016590679117 |
11726 |
Babcock, Amanda |
1457612848 |
Physician |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -122.292192420644 |
38.3212564181492 |
11739 |
Radjindrin, Alamelou |
1457666703 |
Dentist |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
UNKNOWN |
95454 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
29750 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.659945408554 |
38.2688718730386 |
11745 |
Butts, Carmen |
1457671315 |
Physician |
UNKNOWN |
1179 N McDowell |
Petaluma |
Sonoma |
94954 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
46750 |
8500 |
38.2688718726 |
-122.659945409 |
| -118.306952999581 |
34.0623180000757 |
11747 |
Felix, Gladys |
1457677981 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.865599124 |
33.7803484876926 |
11753 |
Awan, Saeed-Ur-Rehman |
1457691685 |
Physician |
UNKNOWN |
1201 W La Veta Ave |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
HOSPITAL OF CHILDRENS |
1811080526 |
21250 |
21250 |
33.7803484883 |
-117.865599124 |
| -117.996641889811 |
33.7738698732961 |
11755 |
Nguyen, Mai Thao |
1457700296 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
7761 Garden Grove Blvd |
Garden Grove |
Orange |
92841 |
California |
2018 |
2018 |
2 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
29750 |
8500 |
33.7738698726 |
-117.99664189 |
| -121.934391291825 |
37.3271164871362 |
11758 |
Pope, Katherine |
1457717647 |
Physician |
UNKNOWN |
2039 Forest Ave, Suite 105 |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER INDIAN |
1629462312 |
38250 |
8500 |
37.3271164868 |
-121.934391292 |
| -120.054490451773 |
36.963929180987 |
11760 |
Henderson, Logan |
1457750770 |
Dentist |
UNKNOWN |
124 So. A Street |
Madera |
Madera |
93638 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9639291809 |
-120.054490452 |
| -118.329789269359 |
34.0979749635737 |
11767 |
Huang, Annie |
1457767147 |
Dentist |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -118.150795976753 |
34.1778106936086 |
11778 |
Gerges, Mickel |
1457794109 |
Dentist |
UNKNOWN |
1855 North Fair Oaks |
Pasadena |
UNKNOWN |
91103 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.1778106939 |
-118.150795977 |
| -122.271160359963 |
37.7995061221099 |
11782 |
Bui, Nhat |
1457807588 |
Nurse Practitioner |
UNKNOWN |
818 Webster street |
Oakland |
Alameda |
94607 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -118.150795976753 |
34.1778106936086 |
11784 |
Vaccarello, Nicole |
1457895476 |
Nurse Practitioner |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2020 |
2020 |
5 |
MU |
HEALTH COMMUNITY |
1871689315 |
55250 |
8500 |
34.1778106939 |
-118.150795977 |
| -117.298687104226 |
34.0966627016224 |
11785 |
Brown, Strater |
1457794919 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.071512870423 |
33.1291137414061 |
11786 |
Aguilar, Edita |
1467407411 |
Physician |
UNKNOWN |
426 N Date St |
Escondido |
San Diego |
92025 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1265618185 |
38250 |
8500 |
33.1291137408 |
-117.07151287 |
| -116.95219952229 |
32.8004502871511 |
11795 |
Held, Jerry |
1467412841 |
Physician |
FAMILY PRACTICE |
855 E Madison Ave |
El Cajon |
San Diego |
92020 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
46750 |
8500 |
32.8004502867 |
-116.952199522 |
| -118.085289259991 |
34.1421726770275 |
11796 |
Khubesrian, Marina |
1467406330 |
Physician |
UNKNOWN |
3160 East Del Mar Blvd, Suite 100 |
Pasadena |
Los Angeles |
91103 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH ALLIANCE OF COMMUNITY |
1720395874 |
21250 |
21250 |
34.1421726769 |
-118.08528926 |
| -121.046477281701 |
39.2318036446226 |
11800 |
Fasciano, James |
1467427443 |
Physician |
FAMILY PRACTICE |
1350 E Main St |
Grass Valley |
Nevada |
95945 |
California |
2013 |
2014 |
3 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
38250 |
8500 |
39.2318036454 |
-121.046477282 |
| -117.863549025867 |
33.7802805097378 |
11807 |
Gibbs, David |
1467432609 |
Physician |
PEDIATRIC MEDICINE |
1010 W La Veta Ave, SUITE 640 |
Orange |
UNKNOWN |
92868 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL OF CHILDRENS |
1811080526 |
21250 |
21250 |
33.7802805095 |
-117.863549026 |
| -121.828447588985 |
37.3773539107544 |
11809 |
Pham, Nicole |
1467442228 |
Dentist |
UNKNOWN |
242 La Pala Drive |
San Jose |
Santa Clara |
95127 |
California |
2020 |
2020 |
3 |
MU |
HEALTH CENTER TRI-CITY |
1780054379 |
38250 |
8500 |
37.3773539109 |
-121.828447589 |
| -117.075404495021 |
33.1234056688366 |
11838 |
Miller, Jean |
1467476473 |
Nurse Practitioner |
NURSE PRACTITIONER |
215 S. Hickory Ave #212 |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NEIGHBORHOOD |
1720264641 |
46750 |
8500 |
33.1234056686 |
-117.075404495 |
| -121.55149361274 |
39.0972587433964 |
11846 |
Tam, Perlita |
1467497768 |
Physician |
UNKNOWN |
4941 Olivehurst Ave |
Olivehurst |
Yuba |
95961 |
California |
2015 |
2017 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.0972587427 |
-121.551493613 |
| -117.988308000114 |
33.7050629998576 |
11848 |
Chang, Albert |
1467502328 |
Physician |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2014 |
2015 |
4 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
46750 |
8500 |
33.705063 |
-117.988308 |
| -120.498999995353 |
35.0266083603876 |
11855 |
Brassea, Veronica |
1467509729 |
Dentist |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.213622999802 |
33.9551909998648 |
11859 |
Bustos, Adelaida |
1467510040 |
Physician |
DIAGNOSTIC RADIOLOGY |
3175 E. FIRESTONE BLVD |
SOUTH GATE |
Los Angeles |
90280 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CARE MED MULTI |
1861418576 |
29750 |
8500 |
33.955191 |
-118.213623 |
| -117.866853000166 |
33.7811759997726 |
11873 |
Younes, Bassam |
1467521997 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -120.498999995353 |
35.0266083603876 |
11892 |
Holohan, Jennifer |
1467546150 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.267252075423 |
37.8373378810384 |
11900 |
Ahmad, Tariq |
1467557363 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.150795976753 |
34.1778106936086 |
11915 |
Quinones, James |
1467576421 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.1778106939 |
-118.150795977 |
| -118.150712999905 |
34.1313119999489 |
11921 |
Willard, Cynthia |
1467589325 |
Physician |
UNKNOWN |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2013 |
2014 |
2 |
MU |
HEALTH COMMUNITY |
1871689315 |
29750 |
8500 |
34.131312 |
-118.150713 |
| -121.845447497004 |
39.7528200003428 |
11938 |
JACKSON, MARK |
1467612325 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
680 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.75282 |
-121.845447497 |
| -117.071664499717 |
33.1292598686481 |
11942 |
Noyes, Katherine |
1467626739 |
Dentist |
UNKNOWN |
425 N. Date St |
Escondido |
San Diego |
92025 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1437335353 |
21250 |
21250 |
33.1292598693 |
-117.0716645 |
| -119.289034030996 |
36.3341005980642 |
11952 |
Saldarriaga, Betty |
1467645713 |
Dentist |
UNKNOWN |
501 N. Bridge St. |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
55250 |
8500 |
36.3341005984 |
-119.289034031 |
| -117.146546412287 |
32.7016590679117 |
11959 |
Dreas-Penrod, Tracy |
1467596791 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -118.246191531314 |
33.9426899692667 |
11975 |
arratoonian, arlet |
1467693903 |
Dentist |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE WATTS |
1477649119 |
29750 |
8500 |
33.9426899686 |
-118.246191531 |
| -122.174891665318 |
39.9279294888549 |
11986 |
Pejoro, Edrick |
1467726604 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
740 Solano Street |
Corning |
Tehama |
96021 |
California |
2017 |
2018 |
2 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
29750 |
8500 |
39.9279294893 |
-122.174891665 |
| -117.146546412287 |
32.7016590679117 |
11987 |
Logan, Cathy |
1467664169 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.94732640439 |
34.0601917932167 |
11993 |
Fong, Florence |
1467730788 |
Physician |
UNKNOWN |
1300 South Sunset Ave |
West Covina |
Los Angeles |
91790 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES ALTAMED |
1730481318 |
29750 |
8500 |
34.0601917926 |
-117.947326404 |
| -121.570951500112 |
37.0377899997088 |
11994 |
Aguilar, Janett |
1467737403 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
9460 No Name Uno, St 110 |
Gilroy |
UNKNOWN |
95020 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1144626649 |
38250 |
8500 |
37.03779 |
-121.5709515 |
| -117.169628486565 |
33.5172337305523 |
12002 |
Shanks, Chondra |
1467762179 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
41840 Enterprise Circle North |
Temecula |
Riverside |
92590 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
21250 |
21250 |
33.5172337305 |
-117.169628487 |
| -120.045810184592 |
36.94541455204 |
12003 |
Maldonado, Nicole |
1467768309 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2014 |
2015 |
3 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
38250 |
8500 |
36.9454145522 |
-120.045810185 |
| -119.05814321214 |
35.367815658366 |
12004 |
muhyieddeen, kamil |
1467773176 |
Physician |
UNKNOWN |
5020 Commerce Dr |
Bakersfield |
Kern |
93309 |
California |
2016 |
2017 |
1 |
AIU |
HILLS MEDICAL CORP OAK |
1386754273 |
21250 |
21250 |
35.3678156578 |
-119.058143212 |
| -117.298687104226 |
34.0966627016224 |
12030 |
Sun, Steven |
1467831131 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.288677500166 |
36.3322530002758 |
12038 |
Wetmore, ANGELA |
1467889451 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 E. Oak Ave |
Visalia |
Tulare |
93291 |
California |
2015 |
2016 |
1 |
MU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -117.298687104226 |
34.0966627016224 |
12044 |
Ishihara, Emiko |
1467872986 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -118.160352000145 |
34.0332704861441 |
12045 |
Louie, Christina Anne |
1467890913 |
Nurse Practitioner |
UNKNOWN |
4816 E. 3rd Street |
Los Angeles |
Los Angeles |
90022 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
55250 |
8500 |
34.0332704862 |
-118.160352 |
| -120.045810184592 |
36.94541455204 |
12050 |
Talty, Michael |
1477513596 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
29750 |
8500 |
36.9454145522 |
-120.045810185 |
| -120.498999995353 |
35.0266083603876 |
12055 |
Abou El Kheir, Tarek |
1477521789 |
Physician |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.249866999562 |
33.3689129998351 |
12056 |
Reynolds, Richard |
1477518520 |
Physician |
INTERNAL MEDICINE |
1328 S Mission Rd |
Fallbrook |
San Diego |
92028 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SYSTEMS INC COMMUNITY |
1982756086 |
21250 |
21250 |
33.368913 |
-117.249867 |
| -121.769568889193 |
38.5631938354272 |
12062 |
Marshall, Melissa |
1477526291 |
Physician |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
25500 |
8500 |
38.5631938352 |
-121.769568889 |
| -122.659945408554 |
38.2688718730386 |
12077 |
Licht, Nurit |
1477545176 |
Physician |
UNKNOWN |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -120.740132151577 |
38.3845988219781 |
12078 |
Roda, Alisa |
1477553261 |
Physician |
UNKNOWN |
12140 New York Ranch Rd |
Jackson |
Amador |
95642 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH BOARD, INC MACT |
1366519431 |
21250 |
21250 |
38.3845988223 |
-120.740132152 |
| -122.292192420644 |
38.3212564181492 |
12080 |
Bermudez, Gabriela |
1477553675 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
38250 |
8500 |
38.3212564177 |
-122.292192421 |
| -121.098758861632 |
38.9348505096434 |
12082 |
Mayer, Paula |
1477560282 |
Nurse Practitioner |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2013 |
2014 |
3 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
38250 |
8500 |
38.9348505095 |
-121.098758862 |
| -118.095628711596 |
33.9679898013883 |
12102 |
Endozo, Rosalie |
1477579142 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
9436 Slauson Ave |
Pico Rivera |
Los Angeles |
90660 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES ALTAMED |
1710191283 |
63750 |
8500 |
33.9679898013 |
-118.095628712 |
| -120.055711580925 |
36.9628328372657 |
12123 |
ZAMORA, MOISES |
1477609824 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
344 E 6th St |
Madera |
Madera |
93638 |
California |
2017 |
2018 |
5 |
MU |
HEALTH CAMARENA |
1891778114 |
55250 |
8500 |
36.9628328373 |
-120.055711581 |
| -114.599923967917 |
33.6104040988701 |
12125 |
HOLT, MARIETTA |
1477610855 |
Nurse Practitioner |
UNKNOWN |
321 W Hobsonway, C |
Blythe |
Riverside |
92225 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CLINIC BLYTHE |
1124115431 |
46750 |
8500 |
33.6104040991 |
-114.599923968 |
| -121.287285000302 |
37.9665270002209 |
12181 |
Hart, Robert |
1477660074 |
Physician |
PSYCHIATRY |
1212 N California St |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -121.792352061199 |
38.6788942804467 |
12190 |
fong, victor |
1477682201 |
Dentist |
UNKNOWN |
175 W Court St |
Woodland |
Yolo |
95695 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.6788942797 |
-121.792352061 |
| -118.308853204112 |
34.0164932961288 |
12193 |
feig, steven |
1477691152 |
Physician |
UNKNOWN |
3834 S. Western Ave, 600 |
Los Angeles |
UNKNOWN |
90062 |
California |
2016 |
2017 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -118.308853204112 |
34.0164932961288 |
12203 |
ROBINSON, TRACY |
1477696292 |
Physician |
UNKNOWN |
3834 S Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2015 |
2017 |
3 |
MU |
H E CLINIC AT RUTH T |
1023287679 |
38250 |
8500 |
34.0164932957 |
-118.308853204 |
| -118.308853204112 |
34.0164932961288 |
12205 |
Pitts, Ronald |
1477699486 |
Physician |
UNKNOWN |
3834 S. Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2016 |
2017 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -118.329789269359 |
34.0979749635737 |
12211 |
Edison, Bianca |
1477705028 |
Physician |
UNKNOWN |
6430 w sunset blvd., suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -116.976458822617 |
32.781601269583 |
12212 |
Gordon, Christopher |
1477711521 |
Physician |
FAMILY PRACTICE |
1111 W Chase Ave |
El Cajon |
San Diego |
92020 |
California |
2015 |
2017 |
4 |
MU |
HEALTH CTRS OF SD FAMILY |
1104861681 |
46750 |
8500 |
32.7816012698 |
-116.976458823 |
| -118.304125203715 |
34.0692652457945 |
12228 |
Sohn, Hyang Eun |
1477745222 |
Physician |
INTERNAL MEDICINE |
266 S Harvard Blvd, Suite 300 |
Los Angeles |
Los Angeles |
90004 |
California |
2011 |
2012 |
1 |
AIU |
HYANG E MD SOHN |
1477745222 |
21250 |
21250 |
34.0692652456 |
-118.304125204 |
| -121.931530191365 |
37.6940498626111 |
12254 |
Nadaraja, Garani |
1477797603 |
Physician |
UNKNOWN |
5820 Stoneridge Mall Rd, Suite 210 |
Pleasanton |
Alameda |
94588 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.6940498629 |
-121.931530191 |
| -121.829149767947 |
37.3651956189827 |
12267 |
Zahn, Julie |
1477840494 |
Doctor of Optometry |
UNKNOWN |
3030 Alum Rock Ave. |
San Jose |
Santa Clara |
95127 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1083654545 |
21250 |
21250 |
37.3651956189 |
-121.829149768 |
| -119.291498831706 |
36.5303014971165 |
12275 |
Darabi, Shefagh |
1477859056 |
Dentist |
UNKNOWN |
12586 Ave. 408 |
Orosi |
Tulare |
93647 |
California |
2016 |
2017 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
38250 |
8500 |
36.5303014971 |
-119.291498832 |
| -122.267252075423 |
37.8373378810384 |
12276 |
Hale, Lisa |
1477820033 |
Nurse Practitioner |
NURSE PRACTITIONER |
747 52nd Street, Hematology-Oncology Department, Children's Hospital & Research Center at Oakland |
Oakland |
Alameda |
94609 |
California |
2015 |
2016 |
2 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.267252075423 |
37.8373378810384 |
12282 |
Gardner, Marisa |
1477882587 |
Physician |
UNKNOWN |
747 52nd St. |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.288677500166 |
36.3322530002758 |
12295 |
Hernandez, Hugo |
1477922045 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 E Oak Ave |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -119.647641434405 |
36.3243824628804 |
12297 |
Trammell, Joshua |
1477937340 |
Dentist |
UNKNOWN |
250 West 5th Street |
Hanford |
Kings |
93230 |
California |
2017 |
2018 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
29750 |
8500 |
36.3243824628 |
-119.647641434 |
| -116.95219952229 |
32.8004502871511 |
12298 |
Summers, Lindsay |
1477951523 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
855 E Madison Ave |
El Cajon |
San Diego |
92020 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
21250 |
21250 |
32.8004502867 |
-116.952199522 |
| -117.298687104226 |
34.0966627016224 |
12306 |
Rolle, Pharez |
1477964427 |
Physician |
UNKNOWN |
250 S G St, SAC Health System |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -120.458091706067 |
36.8604447669125 |
12312 |
Oviedo-Cavazos, Diana |
1477992584 |
Physician |
UNKNOWN |
927 O St |
Firebaugh |
Fresno |
93622 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH TEAM INC VALLEY |
1558638601 |
21250 |
21250 |
36.8604447674 |
-120.458091706 |
| -121.570951500112 |
37.0377899997088 |
12323 |
Yau, Tiffany |
1487010104 |
Dentist |
UNKNOWN |
9460 No Name Uno, Suite 110 |
San Jose |
Santa Clara |
95020 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTER FOOTHILL |
1144626649 |
29750 |
8500 |
37.03779 |
-121.5709515 |
| -117.298687104226 |
34.0966627016224 |
12324 |
Christati, Emanuela |
1477998177 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.424323611346 |
36.3520902351763 |
12325 |
Seitz, Christopher |
1487023560 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
30979 Road 67 |
Goshen |
Tulare |
93227 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
21250 |
21250 |
36.3520902351 |
-119.424323611 |
| -117.298687104226 |
34.0966627016224 |
12336 |
Enyinna, Chidinma |
1487031175 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -120.625581861214 |
40.4381384658176 |
12343 |
Eckford, Timothy |
1487093076 |
Physician |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
38250 |
8500 |
40.4381384662 |
-120.625581861 |
| -119.811037499681 |
36.757782000439 |
12353 |
Nguyen, Kevin |
1487601480 |
Physician |
INTERNAL MEDICINE |
87 east olive #100 |
fresno |
Fresno |
93728 |
California |
2014 |
2014 |
1 |
AIU |
HUNG M MD NGUYEN |
1487601480 |
21250 |
21250 |
36.757782 |
-119.8110375 |
| -120.498999995353 |
35.0266083603876 |
12355 |
Bollay, Ann |
1487610333 |
Physician |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -120.498999995353 |
35.0266083603876 |
12370 |
Csanadi, Thomas |
1487648796 |
Physician |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -122.267731525589 |
37.8373514428149 |
12371 |
Wesman, Robert |
1487647244 |
Physician |
UNKNOWN |
744 52nd St, Ste 4200 |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373514427 |
-122.267731526 |
| -117.071512870423 |
33.1291137414061 |
12376 |
Allen, Anne |
1487660627 |
Certified Nurse - Midwife |
UNKNOWN |
426 N Date Street |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1265618185 |
29750 |
8500 |
33.1291137408 |
-117.07151287 |
| -121.913647032185 |
37.3017600004237 |
12392 |
Madireddi, Shanthi |
1487677464 |
Dentist |
UNKNOWN |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
55250 |
8500 |
37.30176 |
-121.913647032 |
| -121.846301924894 |
37.3612500746313 |
12400 |
AYAP, HEIDI |
1487680898 |
Physician |
UNKNOWN |
115 North Jackson Avenue Suite 101 |
San Jose |
Santa Clara |
95116 |
California |
2013 |
2013 |
1 |
AIU |
HEIDI P MD INC AYAP |
1598876849 |
21250 |
21250 |
37.3612500746 |
-121.846301925 |
| -117.148496394293 |
32.7043654597982 |
12403 |
Soto, Robin |
1487688099 |
Nurse Practitioner |
UNKNOWN |
1643 Logan Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CENTER TEEN |
1982635470 |
38250 |
8500 |
32.7043654599 |
-117.148496394 |
| -117.168033770042 |
33.5183898908808 |
12404 |
Mooney, Candace |
1487689436 |
Certified Nurse - Midwife |
UNKNOWN |
41715 Winchester Rd, Suite 204 |
Temecula |
Riverside |
92591 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1780869966 |
21250 |
21250 |
33.5183898912 |
-117.16803377 |
| -122.267731525589 |
37.8373514428149 |
12438 |
HUI, THOMAS |
1487725206 |
Physician |
GENERAL SURGERY |
744 52nd St, Suite 4100 |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373514427 |
-122.267731526 |
| -118.160352000145 |
34.0332704861441 |
12451 |
Garcia, Goretti |
1487740619 |
Physician |
UNKNOWN |
4816 East 3rd Street |
Los Angeles |
Los Angeles |
90022 |
California |
2019 |
2020 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
63750 |
8500 |
34.0332704862 |
-118.160352 |
| -120.498999995353 |
35.0266083603876 |
12469 |
BLACKETER, BETHANY |
1487764833 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -116.958715795797 |
33.7528766336497 |
12471 |
MATHIAS, HERMAN |
1487767265 |
Physician |
GERIATRIC MEDICINE |
391 N San Jacinto St |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1811193618 |
21250 |
21250 |
33.7528766338 |
-116.958715796 |
| -117.298687104226 |
34.0966627016224 |
12472 |
ELDER, HARVEY |
1487767489 |
Physician |
UNKNOWN |
250 South G Street |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
6 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
63750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.146546412287 |
32.7016590679117 |
12485 |
Tamayo, Maithe |
1487748430 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -121.952709777734 |
38.3644974795751 |
12495 |
Hassani, Ali |
1487818373 |
Physician |
UNKNOWN |
421 Nut Tree Rd |
Vacaville |
Solano |
95687 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
38250 |
8500 |
38.3644974804 |
-121.952709778 |
| -122.455808999686 |
37.7487900001584 |
12503 |
Hoo, Lisa |
1487794053 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, Room B200, Laguna Honda Hospital and Rehab Center, Medical Svcs |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -118.246191531314 |
33.9426899692667 |
12507 |
Lan, Lily |
1487841078 |
Dentist |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2015 |
2015 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -118.306952999581 |
34.0623180000757 |
12514 |
Loloyan, Shirleen |
1487846051 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -120.498999995353 |
35.0266083603876 |
12516 |
Kangwanpornsiri, Atipon |
1487854816 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.187848176352 |
33.9730571996301 |
12517 |
do, hieu |
1487852794 |
Dentist |
UNKNOWN |
6901 s atlantic ave |
bell |
Los Angeles |
90201 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
38250 |
8500 |
33.9730572 |
-118.187848176 |
| -121.613430264695 |
39.1443745680319 |
12519 |
Hamdan, Hiba |
1487856142 |
Physician |
INTERNAL MEDICINE |
1000 Sutter St |
Yuba City |
Sutter |
95991 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.1443745679 |
-121.613430265 |
| -122.267252075423 |
37.8373378810384 |
12526 |
Talley, Elizabeth |
1487874954 |
Physician |
PEDIATRIC MEDICINE |
747 52nd st |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.866853000166 |
33.7811759997726 |
12527 |
Tran, Lily |
1487865523 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
4 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -121.456624499721 |
38.5712370003873 |
12550 |
Gibson, Matthew |
1487910238 |
Physician |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS ELICA |
1093974065 |
21250 |
21250 |
38.571237 |
-121.4566245 |
| -118.306952999581 |
34.0623180000757 |
12556 |
Espinoza, Juan |
1487914503 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -120.045810184592 |
36.94541455204 |
12562 |
Fajardo, Marie |
1487934501 |
Nurse Practitioner |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -119.288673194212 |
36.3328544497731 |
12564 |
SABIR, AQSA |
1487935243 |
Physician |
UNKNOWN |
401 E. School Ave |
Visalia |
Tulare |
93291 |
California |
2015 |
2016 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
21250 |
21250 |
36.3328544502 |
-119.288673194 |
| -121.822488000321 |
37.3534649998099 |
12567 |
Busante, Hector Erwin |
1487943577 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2880 Story Rd |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
38250 |
8500 |
37.353465 |
-121.822488 |
| -118.160352000145 |
34.0332704861441 |
12569 |
Kyi, Moe |
1487932612 |
Physician |
UNKNOWN |
4816 E 3RD ST |
Los Angeles |
Los Angeles |
90022 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
25500 |
8500 |
34.0332704862 |
-118.160352 |
| -117.072893103134 |
33.1284570942196 |
12573 |
Negron, Caroline |
1487960340 |
Nurse Practitioner |
UNKNOWN |
460 N Elm Street |
Escondido |
San Diego |
92025 |
California |
2015 |
2017 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
29750 |
8500 |
33.1284570937 |
-117.072893103 |
| -122.267252075423 |
37.8373378810384 |
12595 |
Lynch, Rachel |
1497006464 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2015 |
2015 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.077809499809 |
32.7583889995527 |
12600 |
Collier, Summer |
1487964235 |
Nurse Practitioner |
NURSE PRACTITIONER |
5454 El Cajon Blvd, Attn: City Heights Family Health Center |
San Diego |
San Diego |
92115 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.758389 |
-117.0778095 |
| -118.306952999581 |
34.0623180000757 |
12602 |
Lee, Nathan |
1497013239 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.940302499661 |
37.3266449995671 |
12608 |
Rawle, Reija |
1497018618 |
Physician |
UNKNOWN |
455 OConnor Dr Ste 200 |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -118.905219851015 |
36.4380925274482 |
12611 |
Hernandez, Lauren |
1497018220 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
41651 Sierra Drive, Suite A |
Three Rivers |
Tulare |
93271 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE NETWRK FAMILY |
1558454256 |
46750 |
8500 |
36.4380925274 |
-118.905219851 |
| -122.268339745183 |
37.8371787675861 |
12616 |
Keating, Megan |
1497029144 |
Nurse Practitioner |
UNKNOWN |
757 52nd St. |
Oakland |
Alameda |
94609 |
California |
2016 |
2017 |
2 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
29750 |
8500 |
37.8371787684 |
-122.268339745 |
| -118.150795976753 |
34.1778106936086 |
12617 |
Akpabio, Aisha |
1497049316 |
Dentist |
UNKNOWN |
1855 N Fair Oaks Ave, Dental Clinic |
Pasadena |
Los Angeles |
91104 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.1778106939 |
-118.150795977 |
| -117.946313999791 |
33.8324215409214 |
12622 |
Oberteicher, Maria |
1497056618 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
1814 W Lincoln Ave, Suit B |
Anaheim |
Orange |
92801 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1538303516 |
29750 |
8500 |
33.8324215409 |
-117.946314 |
| -119.288677500166 |
36.3322530002758 |
12633 |
kaur, harminder |
1497081475 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 E. Oak Avenue |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -121.828447588985 |
37.3773539107544 |
12636 |
Phorth, Amy |
1497113062 |
Dentist |
UNKNOWN |
242 La Pala Drive |
San Jose |
Santa Clara |
95127 |
California |
2020 |
2020 |
4 |
MU |
HEALTH CENTER TRI-CITY |
1780054379 |
46750 |
8500 |
37.3773539109 |
-121.828447589 |
| -119.424323611346 |
36.3520902351763 |
12646 |
Hamilton, Sabrina |
1497142608 |
Nurse Practitioner |
UNKNOWN |
30979 Road 67 |
Goshen |
Tulare |
93227 |
California |
2016 |
2016 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
21250 |
21250 |
36.3520902351 |
-119.424323611 |
| -122.271160359963 |
37.7995061221099 |
12658 |
Lee, Robert |
1497188247 |
Dentist |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -119.288677500166 |
36.3322530002758 |
12671 |
Cardenas, Robert |
1497703284 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -117.866853000166 |
33.7811759997726 |
12678 |
Donat, Jane |
1497723498 |
Physician |
PEDIATRIC MEDICINE |
455 S. Main Street |
Orange |
Orange |
92868 |
California |
2012 |
2012 |
1 |
AIU |
HOSP OF ORANGE CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -120.045810184592 |
36.94541455204 |
12682 |
Ogbuehi, Ifeoma |
1497737399 |
Nurse Practitioner |
UNKNOWN |
1210 E Almond Ave |
Madera |
Madera |
93637 |
California |
2016 |
2017 |
5 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
55250 |
8500 |
36.9454145522 |
-120.045810185 |
| -117.130118456901 |
32.7428594417099 |
12710 |
Hartmeyer, James |
1497787527 |
Physician |
UNKNOWN |
3544 30th Street |
San Diego |
San Diego |
92104 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CENTERS OF SAN FAMILY |
1700821303 |
38250 |
8500 |
32.7428594424 |
-117.130118457 |
| -117.867747295901 |
33.7421102963531 |
12717 |
JACOBS, DEAN |
1497802318 |
Physician |
PEDIATRIC MEDICINE |
406 South Main Street |
Santa Ana |
Orange |
92701 |
California |
2016 |
2017 |
4 |
MU |
HOSP ORANGE CO CHILDRENS |
1265569008 |
46750 |
8500 |
33.7421102957 |
-117.867747296 |
| -116.958715795797 |
33.7528766336497 |
12722 |
Hein, Peter |
1497803282 |
Physician |
FAMILY PRACTICE |
391 N San Jacinto St |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1811193618 |
21250 |
21250 |
33.7528766338 |
-116.958715796 |
| -122.271160359963 |
37.7995061221099 |
12736 |
Chan, Sue Shu-Kwan |
1497825988 |
Physician |
PEDIATRIC MEDICINE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -120.045810184592 |
36.94541455204 |
12749 |
Enunwa, Rita |
1497838924 |
Nurse Practitioner |
NURSE PRACTITIONER |
1210 E. ALMOND AVE |
MADERA |
Madera |
93637 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -118.169028000042 |
33.7822469996993 |
12753 |
Chhay, Hor |
1497842256 |
Physician |
UNKNOWN |
1862 E Anaheim St |
Long Beach |
Los Angeles |
90813 |
California |
2015 |
2017 |
2 |
MU |
HOR B MD CHHAY |
1497842256 |
29750 |
8500 |
33.782247 |
-118.169028 |
| -122.659945408554 |
38.2688718730386 |
12754 |
Chi, Carlin |
1497843122 |
Physician |
UNKNOWN |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -118.246191531314 |
33.9426899692667 |
12765 |
Dewgarde, Lynn |
1497851489 |
Physician |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2015 |
2016 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -120.045810184592 |
36.94541455204 |
12787 |
Manasrah, Ameen |
1497904882 |
Nurse Practitioner |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -117.946313999791 |
33.8324215409214 |
12800 |
Bishara, Mariam |
1497931950 |
Physician |
UNKNOWN |
1814 W. Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2017 |
2018 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1063659985 |
38250 |
8500 |
33.8324215409 |
-117.946314 |
| -118.329789269359 |
34.0979749635737 |
12813 |
Gayer, Christopher |
1497963268 |
Physician |
UNKNOWN |
6430 sunset blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -122.455808999686 |
37.7487900001584 |
12816 |
Rybold, Daniel |
1497895585 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, RmB 200, Laguna Honda Hospital and Rehab Center, Medical Svcs |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -122.262000561677 |
37.8392986423186 |
12844 |
Marbin, Jyothi |
1508019761 |
Physician |
UNKNOWN |
5400 Telegraph Ave |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.839298642 |
-122.262000562 |
| -117.267223499565 |
33.9159869996004 |
12849 |
Bir, Gurpreet |
1508022914 |
Dentist |
UNKNOWN |
22675 Alessandro BLVD |
Moreno Valley |
Riverside |
92553 |
California |
2011 |
2012 |
1 |
AIU |
HLTH SYSTEMS INC COMM |
1679749501 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -118.27391808685 |
34.0286791746043 |
12858 |
Gyore, Victoria |
1508024373 |
Nurse Practitioner |
UNKNOWN |
2400 S Flower St |
Los Angeles |
Los Angeles |
90007 |
California |
2011 |
2012 |
1 |
AIU |
HOSP ORTHOPAEDIC |
1689632374 |
21250 |
21250 |
34.0286791754 |
-118.273918087 |
| -117.146546412287 |
32.7016590679117 |
12866 |
Bulloch, Edgar |
1508046376 |
Physician |
OBSTETRICS/GYNECOLOGY |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -118.270748005416 |
34.0660598515809 |
12867 |
Kwan, Irene |
1508038704 |
Nurse Practitioner |
UNKNOWN |
123 S. Alvarado St. |
Los Angeles |
Los Angeles |
90057 |
California |
2016 |
2017 |
2 |
MU |
HEALTH PHYSICIANS ADVENTIST |
1427310648 |
29750 |
8500 |
34.0660598515 |
-118.270748005 |
| -121.098758861632 |
38.9348505096434 |
12870 |
Lidge, Douglas |
1508047168 |
Physician |
UNKNOWN |
11670 Atwood Road |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -117.432940500104 |
34.1374139998563 |
12871 |
Santos, Mark Anthony |
1508052010 |
Physician |
FAMILY PRACTICE |
17051 Sierra Lakes Pkwy, Suite 101 |
Fontana |
UNKNOWN |
92336 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CARE GROUP INLAND |
1174760953 |
21250 |
21250 |
34.137414 |
-117.4329405 |
| -116.958715795797 |
33.7528766336497 |
12875 |
Taecharvongphairoj, Veeravat |
1508065145 |
Physician |
INTERNAL MEDICINE |
391 N San Jacinto st |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1811193618 |
21250 |
21250 |
33.7528766338 |
-116.958715796 |
| -122.267731525589 |
37.8373514428149 |
12876 |
Newton, Christopher |
1508065319 |
Physician |
UNKNOWN |
744 52nd St |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373514427 |
-122.267731526 |
| -119.042168222785 |
36.0512835430011 |
12884 |
Amini, Tara |
1508079906 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1107 West Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2012 |
2013 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
29750 |
8500 |
36.0512835428 |
-119.042168223 |
| -122.271160359963 |
37.7995061221099 |
12886 |
Riley, Jenny |
1508087313 |
Physician |
FAMILY PRACTICE |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
3 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
38250 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.659945408554 |
38.2688718730386 |
12897 |
Katzel, Lauren |
1508107368 |
Dentist |
UNKNOWN |
1179 N. McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2014 |
2016 |
1 |
AIU |
HEALTH CTR, INC PETALUMA |
1588656268 |
21250 |
21250 |
38.2688718726 |
-122.659945409 |
| -117.249866999562 |
33.3689129998351 |
12899 |
Ching, Leyda |
1508098294 |
Nurse Practitioner |
NURSE PRACTITIONER |
1328 S Mission Road |
Fallbrook |
San Diego |
92028 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH SYSTEMS INC COMMUNITY |
1982756086 |
21250 |
21250 |
33.368913 |
-117.249867 |
| -117.146546412287 |
32.7016590679117 |
12904 |
Green, Brenda |
1508125410 |
Physician |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.946795500412 |
33.8324204932113 |
12908 |
Williamson, Michelle |
1508147661 |
Nurse Practitioner |
UNKNOWN |
1820 W. Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1235376047 |
29750 |
8500 |
33.8324204929 |
-117.9467955 |
| -118.306952999581 |
34.0623180000757 |
12910 |
Freedman, Nicole |
1508137753 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -119.042168222785 |
36.0512835430011 |
12914 |
Eslao, Nelson |
1508153636 |
Physician |
UNKNOWN |
1107 W. Poplar |
Porterville |
Tulare |
93257 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
46750 |
8500 |
36.0512835428 |
-119.042168223 |
| -117.298687104226 |
34.0966627016224 |
12922 |
Judkins, Jordan |
1508158700 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -120.060353194245 |
36.7271851227952 |
12926 |
Tang, Cindy |
1508181348 |
Physician |
UNKNOWN |
517 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2018 |
2019 |
4 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
25500 |
8500 |
36.7271851231 |
-120.060353194 |
| -119.289034030996 |
36.3341005980642 |
12929 |
Randolph, Julianne |
1508189952 |
Physician |
UNKNOWN |
501 North Bridge Street |
Visalia |
Tulare |
93291 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
21250 |
21250 |
36.3341005984 |
-119.289034031 |
| -117.86666968236 |
33.88807801299 |
12939 |
Safarcherati, Hengameh |
1508211939 |
Dentist |
UNKNOWN |
3350 Yorba Linda Blvd |
Fullerton |
Orange |
92831 |
California |
2016 |
2017 |
1 |
AIU |
Hengameh Safarcherati |
1508211939 |
21250 |
21250 |
33.8880780129 |
-117.866669682 |
| -117.298687104226 |
34.0966627016224 |
12941 |
Dastjerdi, Mohammad |
1508200940 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
12947 |
Henderson, Ashley |
1508201807 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -118.264011576073 |
34.0526621276551 |
12963 |
Brooks, Julia |
1508299637 |
Dentist |
UNKNOWN |
1127 Wilshire Blvd., suite 1504 |
Los Angeles |
Los Angeles |
90017 |
California |
2018 |
2019 |
3 |
MU |
HEALTH and WELLNESS APLA |
1740490937 |
38250 |
8500 |
34.052662128 |
-118.264011576 |
| -120.383824346117 |
36.7660952641851 |
12976 |
Acevedo-Daniels, Suhrei |
1508824640 |
Physician |
FAMILY PRACTICE |
121 Barboza St |
Mendota |
Fresno |
93640 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CTRS-MENDOTA UNITED |
1184606634 |
21250 |
21250 |
36.7660952642 |
-120.383824346 |
| -118.074202022106 |
33.8185723411407 |
12978 |
Schmidt, Jill |
1508825761 |
Nurse Practitioner |
UNKNOWN |
3416 Fela Ave |
Long Beach |
Los Angeles |
90808 |
California |
2016 |
2017 |
1 |
AIU |
Heritage Clinic |
1306899091 |
21250 |
21250 |
33.8185723411 |
-118.074202022 |
| -120.339604557005 |
37.9783256989719 |
12991 |
Wiley, Carol |
1508848177 |
Nurse Practitioner |
NURSE PRACTITIONER |
13975 Mono Way, Suite G |
Sonora |
Tuolumne |
95370 |
California |
2013 |
2014 |
2 |
MU |
HEALTH BOARD, INC MACT |
1366519431 |
29750 |
8500 |
37.9783256994 |
-120.339604557 |
| -120.260892026246 |
37.1205884967617 |
12994 |
WILLIAMS, FRANCES |
1508858747 |
Nurse Practitioner |
UNKNOWN |
401 Trinity Ave |
Chowchilla |
Madera |
93610 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
37.1205884972 |
-120.260892026 |
| -119.042168222785 |
36.0512835430011 |
13028 |
Hardiman, Francis Xavier |
1508900135 |
Physician |
OBSTETRICS/GYNECOLOGY |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
21250 |
21250 |
36.0512835428 |
-119.042168223 |
| -117.866853000166 |
33.7811759997726 |
13040 |
Wang, Raymond |
1508914458 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
4 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -121.913647032185 |
37.3017600004237 |
13045 |
Bausek, Gerald |
1508921958 |
Physician |
PSYCHIATRY |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
38250 |
8500 |
37.30176 |
-121.913647032 |
| -117.125858514958 |
32.7011896748637 |
13049 |
Morgan, Jeffrey |
1508924689 |
Physician |
PEDIATRIC MEDICINE |
3177 Ocean View Blvd |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
4 |
MU |
HEALTH CENTER- COMPREHENSIVE |
1326225632 |
46750 |
8500 |
32.701189675 |
-117.125858515 |
| -122.267252075423 |
37.8373378810384 |
13065 |
Ngo, Mai |
1508910787 |
Physician |
PHYSICAL MEDICINE AND REHABILITATION |
747 52nd St, Children's Hospital & Research Center Oakland |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.113485500156 |
32.7150374537156 |
13086 |
Jacobson, Stephanie |
1508966458 |
Certified Nurse - Midwife |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -122.267252075423 |
37.8373378810384 |
13088 |
Hardy, Karen |
1508971938 |
Physician |
PEDIATRIC MEDICINE |
747 52nd St, suite 5409 |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -119.650117579163 |
36.3270237618372 |
13118 |
Sohn, Sung |
1518028638 |
Dentist |
UNKNOWN |
329 W. 8th St., Suite 101 |
Hanford |
Kings |
93230 |
California |
2015 |
2016 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
46750 |
0 |
36.3270237616 |
-119.650117579 |
| -122.271160359963 |
37.7995061221099 |
13130 |
Liang, Sai |
1518037167 |
Physician |
PEDIATRIC MEDICINE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -121.769568889193 |
38.5631938354272 |
13140 |
WINN, CAROLYN |
1518046036 |
Dentist |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2015 |
2016 |
2 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
29750 |
8500 |
38.5631938352 |
-121.769568889 |
| -118.150712999905 |
34.1313119999489 |
13146 |
Floutsis, Grace |
1518053735 |
Physician |
UNKNOWN |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2013 |
2014 |
2 |
MU |
HEALTH COMMUNITY |
1871689315 |
29750 |
8500 |
34.131312 |
-118.150713 |
| -122.046216318029 |
38.261036358841 |
13147 |
Lee, Mayre |
1518063478 |
Nurse Practitioner |
NURSE PRACTITIONER |
1101 B. Gale Wilson Blvd |
Fairfield |
Solano |
94533 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
46750 |
8500 |
38.2610363594 |
-122.046216318 |
| -117.866853000166 |
33.7811759997726 |
13164 |
Trinh, Lien |
1518082304 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
4 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -117.293877000223 |
33.6597569996858 |
13178 |
Hame, Ewa |
1518112531 |
Dentist |
UNKNOWN |
31500 Grape Street, Suite 8 |
Lake Elsinore |
Riverside |
92532 |
California |
2016 |
2016 |
1 |
AIU |
H CORPORATION POURSHIRAZI |
1255606547 |
21250 |
21250 |
33.659757 |
-117.293877 |
| -119.024238944572 |
36.069502507235 |
13183 |
Kim, Enoth |
1518117324 |
Dentist |
UNKNOWN |
323 West Putnam Ave. |
Porterville |
Tulare |
93257 |
California |
2015 |
2016 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1558554519 |
55250 |
8500 |
36.0695025068 |
-119.024238945 |
| -117.865599124 |
33.7803484876926 |
13191 |
Shrey, Daniel |
1518129162 |
Physician |
UNKNOWN |
1201 W La Veta Ave |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.7803484883 |
-117.865599124 |
| -119.521534499617 |
36.6049529997812 |
13194 |
Yang, Sua |
1518143189 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
650 Zediker Ave |
Parlier |
Fresno |
93648 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CENTERS- UNITED |
1801878350 |
38250 |
8500 |
36.604953 |
-119.5215345 |
| -117.824727778864 |
33.6920026413089 |
13205 |
Kim, Hyesun |
1518157585 |
Physician |
UNKNOWN |
62 Corporate Park, 125 |
Irvine |
Orange |
92606 |
California |
2019 |
2020 |
6 |
MU |
HYESUN MD KIM |
1518157585 |
63750 |
8500 |
33.6920026411 |
-117.824727779 |
| -122.271160359963 |
37.7995061221099 |
13207 |
Lo, Yue Man Onna |
1518166016 |
Physician |
FAMILY PRACTICE |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2011 |
2013 |
1 |
AIU |
HEALTH SVS ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -118.329789269359 |
34.0979749635737 |
13208 |
Koolwijk, Irene |
1518164706 |
Physician |
PEDIATRIC MEDICINE |
6430 W Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -120.498999995353 |
35.0266083603876 |
13223 |
MacMahon, Kathleen |
1518197995 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Pl |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.85994213662 |
37.2416247570769 |
13236 |
Clark, Leslie |
1518234327 |
Nurse Practitioner |
UNKNOWN |
5671 Santa Teresa Blvd, 105 |
San Jose |
Santa Clara |
95123 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
29750 |
8500 |
37.2416247574 |
-121.859942137 |
| -118.310027084682 |
34.1846741512911 |
13250 |
Babaloyan, Nelly |
1518269489 |
Nurse Practitioner |
UNKNOWN |
333 E Magnolia Blvd |
Burbank |
Los Angeles |
91502 |
California |
2016 |
2016 |
1 |
AIU |
HEALTH MEDICAL ADVANCE |
1972679280 |
21250 |
21250 |
34.1846741507 |
-118.310027085 |
| -119.297551500202 |
36.3529349998504 |
13255 |
Camarena, Jessica |
1518278688 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2611 N. Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
46750 |
8500 |
36.352935 |
-119.2975515 |
| -117.265703682179 |
33.9169411937811 |
13266 |
Macavinta, Ryan |
1518311190 |
Nurse Practitioner |
UNKNOWN |
22765 Alessandro Blvd. |
Moreno Valley |
Riverside |
92553 |
California |
2016 |
2017 |
1 |
AIU |
HLTH SYSTEMS INC COMM |
1679749501 |
21250 |
21250 |
33.9169411938 |
-117.265703682 |
| -119.650117579163 |
36.3270237618372 |
13314 |
Redmond, Billy |
1518937150 |
Physician |
FAMILY PRACTICE |
329 West 8th Street, Suite 101 |
Hanford |
Kings |
93230 |
California |
2013 |
2014 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
38250 |
8500 |
36.3270237616 |
-119.650117579 |
| -122.659945408554 |
38.2688718730386 |
13319 |
Choe, Jonathan |
1518959170 |
Physician |
FAMILY PRACTICE |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2016 |
2017 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -120.498999995353 |
35.0266083603876 |
13328 |
PARK, PERLA |
1518973122 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.267731525589 |
37.8373514428149 |
13332 |
Tai, Chau |
1518980283 |
Physician |
UNKNOWN |
744 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373514427 |
-122.267731526 |
| -120.498999995353 |
35.0266083603876 |
13333 |
Li, Lawrence |
1518987155 |
Physician |
FAMILY PRACTICE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -117.146546412287 |
32.7016590679117 |
13350 |
Acevedo, Mary |
1528004975 |
Physician |
OBSTETRICS/GYNECOLOGY |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -117.751073666616 |
34.0965576590088 |
13374 |
Agrawal, Pramila |
1528039500 |
Physician |
UNKNOWN |
250 W Bonita Ave, #200 |
Pomona |
Los Angeles |
91767 |
California |
2017 |
2018 |
4 |
MU |
HOLLEMBERG, AGRAWAL LAUPPE |
1366447781 |
46750 |
8500 |
34.0965576594 |
-117.751073667 |
| -121.614466572374 |
39.1450130156382 |
13386 |
Aung, Thinn |
1528050770 |
Physician |
UNKNOWN |
931 Market St |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.1450130164 |
-121.614466572 |
| -120.055711580925 |
36.9628328372657 |
13387 |
Duran, Martha |
1528045838 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
344 E 6th St |
Madera |
Madera |
93638 |
California |
2017 |
2018 |
5 |
MU |
HEALTH CAMARENA |
1891778114 |
55250 |
8500 |
36.9628328373 |
-120.055711581 |
| -121.456624499721 |
38.5712370003873 |
13390 |
Larson, Penny |
1528057213 |
Physician |
UNKNOWN |
3701 J Street |
Sacramento |
Sacramento |
95816 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
29750 |
8500 |
38.571237 |
-121.4566245 |
| -116.95219952229 |
32.8004502871511 |
13407 |
Hidaka, Misa |
1528085594 |
Physician |
INTERNAL MEDICINE |
855 E Madison Ave |
El Cajon |
San Diego |
92020 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
21250 |
21250 |
32.8004502867 |
-116.952199522 |
| -117.267223499565 |
33.9159869996004 |
13430 |
Pereira, Valeria |
1528121357 |
Dentist |
UNKNOWN |
22675 Alessandro BLVD |
Moreno Valley |
Riverside |
92553 |
California |
2011 |
2012 |
1 |
AIU |
HLTH SYSTEMS INC COMM |
1679749501 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -122.267252075423 |
37.8373378810384 |
13431 |
MICHLITSCH, JENNIFER |
1528117256 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.024238944572 |
36.069502507235 |
13436 |
Prudencio, Martha |
1528124187 |
Dentist |
UNKNOWN |
323 West Putnam |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1558554519 |
63750 |
8500 |
36.0695025068 |
-119.024238945 |
| -122.049873972306 |
38.2620150001922 |
13461 |
Chambers, Courtney |
1528154523 |
Physician |
GENERAL SURGERY |
1860 Pennsylvania Ave |
Fairfield |
Solano |
94533 |
California |
2017 |
2018 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
46750 |
8500 |
38.262015 |
-122.049873972 |
| -117.866853000166 |
33.7811759997726 |
13466 |
Peng, Ying |
1528156429 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.781176 |
-117.866853 |
| -118.246191531314 |
33.9426899692667 |
13469 |
Aparicio, Luis |
1528163375 |
Physician |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
3 |
MU |
HEALTHCARE CRENSHAW |
1225177751 |
38250 |
8500 |
33.9426899686 |
-118.246191531 |
| -122.292065021783 |
38.3212756123797 |
13471 |
Levy-Gantt, Rebecca |
1528165263 |
Physician |
UNKNOWN |
1141 Pear Tree Lane |
Napa |
Napa |
94558 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212756122 |
-122.292065022 |
| -118.320653347174 |
33.9164745472626 |
13487 |
Chang, Evelyn |
1528195989 |
Physician |
UNKNOWN |
2501 W. El Segundo Blvd., Suite b |
Hawthorne |
Los Angeles |
90250 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES BEHAVIORAL |
1548659105 |
21250 |
21250 |
33.9164745471 |
-118.320653347 |
| -118.14785214586 |
33.9723841209305 |
13489 |
Locke-Harris, Elethea |
1528196169 |
Nurse Practitioner |
UNKNOWN |
6513 S. Garfield Ave |
Bell Gardens |
Los Angeles |
91201 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
21250 |
21250 |
33.9723841213 |
-118.147852146 |
| -122.659945408554 |
38.2688718730386 |
13494 |
Powell, Hilary |
1528213543 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1179 N. McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -119.288673194212 |
36.3328544497731 |
13497 |
GUERRA SANCHEZ, CARLOS |
1528216454 |
Physician |
UNKNOWN |
401 E. School Ave. |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
46750 |
8500 |
36.3328544502 |
-119.288673194 |
| -122.271160359963 |
37.7995061221099 |
13503 |
Dong, Hui |
1528241841 |
Dentist |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -116.959614428063 |
33.7493816109726 |
13505 |
Wang, Xiaoguang |
1528246881 |
Physician |
PREVENTATIVE MEDICINE |
1225 E. Latham Ave, Suite A |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1184820987 |
21250 |
21250 |
33.7493816109 |
-116.959614428 |
| -122.292192420644 |
38.3212564181492 |
13515 |
Latona, Zita |
1528270998 |
Physician |
FAMILY PRACTICE |
1141 Pear Tree Ln, Suite 100 |
Napa |
Napa |
94558 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -120.498999995353 |
35.0266083603876 |
13528 |
Schwartz, Natalia |
1528297710 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2017 |
2020 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
37910 |
8160 |
35.0266083603 |
-120.498999995 |
| -116.95219952229 |
32.8004502871511 |
13547 |
Muchnik, Victoria |
1528345220 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
855 E Madison Ave |
El Cajon |
San Diego |
92020 |
California |
2014 |
2015 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
21250 |
21250 |
32.8004502867 |
-116.952199522 |
| -120.625581861214 |
40.4381384658176 |
13551 |
Petersen, Rachel |
1528353323 |
Physician |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
38250 |
8500 |
40.4381384662 |
-120.625581861 |
| -119.207077446867 |
36.303327220375 |
13563 |
Silva, Fernando |
1528400686 |
Nurse Practitioner |
UNKNOWN |
730 N. Farmersville Blvd. |
Farmersville |
Tulare |
93223 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
55250 |
8500 |
36.3033272201 |
-119.207077447 |
| -121.800410196274 |
37.2546844204497 |
13570 |
Chek, Roberta |
1528409869 |
Dentist |
UNKNOWN |
5504 Monterey Highway |
San Jose |
Santa Clara |
95138 |
California |
2020 |
2020 |
6 |
MU |
HEALTH CENTER TRI-CITY |
1780054379 |
63750 |
8500 |
37.2546844202 |
-121.800410196 |
| -117.960264000084 |
33.8649660002807 |
13574 |
Buencamino, Marjorie |
1528451820 |
Nurse Practitioner |
UNKNOWN |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2019 |
2020 |
5 |
MU |
HLTH CARE REPRODUCTIVE |
1508977414 |
55250 |
8500 |
33.864966 |
-117.960264 |
| -118.147551231804 |
33.9729202337818 |
13579 |
Swanson, Krystle |
1528459807 |
Nurse Practitioner |
UNKNOWN |
6501 Garfield Ave |
Bell Gardens |
Los Angeles |
90201 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
21250 |
21250 |
33.9729202343 |
-118.147551232 |
| -119.288677500166 |
36.3322530002758 |
13586 |
Giullian, Brandon |
1528507183 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 E. Oak Avenue |
Visalia |
UNKNOWN |
93291 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE FAMILY |
1821186727 |
38250 |
8500 |
36.332253 |
-119.2886775 |
| -117.298687104226 |
34.0966627016224 |
13588 |
Lien, Donna |
1528478989 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -120.498999995353 |
35.0266083603876 |
13598 |
Idelshon, Bradley |
1538125745 |
Physician |
FAMILY PRACTICE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -120.060353194245 |
36.7271851227952 |
13606 |
shin, Steven |
1538132071 |
Dentist |
UNKNOWN |
517 S. Madera Ave |
Kerman |
Fresno |
93630 |
California |
2018 |
2019 |
5 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
55250 |
8500 |
36.7271851231 |
-120.060353194 |
| -118.150795976753 |
34.1778106936086 |
13608 |
Osterkamp, Terre |
1538134549 |
Physician |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2020 |
2020 |
4 |
MU |
HEALTH COMMUNITY |
1871689315 |
46750 |
8500 |
34.1778106939 |
-118.150795977 |
| -116.959614428063 |
33.7493816109726 |
13634 |
Chaudhuri, Kali |
1538179437 |
Physician |
ORTHOPEDIC SURGERY |
1225 E Latham Ave, Suite A |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1184820987 |
21250 |
21250 |
33.7493816109 |
-116.959614428 |
| -120.339604557005 |
37.9783256989719 |
13640 |
Wheadon, Scott |
1538189683 |
Dentist |
UNKNOWN |
13975 Mono Way Suite I |
Sonora |
Tuolumne |
95370 |
California |
2013 |
2014 |
2 |
MU |
HEALTH BOARD, INC MACT |
1366519431 |
29750 |
8500 |
37.9783256994 |
-120.339604557 |
| -122.145105833168 |
38.2163044274075 |
13649 |
Chang, Gilbert |
1538195755 |
Physician |
UNKNOWN |
5140 Business Center Dr, Suite 200 |
Fairfield |
Solano |
94534 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GROUP NORTHBAY |
1821147786 |
63750 |
8500 |
38.2163044266 |
-122.145105833 |
| -122.292192420644 |
38.3212564181492 |
13650 |
Moore, Robert |
1538194899 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
63750 |
8500 |
38.3212564177 |
-122.292192421 |
| -118.187848176352 |
33.9730571996301 |
13658 |
Estrella, Gustavo |
1538208236 |
Physician |
UNKNOWN |
6901 South Atlantic Ave |
Bell |
Los Angeles |
90201 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
63750 |
8500 |
33.9730572 |
-118.187848176 |
| -117.867612831967 |
33.7569843671349 |
13673 |
Dange, Rajiv |
1538220298 |
Physician |
UNKNOWN |
1400 N. Main St |
Santa Ana |
Orange |
92701 |
California |
2020 |
2020 |
4 |
MU |
HEALTH SERVICES CORP ALTAMED |
1740427657 |
46750 |
8500 |
33.7569843666 |
-117.867612832 |
| -117.668297206551 |
33.5230211008432 |
13688 |
Wilhelmi, Julie |
1538230453 |
Dentist |
UNKNOWN |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER CAMINO |
1366560393 |
21250 |
21250 |
33.523021101 |
-117.668297207 |
| -118.128113901136 |
34.0143492449218 |
13697 |
MALAKOOTI, HAMID |
1538243373 |
Physician |
GENERAL PRACTICE |
2428 W Whittier Blvd |
Montebello |
Los Angeles |
90640 |
California |
2014 |
2015 |
3 |
MU |
HAMID MD MALAKOOTI |
1538243373 |
38250 |
8500 |
34.0143492454 |
-118.128113901 |
| -117.146546412287 |
32.7016590679117 |
13699 |
Ilyas, Sadaf |
1538213277 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -122.267252075423 |
37.8373378810384 |
13700 |
Hoppe, Carolyn |
1538245329 |
Physician |
UNKNOWN |
747 52nd Street |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
2 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.927040332246 |
34.0657263433961 |
13703 |
Domingo, Miguel |
1538248166 |
Physician |
PEDIATRIC MEDICINE |
512 S Glendora Ave |
West Covina |
Los Angeles |
91790 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE ACTIVE |
1699955575 |
21250 |
21250 |
34.065726343 |
-117.927040332 |
| -121.793209065646 |
38.6851030199884 |
13705 |
PARSON, MARGOLO |
1538248034 |
Nurse Practitioner |
NURSE PRACTITIONER |
8 N. Cottonwood |
Woodland |
Yolo |
95695 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558469064 |
21250 |
21250 |
38.6851030196 |
-121.793209066 |
| -117.867612831967 |
33.7569843671349 |
13712 |
Strattan, Corazon |
1538258017 |
Physician |
UNKNOWN |
1400 N Main St |
Santa Ana |
Orange |
92701 |
California |
2013 |
2014 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1740427657 |
38250 |
8500 |
33.7569843666 |
-117.867612832 |
| -122.175882289236 |
37.4330948192705 |
13742 |
Abir, Gillian |
1538300595 |
Physician |
UNKNOWN |
300 Pasteur Dr |
Palo Alto |
Santa Clara |
94305 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CARE STANFORD |
1437292927 |
46750 |
8500 |
37.4330948191 |
-122.175882289 |
| -117.879085598422 |
33.7371601013576 |
13743 |
Colon, Mark |
1538291323 |
Physician |
UNKNOWN |
1000 West Highland st. |
santa ana |
Orange |
92703 |
California |
2016 |
2017 |
5 |
MU |
HOSP ORANGE CO CHILDRENS |
1679600852 |
55250 |
8500 |
33.7371601013 |
-117.879085598 |
| -117.960264000084 |
33.8649660002807 |
13759 |
doyle, kathryn |
1538332325 |
Nurse Practitioner |
UNKNOWN |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2015 |
2016 |
1 |
AIU |
HLTH CARE REPRODUCTIVE |
1508977414 |
21250 |
21250 |
33.864966 |
-117.960264 |
| -121.098758861632 |
38.9348505096434 |
13761 |
Podliska, Medy |
1538333513 |
Nurse Practitioner |
UNKNOWN |
11670 Atwood Road |
Sacramento |
Placer |
95603 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -122.267252075423 |
37.8373378810384 |
13766 |
Cheng, Bernice |
1538349485 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -120.498999995353 |
35.0266083603876 |
13778 |
Bartolini, Susan |
1538367982 |
Physician |
UNKNOWN |
150 Tejas |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.942686115772 |
34.0515951773756 |
13795 |
Rodriguez, Cesar |
1538380928 |
Physician |
UNKNOWN |
1840 N Hacienda Suite #3 |
LA Puente |
Los Angeles |
91744 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH PROVIDERS INC BEST |
1053692434 |
21250 |
21250 |
34.0515951768 |
-117.942686116 |
| -119.548944369687 |
36.5128992261185 |
13804 |
Goerzen, Rachel |
1538427638 |
Physician |
UNKNOWN |
1250 Smith St |
Kingsburg |
Fresno |
93631 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH TEAM INC VALLEY |
1033598412 |
21250 |
21250 |
36.5128992258 |
-119.54894437 |
| -120.184312500322 |
36.6054660000559 |
13806 |
Garza, San Juan |
1538431374 |
Dentist |
UNKNOWN |
21890 Colorado Ave |
San Joaquin |
Fresno |
93660 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH TEAM INC VALLEY |
1598821027 |
21250 |
21250 |
36.605466 |
-120.1843125 |
| -118.329789269359 |
34.0979749635737 |
13824 |
Oh, Jane |
1538459243 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2014 |
2015 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -117.866853000166 |
33.7811759997726 |
13825 |
Huynh, Van |
1538462080 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL OF CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -117.146546412287 |
32.7016590679117 |
13834 |
Sebso, Jodi |
1538484316 |
Physician |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -121.940302499661 |
37.3266449995671 |
13851 |
Peng, Jeffrey |
1538541255 |
Physician |
UNKNOWN |
455 OConnor Dr, Suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTER OF INDIAN |
1114290780 |
29750 |
8500 |
37.326645 |
-121.9403025 |
| -121.977238187592 |
37.5484010455718 |
13856 |
Adame, Claudia |
1538566179 |
Nurse Practitioner |
UNKNOWN |
39500 Liberty Street |
Fremont |
Alameda |
94538 |
California |
2016 |
2017 |
1 |
MU |
HEALTH CENTER TRI-CITY |
1942387188 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -120.625581861214 |
40.4381384658176 |
13862 |
Steglich, Lindsey |
1538573365 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
29750 |
8500 |
40.4381384662 |
-120.625581861 |
| -120.054490451773 |
36.963929180987 |
13868 |
Chen, James |
1538588108 |
Dentist |
UNKNOWN |
124 So. A Street |
Madera |
Madera |
93638 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9639291809 |
-120.054490452 |
| -119.521534499617 |
36.6049529997812 |
13871 |
Lepp, Carly |
1538594163 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
650 S Zediker Ave |
Parlier |
UNKNOWN |
93648 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTERS- UNITED |
1801878350 |
21250 |
21250 |
36.604953 |
-119.5215345 |
| -118.264011576073 |
34.0526621276551 |
13882 |
de Vente, Jerome |
1548208242 |
Physician |
UNKNOWN |
1127 Wilshire Blvd., suite 1504 |
Los Angeles |
Los Angeles |
90017 |
California |
2018 |
2019 |
3 |
MU |
HEALTH and WELLNESS APLA |
1740490937 |
38250 |
8500 |
34.052662128 |
-118.264011576 |
| -117.146546412287 |
32.7016590679117 |
13885 |
Gallardo, Andrea |
1538488705 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -116.920651500067 |
32.8611960001953 |
13918 |
Mannino, Elizabeth |
1548290463 |
Physician |
FAMILY PRACTICE |
10039 Vine St |
Lakeside |
San Diego |
92040 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1932384120 |
38250 |
8500 |
32.861196 |
-116.9206515 |
| -116.976458822617 |
32.781601269583 |
13922 |
mangene, cynthia |
1548292626 |
Nurse Practitioner |
UNKNOWN |
1111 West Chase Avenue |
El Cajon |
San Diego |
92020 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1104861681 |
38250 |
8500 |
32.7816012698 |
-116.976458823 |
| -121.456624499721 |
38.5712370003873 |
13929 |
Rosales, Gustavo |
1548306954 |
Physician |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
29750 |
8500 |
38.571237 |
-121.4566245 |
| -118.189248261598 |
33.7980944912678 |
13939 |
Giahi, Hamid |
1548315567 |
Dentist |
UNKNOWN |
2250 LONG BEACH BLVD |
LONG BEACH |
Los Angeles |
90806 |
California |
2015 |
2016 |
1 |
AIU |
Hamid Giahi |
1548315567 |
21250 |
21250 |
33.7980944913 |
-118.189248262 |
| -118.856550601329 |
34.178293583682 |
13944 |
BILECA, HRISTU |
1548318660 |
Dentist |
UNKNOWN |
1321 E Thousand Oaks Blvd, Suite 112 |
Thousand Oaks |
Ventura |
91362 |
California |
2016 |
2016 |
1 |
AIU |
HRISTU BILECA |
1548318660 |
21250 |
21250 |
34.1782935843 |
-118.856550601 |
| -117.867612831967 |
33.7569843671349 |
13952 |
Flores, Brenda |
1548329451 |
Nurse Practitioner |
UNKNOWN |
1400 N Main St |
Santa Ana |
Orange |
92701 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1740427657 |
63750 |
8500 |
33.7569843666 |
-117.867612832 |
| -117.298687104226 |
34.0966627016224 |
13965 |
Lohr, Jason |
1548337918 |
Physician |
UNKNOWN |
250 South G Street |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
5 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
55250 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.866853000166 |
33.7811759997726 |
14011 |
Vaquero Solans, Cecilia |
1548382963 |
Physician |
GASTROENTEROLOGY |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -120.06032040856 |
36.7286722489252 |
14013 |
Doi, Daryl |
1548394778 |
Physician |
UNKNOWN |
449 South Madera Ave |
Kerman |
Fresno |
93630 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH TEAM, INC VALLEY |
1962567388 |
21250 |
21250 |
36.7286722491 |
-120.060320409 |
| -122.267252075423 |
37.8373378810384 |
14026 |
Nakaishi, Michelle |
1548399363 |
Nurse Practitioner |
UNKNOWN |
747 52nd St, Offices 770 - 53rd St. |
Oakland |
Alameda |
94609 |
California |
2020 |
2020 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.267731525589 |
37.8373514428149 |
14027 |
Foote, Drucilla |
1548405566 |
Nurse Practitioner |
UNKNOWN |
744 52nd St., Dept of HematologyOncology - Children's Hospital Oakla |
Oakland |
Alameda |
94609 |
California |
2015 |
2016 |
2 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373514427 |
-122.267731526 |
| -120.498999995353 |
35.0266083603876 |
14028 |
Olson, Shannon |
1548416365 |
Dentist |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.306952999581 |
34.0623180000757 |
14052 |
Thompson, Nanora |
1548460926 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.267731525589 |
37.8373514428149 |
14053 |
Stehr, Wolfgang |
1548461346 |
Physician |
UNKNOWN |
744 52nd St, Suite 4100 |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373514427 |
-122.267731526 |
| -119.650117579163 |
36.3270237618372 |
14072 |
Leung, Michael |
1548507007 |
Dentist |
UNKNOWN |
329 W 8th St |
Hanford |
Kings |
93230 |
California |
2015 |
2016 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
29750 |
8500 |
36.3270237616 |
-119.650117579 |
| -117.146546412287 |
32.7016590679117 |
14073 |
McMahan, Diana |
1548455405 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -119.291498831706 |
36.5303014971165 |
14087 |
Bradley, Benjamin |
1548546435 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
12586 Avenue 408 |
Orosi |
Tulare |
93647 |
California |
2015 |
2016 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
38250 |
8500 |
36.5303014971 |
-119.291498832 |
| -122.267252075423 |
37.8373378810384 |
14106 |
Lalefar, Nahal |
1548585748 |
Physician |
UNKNOWN |
747 52Nd Street |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.042168222785 |
36.0512835430011 |
14107 |
Meneses, Dorothy |
1548590623 |
Physician |
UNKNOWN |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
63750 |
8500 |
36.0512835428 |
-119.042168223 |
| -121.566243988969 |
37.0163317440148 |
14113 |
McLane, Jennifer |
1548599582 |
Nurse Practitioner |
UNKNOWN |
7861 Murray Ave |
Gilroy |
Santa Clara |
95020 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
63750 |
8500 |
37.0163317437 |
-121.566243989 |
| -118.095628711596 |
33.9679898013883 |
14120 |
Tsuno, Trisha |
1548623689 |
Nurse Practitioner |
UNKNOWN |
9436 E. Slauson Ave |
Pico Rivera |
Los Angeles |
90660 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES ALTAMED |
1710191283 |
21250 |
21250 |
33.9679898013 |
-118.095628712 |
| -118.150795976753 |
34.1778106936086 |
14123 |
Hsin, Hong-Yuan |
1548643521 |
Dentist |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.1778106939 |
-118.150795977 |
| -119.042562774253 |
36.0512326143937 |
14125 |
Joo, Jason |
1548646854 |
Dentist |
UNKNOWN |
1133 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2016 |
2016 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1558554519 |
21250 |
21250 |
36.0512326139 |
-119.042562774 |
| -117.298687104226 |
34.0966627016224 |
14143 |
Cristiano, Laurin |
1548674773 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -121.777841140256 |
37.2318480040822 |
14146 |
Jocius, Jessica |
1548716855 |
Nurse Practitioner |
UNKNOWN |
6840 Via Del Oro, 210 |
San Jose |
Santa Clara |
95119 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
29750 |
8500 |
37.2318480037 |
-121.77784114 |
| -120.498999995353 |
35.0266083603876 |
14147 |
Raj, Satish |
1558311134 |
Physician |
FAMILY PRACTICE |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.613430264695 |
39.1443745680319 |
14181 |
Ammar, Mustafa |
1558363168 |
Physician |
PEDIATRIC MEDICINE |
1000 Sutter St |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.1443745679 |
-121.613430265 |
| -122.292192420644 |
38.3212564181492 |
14184 |
Biegel, Heidi |
1558366054 |
Certified Nurse - Midwife |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
8500 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.26118746393 |
37.8386955479612 |
14194 |
Chase, Patricia |
1558381707 |
Physician |
UNKNOWN |
5220 Claremont Ave |
Oakland |
Alameda |
94618 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8386955484 |
-122.261187464 |
| -122.292192420644 |
38.3212564181492 |
14198 |
Wilson, Jennifer |
1558378984 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
55250 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.455808999686 |
37.7487900001584 |
14211 |
Dammann, Grace |
1558406736 |
Physician |
UNKNOWN |
375 LAGUNA HONDA BLVD, 200 |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -118.329789269359 |
34.0979749635737 |
14218 |
Nallasamy, Sudha |
1558410506 |
Physician |
OPHTHALMOLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -121.847419519595 |
37.3652603243046 |
14251 |
van, huan |
1558457473 |
Dentist |
UNKNOWN |
2380 Montpelier Drive, suite 200 & 400 |
San Jose |
Santa Clara |
95116 |
California |
2020 |
2020 |
5 |
MU |
HEALTH CENTER TRI-CITY |
1780054379 |
55250 |
8500 |
37.3652603239 |
-121.84741952 |
| -121.977238187592 |
37.5484010455718 |
14257 |
Do, Khanh |
1558463281 |
Physician |
FAMILY PRACTICE |
39500 Liberty |
Fremont |
Alameda |
94538 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -117.034542000113 |
32.7433140004408 |
14265 |
Cheffet, Shannon |
1558472779 |
Physician |
INTERNAL MEDICINE |
7592 Broadway |
Lemon Grove |
San Diego |
91945 |
California |
2012 |
2013 |
1 |
AIU |
HLTH CTR OF SAN DIEGO FAMILY |
1427282466 |
21250 |
21250 |
32.743314 |
-117.034542 |
| -117.946313999791 |
33.8324215409214 |
14281 |
Phan, Peter |
1558496174 |
Dentist |
UNKNOWN |
1814 W. Lincoln Ave Suite A |
Anaheim |
Orange |
92801 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1538303516 |
29750 |
8500 |
33.8324215409 |
-117.946314 |
| -119.678660202906 |
36.6289187730829 |
14290 |
DeLaCruz, Nicholas |
1558511030 |
Dentist |
UNKNOWN |
106 E Main St |
Fowler |
Fresno |
93625 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS OF THE UNITED |
1982079620 |
55250 |
8500 |
36.628918773 |
-119.678660203 |
| -117.146546412287 |
32.7016590679117 |
14321 |
vadivel, pushpa |
1558515445 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.288677500166 |
36.3322530002758 |
14333 |
Mariano-Panggat, Cheryll Anne |
1558594796 |
Physician |
UNKNOWN |
400 E. Oak Ave |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE FAMILY |
1821186727 |
46750 |
8500 |
36.332253 |
-119.2886775 |
| -118.329789269359 |
34.0979749635737 |
14360 |
Spitzer, Joseph |
1558666545 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -117.232285499976 |
32.8755510002785 |
14361 |
Singer, Michael |
1558673483 |
Dentist |
UNKNOWN |
3350 La Jolla Village Dr |
San Diego |
San Diego |
92161 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.875551 |
-117.2322855 |
| -120.045810184592 |
36.94541455204 |
14364 |
Shin, Asako |
1558674069 |
Nurse Practitioner |
UNKNOWN |
1210 E Almond Ave |
Madera |
Madera |
93637 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -118.306952999581 |
34.0623180000757 |
14375 |
Walker, Angela |
1558685537 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.146546412287 |
32.7016590679117 |
14377 |
Cruz, Deo |
1558698092 |
Dentist |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -121.456624499721 |
38.5712370003873 |
14381 |
Calahan, Catherine |
1558715045 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS ELICA |
1093974065 |
21250 |
21250 |
38.571237 |
-121.4566245 |
| -117.298687104226 |
34.0966627016224 |
14387 |
Koo, Ja Eun |
1558700187 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -118.131968579786 |
34.1767364057606 |
14391 |
Laurence, Anna |
1558791780 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1855 North Lake Avenue |
Pasadena |
Los Angeles |
91104 |
California |
2015 |
2016 |
1 |
AIU |
HLTH ALLIANCE COMMUNITY |
1063748242 |
21250 |
21250 |
34.1767364065 |
-118.13196858 |
| -118.150795976753 |
34.1778106936086 |
14396 |
Liu, Holly |
1558813154 |
Nurse Practitioner |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
UNKNOWN |
91103 |
California |
2018 |
2019 |
3 |
MU |
HEALTH COMMUNITY |
1871689315 |
38250 |
8500 |
34.1778106939 |
-118.150795977 |
| -116.961791977218 |
33.2771591455781 |
14397 |
Saez, Elizabeth |
1558819649 |
Nurse Practitioner |
UNKNOWN |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH COUNCIL INDIAN |
1861449522 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
| -120.060353194245 |
36.7271851227952 |
14401 |
Amador, Jose |
1568418150 |
Physician |
UNKNOWN |
517 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2017 |
2018 |
3 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
38250 |
8500 |
36.7271851231 |
-120.060353194 |
| -120.625581861214 |
40.4381384658176 |
14421 |
Langslet, Teresa |
1568471951 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
29750 |
8500 |
40.4381384662 |
-120.625581861 |
| -119.10016617423 |
36.4140270004457 |
14422 |
Jones, Marvin |
1568472264 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
101 North Palm Street |
Woodlake |
Tulare |
93286 |
California |
2013 |
2014 |
3 |
MU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
38250 |
8500 |
36.414027 |
-119.100166174 |
| -121.481662499625 |
38.5768799998122 |
14428 |
Wicks, Stephani |
1568478527 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1820 J Street |
Sacramento |
UNKNOWN |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -121.913647032185 |
37.3017600004237 |
14433 |
Priest, Julie |
1568483675 |
Nurse Practitioner |
UNKNOWN |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2019 |
2020 |
6 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
63750 |
8500 |
37.30176 |
-121.913647032 |
| -119.288673194212 |
36.3328544497731 |
14438 |
Bencomo, Christopher |
1568488518 |
Physician |
UNKNOWN |
401 E. School Ave |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
46750 |
8500 |
36.3328544502 |
-119.288673194 |
| -120.498999995353 |
35.0266083603876 |
14442 |
Hurt, Carla |
1568491363 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.267252075423 |
37.8373378810384 |
14444 |
Petru, Ann |
1568490878 |
Physician |
INFECTIOUS DISEASE |
747 Fifty-second Street |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.081238499657 |
32.6425949998594 |
14446 |
HUBLEY, PAUL |
1568496974 |
Physician |
FAMILY PRACTICE |
251 Landis Avenue |
Chula Vista |
San Diego |
91910 |
California |
2015 |
2017 |
4 |
MU |
HEALTH CENTERS OF FAMILY |
1346480837 |
46750 |
8500 |
32.642595 |
-117.0812385 |
| -121.768857103672 |
36.9276359597318 |
14450 |
Asadi, Holly |
1568500627 |
Dentist |
UNKNOWN |
94 Mariposa Ave |
Watsonville |
Santa Cruz |
95076 |
California |
2013 |
2014 |
1 |
AIU |
Holly Asadi |
1568500627 |
21250 |
21250 |
36.9276359603 |
-121.768857104 |
| -122.178555050075 |
39.9279807151379 |
14456 |
Saunders, Robin |
1568503142 |
Dentist |
UNKNOWN |
970 Solano Street |
Corning |
Tehama |
96021 |
California |
2013 |
2015 |
1 |
AIU |
HILLS CLINIC ROLLING |
1992012306 |
21250 |
21250 |
39.9279807154 |
-122.17855505 |
| -122.267252075423 |
37.8373378810384 |
14457 |
NEUMAYR, LYNNE |
1568503712 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -121.098758861632 |
38.9348505096434 |
14461 |
Law, John |
1568509024 |
Dentist |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -117.261171974107 |
34.049203089551 |
14466 |
Law, Melody |
1568509834 |
Physician |
UNKNOWN |
Loma Linda University, 11234 Anderson Street |
Loma Linda |
San Bernardino |
92354 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
21250 |
21250 |
34.0492030899 |
-117.261171974 |
| -117.988308000114 |
33.7050629998576 |
14468 |
FLORES, MICHAEL |
1568515906 |
Dentist |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2016 |
2017 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
38250 |
8500 |
33.705063 |
-117.988308 |
| -117.866853000166 |
33.7811759997726 |
14499 |
Daniels, Mark |
1568552651 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2015 |
2017 |
4 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -118.329789269359 |
34.0979749635737 |
14501 |
GUTIERREZ, YVONNE |
1568555308 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -118.306952999581 |
34.0623180000757 |
14504 |
DONKIN, JENNIFER |
1568555894 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.287285000302 |
37.9665270002209 |
14508 |
Javeed, Suryabanu |
1568567105 |
Physician |
UNKNOWN |
1212 N. California Street |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -117.866853000166 |
33.7811759997726 |
14513 |
Ellis, Mark |
1568569424 |
Physician |
ALLERGY/IMMUNOLOGY |
455 S Main St |
Orange |
Orange |
92868 |
California |
2015 |
2017 |
1 |
AIU |
HOSPITAL OF CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -118.306952999581 |
34.0623180000757 |
14546 |
Margol, Ashley |
1568636033 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.146546412287 |
32.7016590679117 |
14554 |
Jaime, Cindy |
1568655785 |
Physician |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -117.009828643777 |
32.7148179660763 |
14567 |
Shah, Ritesh |
1568673879 |
Dentist |
UNKNOWN |
8788 Jamacha Road |
Spring Valley |
San Diego |
91977 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS FAMILY |
1508801069 |
21250 |
21250 |
32.7148179656 |
-117.009828644 |
| -121.829149767947 |
37.3651956189827 |
14578 |
LUU, PHUONG |
1568689743 |
Dentist |
UNKNOWN |
3030 ALUM ROCK AVE |
SAN JOSE |
Santa Clara |
95127 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1558491043 |
21250 |
21250 |
37.3651956189 |
-121.829149768 |
| -119.271564041947 |
35.884328300111 |
14590 |
Chio, Ryan Roger |
1568721058 |
Physician |
UNKNOWN |
476 E Washington Ave |
Earlimart |
Tulare |
93219 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS- UNITED |
1417939968 |
46750 |
8500 |
35.8843283 |
-119.271564042 |
| -121.800410196274 |
37.2546844204497 |
14596 |
SESHADRI, SHESHASHREE |
1568727725 |
Physician |
UNKNOWN |
5504 Monterey Highway |
San Jose |
Santa Clara |
95138 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTER FOOTHILL |
1922485952 |
17000 |
8500 |
37.2546844202 |
-121.800410196 |
| -122.659945408554 |
38.2688718730386 |
14601 |
Helgerson, Erin |
1568741494 |
Physician |
UNKNOWN |
1179 N McDowell Blvd. |
Petaluma |
UNKNOWN |
94954 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
46750 |
8500 |
38.2688718726 |
-122.659945409 |
| -120.045810184592 |
36.94541455204 |
14603 |
Rolfo, Stephanie |
1568742096 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2014 |
2014 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -118.306952999581 |
34.0623180000757 |
14611 |
Ryabets-Lienhard, Anna |
1568758548 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600 |
Los Angeles |
UNKNOWN |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.146546412287 |
32.7016590679117 |
14623 |
Chheda, Parin |
1568723849 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -118.27391808685 |
34.0286791746043 |
14632 |
Habell, Barbara |
1568788669 |
Nurse Practitioner |
UNKNOWN |
2400 S Flower St, Orthopaedic Hospital |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2014 |
3 |
MU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
38250 |
8500 |
34.0286791754 |
-118.273918087 |
| -117.298687104226 |
34.0966627016224 |
14640 |
Willsey, Kyle |
1568881696 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -118.095628711596 |
33.9679898013883 |
14646 |
Guerrero, Nicolette |
1578006425 |
Nurse Practitioner |
UNKNOWN |
9436 Slauson Ave |
Pico Rivera |
Los Angeles |
90660 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1710191283 |
38250 |
8500 |
33.9679898013 |
-118.095628712 |
| -117.298687104226 |
34.0966627016224 |
14650 |
Tanzil, Michelle |
1578004156 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -122.267252075423 |
37.8373378810384 |
14659 |
Waterson, John |
1578505467 |
Physician |
GENERAL PRACTICE |
747 52nd St, Children's Hospital & Research Center at Oakland |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
2 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.751073666616 |
34.0965576590088 |
14667 |
KAUSHAL, SANDEEP |
1578538740 |
Physician |
UNKNOWN |
250 W Bonita Ave Ste 200 |
Pomona |
UNKNOWN |
91767 |
California |
2017 |
2018 |
2 |
MU |
HOLLEMBERG, AGRAWAL LAUPPE |
1366447781 |
29750 |
8500 |
34.0965576594 |
-117.751073667 |
| -120.686142586411 |
38.1977557986912 |
14682 |
Kifune, Michael |
1578568614 |
Physician |
FAMILY PRACTICE |
265 W. St. Charles St., Suite 3 |
San Andreas |
Calaveras |
95249 |
California |
2013 |
2014 |
2 |
MU |
HEALTH BOARD, INC MACT |
1366519431 |
29750 |
8500 |
38.1977557987 |
-120.686142586 |
| -117.988308000114 |
33.7050629998576 |
14707 |
Lai, Annie |
1578599262 |
Physician |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
8500 |
8500 |
33.705063 |
-117.988308 |
| -121.569405194994 |
37.0084673696734 |
14709 |
LUMICAO, GENEROSA |
1578599858 |
Physician |
UNKNOWN |
7526 MONTEREY ST |
GILROY |
Santa Clara |
95020 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTER COMPRECARE |
1083654545 |
29750 |
8500 |
37.00846737 |
-121.569405195 |
| -118.27391808685 |
34.0286791746043 |
14717 |
Quon, Doris |
1578589271 |
Physician |
HEMATOLOGY |
2400 S Flower St, Hemophilia Treatment Center |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2013 |
1 |
AIU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
21250 |
21250 |
34.0286791754 |
-118.273918087 |
| -122.659945408554 |
38.2688718730386 |
14720 |
Crispin, Craig |
1578617452 |
Dentist |
UNKNOWN |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTR, INC PETALUMA |
1588656268 |
21250 |
21250 |
38.2688718726 |
-122.659945409 |
| -121.551722325625 |
39.5023306563348 |
14722 |
PARSONS, JOHN |
1578620076 |
Physician |
INTERNAL MEDICINE |
2800 lincoln blvd |
oroville |
Butte |
95966 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.5023306564 |
-121.551722326 |
| -118.375592124277 |
34.0701411791721 |
14732 |
Gabriel, Rodney |
1578631032 |
Physician |
ORTHOPEDIC SURGERY |
444 S San Vicente Blvd, Suite 603 |
Los Angeles |
Los Angeles |
90048 |
California |
2011 |
2012 |
1 |
AIU |
HOSP ORTHOPAEDIC |
1689632374 |
21250 |
21250 |
34.0701411787 |
-118.375592124 |
| -118.246191531314 |
33.9426899692667 |
14755 |
Baranco, Rachel |
1578668117 |
Physician |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2015 |
2016 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -117.668297206551 |
33.5230211008432 |
14766 |
Girard, Francine |
1578680237 |
Nurse Practitioner |
UNKNOWN |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER CAMINO |
1366560393 |
38250 |
8500 |
33.523021101 |
-117.668297207 |
| -117.249866999562 |
33.3689129998351 |
14772 |
Goldberg, Ruth |
1578705257 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
1328 S Mission Rd, Suite D |
Fallbrook |
San Diego |
92028 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SYSTEMS INC COMMUNITY |
1982756086 |
21250 |
21250 |
33.368913 |
-117.249867 |
| -119.289034030996 |
36.3341005980642 |
14786 |
Jernberg, Anne |
1578734182 |
Dentist |
UNKNOWN |
501 N. Bridge Street |
Visalia |
Tulare |
93291 |
California |
2015 |
2016 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
29750 |
8500 |
36.3341005984 |
-119.289034031 |
| -117.866853000166 |
33.7811759997726 |
14788 |
Rubin, Elyssa |
1578738282 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2011 |
2012 |
1 |
AIU |
HOSP OF ORANGE CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -118.306952999581 |
34.0623180000757 |
14800 |
Sabati, Arash |
1578750949 |
Physician |
UNKNOWN |
3701 WILSHIRE BLVD., SUITE 600, CHILSDRENS HOSPITAL LOS ANGELES MEDICAL GROUP |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -116.959614428063 |
33.7493816109726 |
14804 |
Nam, Eduardo |
1578760641 |
Physician |
NEPHROLOGY |
1225 E. Latham Ave Suite A |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1184820987 |
21250 |
21250 |
33.7493816109 |
-116.959614428 |
| -117.146546412287 |
32.7016590679117 |
14807 |
Long, Meredith |
1578708533 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -120.054490451773 |
36.963929180987 |
14825 |
Wright, Jennifer |
1578816633 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
124 So. A Street |
Madera |
Madera |
93638 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
36.9639291809 |
-120.054490452 |
| -120.260892026246 |
37.1205884967617 |
14830 |
Araya, Natalie |
1578828604 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
401 Trinity Ave |
Chowchilla |
Madera |
93610 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
37.1205884972 |
-120.260892026 |
| -122.659945408554 |
38.2688718730386 |
14847 |
Solomon, Azmera |
1578856365 |
Dentist |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTR, INC PETALUMA |
1588656268 |
21250 |
21250 |
38.2688718726 |
-122.659945409 |
| -119.288673194212 |
36.3328544497731 |
14873 |
Hsu, Li Chen |
1578910287 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
401 E School Ave |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
21250 |
21250 |
36.3328544502 |
-119.288673194 |
| -122.271160359963 |
37.7995061221099 |
14877 |
Lu, Weidan |
1578934253 |
Nurse Practitioner |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2016 |
2016 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -121.940302499661 |
37.3266449995671 |
14878 |
Owolabi, Mark |
1578945507 |
Physician |
UNKNOWN |
455 OConnor Dr, suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -121.570951500112 |
37.0377899997088 |
14883 |
Lim, Peterson |
1578964110 |
Dentist |
UNKNOWN |
9460 No Name Uno, Suite 215 |
Gilroy |
Santa Clara |
95020 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1144626649 |
38250 |
8500 |
37.03779 |
-121.5709515 |
| -117.298687104226 |
34.0966627016224 |
14886 |
Ginsburg, Daniella |
1578950010 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -120.498999995353 |
35.0266083603876 |
14892 |
Byram, Jinah |
1578975751 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Pl |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.298687104226 |
34.0966627016224 |
14898 |
Josic, Tatjana |
1578975637 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -120.055711580925 |
36.9628328372657 |
14907 |
HEU, NDZEU |
1588034920 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
344 E. 6th Street |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
36.9628328373 |
-120.055711581 |
| -119.097576800329 |
36.4172857999997 |
14910 |
Low, Derrick |
1588049563 |
Dentist |
UNKNOWN |
201 E. Lakeview Avenue |
Woodlake |
Tulare |
93286 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
29750 |
8500 |
36.4172857999 |
-119.0975768 |
| -118.264011576073 |
34.0526621276551 |
14911 |
Correia, Josephine |
1588055073 |
Nurse Practitioner |
UNKNOWN |
1127 Wilshire Blvd, suite 1504 |
Los Angeles |
Los Angeles |
90017 |
California |
2018 |
2019 |
3 |
MU |
HEALTH and WELLNESS APLA |
1740490937 |
38250 |
8500 |
34.052662128 |
-118.264011576 |
| -117.298687104226 |
34.0966627016224 |
14913 |
Tran, Mai-Linh |
1588041859 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -119.288673194212 |
36.3328544497731 |
14922 |
Flax, Rebecca |
1588072151 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
401 E School Ave |
Visalia |
Tulare |
93291 |
California |
2015 |
2016 |
1 |
MU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
21250 |
21250 |
36.3328544502 |
-119.288673194 |
| -119.647641434405 |
36.3243824628804 |
14930 |
Grajo, Ana Marie |
1588109375 |
Nurse Practitioner |
UNKNOWN |
250 West 5th Street |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
29750 |
8500 |
36.3243824628 |
-119.647641434 |
| -120.383824346117 |
36.7660952641851 |
14947 |
Smurr, James |
1588622542 |
Physician |
FAMILY PRACTICE |
121 Barboza St |
Mendota |
Fresno |
93640 |
California |
2018 |
2019 |
6 |
MU |
HLTH CTRS-MENDOTA UNITED |
1184606634 |
63750 |
8500 |
36.7660952642 |
-120.383824346 |
| -122.267252075423 |
37.8373378810384 |
14958 |
Smith, Melanie |
1588633721 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -118.453523780898 |
34.2807127885644 |
15005 |
OH, HYUNGRIM |
1588712665 |
Dentist |
UNKNOWN |
14709 Rinaldi St |
San Fernando |
Los Angeles |
91340 |
California |
2015 |
2016 |
1 |
AIU |
HYUNGRIM OH |
1588712665 |
21250 |
21250 |
34.2807127892 |
-118.453523781 |
| -117.068053499569 |
33.1260569997308 |
15006 |
Mc Carberg, Bill |
1588712475 |
Physician |
UNKNOWN |
1001 E. Grand Ave |
Escondido |
San Diego |
92025 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1487826772 |
8500 |
8500 |
33.126057 |
-117.0680535 |
| -120.060353194245 |
36.7271851227952 |
15034 |
Kamal, Nasir |
1588742167 |
Physician |
FAMILY PRACTICE |
517 S. Madera Ave |
Kerman |
Fresno |
93630 |
California |
2018 |
2019 |
6 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
63750 |
8500 |
36.7271851231 |
-120.060353194 |
| -122.292192420644 |
38.3212564181492 |
15039 |
Pastcan, Richard |
1588742308 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
38250 |
8500 |
38.3212564177 |
-122.292192421 |
| -120.498999995353 |
35.0266083603876 |
15042 |
Nalley, Lorraine |
1588750244 |
Nurse Practitioner |
NURSE PRACTITIONER |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -122.267252075423 |
37.8373378810384 |
15045 |
Walters, Mark |
1588753610 |
Physician |
UNKNOWN |
747 52nd Street |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.770743603834 |
36.7576967995677 |
15050 |
Luong, Hing |
1588755722 |
Physician |
INTERNAL MEDICINE |
3240 E Olive Ave |
Fresno |
Fresno |
93702 |
California |
2012 |
2013 |
2 |
MU |
HING B MD LUONG |
1588755722 |
29750 |
8500 |
36.7576968004 |
-119.770743604 |
| -122.052187649141 |
38.2758300032521 |
15052 |
Freeman, Douglas |
1588760110 |
Physician |
FAMILY PRACTICE |
2458 Hilborn Rd |
Fairfield |
Solano |
94534 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.2758300025 |
-122.052187649 |
| -119.424323611346 |
36.3520902351763 |
15055 |
Palmer, Steven |
1588760185 |
Physician |
OBSTETRICS/GYNECOLOGY |
30979 Road 67 |
Goshen |
Tulare |
93291 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
21250 |
21250 |
36.3520902351 |
-119.424323611 |
| -117.996641889811 |
33.7738698732961 |
15065 |
NGUYEN, DUC |
1588779466 |
Physician |
UNKNOWN |
7761 Garden Grove Blvd. |
Garden Grove |
Orange |
92841 |
California |
2018 |
2018 |
2 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
29750 |
8500 |
33.7738698726 |
-117.99664189 |
| -122.267252075423 |
37.8373378810384 |
15066 |
Kulhanjian, Julie |
1588778666 |
Physician |
INFECTIOUS DISEASE |
747 52nd |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.146546412287 |
32.7016590679117 |
15069 |
Newell, Chad |
1588780324 |
Physician |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.996641889811 |
33.7738698732961 |
15075 |
Ha, Linh |
1588792105 |
Dentist |
UNKNOWN |
7761 Garden Grove Blvd |
Garden Grove |
Orange |
92841 |
California |
2018 |
2020 |
3 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
38250 |
8500 |
33.7738698726 |
-117.99664189 |
| -118.150712999905 |
34.1313119999489 |
15079 |
Paiso, Iris |
1588794945 |
Dentist |
UNKNOWN |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.131312 |
-118.150713 |
| -120.498999995353 |
35.0266083603876 |
15083 |
Huynh, Helen |
1588820518 |
Physician |
OBSTETRICS/GYNECOLOGY |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -120.054490451773 |
36.963929180987 |
15085 |
Johnson, Paul |
1588821052 |
Dentist |
UNKNOWN |
124 So. A Street |
Madera |
Madera |
93638 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9639291809 |
-120.054490452 |
| -117.962440523112 |
33.7450397138118 |
15090 |
Quy, Huong |
1588826150 |
Physician |
UNKNOWN |
9559 Bolsa Ave, Suite D |
Westminster |
Orange |
92683 |
California |
2016 |
2017 |
2 |
MU |
HUONG T DO QUY |
1588826150 |
29750 |
8500 |
33.7450397139 |
-117.962440523 |
| -117.915163058828 |
33.7774180953688 |
15096 |
Zepeda, Consuelo |
1588829956 |
Nurse Practitioner |
UNKNOWN |
14350 Whittier Blv12751 Harbor Blvdd |
Garden Grove |
Orange |
92840 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
29750 |
8500 |
33.7774180952 |
-117.915163059 |
| -120.383824346117 |
36.7660952641851 |
15097 |
Stockamp, Kristen |
1588836688 |
Physician |
UNKNOWN |
121 Barboza St |
Mendota |
Fresno |
93640 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CTRS-MENDOTA UNITED |
1184606634 |
21250 |
21250 |
36.7660952642 |
-120.383824346 |
| -120.498999995353 |
35.0266083603876 |
15106 |
Kasturi, Vellore |
1588862478 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
17000 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.146546412287 |
32.7016590679117 |
15122 |
SULLIVAN, MARY |
1588893564 |
Physician |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -122.659945408554 |
38.2688718730386 |
15126 |
Rives Gray, Sarah |
1588907380 |
Nurse Practitioner |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2014 |
2016 |
1 |
AIU |
HEALTH CTR, INC PETALUMA |
1588656268 |
21250 |
21250 |
38.2688718726 |
-122.659945409 |
| -122.267252075423 |
37.8373378810384 |
15149 |
Harvill, Zena |
1588944300 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.271160359963 |
37.7995061221099 |
15200 |
Thai, Le |
1598072670 |
Nurse Practitioner |
NURSE PRACTITIONER |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -119.521534499617 |
36.6049529997812 |
15201 |
Ruvalcaba, Alberto |
1598074338 |
Physician |
UNKNOWN |
650 Zediker Ave |
Parlier |
Fresno |
93648 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTERS- UNITED |
1801878350 |
21250 |
21250 |
36.604953 |
-119.5215345 |
| -117.946313999791 |
33.8324215409214 |
15208 |
Sinha, Reshmi |
1598087041 |
Certified Nurse - Midwife |
UNKNOWN |
1814 W. Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2017 |
2018 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1063659985 |
38250 |
8500 |
33.8324215409 |
-117.946314 |
| -122.292192420644 |
38.3212564181492 |
15210 |
Chan, Hermina |
1598093171 |
Dentist |
UNKNOWN |
1141 Pear Tree Ln, Suite 100 |
Napa |
Napa |
94558 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -121.940302499661 |
37.3266449995671 |
15215 |
Montacute, Tamara |
1598105348 |
Physician |
UNKNOWN |
455 OConnor Dr Ste 200 |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -117.298687104226 |
34.0966627016224 |
15217 |
Shah, Anup |
1598089625 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -118.306952999581 |
34.0623180000757 |
15222 |
Warsh, Joel |
1598134843 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -118.279804500377 |
34.0672320000568 |
15223 |
Kim, Hyun Young |
1598123523 |
Dentist |
UNKNOWN |
274 S. LaFayette Park Place, Suite 238 |
Los Angeles |
Los Angeles |
90057 |
California |
2016 |
2017 |
1 |
AIU |
Hyun Young Kim |
1598123523 |
21250 |
21250 |
34.067232 |
-118.2798045 |
| -121.913647032185 |
37.3017600004237 |
15226 |
Gonzalez, Prisila |
1598141384 |
Nurse Practitioner |
UNKNOWN |
1333 Meridian Avenue |
San Jose |
Santa Clara |
95112 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
38250 |
8500 |
37.30176 |
-121.913647032 |
| -117.298687104226 |
34.0966627016224 |
15231 |
Ulrich, Michael |
1598152183 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -122.292192420644 |
38.3212564181492 |
15237 |
Espitia, Ana |
1598159808 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
38250 |
8500 |
38.3212564177 |
-122.292192421 |
| -119.366878876059 |
36.2046068380352 |
15239 |
Alonso, Rafael |
1598160004 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
263 S. West Street |
Tualre |
Tulare |
93274 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
46750 |
8500 |
36.2046068384 |
-119.366878876 |
| -121.481662499625 |
38.5768799998122 |
15242 |
Anderson, Scotti |
1598187296 |
Nurse Practitioner |
UNKNOWN |
1820 J Street |
Sacramento |
UNKNOWN |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -117.298687104226 |
34.0966627016224 |
15248 |
Handschin, Tobias |
1598184343 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -122.292192420644 |
38.3212564181492 |
15251 |
Coronado, Jose |
1598701310 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
46750 |
8500 |
38.3212564177 |
-122.292192421 |
| -121.570951500112 |
37.0377899997088 |
15306 |
Bettencourt, Hui |
1598795791 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
9460 No Name Uno, Suite 110 |
Gilroy |
Santa Clara |
95020 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1144626649 |
38250 |
8500 |
37.03779 |
-121.5709515 |
| -121.565801673608 |
39.1195374389017 |
15322 |
Irani, Hilla |
1598826661 |
Physician |
UNKNOWN |
5730 Packard Ave, Ste 600 |
Marysville |
Yuba |
95901 |
California |
2012 |
2012 |
1 |
AIU |
Hilla P Irani |
1598826661 |
21250 |
21250 |
39.1195374394 |
-121.565801674 |
| -121.287285000302 |
37.9665270002209 |
15329 |
Cavanagh, Ronald |
1598831232 |
Physician |
UNKNOWN |
1212N.California Street |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -117.866853000166 |
33.7811759997726 |
15353 |
Neudorf, Steven |
1598848624 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2011 |
2012 |
1 |
AIU |
HOSP OF ORANGE CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -117.866853000166 |
33.7811759997726 |
15356 |
SHEN, Violet |
1598853392 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2011 |
2012 |
1 |
AIU |
HOSP OF ORANGE CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -116.95219952229 |
32.8004502871511 |
15367 |
Catling, Susan |
1598867046 |
Nurse Practitioner |
UNKNOWN |
855 E Madison Ave |
El Cajon |
San Diego |
92020 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
38250 |
8500 |
32.8004502867 |
-116.952199522 |
| -117.298687104226 |
34.0966627016224 |
15370 |
TAN, CATHERINE |
1598870248 |
Physician |
UNKNOWN |
250 South G Street |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
6 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
63750 |
8500 |
34.0966627019 |
-117.298687104 |
| -120.045810184592 |
36.94541455204 |
15424 |
Kaur, Sarbjeet |
1598985806 |
Nurse Practitioner |
NURSE PRACTITIONER |
1210 E Almond Ave |
Madera |
Madera |
93637 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -117.988308000114 |
33.7050629998576 |
15437 |
Trang, Dong |
1609013762 |
Physician |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2016 |
2017 |
4 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
46750 |
8500 |
33.705063 |
-117.988308 |
| -121.52703443719 |
38.5881220371024 |
15448 |
Tu, Brenden |
1609049840 |
Physician |
FAMILY PRACTICE |
500B Jefferson Blvd., Suite 180 |
West Sacramento |
Yolo |
95605 |
California |
2012 |
2013 |
2 |
MU |
HEALTH CTRS COMMUNICARE |
1710087515 |
29750 |
8500 |
38.5881220371 |
-121.527034437 |
| -117.146546412287 |
32.7016590679117 |
15454 |
tueros, victoria |
1598989261 |
Nurse Practitioner |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -117.146546412287 |
32.7016590679117 |
15456 |
Miller, Laurel |
1598992133 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -118.43762955516 |
34.0505314044008 |
15461 |
Broukhim, Michael |
1609064880 |
Physician |
UNKNOWN |
1762 Westwood Blvd, Suite 300 |
Los Angeles |
Los Angeles |
90024 |
California |
2015 |
2016 |
1 |
AIU |
HEALTHCARE INTEGRATED |
1801805056 |
21250 |
21250 |
34.0505314036 |
-118.437629555 |
| -118.302879718224 |
34.0629495930493 |
15479 |
Khan, Farah |
1609081454 |
Dentist |
UNKNOWN |
611 S. KINGSLEY DRIVE |
LOS ANGELES |
Los Angeles |
90005 |
California |
2018 |
2019 |
3 |
MU |
HEALTH and WELLNESS APLA |
1740490937 |
38250 |
8500 |
34.0629495926 |
-118.302879718 |
| -117.946313999791 |
33.8324215409214 |
15483 |
Alvarenga, Dasiy |
1609086966 |
Dentist |
UNKNOWN |
1814 W Lincoln Ave Ste B |
Anaheim |
Orange |
92801 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SERVICES CORP ALTAMED |
1063659985 |
21250 |
21250 |
33.8324215409 |
-117.946314 |
| -122.298263454195 |
38.323156468896 |
15484 |
Garcia, Lillian |
1609089465 |
Certified Nurse - Midwife |
UNKNOWN |
1100 Trancas Street, Suite 250 |
Napa |
Napa |
94558 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
29750 |
8500 |
38.3231564694 |
-122.298263454 |
| -121.376988000096 |
38.6181180003455 |
15485 |
andrews, susan |
1609090497 |
Physician |
UNKNOWN |
3727 Marconi Ave |
Sacramento |
Sacramento |
95821 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
38.618118 |
-121.376988 |
| -117.890522999936 |
33.7601489168391 |
15488 |
KHAN, HUMAYON |
1609091818 |
Physician |
OBSTETRICS/GYNECOLOGY |
1629 W 17th St, SUITE A |
Santa Ana |
Orange |
92706 |
California |
2012 |
2013 |
1 |
AIU |
HUMAYON YOUSUF MD KHAN |
1609091818 |
21250 |
21250 |
33.7601489171 |
-117.890523 |
| -118.329789269359 |
34.0979749635737 |
15490 |
Istaphanous, George |
1609096395 |
Physician |
UNKNOWN |
6430 Sunset Bvld., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -118.43762955516 |
34.0505314044008 |
15505 |
Ngo, Christina |
1609137132 |
Nurse Practitioner |
NURSE PRACTITIONER |
1762 westwood blvd, suite 300 |
los angeles |
Los Angeles |
90024 |
California |
2013 |
2013 |
1 |
AIU |
HEALTHCARE INTEGRATED |
1801805056 |
21250 |
21250 |
34.0505314036 |
-118.437629555 |
| -122.267252075423 |
37.8373378810384 |
15516 |
PURI, LATIKA |
1609182120 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.146546412287 |
32.7016590679117 |
15520 |
Martinez, Carolyn |
1609101997 |
Nurse Practitioner |
UNKNOWN |
Family Health Centers of San Diego, 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -119.521534499617 |
36.6049529997812 |
15529 |
Mattu, Raman |
1609210830 |
Physician |
UNKNOWN |
650 Zediker Ave |
Parlier |
Fresno |
93648 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS- UNITED |
1801878350 |
38250 |
8500 |
36.604953 |
-119.5215345 |
| -119.288677500166 |
36.3322530002758 |
15540 |
Atme, Nicole |
1609264886 |
Nurse Practitioner |
UNKNOWN |
400 E Oak Ave |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -117.996641889811 |
33.7738698732961 |
15541 |
tran, vi |
1609263037 |
Physician |
UNKNOWN |
7761 GARDEN GROVE BLVD |
GARDEN GROVE |
Orange |
92841 |
California |
2018 |
2020 |
3 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
38250 |
8500 |
33.7738698726 |
-117.99664189 |
| -117.298687104226 |
34.0966627016224 |
15543 |
Wu, Kester |
1609253699 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -121.769568889193 |
38.5631938354272 |
15544 |
Aphailee, Victoria |
1609271485 |
Certified Nurse - Midwife |
UNKNOWN |
2051 John Jones Rd |
Davis |
Yolo |
95617 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
38250 |
8500 |
38.5631938352 |
-121.769568889 |
| -121.847419519595 |
37.3652603243046 |
15549 |
Vainer, William |
1609319169 |
Dentist |
UNKNOWN |
2380 Montpelier Drive, Suite 200 & 400 |
San Jose |
Santa Clara |
95116 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER FOOTHILL |
1689950248 |
21250 |
21250 |
37.3652603239 |
-121.84741952 |
| -121.545819136144 |
39.1278335471805 |
15552 |
Lewis, Jeremiah |
1609321900 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1908 N. Beale Road, Suite E |
Marysville |
Yuba |
95901 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH MEDICAL HARMONY |
1124130620 |
21250 |
21250 |
39.1278335467 |
-121.545819136 |
| -117.298687104226 |
34.0966627016224 |
15555 |
Carnevale, Kevin |
1609296722 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -118.352336880143 |
33.8913304678269 |
15561 |
WALLACE, OLUKEMI |
1609804350 |
Physician |
UNKNOWN |
15342 HAWTHORNE BLVD, SUITE 102 |
LAWNDALE |
Los Angeles |
90260 |
California |
2016 |
2017 |
5 |
MU |
HANDS ONCOLOGY HEALING |
1568649226 |
55250 |
8500 |
33.8913304679 |
-118.35233688 |
| -118.329789269359 |
34.0979749635737 |
15562 |
YEE, VIVIAN |
1609281443 |
Dentist |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90027 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -122.267731525589 |
37.8373514428149 |
15563 |
SU, WENDY |
1609807064 |
Physician |
GENERAL SURGERY |
744 52Nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373514427 |
-122.267731526 |
| -117.146546412287 |
32.7016590679117 |
15564 |
tafara, facika |
1609808187 |
Physician |
INTERNAL MEDICINE |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -120.498999995353 |
35.0266083603876 |
15566 |
Tovar, Lilia |
1609809854 |
Physician |
FAMILY PRACTICE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.267252075423 |
37.8373378810384 |
15584 |
Gilgoff, Rachel |
1609852284 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
2 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.292192420644 |
38.3212564181492 |
15588 |
Ewig, Audrey |
1609858802 |
Physician |
PEDIATRIC MEDICINE |
1141 Pear Tree Ln, Suite 100 |
Napa |
Napa |
94558 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -117.146546412287 |
32.7016590679117 |
15593 |
Barrios, Renaldo |
1609865740 |
Nurse Practitioner |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -120.498999995353 |
35.0266083603876 |
15610 |
Taylor, Denise |
1609896760 |
Physician |
UNKNOWN |
150 Tejas Pl |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.329789269359 |
34.0979749635737 |
15658 |
VANSPEYBROECK, ALEXANDER |
1609950666 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
38250 |
8500 |
34.0979749639 |
-118.329789269 |
| -120.052724894638 |
36.945597856356 |
15668 |
Nassar, Theodore |
1609962000 |
Physician |
UNKNOWN |
363 E. Almond Ave, Ste 101 |
Madera |
UNKNOWN |
93637 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CAMARENA |
1891778114 |
38250 |
8500 |
36.9455978562 |
-120.052724895 |
| -122.452949027875 |
37.7730257337507 |
15671 |
Lee, Kyung |
1609965532 |
Physician |
UNKNOWN |
2235 HAYES ST 5TH FLOOR |
San Francisco |
San Francisco |
94117 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE WEST CATHOLIC |
1780727792 |
46750 |
8500 |
37.7730257341 |
-122.452949028 |
| -120.060353194245 |
36.7271851227952 |
15676 |
Birdwell, Tricia |
1609974294 |
Physician |
FAMILY PRACTICE |
517 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2014 |
2015 |
3 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
38250 |
8500 |
36.7271851231 |
-120.060353194 |
| -122.267252075423 |
37.8373378810384 |
15693 |
Moffatt-Bazile, Kim |
1619003928 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -121.845447497004 |
39.7528200003428 |
15704 |
Riffel, Sergio |
1619018066 |
Physician |
INTERNAL MEDICINE |
680 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.75282 |
-121.845447497 |
| -118.290205477301 |
34.0955859100617 |
15705 |
Esaenwi, Tambari |
1619021466 |
Nurse Practitioner |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2020 |
2020 |
2 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
29750 |
8500 |
34.0955859098 |
-118.290205477 |
| -118.046275753223 |
33.9675408463331 |
15706 |
ZOSA, NOLI |
1619024395 |
Physician |
UNKNOWN |
12444 Washington Blvd |
Whittier |
Los Angeles |
90602 |
California |
2018 |
2019 |
6 |
MU |
HONDO MEDICAL GROUP RIO |
1609972777 |
63750 |
8500 |
33.9675408458 |
-118.046275753 |
| -121.481662499625 |
38.5768799998122 |
15712 |
Palmbaum, Glenn |
1619030970 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1820 J Street |
Sacramento |
UNKNOWN |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -122.267252075423 |
37.8373378810384 |
15714 |
Singer, Sylvia |
1619031523 |
Physician |
UNKNOWN |
747 52nd Street |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.238121627711 |
34.0656843558484 |
15734 |
Chu, Paul |
1619052628 |
Physician |
UNKNOWN |
945 N Hill St |
Los Angeles |
Los Angeles |
90012 |
California |
2016 |
2017 |
5 |
MU |
HUNG-JEN PAUL MD CHU |
1619052628 |
55250 |
8500 |
34.0656843558 |
-118.238121628 |
| -118.43762955516 |
34.0505314044008 |
15740 |
Broukhim, Kamran |
1619060456 |
Physician |
FAMILY PRACTICE |
1762 Westwood Blvd, Suite 300 |
Los Angeles |
Los Angeles |
90024 |
California |
2013 |
2013 |
2 |
MU |
HEALTHCARE INTEGRATED |
1801805056 |
29750 |
8500 |
34.0505314036 |
-118.437629555 |
| -122.267252075423 |
37.8373378810384 |
15743 |
Aguilar, Christine |
1619058237 |
Physician |
PHYSICAL MEDICINE AND REHABILITATION |
747 52nd Street, Childrens Hospital and Research Center-Oakland |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.946313999791 |
33.8324215409214 |
15747 |
Haught, Jason |
1619072378 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1814 W Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2017 |
2018 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1063659985 |
63750 |
8500 |
33.8324215409 |
-117.946314 |
| -118.246191531314 |
33.9426899692667 |
15753 |
Moore, Frazier |
1619074390 |
Dentist |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -118.184777999705 |
34.0236809998783 |
15760 |
fleischman, horacio |
1619083615 |
Physician |
GENERAL PRACTICE |
4036 Whittier Blvd, suite 200 |
Los Angeles |
Los Angeles |
90023 |
California |
2012 |
2013 |
1 |
AIU |
HORACIO S MD FLEISCHMAN |
1619083615 |
21250 |
21250 |
34.023681 |
-118.184778 |
| -122.292065021783 |
38.3212756123797 |
15769 |
Morrison, Lanita |
1619093929 |
Dentist |
UNKNOWN |
1141 Pear Tree Lane |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212756122 |
-122.292065022 |
| -119.288677500166 |
36.3322530002758 |
15778 |
Sharpe, Norma |
1619100237 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2013 |
2013 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -122.292192420644 |
38.3212564181492 |
15792 |
Athale, Ninad |
1619124864 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
63750 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.292192420644 |
38.3212564181492 |
15794 |
Galante, Natalie |
1619133410 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
38250 |
8500 |
38.3212564177 |
-122.292192421 |
| -118.306952999581 |
34.0623180000757 |
15802 |
Tam, Jonathan |
1619133600 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600, Childrens Hospital Los Angeles Medical Group |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -120.045810184592 |
36.94541455204 |
15804 |
Esters, Latavia |
1619157831 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1210 E. Almond ave |
Madera |
Madera |
93637 |
California |
2014 |
2014 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -121.287285000302 |
37.9665270002209 |
15809 |
CASTRO, GLENDA |
1619145059 |
Nurse Practitioner |
UNKNOWN |
1212 N California St |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -117.996641889811 |
33.7738698732961 |
15818 |
TRAN, MAI |
1619178399 |
Nurse Practitioner |
UNKNOWN |
7761 Garden Grove Blvd |
Garden Grove |
Orange |
92841 |
California |
2018 |
2020 |
5 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
55250 |
8500 |
33.7738698726 |
-117.99664189 |
| -121.287285000302 |
37.9665270002209 |
15828 |
rizvi, saba |
1619190501 |
Physician |
UNKNOWN |
1212 North California STreet. |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -118.306952999581 |
34.0623180000757 |
15831 |
Kiehna, Erin |
1619181898 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600, Childrens Hospital Los Angeles Medical Group |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.481662499625 |
38.5768799998122 |
15839 |
Johnson, Elizabeth |
1619199668 |
Dentist |
UNKNOWN |
1820 J Street |
Sacramento |
Sacramento |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -119.288677500166 |
36.3322530002758 |
15854 |
Xiong, Yee |
1619247574 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 E Oak Ave |
Visalia |
Tulare |
93291 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH COMMUNITY ADVENTIST |
1427025691 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -119.319628500255 |
36.6267149996975 |
15863 |
Silva, Victor |
1619261518 |
Physician |
UNKNOWN |
445 11th Street |
Orange Cove |
Fresno |
93646 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CENTERS- UNITED |
1649252198 |
29750 |
8500 |
36.626715 |
-119.3196285 |
| -121.570951500112 |
37.0377899997088 |
15866 |
Salazar, Victor |
1619263993 |
Physician |
UNKNOWN |
9460 No Name Uno Suite 200 |
Gilroy |
Santa Clara |
95148 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTER FOOTHILL |
1144626649 |
46750 |
8500 |
37.03779 |
-121.5709515 |
| -120.498999995353 |
35.0266083603876 |
15870 |
Jimenez, Angela |
1619268463 |
Physician |
UNKNOWN |
150 Tejas Pl |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.488180935801 |
37.6828724074357 |
15875 |
Mei, Kathy |
1619284676 |
Nurse Practitioner |
NURSE PRACTITIONER |
93 Skyline Plaza |
Daly City |
San Mateo |
94015 |
California |
2011 |
2012 |
1 |
AIU |
HOSPITAL ASSOCIATION CHINESE |
1740435585 |
21250 |
21250 |
37.6828724072 |
-122.488180936 |
| -117.146546412287 |
32.7016590679117 |
15895 |
Silveira, Maria-Christina |
1619249141 |
Nurse Practitioner |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -119.521534499617 |
36.6049529997812 |
15900 |
FARRIS, LUCY |
1619373404 |
Nurse Practitioner |
UNKNOWN |
650 S Zediker Ave, Building 3 |
Parlier |
UNKNOWN |
93648 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS- UNITED |
1801878350 |
46750 |
8500 |
36.604953 |
-119.5215345 |
| -117.298687104226 |
34.0966627016224 |
15903 |
Rybkin, Ivan |
1619364940 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
15905 |
Gillette, Kelley |
1619364577 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -118.225262807233 |
33.984788148854 |
15906 |
Cho, Hyunbae |
1619386174 |
Dentist |
UNKNOWN |
6115 Pacific Blvd |
Huntington Park |
Los Angeles |
90255 |
California |
2016 |
2016 |
1 |
AIU |
Hyunbae Cho |
1619386174 |
21250 |
21250 |
33.9847881492 |
-118.225262807 |
| -121.940302499661 |
37.3266449995671 |
15908 |
Engle, Michelle |
1619381779 |
Physician |
UNKNOWN |
455 O'Connor Dr., Suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -117.298687104226 |
34.0966627016224 |
15910 |
Aney, Sara |
1619397064 |
Physician |
UNKNOWN |
250 South G Street |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2018 |
2019 |
4 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
46750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.072893103134 |
33.1284570942196 |
15918 |
Chow, Byron |
1619907607 |
Physician |
UNKNOWN |
460 N Elm St |
Escondido |
San Diego |
92025 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
38250 |
8500 |
33.1284570937 |
-117.072893103 |
| -118.008315000037 |
33.8168879999812 |
15921 |
Patel, Harishchandra |
1619908134 |
Physician |
UNKNOWN |
3400 W Ball Rd Ste 203 |
Anaheim |
Orange |
92804 |
California |
2018 |
2019 |
6 |
MU |
HARISHCHANDRA PATEL |
1619908134 |
63750 |
8500 |
33.816888 |
-118.008315 |
| -118.027075500034 |
33.7593329997182 |
15929 |
Nguyen, Hoa |
1619931763 |
Physician |
INTERNAL MEDICINE |
5835 Westminster Blvd, Suite # A |
Westminster |
Orange |
92683 |
California |
2015 |
2016 |
2 |
MU |
HOA MD INC NGUYEN |
1740580992 |
29750 |
8500 |
33.759333 |
-118.0270755 |
| -121.892717440258 |
37.3411630908041 |
15938 |
Low, Arthur |
1619947108 |
Physician |
OPTOMETRY |
55 E JULIAN STREET |
SAN JOSE |
Santa Clara |
95112 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1083654545 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
| -120.045810184592 |
36.94541455204 |
15943 |
Horton, Christopher |
1619951654 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1210 E Almond Ave |
Madera |
Madera |
93637 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -119.288673194212 |
36.3328544497731 |
15958 |
Stain, Janice |
1619981933 |
Physician |
UNKNOWN |
401 E. School Ave |
Visalia |
Tulare |
93291 |
California |
2017 |
2018 |
2 |
MU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
29750 |
8500 |
36.3328544502 |
-119.288673194 |
| -121.098758861632 |
38.9348505096434 |
15962 |
Lane, Cornelius |
1619991056 |
Physician |
UNKNOWN |
11670 Atwood Road |
Auburn |
Placer |
95603 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
38.9348505095 |
-121.098758862 |
| -117.884047499892 |
33.7120649998999 |
15967 |
Shah, Anil |
1619997368 |
Physician |
UNKNOWN |
2621 S Bristol St, #108 |
Santa Ana |
Orange |
92704 |
California |
2016 |
2017 |
1 |
AIU |
HEART MEDICAL COASTAL |
1881612828 |
21250 |
21250 |
33.712065 |
-117.8840475 |
| -119.288677500166 |
36.3322530002758 |
15991 |
Deyhim, Mercedeh |
1629022181 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 E. Oak Ave |
Visalia |
Tulare |
93291 |
California |
2017 |
2018 |
6 |
MU |
HEALTHCARE FAMILY |
1821186727 |
63750 |
8500 |
36.332253 |
-119.2886775 |
| -122.271160359963 |
37.7995061221099 |
16001 |
Ma, Daveena |
1629034368 |
Physician |
INTERNAL MEDICINE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.046216318029 |
38.261036358841 |
16019 |
Jaber, James |
1629061361 |
Physician |
UNKNOWN |
1101 B Gale Wilson Blvd, Ste 307C |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
46750 |
8500 |
38.2610363594 |
-122.046216318 |
| -117.068053499569 |
33.1260569997308 |
16043 |
Harrison, Daniel |
1629098884 |
Physician |
INTERNAL MEDICINE |
1001 E. Grand Ave |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1487826772 |
21250 |
21250 |
33.126057 |
-117.0680535 |
| -117.884047499892 |
33.7120649998999 |
16044 |
Zarka, Amer |
1629096664 |
Physician |
UNKNOWN |
2621 S Bristol St. #108 |
Santa Ana |
Orange |
92704 |
California |
2016 |
2017 |
1 |
AIU |
HEART MEDICAL COASTAL |
1881612828 |
21250 |
21250 |
33.712065 |
-117.8840475 |
| -117.161689632171 |
33.5275796177053 |
16046 |
Manapat, Corazon |
1629099742 |
Nurse Practitioner |
NURSE PRACTITIONER |
41002 County Center Dr Ste 310 |
Temecula |
Riverside |
92591 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SYSTEMS COMMUNITY |
1487706347 |
21250 |
21250 |
33.5275796181 |
-117.161689632 |
| -122.292192420644 |
38.3212564181492 |
16085 |
Colwell, Kate |
1629151642 |
Physician |
FAMILY PRACTICE |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -121.769568889193 |
38.5631938354272 |
16086 |
Smith, Terrence |
1629152897 |
Physician |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95617 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
46750 |
8500 |
38.5631938352 |
-121.769568889 |
| -118.095628711596 |
33.9679898013883 |
16088 |
Gutierrez, Guillermina |
1629153515 |
Physician |
UNKNOWN |
9436 Slauson Ave |
Pico Rivera |
Los Angeles |
90660 |
California |
2020 |
2020 |
6 |
MU |
HEALTH SERVICES ALTAMED |
1710191283 |
63750 |
8500 |
33.9679898013 |
-118.095628712 |
| -117.146546412287 |
32.7016590679117 |
16100 |
Dubey, Lon |
1629145586 |
Physician |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
SAN DIEGO |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -121.302866984124 |
37.9748751135957 |
16109 |
Manshadi, Ramin |
1629171202 |
Physician |
UNKNOWN |
2633 Pacific Avenue |
Stockton |
San Joaquin |
95204 |
California |
2016 |
2017 |
2 |
MU |
HEART INSTITUTE INC MANSHADI |
1225380603 |
29750 |
8500 |
37.9748751141 |
-121.302866984 |
| -117.267223499565 |
33.9159869996004 |
16143 |
Sheu, Lisa |
1629219456 |
Dentist |
UNKNOWN |
22675 Alessandro BLVD |
Moreno Valley |
Riverside |
92553 |
California |
2015 |
2016 |
1 |
AIU |
HLTH SYSTEMS INC COMM |
1679749501 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -117.071664499717 |
33.1292598686481 |
16160 |
Lincoln, Rosario |
1629253042 |
Dentist |
UNKNOWN |
425 N. Date St, Suite #203 |
Escondido |
San Diego |
92025 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1437335353 |
21250 |
21250 |
33.1292598693 |
-117.0716645 |
| -121.871566830045 |
37.3508671210209 |
16166 |
Hong, Andrea |
1629262324 |
Nurse Practitioner |
UNKNOWN |
1149 E Julian St |
San Jose |
Santa Clara |
95116 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
63750 |
8500 |
37.3508671206 |
-121.87156683 |
| -118.150712999905 |
34.1313119999489 |
16182 |
Macasaet, Ramil |
1629293774 |
Dentist |
UNKNOWN |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.131312 |
-118.150713 |
| -119.271564041947 |
35.884328300111 |
16197 |
Prakash, Preeti |
1629309042 |
Dentist |
UNKNOWN |
476 E. Washington Ave |
Earlimart |
Tulare |
93219 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CENTERS- UNITED |
1417939968 |
38250 |
8500 |
35.8843283 |
-119.271564042 |
| -120.045810184592 |
36.94541455204 |
16200 |
Biltz, John |
1629315114 |
Nurse Practitioner |
NURSE PRACTITIONER |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2015 |
2016 |
3 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
38250 |
8500 |
36.9454145522 |
-120.045810185 |
| -117.146546412287 |
32.7016590679117 |
16210 |
Kim, Yuhee |
1629289400 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -117.146546412287 |
32.7016590679117 |
16213 |
Corman, Daniel |
1629339593 |
Physician |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.71265849999 |
36.8083884896371 |
16229 |
BANGAR, PARMALA |
1629370903 |
Physician |
UNKNOWN |
180 W Shaw Ave, Suite B |
Clovis |
Fresno |
93612 |
California |
2015 |
2017 |
2 |
MU |
HEALTH TEAM INC VALLEY |
1750703237 |
29750 |
8500 |
36.8083884901 |
-119.7126585 |
| -117.866853000166 |
33.7811759997726 |
16239 |
Hoy, Zachary |
1629399019 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2012 |
2015 |
1 |
AIU |
HOSP OF ORANGE CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -117.905328000087 |
34.1050589997731 |
16241 |
Barkhordar, Hamid |
1629403779 |
Dentist |
UNKNOWN |
1406 north azusa ave, suite C |
Covina |
Los Angeles |
91722 |
California |
2016 |
2017 |
1 |
AIU |
Hamid Rabi Barkhordar |
1629403779 |
21250 |
21250 |
34.105059 |
-117.905328 |
| -118.147551231804 |
33.9729202337818 |
16242 |
Brown, Ginille |
1629405725 |
Nurse Practitioner |
UNKNOWN |
6501 Garfield Ave |
Bell Gardens |
Los Angeles |
90201 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
21250 |
21250 |
33.9729202343 |
-118.147551232 |
| -120.045810184592 |
36.94541455204 |
16258 |
Sandhu, Harjeet |
1629478870 |
Nurse Practitioner |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -121.940302499661 |
37.3266449995671 |
16260 |
Jiang, Can |
1629482781 |
Physician |
UNKNOWN |
455 OConnor Dr, Suite 250 |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -117.298687104226 |
34.0966627016224 |
16262 |
Go, Ruth |
1629465521 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.288677500166 |
36.3322530002758 |
16268 |
PHUNG, YIN |
1629499934 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 E Oak Ave |
Visalia |
Tulare |
93291 |
California |
2015 |
2016 |
1 |
MU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -117.298687104226 |
34.0966627016224 |
16269 |
Cacho, Bradley |
1629488317 |
Physician |
UNKNOWN |
250 S. G St, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.291498831706 |
36.5303014971165 |
16292 |
Russom, Jill |
1639140791 |
Physician |
FAMILY PRACTICE |
12586 Avenue 408 |
Orosi |
Tulare |
93647 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
21250 |
21250 |
36.5303014971 |
-119.291498832 |
| -121.55149361274 |
39.0972587433964 |
16307 |
Kumar, Arun |
1639167372 |
Physician |
UNKNOWN |
4941 Olivehurst Ave |
Olivehurst |
Yuba |
95961 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.0972587427 |
-121.551493613 |
| -121.098758861632 |
38.9348505096434 |
16310 |
Romer, Blair |
1639172190 |
Physician |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -121.845447497004 |
39.7528200003428 |
16314 |
Al Dwairi, Abdullah |
1639170806 |
Physician |
UNKNOWN |
680 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.75282 |
-121.845447497 |
| -122.455808999686 |
37.7487900001584 |
16339 |
Lee, Christina |
1639213663 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, Rm B200 |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -118.160352000145 |
34.0332704861441 |
16362 |
Chang Smith, Ana |
1639242019 |
Doctor of Optometry |
UNKNOWN |
4816 East 3rd Street |
Los Angeles |
Los Angeles |
90022 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
38250 |
8500 |
34.0332704862 |
-118.160352 |
| -117.267223499565 |
33.9159869996004 |
16387 |
Marshall, Dejerneria |
1639276306 |
Dentist |
UNKNOWN |
22675 Alessandro Boulevard |
MORENO VALLEY |
Riverside |
92553 |
California |
2011 |
2013 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -122.174891665318 |
39.9279294888549 |
16404 |
Ng, Charmaine |
1639301716 |
Dentist |
UNKNOWN |
740 Solano St |
Corning |
Tehama |
96080 |
California |
2016 |
2017 |
2 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
29750 |
8500 |
39.9279294893 |
-122.174891665 |
| -118.306952999581 |
34.0623180000757 |
16431 |
PEDERZOLI-CARRILLO, PAOLO |
1639345150 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.146546412287 |
32.7016590679117 |
16458 |
Birnbaum, Deborah |
1639308265 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.042168222785 |
36.0512835430011 |
16471 |
Youssefi, Elijah |
1639450885 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2017 |
2018 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
55250 |
8500 |
36.0512835428 |
-119.042168223 |
| -119.650502844231 |
37.3302475685705 |
16472 |
Franchuk, Jennifer |
1639446099 |
Physician |
UNKNOWN |
49169 Road 426 |
Oakhurst |
Madera |
93644 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
37.330247569 |
-119.650502844 |
| -118.329789269359 |
34.0979749635737 |
16475 |
Smithson, Bryce |
1639456346 |
Physician |
PEDIATRIC MEDICINE |
6430 W Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2014 |
2015 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -120.498999995353 |
35.0266083603876 |
16496 |
Magallanes, Tiffany |
1639540685 |
Nurse Practitioner |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -119.097576800329 |
36.4172857999997 |
16500 |
Tipei, Cristina |
1639547631 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
201 E Lakeview Ave |
Woodlake |
Tulare |
93286 |
California |
2016 |
2016 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
21250 |
21250 |
36.4172857999 |
-119.0975768 |
| -119.288673194212 |
36.3328544497731 |
16504 |
De Coro, Michael |
1639571789 |
Dentist |
UNKNOWN |
401 E School Ave |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
21250 |
21250 |
36.3328544502 |
-119.288673194 |
| -117.146546412287 |
32.7016590679117 |
16518 |
Lipschitz, Lisa |
1649208711 |
Physician |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -121.969668357409 |
38.5216089870652 |
16519 |
Morgan, Amy |
1649209131 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
23 Main St |
Winters |
Yolo |
95694 |
California |
2012 |
2012 |
1 |
AIU |
HEATHCARE FNDTN WINTERS |
1992736086 |
21250 |
21250 |
38.5216089867 |
-121.969668357 |
| -122.455808999686 |
37.7487900001584 |
16537 |
Banchero-Hasson, Monica |
1649244534 |
Physician |
UNKNOWN |
375 LAGUNA HONDA BLVD , Rm B200 |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -120.045810184592 |
36.94541455204 |
16539 |
Duquette, Julie |
1649253824 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -118.27391808685 |
34.0286791746043 |
16543 |
Filler, Blair |
1649249301 |
Physician |
ORTHOPEDIC SURGERY |
2400 S Flower St |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2014 |
3 |
MU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
38250 |
8500 |
34.0286791754 |
-118.273918087 |
| -117.169628486565 |
33.5172337305523 |
16545 |
Koda, Erik |
1649272246 |
Physician |
UNKNOWN |
41840 Enterprise Cir N |
Temecula |
Riverside |
92590 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
29750 |
8500 |
33.5172337305 |
-117.169628487 |
| -121.913647032185 |
37.3017600004237 |
16553 |
Paul, Ria |
1649293176 |
Physician |
INTERNAL MEDICINE |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
29750 |
8500 |
37.30176 |
-121.913647032 |
| -119.297551500202 |
36.3529349998504 |
16555 |
Shah, Harish |
1649264060 |
Physician |
INTERNAL MEDICINE |
Visalia Health Care Center, 2611 N. Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
38250 |
8500 |
36.352935 |
-119.2975515 |
| -120.498999995353 |
35.0266083603876 |
16556 |
Tanzo, Venus |
1649296146 |
Physician |
PEDIATRIC MEDICINE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.075392756171 |
33.1233869143746 |
16557 |
Laverdiere, Linda |
1649291758 |
Nurse Practitioner |
UNKNOWN |
215 S. Hickory #212 |
Escondido |
San Diego |
92025 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1720264641 |
38250 |
8500 |
33.1233869142 |
-117.075392756 |
| -122.292065021783 |
38.3212756123797 |
16563 |
SOLOMON, JEROME |
1649302787 |
Physician |
OBSTETRICS/GYNECOLOGY |
1141 Pear Tree Lane |
Napa |
Napa |
94558 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212756122 |
-122.292065022 |
| -121.892717440258 |
37.3411630908041 |
16577 |
Lee, Nellie |
1649319245 |
Physician |
UNKNOWN |
55 E. JULIAN STREET |
SAN JOSE |
Santa Clara |
95112 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1083654545 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
| -118.320653347174 |
33.9164745472626 |
16591 |
Burrows, Adrienne |
1649347667 |
Physician |
UNKNOWN |
2501 W. El Segundo Blvd., Suite b |
Hawthorne |
Los Angeles |
90250 |
California |
2018 |
2019 |
2 |
MU |
HEALTH SERVICES BEHAVIORAL |
1548659105 |
29750 |
8500 |
33.9164745471 |
-118.320653347 |
| -121.769568889193 |
38.5631938354272 |
16598 |
STONE, CHRISTINA |
1649348376 |
Certified Nurse - Midwife |
UNKNOWN |
2051 John Jones Blvd. |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
63750 |
8500 |
38.5631938352 |
-121.769568889 |
| -119.693747153109 |
36.7362818687133 |
16606 |
Chan, Henry |
1649356734 |
Dentist |
UNKNOWN |
5755 E Kings Canyon Rd, Suite 108 |
Fresno |
Fresno |
93727 |
California |
2015 |
2015 |
1 |
AIU |
Henry R Chan |
1649356734 |
21250 |
21250 |
36.736281869 |
-119.693747153 |
| -122.292192420644 |
38.3212564181492 |
16613 |
CARREON, Angela |
1649361908 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2017 |
2018 |
5 |
MU |
HEALTH COMMUNITY |
1295913366 |
55250 |
8500 |
38.3212564177 |
-122.292192421 |
| -118.27391808685 |
34.0286791746043 |
16628 |
Hageman, Arnold |
1649366600 |
Physician |
UNKNOWN |
2400 S Flower St, Dept. of Radiology |
Los Angeles |
Los Angeles |
90007 |
California |
2011 |
2012 |
1 |
AIU |
HOSP ORTHOPAEDIC |
1689632374 |
21250 |
21250 |
34.0286791754 |
-118.273918087 |
| -120.739836165806 |
38.384683896045 |
16644 |
Frier, James |
1649395062 |
Dentist |
UNKNOWN |
12150 New York Ranch Rd |
Jackson |
Amador |
95642 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH BOARD, INC MACT |
1366519431 |
21250 |
21250 |
38.3846838962 |
-120.739836166 |
| -118.27391808685 |
34.0286791746043 |
16648 |
AVOIAN, TIGRAN |
1649402678 |
Physician |
ORTHOPEDIC SURGERY |
2400 S Flower St |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2014 |
3 |
MU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
38250 |
8500 |
34.0286791754 |
-118.273918087 |
| -121.977238187592 |
37.5484010455718 |
16670 |
Hammond, Leigh |
1649446246 |
Nurse Practitioner |
NURSE PRACTITIONER |
39500 Liberty St, Tri City Health Center |
Fremont |
Alameda |
94538 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -118.306952999581 |
34.0623180000757 |
16671 |
Berry, Jesse |
1649447491 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600, Childrens Hospital Los Angeles Medical Group |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.456624499721 |
38.5712370003873 |
16694 |
Locke, Mariana |
1649482894 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95824 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
38250 |
8500 |
38.571237 |
-121.4566245 |
| -117.966685500336 |
34.0644240000676 |
16695 |
yun, hyun |
1649491077 |
Dentist |
UNKNOWN |
14135 Francisquito Ave, #107 |
Baldwin Park |
Los Angeles |
91706 |
California |
2016 |
2017 |
1 |
AIU |
hyun soo yun |
1649491077 |
21250 |
21250 |
34.064424 |
-117.9666855 |
| -119.097576800329 |
36.4172857999997 |
16706 |
Quezada, Carolina |
1649502022 |
Physician |
UNKNOWN |
201 East Lakeview Ave. |
Woodlake |
Tulare |
93286 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
55250 |
8500 |
36.4172857999 |
-119.0975768 |
| -114.599923967917 |
33.6104040988701 |
16731 |
salcedo, relyndo |
1649580630 |
Nurse Practitioner |
UNKNOWN |
321 W Hobsonway, STE C |
Blythe |
Riverside |
92225 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CLINIC BLYTHE |
1124115431 |
29750 |
8500 |
33.6104040991 |
-114.599923968 |
| -121.828447588985 |
37.3773539107544 |
16744 |
Singh, Vinni |
1649605726 |
Dentist |
UNKNOWN |
242 La Pala Drive |
San Jose |
Santa Clara |
95127 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER FOOTHILL |
1912311440 |
21250 |
21250 |
37.3773539109 |
-121.828447589 |
| -122.267252075423 |
37.8373378810384 |
16746 |
Nguyen, Dang |
1649615139 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -120.43393612725 |
34.9091173157116 |
16756 |
Winans, Sari |
1649677402 |
Nurse Practitioner |
UNKNOWN |
2801 Santa Maria Way |
Santa Maria |
Santa Barbara |
93455 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
34.9091173155 |
-120.433936127 |
| -117.298687104226 |
34.0966627016224 |
16762 |
Nurkse, David |
1649659632 |
Physician |
UNKNOWN |
250 S. G St, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -122.646489753 |
41.7186503676204 |
16764 |
THIBERT, MICHAEL |
1659301208 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2014 |
2015 |
1 |
MU |
HOSP SISKIYOU |
1093892275 |
21250 |
21250 |
41.7186503677 |
-122.646489753 |
| -116.95219952229 |
32.8004502871511 |
16765 |
Francis, Katherine |
1659301547 |
Physician |
PEDIATRIC MEDICINE |
855 E Madison Ave |
El Cajon |
San Diego |
92020 |
California |
2015 |
2017 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
29750 |
8500 |
32.8004502867 |
-116.952199522 |
| -117.130118456901 |
32.7428594417099 |
16768 |
suleiman, kwawla |
1659303121 |
Physician |
UNKNOWN |
3544 30th St |
San Diego |
San Diego |
92104 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CENTERS OF SAN FAMILY |
1700821303 |
38250 |
8500 |
32.7428594424 |
-117.130118457 |
| -121.287285000302 |
37.9665270002209 |
16769 |
PADALA, NAGAMANI |
1659303253 |
Physician |
UNKNOWN |
1212 N. California Street |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -117.072893103134 |
33.1284570942196 |
16770 |
Chen, Margaret |
1659305084 |
Physician |
INTERNAL MEDICINE |
460 N Elm St |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
46750 |
8500 |
33.1284570937 |
-117.072893103 |
| -121.432396500298 |
37.7461529999611 |
16778 |
Novesteras, Helene |
1659324101 |
Physician |
UNKNOWN |
1530 N Bessie Ave, Ste 106 |
Tracy |
San Joaquin |
95376 |
California |
2016 |
2017 |
2 |
MU |
HELENE MD NOVESTERAS |
1346586906 |
29750 |
8500 |
37.746153 |
-121.4323965 |
| -118.150795976753 |
34.1778106936086 |
16793 |
Khairullah, Nazifah |
1659363562 |
Physician |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.1778106939 |
-118.150795977 |
| -117.866853000166 |
33.7811759997726 |
16798 |
Reyna, Troy |
1659371581 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL OF CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -122.646489753 |
41.7186503676204 |
16806 |
Broeckel, William |
1659390219 |
Physician |
UNKNOWN |
475 Bruce Street, Suite 400 |
Yreka |
Siskiyou |
96097 |
California |
2014 |
2015 |
3 |
MU |
HOSP SISKIYOU |
1093892275 |
38250 |
8500 |
41.7186503677 |
-122.646489753 |
| -117.072893103134 |
33.1284570942196 |
16813 |
Brown, Betty |
1659394716 |
Nurse Practitioner |
UNKNOWN |
460 N Elm St |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
21250 |
21250 |
33.1284570937 |
-117.072893103 |
| -118.270372499791 |
34.0672409995725 |
16837 |
Lopez, Horacio |
1659430460 |
Physician |
UNKNOWN |
2105 Beverly Blvd, Suite 129 |
Los Angeles |
Los Angeles |
90057 |
California |
2017 |
2018 |
6 |
MU |
HORACIO G MD INC LOPEZ |
1659430460 |
63750 |
8500 |
34.067241 |
-118.2703725 |
| -119.289034030996 |
36.3341005980642 |
16839 |
Selvanathan, Nathalie |
1659430718 |
Dentist |
UNKNOWN |
501 N Bridge St |
Visalia |
Tulare |
93291 |
California |
2015 |
2016 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
55250 |
8500 |
36.3341005984 |
-119.289034031 |
| -121.953063614194 |
38.3545860351175 |
16852 |
Rosten, Susan |
1659439602 |
Nurse Practitioner |
NURSE PRACTITIONER |
1010 Nut Tree Road, Suite 100 B |
Vacaville |
Solano |
95687 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.354586035 |
-121.953063614 |
| -118.310027084682 |
34.1846741512911 |
16855 |
Rivera, Robert |
1659447977 |
Physician |
UNKNOWN |
333 East Magnolia Blvd., Suite 103 |
Burbank |
Los Angeles |
91502 |
California |
2016 |
2017 |
3 |
MU |
HEALTH MEDICAL ADVANCE |
1972679280 |
38250 |
8500 |
34.1846741507 |
-118.310027085 |
| -117.885485449294 |
33.7108181339498 |
16857 |
Torres, Noel |
1659441533 |
Physician |
UNKNOWN |
2720 South bristol Suite 110 |
Santa Ana |
Orange |
92704 |
California |
2016 |
2017 |
4 |
MU |
HEALTH SERVICES ALTAMED |
1760651814 |
46750 |
8500 |
33.7108181339 |
-117.885485449 |
| -119.572449594773 |
36.7068105348783 |
16869 |
Mann, Harjit |
1659455434 |
Dentist |
UNKNOWN |
2514 Jensen Ave #101 |
Sanger |
UNKNOWN |
93657 |
California |
2014 |
2015 |
1 |
AIU |
Harjit S Mann |
1659455434 |
21250 |
21250 |
36.7068105349 |
-119.572449595 |
| -121.829149767947 |
37.3651956189827 |
16895 |
Caces-Tiamson, Maria Asela |
1659499069 |
Dentist |
UNKNOWN |
3030 ALUM ROCK AVE |
San Jose |
Santa Clara |
95127 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1558491043 |
21250 |
21250 |
37.3651956189 |
-121.829149768 |
| -121.811586301567 |
37.3063241389479 |
16896 |
Lobana, Sonya |
1659502136 |
Physician |
UNKNOWN |
1642 E Capitol Expy |
San Jose |
Santa Clara |
95121 |
California |
2019 |
2020 |
6 |
MU |
HEALTH CENTER OF SANT INDIAN |
1881997963 |
63750 |
8500 |
37.3063241385 |
-121.811586302 |
| -118.246191531314 |
33.9426899692667 |
16897 |
Salazar, Ernest |
1659478337 |
Dentist |
UNKNOWN |
10300 S. COMPTON AVENUE |
LOS ANGELES |
Los Angeles |
90002 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE WATTS |
1477649119 |
29750 |
8500 |
33.9426899686 |
-118.246191531 |
| -122.267252075423 |
37.8373378810384 |
16910 |
Benson, Renee |
1659534188 |
Physician |
PEDIATRIC MEDICINE |
747 52nd St, Suite 5409 |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -119.042168222785 |
36.0512835430011 |
16931 |
Naqvi, Syed |
1659567733 |
Physician |
FAMILY PRACTICE |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
21250 |
21250 |
36.0512835428 |
-119.042168223 |
| -119.288677500166 |
36.3322530002758 |
16936 |
Villalobos, Tyra |
1659572592 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 E. Oak Avenue |
Visalia |
UNKNOWN |
93291 |
California |
2017 |
2018 |
2 |
MU |
HEALTHCARE FAMILY |
1821186727 |
29750 |
8500 |
36.332253 |
-119.2886775 |
| -117.960264000084 |
33.8649660002807 |
16940 |
Kilpatrick, Rebecca |
1659582047 |
Nurse Practitioner |
UNKNOWN |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2014 |
2015 |
1 |
AIU |
HLTH CARE REPRODUCTIVE |
1508977414 |
21250 |
21250 |
33.864966 |
-117.960264 |
| -122.646489753 |
41.7186503676204 |
16952 |
Joling, Shantel |
1659605327 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2014 |
2015 |
1 |
MU |
HOSP SISKIYOU |
1093892275 |
21250 |
21250 |
41.7186503677 |
-122.646489753 |
| -119.424323611346 |
36.3520902351763 |
16957 |
Elmer, Jennifer |
1659623973 |
Dentist |
UNKNOWN |
30979 Road 67 |
Goshen |
Tulare |
93227 |
California |
2014 |
2015 |
1 |
MU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
21250 |
21250 |
36.3520902351 |
-119.424323611 |
| -117.113485500156 |
32.7150374537156 |
16959 |
Vafadaran, Ashkan |
1659634517 |
Physician |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1346480837 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -117.298687104226 |
34.0966627016224 |
16965 |
Serrao, Steve |
1659630549 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.042168222785 |
36.0512835430011 |
16978 |
Mendoza, Lynette |
1659665446 |
Physician |
FAMILY PRACTICE |
1107 W. Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
29750 |
8500 |
36.0512835428 |
-119.042168223 |
| -120.43393612725 |
34.9091173157116 |
16993 |
Bravo-Chavez, Hugo |
1659708147 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2801 Santa Maria Way, Suite A |
Santa Maria |
Santa Barbara |
93455 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
34.9091173155 |
-120.433936127 |
| -122.174891665318 |
39.9279294888549 |
16998 |
Ramos, Alphonse-Leander |
1659718443 |
Dentist |
UNKNOWN |
740 Solano St |
Corning |
Tehama |
96021 |
California |
2018 |
2019 |
3 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
38250 |
8500 |
39.9279294893 |
-122.174891665 |
| -119.042168222785 |
36.0512835430011 |
17001 |
Bonilla, Marlene |
1659732428 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
21250 |
21250 |
36.0512835428 |
-119.042168223 |
| -117.810910439365 |
33.7876950611782 |
17013 |
Vuflores, Marie |
1659798585 |
Nurse Practitioner |
UNKNOWN |
4010 E. Chapman Ave, Suite C |
Orange |
Orange |
92869 |
California |
2017 |
2018 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1316116221 |
38250 |
8500 |
33.7876950607 |
-117.810910439 |
| -121.953063614194 |
38.3545860351175 |
17036 |
Hassid, Eric |
1669420485 |
Physician |
UNKNOWN |
1010 nut tree road, Suite 200 |
Vacaville |
Solano |
95687 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
17000 |
8500 |
38.354586035 |
-121.953063614 |
| -116.961791977218 |
33.2771591455781 |
17037 |
Adriano, Cindy |
1669439832 |
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 |
HEALTH COUNCIL INDIAN |
1861449522 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
| -120.739836165806 |
38.384683896045 |
17042 |
KO, WOO |
1669452108 |
Dentist |
UNKNOWN |
12150 New York Ranch Rd |
Jackson |
Amador |
95642 |
California |
2013 |
2014 |
2 |
MU |
HEALTH BOARD, INC MACT |
1366519431 |
29750 |
8500 |
38.3846838962 |
-120.739836166 |
| -121.456678500412 |
38.5551810001031 |
17045 |
Fernandez y Garcia, Erik |
1669457834 |
Physician |
UNKNOWN |
2315 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2017 |
2018 |
6 |
MU |
HEMOC REGENTS/UCDPBG/PED |
1356334452 |
63750 |
8500 |
38.555181 |
-121.4566785 |
| -122.646489753 |
41.7186503676204 |
17048 |
DUNCAN, CHRISTAL |
1669476578 |
Physician |
OBSTETRICS/GYNECOLOGY |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2014 |
2015 |
3 |
MU |
HOSP SISKIYOU |
1093892275 |
38250 |
8500 |
41.7186503677 |
-122.646489753 |
| -122.267731525589 |
37.8373514428149 |
17065 |
Johnston, Samantha |
1669495370 |
Physician |
UNKNOWN |
744 52nd St |
Oakland |
Alameda |
94609 |
California |
2015 |
2017 |
2 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373514427 |
-122.267731526 |
| -117.916213500253 |
33.6410999999651 |
17072 |
Mendoza, Lidwina |
1669504320 |
Physician |
UNKNOWN |
136 broadway |
costa mesa |
Orange |
92627 |
California |
2013 |
2013 |
2 |
MU |
HOSP ORANGE CO CHILDRENS |
1528195716 |
29750 |
8500 |
33.6411 |
-117.9162135 |
| -119.521534499617 |
36.6049529997812 |
17076 |
Drincic, Marko |
1669506242 |
Dentist |
UNKNOWN |
650 S Zediker Ave |
Parlier |
Fresno |
93648 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS- UNITED |
1801878350 |
46750 |
8500 |
36.604953 |
-119.5215345 |
| -121.869647999655 |
38.0067390002047 |
17079 |
Fattah, Hala |
1669510848 |
Physician |
PSYCHIATRY |
2311 Loveridge Rd |
Pittsburg |
Contra Costa |
94565 |
California |
2012 |
2013 |
1 |
AIU |
HALA M MD FATTAH |
1669510848 |
21250 |
21250 |
38.006739 |
-121.869648 |
| -118.27391808685 |
34.0286791746043 |
17088 |
Tashjian, Annie |
1669526174 |
Nurse Practitioner |
UNKNOWN |
2400 S Flower St |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2014 |
3 |
MU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
38250 |
8500 |
34.0286791754 |
-118.273918087 |
| -118.211605648682 |
34.0445816183471 |
17091 |
NGUYEN, HOA BINH |
1669532545 |
Dentist |
UNKNOWN |
2219 E. 1st St |
Los Angeles |
Los Angeles |
90033 |
California |
2016 |
2017 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1134492937 |
38250 |
8500 |
34.0445816178 |
-118.211605649 |
| -118.349213267578 |
33.9521200408073 |
17128 |
Mellon, Horace |
1669574802 |
Physician |
INTERNAL MEDICINE |
915 Myrtle Ave |
Inglewood |
Los Angeles |
90301 |
California |
2013 |
2014 |
2 |
MU |
HORACE M MD MELLON |
1669574802 |
29750 |
8500 |
33.9521200408 |
-118.349213268 |
| -121.098758861632 |
38.9348505096434 |
17145 |
Malek, Richard |
1669599627 |
Physician |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
38.9348505095 |
-121.098758862 |
| -120.498999995353 |
35.0266083603876 |
17162 |
Modallel, Ladan |
1669633376 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
25500 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.884374287443 |
33.7125916473867 |
17184 |
Ramos, Gustavo |
1669676300 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1155 W. Central Ave., Ste 107 |
Santa Ana |
UNKNOWN |
92707 |
California |
2012 |
2013 |
2 |
MU |
HEALTH SERVICES ALTAMED |
1760651814 |
29750 |
8500 |
33.7125916473 |
-117.884374287 |
| -121.456624499721 |
38.5712370003873 |
17185 |
Mai-Woods-Anstaett, Behang |
1669681219 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
38250 |
8500 |
38.571237 |
-121.4566245 |
| -122.646489753 |
41.7186503676204 |
17199 |
Conroy, Erin |
1669731329 |
Physician |
UNKNOWN |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2017 |
2018 |
2 |
MU |
HOSPITAL, INC SISKIYOU |
1093892275 |
29750 |
8500 |
41.7186503677 |
-122.646489753 |
| -118.308853204112 |
34.0164932961288 |
17200 |
LE, ALEX |
1669713889 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3834 S Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2014 |
2015 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -118.187848176352 |
33.9730571996301 |
17216 |
Fuentes, Lilia |
1669786869 |
Dentist |
UNKNOWN |
6901 Atlantic Ave |
Bell |
Los Angeles |
90201 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH GROUP, ALTAMED |
1518171016 |
21250 |
21250 |
33.9730572 |
-118.187848176 |
| -119.289034030996 |
36.3341005980642 |
17219 |
Ustarez-Oji, Adriana |
1669775458 |
Dentist |
UNKNOWN |
501 North Bridge Street |
Visalia |
Tulare |
93291 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
29750 |
8500 |
36.3341005984 |
-119.289034031 |
| -121.098758861632 |
38.9348505096434 |
17231 |
Stevens, Alinea |
1669817540 |
Physician |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -119.780754391002 |
36.3157019996476 |
17236 |
Frost, Tammy |
1669876645 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1270 N Lemoore Ave |
Lemoore |
Kings |
93245 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CENTERS OF THE UNITED |
1477979722 |
29750 |
8500 |
36.315702 |
-119.780754391 |
| -117.298687104226 |
34.0966627016224 |
17248 |
Gonzalez, Rebecca |
1669882189 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -121.569405194994 |
37.0084673696734 |
17254 |
VALENCIA, STEPHEN |
1679503296 |
Physician |
UNKNOWN |
7526 MONTEREY ST |
GILROY |
Santa Clara |
95020 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTER COMPRECARE |
1083654545 |
29750 |
8500 |
37.00846737 |
-121.569405195 |
| -120.498999995353 |
35.0266083603876 |
17255 |
Harway, Elana |
1679506612 |
Physician |
UNKNOWN |
150 Tejas Pl |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.280430497769 |
34.0727231525515 |
17267 |
Del Rosario, Susan |
1679514798 |
Dentist |
UNKNOWN |
150 N Reno St |
Los Angeles |
Los Angeles |
90026 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
38250 |
8500 |
34.0727231529 |
-118.280430498 |
| -121.96362599964 |
36.9755910002245 |
17287 |
Gorum, Carla |
1679560197 |
Physician |
PEDIATRIC MEDICINE |
1820 41st Ave., #D |
Capitola |
Santa Cruz |
95010 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH MEDICAL DIGNITY |
1598961245 |
21250 |
21250 |
36.975591 |
-121.963626 |
| -120.184312500322 |
36.6054660000559 |
17311 |
Kaur, Dalwinder |
1679608921 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
21890 Colorado Ave |
San Joaquin |
Fresno |
93660 |
California |
2016 |
2017 |
4 |
MU |
HEALTH TEAM INC VALLEY |
1598821027 |
46750 |
8500 |
36.605466 |
-120.1843125 |
| -121.613430264695 |
39.1443745680319 |
17323 |
NEWMAN, JUDY |
1679628150 |
Nurse Practitioner |
NURSE PRACTITIONER |
1000 Sutter Street |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.1443745679 |
-121.613430265 |
| -118.290205477301 |
34.0955859100617 |
17337 |
HALL, ANSELM |
1679642243 |
Doctor of Optometry |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2019 |
2020 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
63750 |
8500 |
34.0955859098 |
-118.290205477 |
| -119.297551500202 |
36.3529349998504 |
17344 |
Xi, Side |
1679643688 |
Physician |
UNKNOWN |
Visalia Health Care Center, 2611 N. Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
46750 |
8500 |
36.352935 |
-119.2975515 |
| -120.498999995353 |
35.0266083603876 |
17350 |
Elliott, Jeffery |
1679656847 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
29750 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.952709777734 |
38.3644974795751 |
17351 |
Cherry, Ana |
1679656573 |
Physician |
UNKNOWN |
421 Nut Tree Road |
Vacaville |
Solano |
95687 |
California |
2016 |
2017 |
3 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
38250 |
8500 |
38.3644974804 |
-121.952709778 |
| -116.959614428063 |
33.7493816109726 |
17372 |
Gould, Robert |
1679673628 |
Physician |
ORTHOPEDIC SURGERY |
1225 E. Latham Ave., Suite A |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1184820987 |
21250 |
21250 |
33.7493816109 |
-116.959614428 |
| -122.486939124041 |
37.6328433477424 |
17375 |
Robbins, Harvard |
1679685069 |
Physician |
UNKNOWN |
340 Eureka Dr. |
Pacifica |
San Mateo |
94044 |
California |
2014 |
2014 |
1 |
AIU |
HARVARD M MD ROBBINS |
1679685069 |
21250 |
21250 |
37.6328433485 |
-122.486939124 |
| -121.969668357409 |
38.5216089870652 |
17383 |
Hargadon, Annemarie |
1679691497 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
23 Main St |
Winters |
Yolo |
95694 |
California |
2012 |
2012 |
1 |
AIU |
HEATHCARE FNDTN WINTERS |
1992736086 |
21250 |
21250 |
38.5216089867 |
-121.969668357 |
| -119.41239705508 |
36.3558581040683 |
17392 |
Sharma, Rishika |
1679704993 |
Physician |
UNKNOWN |
31180 Road 72 |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
38250 |
8500 |
36.355858104 |
-119.412397055 |
| -120.055711580925 |
36.9628328372657 |
17393 |
Aguilar, Hector |
1679710644 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
344 E. 6th Street |
Madera |
Madera |
93638 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9628328373 |
-120.055711581 |
| -119.678660202906 |
36.6289187730829 |
17407 |
Abass, Olawunmi |
1679738827 |
Dentist |
UNKNOWN |
106 E Main Street |
Fowler |
Fresno |
93625 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS OF THE UNITED |
1982079620 |
55250 |
8500 |
36.628918773 |
-119.678660203 |
| -120.498999995353 |
35.0266083603876 |
17426 |
Johnson, Malia |
1679771174 |
Dentist |
UNKNOWN |
150 Tejas Pl, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.668297206551 |
33.5230211008432 |
17434 |
ZACARIAS, ELIZABETH |
1679777346 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTER CAMINO |
1366560393 |
46750 |
8500 |
33.523021101 |
-117.668297207 |
| -122.267731525589 |
37.8373514428149 |
17437 |
Jacobs, James |
1679785471 |
Physician |
UNKNOWN |
744 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373514427 |
-122.267731526 |
| -120.498999995353 |
35.0266083603876 |
17440 |
GARCIA, DIANA |
1679791578 |
Physician |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
29750 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.940302499661 |
37.3266449995671 |
17462 |
Selig, Sarah |
1679838544 |
Physician |
UNKNOWN |
455 OConnor Dr Ste 240 |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -121.913647032185 |
37.3017600004237 |
17468 |
Zikria, Akbar |
1679848360 |
Physician |
FAMILY PRACTICE |
1333 MERIDIAN AVE |
San Jose |
Santa Clara |
95121 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1164643862 |
21250 |
21250 |
37.30176 |
-121.913647032 |
| -121.545819136144 |
39.1278335471805 |
17472 |
Xiong, Kheng |
1679857676 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1908 N Beale Rd |
Marysville |
Yuba |
95901 |
California |
2014 |
2015 |
3 |
MU |
HEALTH MEDICAL HARMONY |
1124130620 |
38250 |
8500 |
39.1278335467 |
-121.545819136 |
| -117.267223499565 |
33.9159869996004 |
17483 |
Pham, Jeremy |
1679912281 |
Dentist |
UNKNOWN |
22675 Alessandro Blvd |
Moreno Valley |
Riverside |
92553 |
California |
2015 |
2016 |
1 |
AIU |
HLTH SYSTEMS INC COMM |
1679749501 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -119.042168222785 |
36.0512835430011 |
17486 |
Romero, William |
1679934988 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 W. Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
38250 |
8500 |
36.0512835428 |
-119.042168223 |
| -118.14785214586 |
33.9723841209305 |
17490 |
Nwosu, Angela |
1679935308 |
Nurse Practitioner |
UNKNOWN |
6513 S Garfield |
Bell Gardens |
Los Angeles |
90201 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
21250 |
21250 |
33.9723841213 |
-118.147852146 |
| -117.146546412287 |
32.7016590679117 |
17491 |
McCloskey, Kathryn |
1679952113 |
Physician |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -120.260892026246 |
37.1205884967617 |
17497 |
Urquilla, Hector |
1679976146 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
401 Trinity Ave. |
Madera |
Madera |
93638 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
37.1205884972 |
-120.260892026 |
| -119.647641434405 |
36.3243824628804 |
17502 |
Banning, Metaxia |
1679978787 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
250 West 5th Street |
Hanford |
Kings |
93230 |
California |
2017 |
2018 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
29750 |
8500 |
36.3243824628 |
-119.647641434 |
| -119.288677500166 |
36.3322530002758 |
17507 |
Yi, Karen |
1689000614 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 E Oak Ave |
Visalia |
Tulare |
93291 |
California |
2015 |
2016 |
2 |
MU |
HEALTHCARE FAMILY |
1821186727 |
29750 |
8500 |
36.332253 |
-119.2886775 |
| -121.940302499661 |
37.3266449995671 |
17516 |
Halls, Valerie |
1689016271 |
Physician |
UNKNOWN |
455 OConnor Dr, Suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -117.298687104226 |
34.0966627016224 |
17520 |
Shek, Yilin |
1689017469 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -121.287285000302 |
37.9665270002209 |
17523 |
Fecht, Cassandre |
1689010597 |
Nurse Practitioner |
UNKNOWN |
1212 N California St, San Joaquin County Behavioral Health |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -119.039961615636 |
35.9607292701398 |
17530 |
Bedair, Dalia |
1689056764 |
Dentist |
UNKNOWN |
9416 Road 238 |
Terra Bella |
Tulare |
93270 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1831520048 |
21250 |
21250 |
35.9607292698 |
-119.039961616 |
| -117.298687104226 |
34.0966627016224 |
17535 |
Min, Alexander |
1689052763 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.071512870423 |
33.1291137414061 |
17557 |
Mishra, Seema |
1689612830 |
Physician |
PEDIATRIC MEDICINE |
426 N. Date St |
Escondido |
San Diego |
92025 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1265618185 |
21250 |
21250 |
33.1291137408 |
-117.07151287 |
| -122.26118746393 |
37.8386955479612 |
17559 |
Meade, Kelley |
1689619611 |
Physician |
UNKNOWN |
5220 Claremont Ave |
Oakland |
Alameda |
94618 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8386955484 |
-122.261187464 |
| -122.049873972306 |
38.2620150001922 |
17563 |
Lin, Andrew |
1689617565 |
Physician |
OBSTETRICS/GYNECOLOGY |
1860 Pennsylvania Ave, Suite 300 A |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.262015 |
-122.049873972 |
| -122.292192420644 |
38.3212564181492 |
17570 |
Shauer, Marla |
1689647729 |
Certified Nurse - Midwife |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -118.329789269359 |
34.0979749635737 |
17594 |
Kim, Jonathan |
1689682908 |
Physician |
OPHTHALMOLOGY |
6430 W. Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -117.068053499569 |
33.1260569997308 |
17605 |
Le, Julie |
1689701310 |
Physician |
PSYCHIATRY |
1001 E. Grand Ave |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1487826772 |
21250 |
21250 |
33.126057 |
-117.0680535 |
| -120.060353194245 |
36.7271851227952 |
17611 |
Mann, Surbjeet |
1689708448 |
Doctor of Optometry |
UNKNOWN |
517 S Madera Ave |
Kerman |
Fresno |
93630 |
California |
2018 |
2019 |
5 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
55250 |
8500 |
36.7271851231 |
-120.060353194 |
| -121.287285000302 |
37.9665270002209 |
17639 |
Hidalgo, Vilma |
1689735888 |
Physician |
UNKNOWN |
1212 N. California St |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -118.273101378326 |
34.0279933498133 |
17661 |
Zionts, Lewis |
1689766867 |
Physician |
ORTHOPEDIC SURGERY |
2501 S Hope St |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2014 |
3 |
MU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
38250 |
8500 |
34.0279933502 |
-118.273101378 |
| -122.292192420644 |
38.3212564181492 |
17685 |
Luce, Kathryn |
1689806416 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1141 Pear Tree Ln, Suite 100 |
Napa |
Napa |
94558 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -122.011197180705 |
39.2078959333507 |
17694 |
Dropp, Lisa |
1689834905 |
Physician |
UNKNOWN |
555 Fremont Street |
Colusa |
Colusa |
95932 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH AMPLA |
1811204555 |
21250 |
21250 |
39.2078959331 |
-122.011197181 |
| -119.424323611346 |
36.3520902351763 |
17696 |
Soliman, Evelen |
1689834517 |
Physician |
UNKNOWN |
30979 Road 67 |
Goshen |
Tulare |
93227 |
California |
2015 |
2016 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
29750 |
8500 |
36.3520902351 |
-119.424323611 |
| -117.751073666616 |
34.0965576590088 |
17698 |
Fung, Kent |
1689844318 |
Physician |
UNKNOWN |
250 W Bonita Ave, Suite 200 |
Pomona |
Los Angeles |
91767 |
California |
2017 |
2018 |
4 |
MU |
HOLLEMBERG, AGRAWAL LAUPPE |
1366447781 |
46750 |
8500 |
34.0965576594 |
-117.751073667 |
| -118.150795976753 |
34.1778106936086 |
17718 |
Vallota, Enrique |
1689862575 |
Physician |
UNKNOWN |
1855 n fair oaks |
Pasadena |
Los Angeles |
91103 |
California |
2020 |
2020 |
5 |
MU |
HEALTH COMMUNITY |
1871689315 |
55250 |
8500 |
34.1778106939 |
-118.150795977 |
| -121.793209065646 |
38.6851030199884 |
17722 |
Woolley, Deborah |
1689864308 |
Certified Nurse - Midwife |
CERTIFIED NURSE MIDWIFE |
8 N Cottonwood St, Peterson Perinatal Clinic |
Woodland |
Yolo |
95695 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558469064 |
21250 |
21250 |
38.6851030196 |
-121.793209066 |
| -118.147551231804 |
33.9729202337818 |
17728 |
Butler, Rory |
1689872590 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
6501 Garfield Ave |
Bell Gardens |
Los Angeles |
90201 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
21250 |
21250 |
33.9729202343 |
-118.147551232 |
| -118.27391808685 |
34.0286791746043 |
17737 |
Au, Katherine |
1689888042 |
Physician |
HAND SURGERY |
2400 South Flower Street |
Los Angeles |
UNKNOWN |
90007 |
California |
2013 |
2013 |
1 |
AIU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
21250 |
21250 |
34.0286791754 |
-118.273918087 |
| -121.940302499661 |
37.3266449995671 |
17752 |
Yoon, Enoch |
1689925703 |
Physician |
UNKNOWN |
455 OConnor Dr Ste 200 |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -121.828447588985 |
37.3773539107544 |
17753 |
Patel, Bela |
1689926297 |
Dentist |
UNKNOWN |
242 La Pala Drive |
San Jose |
Santa Clara |
95127 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTER FOOTHILL |
1912311440 |
29750 |
8500 |
37.3773539109 |
-121.828447589 |
| -119.289034030996 |
36.3341005980642 |
17757 |
Rogers, Scott |
1689927329 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
501 N Bridge St |
Visalia |
Tulare |
93291 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
29750 |
8500 |
36.3341005984 |
-119.289034031 |
| -118.280430497769 |
34.0727231525515 |
17758 |
Ledoux, Annie |
1689933178 |
Dentist |
UNKNOWN |
150 N. Reno St |
Los Angeles |
Los Angeles |
90026 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
21250 |
21250 |
34.0727231529 |
-118.280430498 |
| -122.267252075423 |
37.8373378810384 |
17764 |
Ross, Javay |
1689960700 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.267252075423 |
37.8373378810384 |
17768 |
Crawford, James |
1689975955 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -121.913647032185 |
37.3017600004237 |
17770 |
Rokicki-Parashar, Jesse |
1689980195 |
Physician |
UNKNOWN |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
63750 |
8500 |
37.30176 |
-121.913647032 |
| -122.271160359963 |
37.7995061221099 |
17787 |
Baysac, Mary Anne |
1699035444 |
Dentist |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -122.476270502582 |
37.781516368086 |
17803 |
Wilson, Bradley |
1699061598 |
Dentist |
UNKNOWN |
349 17th Ave |
San Francisco |
San Francisco |
94121 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
37.781516368 |
-122.476270503 |
| -117.183246986859 |
32.7472095433858 |
17810 |
Radder, Lori |
1699081778 |
Dentist |
UNKNOWN |
3920 Clark St |
San Diego |
San Diego |
92103 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.7472095426 |
-117.183246987 |
| -117.94732640439 |
34.0601917932167 |
17814 |
Khawar, Talha |
1699089508 |
Physician |
UNKNOWN |
1300 S Sunset Ave |
West Covina |
Los Angeles |
91790 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH SERVICES ALTAMED |
1730481318 |
21250 |
21250 |
34.0601917926 |
-117.947326404 |
| -122.292192420644 |
38.3212564181492 |
17820 |
Chung, Karen |
1699100560 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -119.291498831706 |
36.5303014971165 |
17827 |
Heath, David |
1699130252 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
12586 Avenue 408 |
Orosi |
Tulare |
93647 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
38250 |
8500 |
36.5303014971 |
-119.291498832 |
| -116.961791977218 |
33.2771591455781 |
17833 |
Gamble, Firouzeh |
1699165506 |
Nurse Practitioner |
UNKNOWN |
50100 Golsh Rd. |
Valley Center |
San Diego |
92082 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH COUNCIL INDIAN |
1861449522 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
| -117.298687104226 |
34.0966627016224 |
17840 |
Khankhanian, Jessica |
1699162842 |
Physician |
UNKNOWN |
250 S. G St, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
17841 |
Lemus-Hernandez, Armando |
1699185306 |
Physician |
UNKNOWN |
250 South G Street |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -118.306952999581 |
34.0623180000757 |
17843 |
Raam, Manu |
1699180349 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.292065021783 |
38.3212756123797 |
17845 |
Vogler, Katherine |
1699196238 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Ln |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
29750 |
8500 |
38.3212756122 |
-122.292065022 |
| -119.05814321214 |
35.367815658366 |
17848 |
Adjei, Phyllis |
1699220491 |
Nurse Practitioner |
UNKNOWN |
5020 Commerce Dr |
Bakersfield |
Kern |
93309 |
California |
2016 |
2017 |
1 |
AIU |
HILLS MEDICAL CORP OAK |
1386754273 |
21250 |
21250 |
35.3678156578 |
-119.058143212 |
| -117.381954968247 |
33.9777585324304 |
17852 |
BRAR, HARBINDER |
1699700971 |
Physician |
OBSTETRICS/GYNECOLOGY |
4000 14th St Ste 502 |
Riverside |
Riverside |
92501 |
California |
2012 |
2013 |
1 |
AIU |
HARBINDER S MD INC BRAR |
1659512325 |
21250 |
21250 |
33.9777585323 |
-117.381954968 |
| -117.072893103134 |
33.1284570942196 |
17860 |
Schiff, Karin |
1699706333 |
Physician |
FAMILY PRACTICE |
460 N Elm St |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
55250 |
8500 |
33.1284570937 |
-117.072893103 |
| -118.293233395705 |
34.0618193628733 |
17872 |
Pierce, Samuel |
1699718270 |
Physician |
UNKNOWN |
3255 Wilshire BLV Suite 120, |
Los Angeles |
Los Angeles |
90010 |
California |
2018 |
2019 |
5 |
MU |
HEALTH EDUCATION KOREAN |
1437377454 |
55250 |
8500 |
34.0618193633 |
-118.293233396 |
| -121.934391291825 |
37.3271164871362 |
17874 |
Aminova, Alla |
1699720706 |
Physician |
UNKNOWN |
2039 Forest Ave, Suite 105 |
San Jose |
Santa Clara |
95128 |
California |
2019 |
2020 |
3 |
MU |
HEALTH CENTER INDIAN |
1629462312 |
38250 |
8500 |
37.3271164868 |
-121.934391292 |
| -117.322597008045 |
34.1312669996723 |
17876 |
Patel, Sunil |
1699726760 |
Physician |
PEDIATRIC MEDICINE |
1800 Medical Center Dr, Ste 104 |
San Bernardino |
San Bernardino |
92411 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE GROUP AMC INLAND |
1811166218 |
21250 |
21250 |
34.131267 |
-117.322597008 |
| -121.811586301567 |
37.3063241389479 |
17881 |
Naidu, Lakshmi |
1699755827 |
Physician |
UNKNOWN |
1642 Capitol Expy |
San Jose |
Santa Clara |
95121 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTER OF SANT INDIAN |
1881997963 |
17000 |
8500 |
37.3063241385 |
-121.811586302 |
| -122.049873972306 |
38.2620150001922 |
17889 |
Doyle, Donald |
1699766220 |
Physician |
INTERNAL MEDICINE |
1860 Pennsylvania Ave, Suite 200 |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.262015 |
-122.049873972 |
| -121.845447497004 |
39.7528200003428 |
17895 |
Ahmed, Ejaz |
1699775734 |
Physician |
UNKNOWN |
680 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.75282 |
-121.845447497 |
| -117.146546412287 |
32.7016590679117 |
17900 |
Zieg, Alan |
1699790634 |
Physician |
OBSTETRICS/GYNECOLOGY |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -119.05814321214 |
35.367815658366 |
17906 |
WILLIAMS, GREGORY |
1699795088 |
Physician |
UNKNOWN |
5020 Commerce Dr |
Bakersfield |
Kern |
93309 |
California |
2016 |
2017 |
1 |
MU |
HILLS MEDICAL CORP OAK |
1386754273 |
21250 |
21250 |
35.3678156578 |
-119.058143212 |
| -121.481662499625 |
38.5768799998122 |
17926 |
lopez-shams, maria |
1699816108 |
Dentist |
UNKNOWN |
1820 J ST |
Sacramento |
Sacramento |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -122.271160359963 |
37.7995061221099 |
17942 |
Jeung, Joan |
1699836551 |
Physician |
PEDIATRIC MEDICINE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -121.545819136144 |
39.1278335471805 |
17943 |
Farrell, Rachel |
1699834770 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1908 N Beale Rd, Suite E |
Marysville |
Yuba |
95901 |
California |
2017 |
2018 |
5 |
MU |
HEALTH MEDICAL HARMONY |
1124130620 |
55250 |
8500 |
39.1278335467 |
-121.545819136 |
| -121.953063614194 |
38.3545860351175 |
17951 |
Schoenwetter, Melissa |
1699844019 |
Physician |
UNKNOWN |
1010 Nut Tree Road |
Vacaville |
Solano |
95687 |
California |
2019 |
2020 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
63750 |
8500 |
38.354586035 |
-121.953063614 |
| -117.168033770042 |
33.5183898908808 |
17955 |
Jackson, Marilyn |
1699847913 |
Nurse Practitioner |
UNKNOWN |
41715 Winchester Rd, Suite 204 |
Temecula |
Riverside |
92590 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1780869966 |
38250 |
8500 |
33.5183898912 |
-117.16803377 |
| -117.916847999835 |
33.6551399999111 |
17967 |
Cao, Anthony |
1699857185 |
Dentist |
UNKNOWN |
2200 Harbor Blvd. Ste.B-230 |
Costa Mesa |
Orange |
92627 |
California |
2019 |
2020 |
3 |
MU |
HUNG CAO DDS APC ANTHONY |
1164514220 |
38250 |
8500 |
33.65514 |
-117.916848 |
| -118.095628711596 |
33.9679898013883 |
17975 |
Price, Kemi |
1699872762 |
Physician |
OSTEOPATHIC MANIPULATIVE MEDICINE |
9436 E. Slauson Avenue |
Pico Rivera |
Los Angeles |
90660 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES ALTAMED |
1710191283 |
63750 |
8500 |
33.9679898013 |
-118.095628712 |
| -121.96362599964 |
36.9755910002245 |
17977 |
Crummer, Garry |
1699878579 |
Physician |
PEDIATRIC MEDICINE |
1820 41st Ave Ste D |
Capitola |
Santa Cruz |
95010 |
California |
2013 |
2014 |
2 |
MU |
HEALTH MEDICAL DIGNITY |
1598961245 |
29750 |
8500 |
36.975591 |
-121.963626 |
| -117.915163058828 |
33.7774180953688 |
17982 |
Phan, Vu |
1699882118 |
Nurse Practitioner |
UNKNOWN |
12751 Harbor Blvd. |
Garden Grove |
Orange |
92840 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
29750 |
8500 |
33.7774180952 |
-117.915163059 |
| -120.43393612725 |
34.9091173157116 |
17989 |
Jerkins, Gregory |
1699885137 |
Physician |
UNKNOWN |
2801 Santa Maria Way |
Santa Maria |
Santa Barbara |
93454 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
34000 |
8500 |
34.9091173155 |
-120.433936127 |
| -117.293877000223 |
33.6597569996858 |
17990 |
BRYANT, MICHAEL |
1699886002 |
Dentist |
UNKNOWN |
31500 Grape Street, Suite 8 |
Lake Elsinore |
Riverside |
92532 |
California |
2016 |
2016 |
1 |
AIU |
H CORPORATION POURSHIRAZI |
1255606547 |
21250 |
21250 |
33.659757 |
-117.293877 |
| -118.329789269359 |
34.0979749635737 |
18018 |
Hill, Allison |
1699933002 |
Physician |
UNKNOWN |
6430 Sunset Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -120.498999995353 |
35.0266083603876 |
18023 |
Willis, Daniel |
1699946376 |
Physician |
FAMILY PRACTICE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.308853204112 |
34.0164932961288 |
18031 |
Tareen, Naureen |
1699952820 |
Physician |
UNKNOWN |
3834 S. Western Ave |
Los Angeles |
UNKNOWN |
90062 |
California |
2016 |
2017 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -119.291498831706 |
36.5303014971165 |
18041 |
Lopez, Aileen |
1699969477 |
Physician |
UNKNOWN |
12586 Avenue 408 |
Orosi |
Tulare |
93647 |
California |
2013 |
2013 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
21250 |
21250 |
36.5303014971 |
-119.291498832 |
| -118.366577999975 |
34.2287910004044 |
18044 |
Nouri, Hamid |
1699978320 |
Dentist |
UNKNOWN |
8805 Sunland Blvd |
Sun Valley |
Los Angeles |
91352 |
California |
2016 |
2016 |
1 |
AIU |
Hamid Nouri |
1699978320 |
21250 |
21250 |
34.228791 |
-118.366578 |
| -118.147551231804 |
33.9729202337818 |
18049 |
Ugalde, Sergio |
1699981522 |
Physician |
GENERAL PRACTICE |
6501 Garfield Ave |
Bell Gardens |
Los Angeles |
90201 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
29750 |
8500 |
33.9729202343 |
-118.147551232 |
| -122.267252075423 |
37.8373378810384 |
18063 |
Noor, Zarin |
1700031374 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.329789269359 |
34.0979749635737 |
18081 |
Kokorowski, Paul |
1700056140 |
Physician |
UROLOGY |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -117.146546412287 |
32.7016590679117 |
18083 |
Loeffler, Allison |
1700073962 |
Physician |
OBSTETRICS/GYNECOLOGY |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -117.915163058828 |
33.7774180953688 |
18087 |
Wu, Illie |
1700083516 |
Physician |
FAMILY PRACTICE |
12751 Harbor Blvd |
Garden Grove |
Orange |
92840 |
California |
2017 |
2018 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
63750 |
8500 |
33.7774180952 |
-117.915163059 |
| -121.769568889193 |
38.5631938354272 |
18094 |
Southwick, Frances |
1700107471 |
Physician |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2017 |
2018 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
8500 |
8500 |
38.5631938352 |
-121.769568889 |
| -122.267252075423 |
37.8373378810384 |
18098 |
Selfridge, Molly |
1700119898 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2015 |
2016 |
2 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.62766813058 |
38.9499316736079 |
18099 |
DeRose, David |
1700118700 |
Physician |
UNKNOWN |
15230 Lakeshore Dr. |
Clearlake |
Lake |
95422 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
21250 |
21250 |
38.9499316736 |
-122.627668131 |
| -120.498999995353 |
35.0266083603876 |
18102 |
Kartono Winardi, Bernardus |
1700124161 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.267252075423 |
37.8373378810384 |
18111 |
Silliman, Harriot |
1700157724 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.645419048051 |
41.7186384767843 |
18139 |
Cole, Jacqueline |
1700241254 |
Nurse Practitioner |
UNKNOWN |
444 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2017 |
2018 |
2 |
MU |
HOSPITAL, INC SISKIYOU |
1093892275 |
29750 |
8500 |
41.7186384766 |
-122.645419048 |
| -119.05814321214 |
35.367815658366 |
18143 |
BANATTE-GARCON, ROLDINE |
1700269933 |
Nurse Practitioner |
UNKNOWN |
5020 Commerce Dr |
Bakersfield |
Kern |
93309 |
California |
2016 |
2017 |
1 |
MU |
HILLS MEDICAL CORP OAK |
1386754273 |
21250 |
21250 |
35.3678156578 |
-119.058143212 |
| -117.298687104226 |
34.0966627016224 |
18149 |
Sharma, Nisha |
1700229457 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.946313999791 |
33.8324215409214 |
18155 |
Pastores, Alfonso |
1700335494 |
Nurse Practitioner |
UNKNOWN |
1814 West Lincoln |
Anaheim |
Orange |
92801 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES CORP ALTAMED |
1063659985 |
21250 |
21250 |
33.8324215409 |
-117.946314 |
| -122.145105833168 |
38.2163044274075 |
18163 |
Al Samman, Mounzer |
1700822160 |
Physician |
GASTROENTEROLOGY |
5140 Business Center Dr, Sutie 100 |
Fairfield |
Solano |
94534 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.2163044266 |
-122.145105833 |
| -121.845447497004 |
39.7528200003428 |
18183 |
Roth, Robert |
1700869864 |
Physician |
FAMILY PRACTICE |
680 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.75282 |
-121.845447497 |
| -122.62766813058 |
38.9499316736079 |
18189 |
Diaz, Luis |
1700892759 |
Physician |
UNKNOWN |
15230 Lakeshore Dr |
Clearlake |
Lake |
95422 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
46750 |
8500 |
38.9499316736 |
-122.627668131 |
| -120.184312500322 |
36.6054660000559 |
18210 |
Kaileh, Husam |
1700920899 |
Physician |
UNKNOWN |
21890 Colorado Avenue |
San Joaquin |
Fresno |
93660 |
California |
2016 |
2017 |
4 |
MU |
HEALTH TEAM INC VALLEY |
1598821027 |
46750 |
8500 |
36.605466 |
-120.1843125 |
| -122.455808999686 |
37.7487900001584 |
18221 |
Behrman, Victoria |
1700925484 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, Laguna Honda Hospital and Rehabilitation Center |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -119.060526295952 |
34.3537353617975 |
18222 |
zhao, hui |
1700936333 |
Dentist |
UNKNOWN |
972 E Main St |
Santa Paula |
Ventura |
93060 |
California |
2018 |
2019 |
3 |
MU |
HUI DDS ZHAO |
1700936333 |
38250 |
8500 |
34.3537353616 |
-119.060526296 |
| -117.960264000084 |
33.8649660002807 |
18224 |
ALLEN, DIANE |
1700938941 |
Nurse Practitioner |
UNKNOWN |
501 S Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2015 |
2017 |
4 |
MU |
HLTH CARE REPRODUCTIVE |
1508977414 |
46750 |
8500 |
33.864966 |
-117.960264 |
| -122.455808999686 |
37.7487900001584 |
18230 |
Young, Vicky |
1700926821 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, B200, Laguna Honda Hospital and Rehab Center, Medical Svcs |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -120.498999995353 |
35.0266083603876 |
18236 |
Daniels, Paul |
1700960309 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -122.271160359963 |
37.7995061221099 |
18243 |
Vo, Katherine |
1700970548 |
Dentist |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -118.329789269359 |
34.0979749635737 |
18245 |
WONG, CYNTHIA |
1700970464 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
LOS ANGELES |
Los Angeles |
90028 |
California |
2013 |
2014 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -117.866853000166 |
33.7811759997726 |
18246 |
Yuengsrigul, Anchalee |
1700972536 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -121.570951500112 |
37.0377899997088 |
18249 |
Phan, Anthony |
1700976552 |
Dentist |
UNKNOWN |
9460 No Name Uno, Suite 215 |
Gilroy |
Santa Clara |
95020 |
California |
2020 |
2020 |
5 |
MU |
HEALTH CENTER TRI-CITY |
1780054379 |
34000 |
8500 |
37.03779 |
-121.5709515 |
| -122.267252075423 |
37.8373378810384 |
18279 |
Herz, Susanne |
1710019369 |
Physician |
UNKNOWN |
747 52Nd Street |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.646489753 |
41.7186503676204 |
18292 |
Olivolo, Catherine |
1710035993 |
Nurse Practitioner |
NURSE PRACTITIONER |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2014 |
2015 |
3 |
MU |
HOSP SISKIYOU |
1093892275 |
38250 |
8500 |
41.7186503677 |
-122.646489753 |
| -117.996641889811 |
33.7738698732961 |
18293 |
Nguyen, Gina-Nga |
1710035688 |
Physician |
GENERAL PRACTICE |
7761 Garden Grove Blvd. |
Garden Grove |
Orange |
92841 |
California |
2013 |
2014 |
3 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
38250 |
8500 |
33.7738698726 |
-117.99664189 |
| -117.071664499717 |
33.1292598686481 |
18311 |
Celaya, Mary |
1710060231 |
Nurse Practitioner |
UNKNOWN |
425 N. Date St., #203 |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1265618185 |
29750 |
8500 |
33.1292598693 |
-117.0716645 |
| -119.042168222785 |
36.0512835430011 |
18321 |
acosta, luis |
1710073531 |
Physician |
UNKNOWN |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2017 |
2018 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
63750 |
8500 |
36.0512835428 |
-119.042168223 |
| -118.302879718224 |
34.0629495930493 |
18326 |
Akopyan, Diana |
1710078472 |
Dentist |
UNKNOWN |
611 S. KINGSLEY DR. |
Los Angeles |
Los Angeles |
90005 |
California |
2018 |
2019 |
3 |
MU |
HEALTH and WELLNESS APLA |
1740490937 |
38250 |
8500 |
34.0629495926 |
-118.302879718 |
| -118.290205477301 |
34.0955859100617 |
18344 |
Minas, Eduard |
1710097670 |
Physician |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
29750 |
8500 |
34.0955859098 |
-118.290205477 |
| -121.287285000302 |
37.9665270002209 |
18348 |
Durrani, Khurram |
1710094057 |
Physician |
UNKNOWN |
1212 N. California St. |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -122.052187649141 |
38.2758300032521 |
18355 |
Ginsberg, Michael |
1710128558 |
Physician |
PEDIATRIC MEDICINE |
2458 Hilborn Rd |
Fairfield |
Solano |
94534 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.2758300025 |
-122.052187649 |
| -117.064951853845 |
32.7626637497323 |
18362 |
Zakariya, Masheil |
1710137252 |
Dentist |
UNKNOWN |
6175 El Cajon Blvd |
San Diego |
San Diego |
92115 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.7626637502 |
-117.064951854 |
| -121.913647032185 |
37.3017600004237 |
18371 |
Uniat, John |
1710157003 |
Dentist |
UNKNOWN |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1164643862 |
21250 |
21250 |
37.30176 |
-121.913647032 |
| -118.290205477301 |
34.0955859100617 |
18374 |
Fisseha, Seble |
1710156203 |
Physician |
UNKNOWN |
4618 Fountain Avenue |
Los Angeles |
Los Angeles |
90029 |
California |
2013 |
2015 |
1 |
AIU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
21250 |
21250 |
34.0955859098 |
-118.290205477 |
| -120.060353194245 |
36.7271851227952 |
18382 |
Lipumano-Sanchez, Lulette |
1710179387 |
Dentist |
UNKNOWN |
517 S. Madera Ave |
Kerman |
Fresno |
93630 |
California |
2018 |
2019 |
5 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
55250 |
8500 |
36.7271851231 |
-120.060353194 |
| -120.498999995353 |
35.0266083603876 |
18384 |
Richert, Jill |
1710182993 |
Nurse Practitioner |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -121.769568889193 |
38.5631938354272 |
18389 |
Logan, julia |
1710187026 |
Physician |
UNKNOWN |
2051 John Jones Rd., Suite 2000 |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
38250 |
8500 |
38.5631938352 |
-121.769568889 |
| -117.885485449294 |
33.7108181339498 |
18396 |
Nguyen, Joseph |
1710209622 |
Physician |
UNKNOWN |
2720 S. BRISTOL ST., SUITE 110 |
SANTA ANA |
Orange |
92704 |
California |
2018 |
2019 |
4 |
MU |
HEALTH SERVICES ALTAMED |
1760651814 |
46750 |
8500 |
33.7108181339 |
-117.885485449 |
| -122.271160359963 |
37.7995061221099 |
18402 |
Li-BLand, Esther |
1710225156 |
Physician |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH SERVICES INC ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -119.288673194212 |
36.3328544497731 |
18432 |
Eskif Dabbagh, Bakri |
1710302195 |
Physician |
UNKNOWN |
401 E School Ave |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
38250 |
8500 |
36.3328544502 |
-119.288673194 |
| -119.288677500166 |
36.3322530002758 |
18440 |
Wetmore, Dustin |
1710320437 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 E Oak Ave |
Visalia |
Tulare |
93291 |
California |
2015 |
2016 |
2 |
MU |
HEALTHCARE FAMILY |
1821186727 |
29750 |
8500 |
36.332253 |
-119.2886775 |
| -117.071664499717 |
33.1292598686481 |
18444 |
firoozi, hamed |
1710328950 |
Dentist |
UNKNOWN |
425 N Date St, # 203 |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1932384120 |
38250 |
8500 |
33.1292598693 |
-117.0716645 |
| -118.290205477301 |
34.0955859100617 |
18446 |
DANGLA CRUZ, CORNELIA |
1710320536 |
Nurse Practitioner |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2019 |
2020 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
63750 |
8500 |
34.0955859098 |
-118.290205477 |
| -121.940302499661 |
37.3266449995671 |
18448 |
Wang, Anthony |
1710369624 |
Physician |
UNKNOWN |
455 OConnor Dr, Suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER OF INDIAN |
1114290780 |
38250 |
8500 |
37.326645 |
-121.9403025 |
| -119.288677500166 |
36.3322530002758 |
18449 |
Guaman, Edisson |
1710348024 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 E. Oak Avenue |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -117.885485449294 |
33.7108181339498 |
18465 |
Galdamez, Jorge |
1710900998 |
Physician |
UNKNOWN |
2720 SOUTH BRISTOL ST. |
SANTA ANA |
Orange |
92704 |
California |
2016 |
2017 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1760651814 |
38250 |
8500 |
33.7108181339 |
-117.885485449 |
| -121.800410196274 |
37.2546844204497 |
18475 |
GOPALKRISHNAN, SREEPRIYA |
1710921705 |
Physician |
UNKNOWN |
5504 Monterey Highway |
San Jose |
Santa Clara |
95138 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTER FOOTHILL |
1922485952 |
46750 |
8500 |
37.2546844202 |
-121.800410196 |
| -118.280430497769 |
34.0727231525515 |
18476 |
Demitri, Michelle |
1710925623 |
Nurse Practitioner |
UNKNOWN |
150 North Reno Street |
Los Angeles |
Los Angeles |
90026 |
California |
2016 |
2017 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
63750 |
8500 |
34.0727231529 |
-118.280430498 |
| -121.952709777734 |
38.3644974795751 |
18481 |
Hewett, Bruce |
1710932660 |
Physician |
PEDIATRIC MEDICINE |
421 Nut Tree Rd |
Vacaville |
Solano |
95687 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.3644974804 |
-121.952709778 |
| -120.625581861214 |
40.4381384658176 |
18484 |
langi, marlis |
1710933767 |
Nurse Practitioner |
UNKNOWN |
1850 Spring Ridge Drive |
Susanville |
Lassen |
96130 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
8500 |
8500 |
40.4381384662 |
-120.625581861 |
| -122.267252075423 |
37.8373378810384 |
18499 |
Torkildson, Joseph |
1710944095 |
Physician |
UNKNOWN |
747 52nd St, Department of HematologyOncology |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -120.645346418303 |
35.2748180030484 |
18515 |
Salerno, Justin |
1710995022 |
Physician |
UNKNOWN |
1551 Bishop St, b240 |
San Luis Obispo |
San Luis Obispo |
93401 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.274818003 |
-120.645346418 |
| -117.071664499717 |
33.1292598686481 |
18522 |
Gist, Christopher |
1720007172 |
Dentist |
UNKNOWN |
425 N Date St |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1437335353 |
21250 |
21250 |
33.1292598693 |
-117.0716645 |
| -116.959614428063 |
33.7493816109726 |
18525 |
Lee, Jai |
1720007420 |
Physician |
ORTHOPEDIC SURGERY |
1225 E Latham Ave, Ste A |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1184820987 |
21250 |
21250 |
33.7493816109 |
-116.959614428 |
| -122.659945408554 |
38.2688718730386 |
18528 |
Nicol, Ann |
1720010580 |
Nurse Practitioner |
NURSE PRACTITIONER |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -120.498999995353 |
35.0266083603876 |
18557 |
Ebner, Gerald |
1720081730 |
Physician |
OBSTETRICS/GYNECOLOGY |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -118.246191531314 |
33.9426899692667 |
18564 |
Gonzalez-Barreto, Vilma |
1720089642 |
Physician |
OBSTETRICS/GYNECOLOGY |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
3 |
MU |
HEALTHCARE WATTS |
1477649119 |
38250 |
8500 |
33.9426899686 |
-118.246191531 |
| -121.769568889193 |
38.5631938354272 |
18566 |
Kennedy, Richard |
1720092935 |
Dentist |
UNKNOWN |
2051 John Jones Rd., Suite A |
Davis |
Yolo |
95616 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558366823 |
21250 |
21250 |
38.5631938352 |
-121.769568889 |
| -117.072893103134 |
33.1284570942196 |
18584 |
Salcido, Francisca |
1720112204 |
Physician |
FAMILY PRACTICE |
460 N. Elm St |
Escondido |
San Diego |
92025 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
21250 |
21250 |
33.1284570937 |
-117.072893103 |
| -121.769568889193 |
38.5631938354272 |
18596 |
Lewis, Catherine |
1720124423 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95617 |
California |
2017 |
2018 |
5 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
55250 |
8500 |
38.5631938352 |
-121.769568889 |
| -122.267252075423 |
37.8373378810384 |
18597 |
Stege, Erin |
1720127194 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2020 |
2020 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.988308000114 |
33.7050629998576 |
18598 |
Kavianian, Nancy |
1720127392 |
Nurse Practitioner |
UNKNOWN |
8041 Newman |
Huntington Beach |
Orange |
92647 |
California |
2017 |
2018 |
5 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
55250 |
8500 |
33.705063 |
-117.988308 |
| -118.373666159566 |
34.0528784236004 |
18603 |
Peart, Harold |
1720130784 |
Physician |
UNKNOWN |
6091 W Pico Blvd |
Los Angeles |
Los Angeles |
90035 |
California |
2016 |
2017 |
5 |
MU |
HAROLD T MD PEART |
1720130784 |
55250 |
8500 |
34.0528784238 |
-118.37366616 |
| -122.267252075423 |
37.8373378810384 |
18614 |
Feusner, James |
1720142854 |
Physician |
UNKNOWN |
747 52nd Street |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -121.527873000139 |
38.5876259998401 |
18617 |
Saini, Rubina |
1720138340 |
Physician |
FAMILY PRACTICE |
500 B Jefferson Blvd. #180 |
West Sacramento |
Yolo |
95605 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1710087515 |
46750 |
8500 |
38.587626 |
-121.527873 |
| -118.300887000435 |
34.0911359998266 |
18639 |
AJdaharian, Haroutune |
1720175722 |
Dentist |
UNKNOWN |
5101 Santa Monica Blvd Ste 15 |
Los Angeles |
Los Angeles |
90029 |
California |
2019 |
2020 |
4 |
MU |
HAROUTUNE DDS AJDAHARIAN |
1720175722 |
46750 |
8500 |
34.091136 |
-118.300887 |
| -117.866853000166 |
33.7811759997726 |
18642 |
Elbalalesy, Naser |
1720178817 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2013 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.781176 |
-117.866853 |
| -121.456624499721 |
38.5712370003873 |
18669 |
Deck, Tatyana |
1720230543 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
38250 |
8500 |
38.571237 |
-121.4566245 |
| -121.287285000302 |
37.9665270002209 |
18670 |
silver, hilary |
1720201221 |
Physician |
UNKNOWN |
1212 N California St |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -121.793209065646 |
38.6851030199884 |
18680 |
Kunkel, Betzabel |
1720245095 |
Physician |
FAMILY PRACTICE |
8 N. Cottonwood St. |
Woodland |
Yolo |
95695 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTRS COMMUNICARE |
1558469064 |
63750 |
8500 |
38.6851030196 |
-121.793209066 |
| -122.292192420644 |
38.3212564181492 |
18693 |
Knoche, Amber |
1720264047 |
Certified Nurse - Midwife |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
29750 |
8500 |
38.3212564177 |
-122.292192421 |
| -118.329789269359 |
34.0979749635737 |
18698 |
Votava-Smith, Jodie |
1720271802 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -120.43393612725 |
34.9091173157116 |
18720 |
Pinto, Christina |
1720309529 |
Physician |
UNKNOWN |
2801 Santa Maria Way Bldg A |
Santa Maria |
Santa Barbara |
93455 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
34.9091173155 |
-120.433936127 |
| -120.498999995353 |
35.0266083603876 |
18721 |
Fereshteh, Sanaz |
1720310279 |
Dentist |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -121.940302499661 |
37.3266449995671 |
18725 |
Croker, Lindsay |
1720321680 |
Physician |
UNKNOWN |
455 OConnor Dr Ste 200 |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -122.267252075423 |
37.8373378810384 |
18733 |
Singh, Prachi |
1720346323 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2020 |
2020 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.146546412287 |
32.7016590679117 |
18746 |
Alvarado, Edmund |
1720303340 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -119.288677500166 |
36.3322530002758 |
18748 |
Ellison, Michael |
1720382393 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2013 |
2014 |
2 |
MU |
HEALTHCARE FAMILY |
1821186727 |
29750 |
8500 |
36.332253 |
-119.2886775 |
| -121.819527654278 |
37.3566314686674 |
18753 |
Wong, Andrea |
1720387715 |
Doctor of Optometry |
UNKNOWN |
1066 S White Rd, Suite 170 |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
38250 |
8500 |
37.3566314689 |
-121.819527654 |
| -121.940302499661 |
37.3266449995671 |
18757 |
mccoll, milton |
1720402977 |
Physician |
UNKNOWN |
455 OConnor Dr., Suite 200 |
San Jose, |
Santa Clara |
95128 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER OF INDIAN |
1114290780 |
38250 |
8500 |
37.326645 |
-121.9403025 |
| -119.366878876059 |
36.2046068380352 |
18761 |
Heath, Edward |
1720408644 |
Dentist |
UNKNOWN |
263 S West St |
Tulare |
Tulare |
93274 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NETWORK FAMILY |
1073997201 |
29750 |
8500 |
36.2046068384 |
-119.366878876 |
| -121.613430264695 |
39.1443745680319 |
18770 |
SHARMA, MANISHA |
1720480023 |
Nurse Practitioner |
UNKNOWN |
1000 Sutter St |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH AMPLA |
1811204555 |
21250 |
21250 |
39.1443745679 |
-121.613430265 |
| -122.025125465967 |
37.9806111775638 |
18782 |
Phan, Hai |
1730105206 |
Dentist |
UNKNOWN |
1941 Parkside Dr |
Concord |
Contra Costa |
94519 |
California |
2015 |
2015 |
1 |
AIU |
Hai Thanh Phan |
1730105206 |
21250 |
21250 |
37.9806111784 |
-122.025125466 |
| -119.05814321214 |
35.367815658366 |
18802 |
Kumar, Vinod |
1730142993 |
Physician |
UNKNOWN |
5020 Commerce Dr |
Bakersfield |
Kern |
93309 |
California |
2016 |
2017 |
2 |
MU |
HILLS MEDICAL CORP OAK |
1386754273 |
29750 |
8500 |
35.3678156578 |
-119.058143212 |
| -121.845447497004 |
39.7528200003428 |
18804 |
Vaclavik, Charles |
1730144783 |
Physician |
FAMILY PRACTICE |
680 Cohasset Rd |
Chico |
Butte |
95926 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.75282 |
-121.845447497 |
| -120.625581861214 |
40.4381384658176 |
18811 |
Orr, Pamela |
1730154527 |
Nurse Practitioner |
UNKNOWN |
1850 Spring Ridge Drive |
Susanville |
Lassen |
96130 |
California |
2014 |
2015 |
1 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
21250 |
21250 |
40.4381384662 |
-120.625581861 |
| -120.413076960333 |
34.9528340951175 |
18822 |
McGhie, Robert |
1730184367 |
Physician |
UNKNOWN |
1430 E Main St, Ste 102 |
Santa Maria |
Santa Barbara |
93454 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
34.9528340951 |
-120.41307696 |
| -119.521534499617 |
36.6049529997812 |
18841 |
Bogle, Barry |
1730213703 |
Dentist |
UNKNOWN |
650 S Zediker Ave |
Parlier |
Fresno |
93648 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS- UNITED |
1801878350 |
55250 |
8500 |
36.604953 |
-119.5215345 |
| -117.071664499717 |
33.1292598686481 |
18848 |
herman, christopher |
1730222597 |
Dentist |
UNKNOWN |
425 N. Date St |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1437335353 |
21250 |
21250 |
33.1292598693 |
-117.0716645 |
| -117.946795500412 |
33.8324204932113 |
18855 |
HALEY, KEVIN |
1730235383 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1820 W. Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1235376047 |
29750 |
8500 |
33.8324204929 |
-117.9467955 |
| -117.988308000114 |
33.7050629998576 |
18856 |
Miyamoto, Celia |
1730239344 |
Physician |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
63750 |
8500 |
33.705063 |
-117.988308 |
| -117.071512870423 |
33.1291137414061 |
18893 |
Tellechea-Sanchez, Selmira |
1730288747 |
Physician |
PEDIATRIC MEDICINE |
426 N. Date St |
Escondido |
San Diego |
92025 |
California |
2014 |
2015 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1265618185 |
21250 |
21250 |
33.1291137408 |
-117.07151287 |
| -117.090485999829 |
32.6300939998383 |
18911 |
garate, david |
1730317587 |
Dentist |
UNKNOWN |
510 Broadway, Suite 4 and 5 |
Chula Vista |
San Diego |
91910 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.630094 |
-117.090486 |
| -122.271160359963 |
37.7995061221099 |
18916 |
Kay, Kerry |
1730331786 |
Physician |
FAMILY PRACTICE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -121.566243988969 |
37.0163317440148 |
18918 |
Kleinheinz, Stephanie |
1730334715 |
Nurse Practitioner |
UNKNOWN |
7861 Murray Ave |
Gilroy |
Santa Clara |
95020 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
63750 |
8500 |
37.0163317437 |
-121.566243989 |
| -118.147551231804 |
33.9729202337818 |
18925 |
Koe, Lillian |
1730345299 |
Physician |
UNKNOWN |
6501 Garfield Ave |
Bell Gardens |
Los Angeles |
90201 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
29750 |
8500 |
33.9729202343 |
-118.147551232 |
| -121.969753605944 |
38.5215723163094 |
18929 |
Antoniu, Ana Maria |
1730349978 |
Dentist |
UNKNOWN |
31 Main St |
Winters |
Yolo |
95694 |
California |
2012 |
2012 |
1 |
AIU |
HEATHCARE FNDTN WINTERS |
1992736086 |
21250 |
21250 |
38.5215723161 |
-121.969753606 |
| -117.113485500156 |
32.7150374537156 |
18941 |
Ramers, Christian |
1730381385 |
Physician |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
17000 |
8500 |
32.7150374535 |
-117.1134855 |
| -117.915163058828 |
33.7774180953688 |
18972 |
Damikolas, Tiffany |
1730470337 |
Physician |
UNKNOWN |
12751 Harbor Blvd |
Garden Grove |
Orange |
92840 |
California |
2020 |
2020 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
29750 |
8500 |
33.7774180952 |
-117.915163059 |
| -122.292192420644 |
38.3212564181492 |
18974 |
Garcia, Lulu |
1730467051 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
63750 |
8500 |
38.3212564177 |
-122.292192421 |
| -121.811586301567 |
37.3063241389479 |
18976 |
Bersabe, Rosemarie |
1730478488 |
Nurse Practitioner |
UNKNOWN |
1642 East Capitol Expressway |
San Jose |
Santa Clara |
95121 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CENTER OF SANT INDIAN |
1881997963 |
38250 |
8500 |
37.3063241385 |
-121.811586302 |
| -120.045810184592 |
36.94541455204 |
18990 |
mahindra, devi |
1730501271 |
Nurse Practitioner |
UNKNOWN |
1210 E. ALMOND AVE |
MADERA |
Madera |
93637 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -117.298687104226 |
34.0966627016224 |
19000 |
Yang, Howard |
1730522640 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.146546412287 |
32.7016590679117 |
19007 |
Saville, Edith |
1730567678 |
Nurse Practitioner |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -116.959614428063 |
33.7493816109726 |
19021 |
NOON, BRADLEY |
1740209014 |
Physician |
ORTHOPEDIC SURGERY |
1225 E Latham Ave, STE A |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1184820987 |
21250 |
21250 |
33.7493816109 |
-116.959614428 |
| -120.045810184592 |
36.94541455204 |
19069 |
Caldwell, Julie |
1740290568 |
Nurse Practitioner |
NURSE PRACTITIONER |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -122.267252075423 |
37.8373378810384 |
19072 |
BACHRACH, LELA |
1740293018 |
Physician |
UNKNOWN |
747 52nd st |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.62766813058 |
38.9499316736079 |
19076 |
Terranova, MARY |
1740293026 |
Physician |
UNKNOWN |
15230 Lakeshore Dr. |
Clearlake |
Lake |
95422 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
25500 |
8500 |
38.9499316736 |
-122.627668131 |
| -122.145105833168 |
38.2163044274075 |
19084 |
Hongsakaphadana, Alina |
1740304237 |
Physician |
FAMILY PRACTICE |
5140 Business Center Dr, Suite 200 |
Fairfield |
Solano |
94534 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.2163044266 |
-122.145105833 |
| -122.262000561677 |
37.8392986423186 |
19088 |
DeAngelis, Gina |
1740312446 |
Physician |
UNKNOWN |
5400 Telegraph Ave |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.839298642 |
-122.262000562 |
| -118.27391808685 |
34.0286791746043 |
19140 |
Costello, Cynthia |
1740393818 |
Nurse Practitioner |
UNKNOWN |
2400 S Flower St |
Los Angeles |
Los Angeles |
90007 |
California |
2011 |
2012 |
1 |
AIU |
HOSP ORTHOPAEDIC |
1689632374 |
21250 |
21250 |
34.0286791754 |
-118.273918087 |
| -121.098758861632 |
38.9348505096434 |
19143 |
Millington, Robert |
1740402825 |
Dentist |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -121.769568889193 |
38.5631938354272 |
19148 |
Seifert, Margaret |
1740407881 |
Certified Nurse - Midwife |
UNKNOWN |
2051 John Jones Blvd. |
Davis |
Yolo |
95616 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558366823 |
21250 |
21250 |
38.5631938352 |
-121.769568889 |
| -117.887600017127 |
34.0031275763766 |
19156 |
Chang, Henry |
1740430289 |
Physician |
UNKNOWN |
2707 E Valley Blvd, Suite 208 |
West Covina |
UNKNOWN |
91792 |
California |
2018 |
2019 |
6 |
MU |
HEALTH MEDICAL PC STAR |
1558509810 |
33750 |
8250 |
34.0031275762 |
-117.887600017 |
| -118.150712999905 |
34.1313119999489 |
19159 |
Mirfarsi, Sahar |
1740433952 |
Dentist |
UNKNOWN |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.131312 |
-118.150713 |
| -121.845447497004 |
39.7528200003428 |
19161 |
Maheshwari, Rajesh |
1740431246 |
Physician |
GENERAL PRACTICE |
680 Cohasset Rd, Ampla Health |
Chico |
Butte |
95926 |
California |
2014 |
2015 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.75282 |
-121.845447497 |
| -118.306952999581 |
34.0623180000757 |
19167 |
Weiner, Elizabeth |
1740441732 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.287285000302 |
37.9665270002209 |
19181 |
Jamieson, Deborah |
1740460823 |
Nurse Practitioner |
UNKNOWN |
1212 N California Street |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -117.113485500156 |
32.7150374537156 |
19186 |
Jensen, Dexter |
1740465541 |
Physician |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1346480837 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -118.329789269359 |
34.0979749635737 |
19187 |
Alcaraz, Alexander |
1740467513 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
UNKNOWN |
90028 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -120.045810184592 |
36.94541455204 |
19189 |
Shimpano, MELODY |
1740478700 |
Nurse Practitioner |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -118.150712999905 |
34.1313119999489 |
19210 |
Bransby, Priscilla |
1740504232 |
Nurse Practitioner |
UNKNOWN |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.131312 |
-118.150713 |
| -122.267252075423 |
37.8373378810384 |
19219 |
Holm, Stephanie |
1740537323 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2015 |
2016 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -122.132745716442 |
38.2252135180894 |
19236 |
Surti, Farhat |
1740592120 |
Nurse Practitioner |
UNKNOWN |
4520 Business Center Drive, Suite 180 |
Fairfield |
Solano |
94534 |
California |
2019 |
2020 |
5 |
MU |
HEALTHCARE GROUP NORTHBAY |
1780736736 |
55250 |
8500 |
38.2252135176 |
-122.132745716 |
| -117.146546412287 |
32.7016590679117 |
19242 |
Melendez-Berrios, Iara |
1740514249 |
Physician |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -121.481662499625 |
38.5768799998122 |
19245 |
Broussard, Tamar |
1740621838 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1820 J Street |
Sacramento |
UNKNOWN |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -117.113485500156 |
32.7150374537156 |
19250 |
Kamino, Lisa |
1740622984 |
Doctor of Optometry |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -121.098758861632 |
38.9348505096434 |
19251 |
McKenna, Nichole |
1740629864 |
Dentist |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
38.9348505095 |
-121.098758862 |
| -118.160352000145 |
34.0332704861441 |
19253 |
Modlinger, David |
1740630763 |
Doctor of Optometry |
UNKNOWN |
4816 East 3rd Street |
Los Angeles |
Los Angeles |
90022 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
29750 |
8500 |
34.0332704862 |
-118.160352 |
| -120.578043990138 |
35.1198226210172 |
19256 |
Henry, Christina |
1740684125 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
260 Station Way |
Arroyo Grande |
San Luis Obispo |
93420 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.1198226214 |
-120.57804399 |
| -117.298687104226 |
34.0966627016224 |
19257 |
Reddy, Archana |
1740667047 |
Physician |
UNKNOWN |
250 S. G St, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -121.098758861632 |
38.9348505096434 |
19259 |
Shanklin, Nicole |
1740684828 |
Dentist |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
38.9348505095 |
-121.098758862 |
| -117.298687104226 |
34.0966627016224 |
19262 |
Ali, Farhana |
1740667963 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -120.498999995353 |
35.0266083603876 |
19278 |
Tachdjian, Vartan |
1750314209 |
Physician |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -118.193797950715 |
33.792371999868 |
19289 |
MUNGCAL, HENRICO |
1750326609 |
Physician |
UNKNOWN |
1937 Pacific Ave |
Long Beach |
Los Angeles |
90806 |
California |
2020 |
2020 |
6 |
MU |
HENRICO V MD MUNGCAL |
1750326609 |
63750 |
8500 |
33.792372 |
-118.193797951 |
| -116.976458822617 |
32.781601269583 |
19315 |
Saidro, Luzviminda |
1750364386 |
Physician |
EMERGENCY MEDICINE |
1111 W. Chase Avenue |
El Cajon |
San Diego |
92020 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1104861681 |
29750 |
8500 |
32.7816012698 |
-116.976458823 |
| -122.240092208788 |
38.3277213187839 |
19319 |
kitchens, charles |
1750365045 |
Physician |
GENERAL PRACTICE |
1185 Olive Hill Ln |
Napa |
Napa |
94558 |
California |
2013 |
2014 |
1 |
AIU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
21250 |
21250 |
38.3277213194 |
-122.240092209 |
| -120.625581861214 |
40.4381384658176 |
19333 |
Dozier, John |
1750398962 |
Physician |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
63750 |
8500 |
40.4381384662 |
-120.625581861 |
| -122.292065021783 |
38.3212756123797 |
19343 |
Higgins, Pamela |
1750419008 |
Certified Nurse - Midwife |
UNKNOWN |
1141 Pear Tree Lane |
Napa |
Napa |
94558 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212756122 |
-122.292065022 |
| -121.892717440258 |
37.3411630908041 |
19345 |
Yee, Linda |
1750419750 |
Physician |
OPTOMETRY |
55 E JULIAN STREET |
San Jose |
Santa Clara |
95112 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1083654545 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
| -122.267252075423 |
37.8373378810384 |
19363 |
Robinson, Tamita |
1750435673 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2015 |
2017 |
3 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -120.498999995353 |
35.0266083603876 |
19366 |
granado, cathreen |
1750439972 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -117.867612831967 |
33.7569843671349 |
19371 |
Charlesworth, Teresa |
1750444089 |
Nurse Practitioner |
UNKNOWN |
1400 N Main St |
Santa Ana |
Orange |
92701 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1740427657 |
63750 |
8500 |
33.7569843666 |
-117.867612832 |
| -122.267252075423 |
37.8373378810384 |
19409 |
Garcia, Jacob |
1750491585 |
Physician |
UNKNOWN |
747 52nd St, Dept of Pediatric HematologyOncology |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -122.271160359963 |
37.7995061221099 |
19412 |
Chen, Joyce |
1750496832 |
Dentist |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2014 |
2016 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.659945408554 |
38.2688718730386 |
19427 |
McLeod-Waldo, Rebecca |
1750514766 |
Certified Nurse - Midwife |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -119.10016617423 |
36.4140270004457 |
19429 |
Ott, Niki |
1750519310 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
101 North Palm Street |
Woodlake |
Tulare |
93286 |
California |
2017 |
2018 |
4 |
MU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
46750 |
8500 |
36.414027 |
-119.100166174 |
| -121.769568889193 |
38.5631938354272 |
19432 |
McGovern, Catherine |
1750532305 |
Certified Nurse - Midwife |
UNKNOWN |
2051 John Jones Rd |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
63750 |
8500 |
38.5631938352 |
-121.769568889 |
| -118.046275753223 |
33.9675408463331 |
19466 |
FERNANDO, ELIZA |
1750593349 |
Physician |
UNKNOWN |
12444 WASHINGTON BLVD |
WHITTIER |
Los Angeles |
90602 |
California |
2018 |
2019 |
5 |
MU |
HONDO MEDICAL GROUP RIO |
1609972777 |
55250 |
8500 |
33.9675408458 |
-118.046275753 |
| -118.306952999581 |
34.0623180000757 |
19472 |
Rosenthal, Yael |
1750604997 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.298687104226 |
34.0966627016224 |
19482 |
Solaimani, Pejman |
1750647418 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.146546412287 |
32.7016590679117 |
19489 |
Ambur, Lindsay |
1750635876 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.288673194212 |
36.3328544497731 |
19505 |
Amin, Aisha |
1750713764 |
Dentist |
UNKNOWN |
401 E. School Ave. |
Visalia |
Tulare |
93291 |
California |
2017 |
2018 |
4 |
MU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
46750 |
8500 |
36.3328544502 |
-119.288673194 |
| -119.56283100015 |
36.0980134919292 |
19507 |
Moon, Joseph |
1750721486 |
Dentist |
UNKNOWN |
1209 Whitley Ave |
Corcoran |
Kings |
93212 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS OF THE UNITED |
1558632570 |
21250 |
21250 |
36.0980134918 |
-119.562831 |
| -117.298687104226 |
34.0966627016224 |
19516 |
Carr, Kristin |
1750768362 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -122.267252075423 |
37.8373378810384 |
19523 |
Nguyen, Andy |
1750831228 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2020 |
2020 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -121.877744902705 |
37.3259090312768 |
19535 |
TRAN, CHUNG |
1760412381 |
Physician |
UNKNOWN |
195 E. Virginia Street |
San Jose |
Santa Clara |
95112 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTER COMPRECARE |
1083654545 |
29750 |
8500 |
37.3259090311 |
-121.877744903 |
| -117.146546412287 |
32.7016590679117 |
19537 |
LUJAN, ARLEEN |
1760412431 |
Physician |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -117.085138530219 |
32.6961269998612 |
19538 |
Imandoust, Mohammad |
1760416770 |
Physician |
PEDIATRIC MEDICINE |
950 S. Euclid Ave |
San Diego |
San Diego |
92114 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTER COMPREHENSIVE |
1821275132 |
21250 |
21250 |
32.696127 |
-117.08513853 |
| -118.246191531314 |
33.9426899692667 |
19542 |
Parikh, Jagdishchandr |
1760422067 |
Physician |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -120.498999995353 |
35.0266083603876 |
19552 |
Haas, Maureen |
1760437230 |
Physician |
INTERNAL MEDICINE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2012 |
2014 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -118.905219851015 |
36.4380925274482 |
19554 |
Rice, A. |
1760438956 |
Physician |
INTERNAL MEDICINE |
41651 Sierra Drive, Suite A |
Three Rivers |
Tulare |
93271 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1558454256 |
21250 |
21250 |
36.4380925274 |
-118.905219851 |
| -121.769568889193 |
38.5631938354272 |
19580 |
Soloniuk, Vicki |
1760492987 |
Physician |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
29750 |
8500 |
38.5631938352 |
-121.769568889 |
| -122.455808999686 |
37.7487900001584 |
19581 |
Kinebuchi, Emily |
1760494645 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, b200 |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -122.047352999941 |
38.2610944901187 |
19584 |
Whitley, Teresa |
1760496764 |
Physician |
INTERNAL MEDICINE |
1200 B Gale Wilson Blvd |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.2610944902 |
-122.047353 |
| -121.953063614194 |
38.3545860351175 |
19585 |
Ahmed, Maqbool |
1760502710 |
Physician |
UNKNOWN |
1010 Nut Tree Rd |
Vacaville |
Solano |
95687 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
38250 |
8500 |
38.354586035 |
-121.953063614 |
| -122.292192420644 |
38.3212564181492 |
19586 |
Donnelly, Kate |
1760502603 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
38250 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.455808999686 |
37.7487900001584 |
19607 |
McShane, Michael |
1760508055 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, B200, Laguna Honda Hospital and Rehab Center, Medical Svcs |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -122.267252075423 |
37.8373378810384 |
19617 |
HAGAR, ROBERT |
1760549182 |
Physician |
INTERNAL MEDICINE |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.298687104226 |
34.0966627016224 |
19620 |
BAUM, MARTI |
1760562292 |
Physician |
UNKNOWN |
250 South G Street |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
6 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
63750 |
8500 |
34.0966627019 |
-117.298687104 |
| -121.952709777734 |
38.3644974795751 |
19645 |
Khambatta, Shanaz |
1760587570 |
Physician |
FAMILY PRACTICE |
421 Nut Tree Rd |
Vacaville |
Solano |
95687 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
63750 |
8500 |
38.3644974804 |
-121.952709778 |
| -120.498999995353 |
35.0266083603876 |
19666 |
Danese, Kristen |
1760614002 |
Nurse Practitioner |
NURSE PRACTITIONER |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -117.866853000166 |
33.7811759997726 |
19680 |
Shulman, Andrew |
1760649842 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
4 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -117.267223499565 |
33.9159869996004 |
19698 |
Gray, Barbara |
1760685374 |
Dentist |
UNKNOWN |
22675 Alessandro BLVD |
Moreno Valley |
Riverside |
92553 |
California |
2011 |
2012 |
1 |
AIU |
HLTH SYSTEMS INC COMM |
1679749501 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -118.095628711596 |
33.9679898013883 |
19699 |
salazar, sandra |
1760682504 |
Physician |
FAMILY PRACTICE |
9436 e slauson avenue |
pico rivera |
Los Angeles |
90660 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS CORP ALTAMED |
1710191283 |
21250 |
21250 |
33.9679898013 |
-118.095628712 |
| -121.769568889193 |
38.5631938354272 |
19721 |
Majano, Valerie |
1760750087 |
Dentist |
UNKNOWN |
2051 John Jones Rd |
Davis |
Yolo |
95617 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558366823 |
21250 |
21250 |
38.5631938352 |
-121.769568889 |
| -119.289034030996 |
36.3341005980642 |
19731 |
Clothier, Aaron |
1760767149 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
501 N. Bridge Street |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
29750 |
8500 |
36.3341005984 |
-119.289034031 |
| -120.625581861214 |
40.4381384658176 |
19741 |
LOMEN, EVAN |
1760787642 |
Dentist |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CTR NORTHEASTERN |
1477563518 |
21250 |
21250 |
40.4381384662 |
-120.625581861 |
| -119.297551500202 |
36.3529349998504 |
19744 |
Ho, Vinh |
1760783963 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
Visalia Health Care Center, 2611 N. Dinuba Blvd. |
Visalia |
Tulare |
93291 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH CARE CTR VISALIA |
1457385163 |
21250 |
21250 |
36.352935 |
-119.2975515 |
| -117.311098488604 |
34.1027375303128 |
19745 |
Kim, Hyun June |
1760797815 |
Dentist |
UNKNOWN |
1184 W 2nd St, Suite 114 |
San Bernardino |
UNKNOWN |
92410 |
California |
2016 |
2016 |
1 |
AIU |
Hyun June Kim |
1760797815 |
21250 |
21250 |
34.1027375304 |
-117.311098489 |
| -120.498999995353 |
35.0266083603876 |
19752 |
Castrejon, Franco |
1760840680 |
Physician |
UNKNOWN |
150 TEJAS PLACE |
SANTA MARIA |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.885485449294 |
33.7108181339498 |
19761 |
Ferrari, Kayla |
1760863443 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2720 S Bristol St |
Santa Ana |
Orange |
92704 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES ALTAMED |
1760651814 |
21250 |
21250 |
33.7108181339 |
-117.885485449 |
| -120.498999995353 |
35.0266083603876 |
19764 |
McAninch, Elyse |
1760881965 |
Dentist |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.267252075423 |
37.8373378810384 |
19768 |
Wesner, Makenzie |
1760929459 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
2 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
29750 |
8500 |
37.8373378814 |
-122.267252075 |
| -119.291498831706 |
36.5303014971165 |
19771 |
Kaur, Harneet |
1770028367 |
Dentist |
UNKNOWN |
12586 Avenue 408 |
Orosi |
UNKNOWN |
93647 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
21250 |
21250 |
36.5303014971 |
-119.291498832 |
| -121.769568889193 |
38.5631938354272 |
19777 |
Shaw-Battista, Jennifer |
1770503666 |
Certified Nurse - Midwife |
UNKNOWN |
2051 John Jones Dr. |
Davis |
Yolo |
95617 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
46750 |
8500 |
38.5631938352 |
-121.769568889 |
| -121.977238187592 |
37.5484010455718 |
19794 |
Cheng, Shu-Chen Jennie |
1770517393 |
Nurse Practitioner |
NURSE PRACTITIONER |
39500 Liberty St, Tri-City Health Center |
Fremont |
Alameda |
94538 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -121.952709777734 |
38.3644974795751 |
19800 |
Davis, Garth |
1770535692 |
Physician |
INTERNAL MEDICINE |
421 Nut Tree Rd |
Vacaville |
Solano |
95687 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
29750 |
8500 |
38.3644974804 |
-121.952709778 |
| -117.866853000166 |
33.7811759997726 |
19807 |
Fernandez, Amanda |
1770551350 |
Physician |
NEUROLOGY |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -117.077809499809 |
32.7583889995527 |
19810 |
Conner, Pamela |
1770558967 |
Nurse Practitioner |
UNKNOWN |
5454 El Cajon Blvd. |
San Diego |
San Diego |
92115 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CENTERS OF SAN FAMILY |
1023054004 |
38250 |
8500 |
32.758389 |
-117.0778095 |
| -120.055711580925 |
36.9628328372657 |
19813 |
LURLAY, ANGELA |
1770561516 |
Nurse Practitioner |
UNKNOWN |
344 E 6th St |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CAMARENA |
1891778114 |
63750 |
8500 |
36.9628328373 |
-120.055711581 |
| -117.668297206551 |
33.5230211008432 |
19835 |
Rocco, Audrey |
1770616716 |
Physician |
UNKNOWN |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTER CAMINO |
1366560393 |
55250 |
8500 |
33.523021101 |
-117.668297207 |
| -122.267252075423 |
37.8373378810384 |
19860 |
Matsunaga, Alison |
1770655078 |
Physician |
UNKNOWN |
747 52nd Street |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.146546412287 |
32.7016590679117 |
19864 |
Sawaya, Ibrahim |
1770660987 |
Dentist |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -118.308853204112 |
34.0164932961288 |
19874 |
FRANCIS, CYNTHIA |
1770662850 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3834 S Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2014 |
2015 |
2 |
MU |
H E CLINIC AT RUTH T |
1023287679 |
29750 |
8500 |
34.0164932957 |
-118.308853204 |
| -122.455808999686 |
37.7487900001584 |
19897 |
Hathaway, Wilmie |
1770693558 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, Rm B200 |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -122.267252075423 |
37.8373378810384 |
19900 |
Quirolo, Keith |
1770682247 |
Physician |
UNKNOWN |
747 52nd St, Department of Hematology |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -119.288677500166 |
36.3322530002758 |
19917 |
nabavi, maziar |
1770718967 |
Physician |
UNKNOWN |
400 E. Oak Avenue |
Visalia |
Tulare |
93291 |
California |
2015 |
2017 |
2 |
MU |
HEALTHCARE FAMILY |
1821186727 |
29750 |
8500 |
36.332253 |
-119.2886775 |
| -118.329789269359 |
34.0979749635737 |
19925 |
Wei, Jolyn |
1770731242 |
Doctor of Optometry |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -118.306952999581 |
34.0623180000757 |
19929 |
Sorrentino, Susanna |
1770741555 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.271160359963 |
37.7995061221099 |
19934 |
Lee, Benjamin |
1770761140 |
Dentist |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -118.43762955516 |
34.0505314044008 |
19940 |
Tabibian, Bahram |
1770766750 |
Physician |
FAMILY PRACTICE |
1762 Westwood Blvd, Suite 300 |
Los Angeles |
Los Angeles |
90024 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE INTEGRATED |
1801805056 |
21250 |
21250 |
34.0505314036 |
-118.437629555 |
| -120.055711580925 |
36.9628328372657 |
19951 |
norman, michael |
1770783482 |
Physician |
UNKNOWN |
344 E. 6th Street |
Madera |
Madera |
93638 |
California |
2017 |
2018 |
4 |
MU |
HEALTH CAMARENA |
1891778114 |
46750 |
8500 |
36.9628328373 |
-120.055711581 |
| -120.045810184592 |
36.94541455204 |
19956 |
Mackey, Charles |
1770789927 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -120.498999995353 |
35.0266083603876 |
19957 |
VEGESNA, NEELIMA |
1770795759 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -118.306952999581 |
34.0623180000757 |
19966 |
Alvarez, Griselda |
1770807646 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.996641889811 |
33.7738698732961 |
19977 |
DUONG, CHRISTINA |
1770830499 |
Nurse Practitioner |
UNKNOWN |
7761 Garden Grove Blvd. |
Garden Grove |
Orange |
92841 |
California |
2015 |
2016 |
1 |
AIU |
HOA COMPREHENSIVE NHAN |
1497889158 |
21250 |
21250 |
33.7738698726 |
-117.99664189 |
| -118.329789269359 |
34.0979749635737 |
19981 |
Shilo, Natalie |
1770836827 |
Physician |
PULMONARY DISEASE |
6430 W. Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -121.977238187592 |
37.5484010455718 |
19994 |
Kanani, Astha |
1770880163 |
Physician |
UNKNOWN |
39500 Liberty Street |
Fremont |
Alameda |
94538 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CENTER TRI-CITY |
1942387188 |
38250 |
8500 |
37.5484010458 |
-121.977238188 |
| -122.617551013868 |
38.7487816038879 |
20008 |
Jordan, Lynn |
1770911745 |
Nurse Practitioner |
UNKNOWN |
21337 Bush Street |
Middletown |
Lake |
95461 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1972593788 |
38250 |
8500 |
38.7487816039 |
-122.617551014 |
| -117.298687104226 |
34.0966627016224 |
20025 |
Chang, Alexandra |
1770970949 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -119.288673194212 |
36.3328544497731 |
20032 |
Drozdz, Rafal |
1770998569 |
Dentist |
UNKNOWN |
401 E. School Ave |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
21250 |
21250 |
36.3328544502 |
-119.288673194 |
| -121.61449268419 |
39.1458860882724 |
20037 |
Nwabunor, Mary |
1780008102 |
Nurse Practitioner |
UNKNOWN |
935 Market St |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH AMPLA |
1811204555 |
21250 |
21250 |
39.1458860883 |
-121.614492684 |
| -117.960264000084 |
33.8649660002807 |
20046 |
Malantic, Frances Abigail |
1780018960 |
Nurse Practitioner |
UNKNOWN |
501 S. Brookhurst RD |
Fullerton |
Orange |
92833 |
California |
2014 |
2015 |
2 |
MU |
HLTH CARE REPRODUCTIVE |
1508977414 |
29750 |
8500 |
33.864966 |
-117.960264 |
| -118.306952999581 |
34.0623180000757 |
20055 |
Sessions, Cindy |
1780082115 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.298687104226 |
34.0966627016224 |
20062 |
Panton, Christina |
1780071142 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -120.498999995353 |
35.0266083603876 |
20065 |
Bhat, Bala |
1780603514 |
Physician |
UNKNOWN |
150 Tejas, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.146546412287 |
32.7016590679117 |
20067 |
Smith, Sharon |
1780603597 |
Nurse Practitioner |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.146546412287 |
32.7016590679117 |
20081 |
Hurn, Isabel |
1780614859 |
Nurse Practitioner |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1871524363 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -122.292192420644 |
38.3212564181492 |
20084 |
Lam, Valerie |
1780620229 |
Dentist |
UNKNOWN |
1141 Pear Tree Ln, Suite 100 |
Napa |
Napa |
94558 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -117.947501999717 |
33.8324225382696 |
20085 |
Be, Hing |
1780623512 |
Physician |
FAMILY PRACTICE |
1834 W Lincoln Ave, Suite P |
Anaheim |
Orange |
92801 |
California |
2019 |
2020 |
6 |
MU |
HING M DO BE |
1780623512 |
63750 |
8500 |
33.8324225376 |
-117.947502 |
| -120.383824346117 |
36.7660952641851 |
20097 |
Adair, Thomas |
1780650028 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
121 Barboza Street |
Mendota |
Fresno |
93640 |
California |
2018 |
2019 |
5 |
MU |
HLTH CTRS-MENDOTA UNITED |
1184606634 |
55250 |
8500 |
36.7660952642 |
-120.383824346 |
| -121.45538700021 |
38.552040000046 |
20114 |
TAYLOR, DOUGLAS |
1780667790 |
Physician |
PEDIATRIC MEDICINE |
2521 Stockton Blvd, PEDS HEM/ONC CLINIC, 3RD FLOOR |
Sacramento |
Sacramento |
95817 |
California |
2011 |
2012 |
1 |
AIU |
HEMOC REGENTS/UCDPBG/PED |
1356334452 |
21250 |
21250 |
38.55204 |
-121.455387 |
| -122.046216318029 |
38.261036358841 |
20119 |
Parkin, Jay |
1780679340 |
Physician |
ORTHOPEDIC SURGERY |
1101 B Gale Wilson Blvd, Ste 101C |
Fairfield |
Solano |
94533 |
California |
2017 |
2018 |
5 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
55250 |
8500 |
38.2610363594 |
-122.046216318 |
| -118.150712999905 |
34.1313119999489 |
20149 |
Robinson, Jehni |
1780730150 |
Physician |
UNKNOWN |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH ALLIANCE OF COMMUNITY |
1720395874 |
21250 |
21250 |
34.131312 |
-118.150713 |
| -117.988308000114 |
33.7050629998576 |
20151 |
Keulen, David |
1780747675 |
Physician |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2017 |
2018 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
38250 |
8500 |
33.705063 |
-117.988308 |
| -118.150712999905 |
34.1313119999489 |
20155 |
Caivano, Resa |
1780748624 |
Physician |
UNKNOWN |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.131312 |
-118.150713 |
| -121.098758861632 |
38.9348505096434 |
20157 |
Torlak, Edina |
1780751321 |
Physician |
UNKNOWN |
11670 Atwood Road |
Auburn |
Placer |
95603 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -119.042168222785 |
36.0512835430011 |
20162 |
Casim-Cometa, Elizza |
1780753186 |
Physician |
UNKNOWN |
1107 West Poplar |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
63750 |
8500 |
36.0512835428 |
-119.042168223 |
| -121.913647032185 |
37.3017600004237 |
20163 |
Tran, Trinh |
1780758383 |
Physician |
FAMILY PRACTICE |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2019 |
2020 |
6 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
63750 |
8500 |
37.30176 |
-121.913647032 |
| -118.246191531314 |
33.9426899692667 |
20185 |
Harris, Donald |
1780781450 |
Dentist |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2011 |
2013 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -120.055711580925 |
36.9628328372657 |
20189 |
Forncrook, Jonathon |
1780784629 |
Physician |
INTERNAL MEDICINE |
344 E 6th Street |
Madera |
Madera |
93638 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9628328373 |
-120.055711581 |
| -121.613430264695 |
39.1443745680319 |
20190 |
Krikoriantz, Steve |
1780786657 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1000 Sutter Street |
yuba city |
Sutter |
95991 |
California |
2015 |
2017 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.1443745679 |
-121.613430265 |
| -117.988308000114 |
33.7050629998576 |
20207 |
Kao, Bryan |
1780804567 |
Dentist |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
29750 |
8500 |
33.705063 |
-117.988308 |
| -119.288673194212 |
36.3328544497731 |
20214 |
Enderton, Elizabeth |
1780823328 |
Physician |
UNKNOWN |
401 E. School Ave |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
55250 |
8500 |
36.3328544502 |
-119.288673194 |
| -122.267252075423 |
37.8373378810384 |
20231 |
Murphy, Erin |
1780861609 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.306952999581 |
34.0623180000757 |
20233 |
Haduong, Josephine |
1780857573 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.146546412287 |
32.7016590679117 |
20243 |
Tran Cao, Carol |
1780883462 |
Physician |
OBSTETRICS/GYNECOLOGY |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.10016617423 |
36.4140270004457 |
20249 |
Benton, Raymond |
1780891739 |
Nurse Practitioner |
UNKNOWN |
101 North Palm Street |
Woodlake |
Tulare |
93286 |
California |
2014 |
2015 |
3 |
MU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
38250 |
8500 |
36.414027 |
-119.100166174 |
| -118.044259421935 |
34.0472553378636 |
20255 |
Vu, Julie |
1780901561 |
Physician |
UNKNOWN |
10408 Vacco St, Suite A |
South El Monte |
Los Angeles |
91733 |
California |
2014 |
2016 |
1 |
AIU |
HEALTH COMMUNITY |
1871689315 |
21250 |
21250 |
34.0472553382 |
-118.044259422 |
| -122.267252075423 |
37.8373378810384 |
20268 |
Drevno, David |
1780941161 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.122825951357 |
34.06393481474 |
20277 |
wang, chengwei |
1780971465 |
Physician |
UNKNOWN |
210 N Garfield Ave, Ste 203 |
Monterey Park |
Los Angeles |
91754 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER GARFIELD |
1760480610 |
21250 |
21250 |
34.0639348149 |
-118.122825951 |
| -121.913647032185 |
37.3017600004237 |
20282 |
Hsu, May |
1780983353 |
Dentist |
UNKNOWN |
1333 MERIDIAN AVE |
SAN JOSE |
Santa Clara |
95125 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
38250 |
8500 |
37.30176 |
-121.913647032 |
| -120.595059923177 |
35.1189792700773 |
20286 |
Smith, Mark |
1780996371 |
Physician |
UNKNOWN |
1057 E Grand Ave |
Arroyo Grande |
San Luis Obispo |
93420 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.1189792698 |
-120.595059923 |
| -117.146546412287 |
32.7016590679117 |
20292 |
Carrillo, Zulema |
1780912014 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.960264000084 |
33.8649660002807 |
20299 |
Nguyen, Summer |
1790019917 |
Physician |
FAMILY PRACTICE |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2014 |
2015 |
2 |
MU |
HLTH CARE REPRODUCTIVE |
1508977414 |
29750 |
8500 |
33.864966 |
-117.960264 |
| -120.498999995353 |
35.0266083603876 |
20301 |
abdelaziz, ahmed |
1790039733 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
34000 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.27391808685 |
34.0286791746043 |
20302 |
Chan, Christopher |
1790037356 |
Nurse Practitioner |
NURSE PRACTITIONER |
2400 S Flower St |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2013 |
1 |
AIU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
21250 |
21250 |
34.0286791754 |
-118.273918087 |
| -119.56283100015 |
36.0980134919292 |
20330 |
Arellano Banoni, Gisela |
1790098341 |
Physician |
UNKNOWN |
1209 Whitley Ave |
Corcoran |
Kings |
93212 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS OF THE UNITED |
1558632570 |
46750 |
8500 |
36.0980134918 |
-119.562831 |
| -119.218041199742 |
36.3890816388067 |
20338 |
ROBINSON, NANCY |
1790102879 |
Nurse Practitioner |
UNKNOWN |
33025 Road 159 |
Ivanhoe |
Tulare |
93235 |
California |
2016 |
2017 |
2 |
MU |
HLTHCARE NETWORK FAMILY |
1386670610 |
29750 |
8500 |
36.3890816392 |
-119.2180412 |
| -117.298687104226 |
34.0966627016224 |
20346 |
Hardy, Malcolm |
1790120145 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -119.527641503353 |
36.6142816817543 |
20352 |
Urrutia, Linzy |
1790150936 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
601 3rd Street |
Parlier |
Fresno |
93648 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS UNITED |
1457724924 |
46750 |
8500 |
36.6142816825 |
-119.527641503 |
| -121.800410196274 |
37.2546844204497 |
20353 |
Li, Edmund |
1790137057 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
5504 Monterey Highway |
San Jose |
Santa Clara |
95138 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1922485952 |
38250 |
8500 |
37.2546844202 |
-121.800410196 |
| -117.946313999791 |
33.8324215409214 |
20357 |
Carranza, Elizabeth |
1790155919 |
Nurse Practitioner |
UNKNOWN |
1814 W Lincoln Ave Stes. A & B, Anaheim, CA 92801 |
Anaheim |
Orange |
92801 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1063659985 |
38250 |
8500 |
33.8324215409 |
-117.946314 |
| -121.940302499661 |
37.3266449995671 |
20359 |
Chiang, Angela |
1790167401 |
Physician |
UNKNOWN |
455 O'Connor Dr., Suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTER OF INDIAN |
1114290780 |
29750 |
8500 |
37.326645 |
-121.9403025 |
| -117.298687104226 |
34.0966627016224 |
20360 |
Shanholtzer, Lucas |
1790165025 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -122.659945408554 |
38.2688718730386 |
20367 |
Wong, Melissa |
1790184075 |
Nurse Practitioner |
UNKNOWN |
1179 N McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
46750 |
8500 |
38.2688718726 |
-122.659945409 |
| -122.267252075423 |
37.8373378810384 |
20390 |
Setty, Mala |
1790720308 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
60916.67 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.292192420644 |
38.3212564181492 |
20392 |
Reilly, Charlene |
1790721553 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Ln, Ste 100 |
Napa |
Napa |
94558 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -120.43393612725 |
34.9091173157116 |
20414 |
Isaias, Agnela |
1790772572 |
Physician |
UNKNOWN |
2801 Santa Maria Way |
Santa Maria |
Santa Barbara |
93454 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
34.9091173155 |
-120.433936127 |
| -121.847781867239 |
37.3650299278889 |
20428 |
Garcia, Ruel |
1790789022 |
Physician |
UNKNOWN |
2340 Montpelier Dr, Ste A |
San Jose |
Santa Clara |
95116 |
California |
2014 |
2015 |
3 |
MU |
HUY N MD INC TRINH |
1578586731 |
38250 |
8500 |
37.3650299281 |
-121.847781867 |
| -119.572149938869 |
36.7068147769804 |
20432 |
Solis, Norma |
1790791622 |
Physician |
FAMILY PRACTICE |
2502 E. Jensen Ave |
Sanger |
Fresno |
93657 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS OF UNITED |
1992787444 |
21250 |
21250 |
36.7068147766 |
-119.572149939 |
| -118.046275753223 |
33.9675408463331 |
20463 |
RATWANI, MINA |
1790832483 |
Physician |
GENERAL PRACTICE |
12444 Washington Blvd |
Whittier |
Los Angeles |
90602 |
California |
2013 |
2013 |
2 |
MU |
HONDO MEDICAL GROUP RIO |
1609972777 |
29750 |
8500 |
33.9675408458 |
-118.046275753 |
| -118.308798000128 |
34.0912980001027 |
20484 |
Phillips, Henry |
1790842672 |
Dentist |
UNKNOWN |
1110 N Western Ave, suite 205 |
Los Angeles |
Los Angeles |
90029 |
California |
2016 |
2016 |
1 |
AIU |
Henry Phillips |
1790842672 |
21250 |
21250 |
34.091298 |
-118.308798 |
| -118.552608000159 |
34.1865965232111 |
20486 |
ARIAS, HENIDE |
1790850527 |
Dentist |
UNKNOWN |
19231 Victory Blvd., Suite 252 |
Reseda |
Los Angeles |
91325 |
California |
2016 |
2016 |
1 |
AIU |
HENIDE ARIAS |
1790850527 |
21250 |
21250 |
34.1865965227 |
-118.552608 |
| -121.769568889193 |
38.5631938354272 |
20508 |
SCHIMMEL, LEON |
1790876712 |
Physician |
OBSTETRICS/GYNECOLOGY |
2051 John Jones Blvd. |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
46750 |
8500 |
38.5631938352 |
-121.769568889 |
| -117.748901865029 |
34.077042683573 |
20512 |
Paliwal, Amit |
1790881159 |
Physician |
FAMILY PRACTICE |
1818 N Orange Grove Ave, Suite 206 |
Pomona |
Los Angeles |
91767 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE, INC INDUS |
1508907874 |
55250 |
8500 |
34.0770426836 |
-117.748901865 |
| -122.26118746393 |
37.8386955479612 |
20530 |
Mandel, Amy |
1790899870 |
Physician |
UNKNOWN |
5220 Claremont Ave |
Oakland |
Alameda |
94618 |
California |
2015 |
2017 |
3 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
38250 |
8500 |
37.8386955484 |
-122.261187464 |
| -117.071664499717 |
33.1292598686481 |
20538 |
Lai, Amara |
1790912855 |
Physician |
UNKNOWN |
425 N Date St, # 203 |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NEIGHBORHOOD |
1720264641 |
46750 |
8500 |
33.1292598693 |
-117.0716645 |
| -121.456646999859 |
38.5524089999754 |
20541 |
Kaur, Sunpreet |
1790927564 |
Physician |
UNKNOWN |
2516 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2019 |
2020 |
4 |
MU |
HEMOC REGENTS/UCDPBG/PED |
1356334452 |
46750 |
8500 |
38.552409 |
-121.456647 |
| -118.306952999581 |
34.0623180000757 |
20548 |
Soufi, Nisreen |
1790934800 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600 |
Los Angeles |
UNKNOWN |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -120.498999995353 |
35.0266083603876 |
20551 |
Marr, Naomi |
1790954865 |
Nurse Practitioner |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.867612831967 |
33.7569843671349 |
20560 |
Kalantari, Gita |
1790968659 |
Physician |
FAMILY PRACTICE |
1400 N Main St |
Santa Ana |
Orange |
92701 |
California |
2014 |
2015 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1740427657 |
38250 |
8500 |
33.7569843666 |
-117.867612832 |
| -121.830641926684 |
37.3316186317945 |
20572 |
Sigel, Rochelle |
1790979482 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1835 Cunningham Ave |
San Jose |
Santa Clara |
95122 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
29750 |
8500 |
37.3316186316 |
-121.830641927 |
| -121.046477281701 |
39.2318036446226 |
20603 |
Gabler, Judith |
1801018775 |
Nurse Practitioner |
UNKNOWN |
1350 E. Main St. |
Grass Valley |
Nevada |
95945 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
39.2318036454 |
-121.046477282 |
| -122.525146456044 |
37.9715220318164 |
20610 |
Byrnes, Marcia |
1801035043 |
Nurse Practitioner |
UNKNOWN |
16 Ritter St |
San Rafael |
Marin |
94901 |
California |
2011 |
2013 |
1 |
AIU |
HEALTH CENTER RITTER |
1194765917 |
21250 |
21250 |
37.9715220325 |
-122.525146456 |
| -117.146546412287 |
32.7016590679117 |
20612 |
Fleming, Jake |
1801042015 |
Physician |
FAMILY PRACTICE |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.521534499617 |
36.6049529997812 |
20618 |
Yang, Hugh |
1801050943 |
Physician |
UNKNOWN |
650 Zediker Ave |
Parlier |
Fresno |
93648 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS- UNITED |
1801878350 |
46750 |
8500 |
36.604953 |
-119.5215345 |
| -122.26118746393 |
37.8386955479612 |
20634 |
hinds, angelique |
1801079629 |
Nurse Practitioner |
NURSE PRACTITIONER |
5220 Claremont Ave |
Oakland |
Alameda |
94618 |
California |
2016 |
2017 |
3 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
38250 |
8500 |
37.8386955484 |
-122.261187464 |
| -117.083310495383 |
32.6851505521563 |
20637 |
Carr, Irene |
1801084405 |
Certified Nurse - Midwife |
UNKNOWN |
502 Euclid Ave, Suite 302 |
National City |
San Diego |
91950 |
California |
2017 |
2018 |
2 |
MU |
HEALTHCARE FOR WOMEN UNIQUE |
1295746949 |
29750 |
8500 |
32.6851505523 |
-117.083310495 |
| -117.146546412287 |
32.7016590679117 |
20640 |
Fortune, Erin |
1801088422 |
Physician |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -117.009828643777 |
32.7148179660763 |
20649 |
Bissar, Omar |
1801104419 |
Dentist |
UNKNOWN |
8788 Jamacha Road |
Spring Valley |
San Diego |
91977 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS FAMILY |
1508801069 |
21250 |
21250 |
32.7148179656 |
-117.009828644 |
| -120.498999995353 |
35.0266083603876 |
20653 |
Flores, Robyn |
1801123526 |
Dentist |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -122.292192420644 |
38.3212564181492 |
20663 |
Mendoza, Erik |
1801153770 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
38250 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.267252075423 |
37.8373378810384 |
20684 |
Whitley, Katherine |
1801224043 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
UNKNOWN |
94609 |
California |
2018 |
2019 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.113485500156 |
32.7150374537156 |
20690 |
Rojas, Steven |
1801230297 |
Physician |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1346480837 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -117.298687104226 |
34.0966627016224 |
20694 |
Collett, Tolbin |
1801233994 |
Physician |
UNKNOWN |
250 S G St, SAC Health System |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.915163058828 |
33.7774180953688 |
20704 |
RADPARVAR, MANSOOR |
1801801279 |
Physician |
UNKNOWN |
12751 Harbor Blvd |
Garden Grove |
Orange |
92840 |
California |
2012 |
2013 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
29750 |
8500 |
33.7774180952 |
-117.915163059 |
| -120.055711580925 |
36.9628328372657 |
20705 |
Huizar, Sandra |
1801340047 |
Nurse Practitioner |
UNKNOWN |
344 E. 6th Street |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
36.9628328373 |
-120.055711581 |
| -117.381954968247 |
33.9777585324304 |
20718 |
Wahlstrom, H |
1801813688 |
Physician |
EMERGENCY MEDICINE |
4000 14th St Ste 512 |
Riverside |
Riverside |
92501 |
California |
2012 |
2013 |
1 |
AIU |
HAKAN E MD WAHLSTROM |
1801813688 |
21250 |
21250 |
33.9777585323 |
-117.381954968 |
| -121.877744902705 |
37.3259090312768 |
20721 |
ORATE, EDGAR |
1801826409 |
Physician |
UNKNOWN |
195 E. VIRGINIA ST. |
SAN JOSE |
Santa Clara |
95112 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTER COMPRECARE |
1083654545 |
29750 |
8500 |
37.3259090311 |
-121.877744903 |
| -120.861467649612 |
37.7596938330041 |
20723 |
Stoner, Marc |
1801824222 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
190 S Oak Ave, Building 1 Suite 4 |
Oakdale |
Stanislaus |
95361 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE PATHWAY |
1982797239 |
21250 |
21250 |
37.7596938329 |
-120.86146765 |
| -118.280430497769 |
34.0727231525515 |
20736 |
Chen, Esther |
1801839402 |
Physician |
UNKNOWN |
150 N Reno St |
Los Angeles |
Los Angeles |
90026 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
38250 |
8500 |
34.0727231529 |
-118.280430498 |
| -118.244240953957 |
34.0609592926373 |
20738 |
Flowers, Francesca |
1801839675 |
Physician |
UNKNOWN |
701 W Cesar E Chavez Ave Ste 201 |
Los Angeles |
Los Angeles |
90012 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES CORP ALTAMED |
1952532384 |
21250 |
21250 |
34.0609592925 |
-118.244240954 |
| -118.246191531314 |
33.9426899692667 |
20764 |
Brower, Joanne |
1801882543 |
Nurse Practitioner |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2015 |
2015 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -122.625530318869 |
38.9504607789419 |
20772 |
Freeman, Mark |
1801898929 |
Physician |
UNKNOWN |
15322 Lakeshore Dr, Ste 101 |
Clearlake |
Lake |
95422 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
29750 |
8500 |
38.9504607794 |
-122.625530319 |
| -118.287531503276 |
33.9896634626987 |
20785 |
McDonough, Catherine |
1801916218 |
Nurse Practitioner |
UNKNOWN |
808 W. 58th Street |
Los Angeles |
Los Angeles |
90037 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
21250 |
21250 |
33.9896634627 |
-118.287531503 |
| -121.098758861632 |
38.9348505096434 |
20788 |
Aoki, Ellen |
1801923719 |
Physician |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2012 |
2013 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
38.9348505095 |
-121.098758862 |
| -117.954426295637 |
33.6997671612256 |
20789 |
DOAN VAN, NICHOLAS |
1801922521 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
18111 Brookhurst St, Suite 5100 |
Fountain Valley |
Orange |
92708 |
California |
2017 |
2018 |
6 |
MU |
HEART ASSOC CALIFORNIA |
1659420495 |
63750 |
8500 |
33.699767161 |
-117.954426296 |
| -120.102715753829 |
36.2053231687293 |
20794 |
Reynolds, Richard |
1801934955 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
16928 11th street |
Huron |
Fresno |
93234 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS- UNITED |
1134101686 |
63750 |
8500 |
36.2053231685 |
-120.102715754 |
| -117.39812850003 |
34.0700759999075 |
20812 |
Ritchie, Su Lin |
1801955844 |
Nurse Practitioner |
UNKNOWN |
18601 Valley Boulevard |
Bloomington |
San Bernardino |
92316 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH SYSTEMS COMMUNITY |
1487706347 |
21250 |
21250 |
34.070076 |
-117.3981285 |
| -122.271160359963 |
37.7995061221099 |
20814 |
Ko, Wynne |
1801959358 |
Dentist |
UNKNOWN |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.267252075423 |
37.8373378810384 |
20832 |
Allen, Celeste |
1801976642 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.146546412287 |
32.7016590679117 |
20836 |
Lumbreras, Leslie-Jean |
1801949185 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Avenue, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -120.498999995353 |
35.0266083603876 |
20847 |
Herzberg, Laura |
1801989371 |
Physician |
PEDIATRIC MEDICINE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.792352061199 |
38.6788942804467 |
20852 |
Park, Byung-Gook |
1801996962 |
Physician |
FAMILY PRACTICE |
175 w court street |
Woodland |
Yolo |
95695 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.6788942797 |
-121.792352061 |
| -121.527873000139 |
38.5876259998401 |
20859 |
Moussas, Adele |
1811000847 |
Physician |
UNKNOWN |
500 Jefferson Blvd # B, # 180 |
West Sacramento |
Yolo |
95605 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1710087515 |
21250 |
21250 |
38.587626 |
-121.527873 |
| -122.267252075423 |
37.8373378810384 |
20914 |
Willis, Monifa |
1811068422 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2020 |
2020 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.246191531314 |
33.9426899692667 |
20915 |
Cox, Duane |
1811075062 |
Physician |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
UNKNOWN |
90002 |
California |
2016 |
2016 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -122.267252075423 |
37.8373378810384 |
20923 |
Golden, Carla |
1811086945 |
Physician |
UNKNOWN |
747 52nd Street |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.132745716442 |
38.2252135180894 |
20924 |
Goyal, Archana |
1811084817 |
Physician |
UNKNOWN |
4520 Business Center Drive, Suite 200 |
Fairfield |
Solano |
94534 |
California |
2016 |
2017 |
3 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
38250 |
8500 |
38.2252135176 |
-122.132745716 |
| -118.150795976753 |
34.1778106936086 |
20927 |
Vanaken, Monique |
1811088776 |
Nurse Practitioner |
NURSE PRACTITIONER |
1855 N Fair Oaks Ave, Suite 200 |
Pasadena |
Los Angeles |
91103 |
California |
2013 |
2014 |
2 |
MU |
HEALTH COMMUNITY |
1871689315 |
29750 |
8500 |
34.1778106939 |
-118.150795977 |
| -121.96362599964 |
36.9755910002245 |
20929 |
Moler, Robert |
1811090889 |
Physician |
PEDIATRIC MEDICINE |
1820 41st Ave, Ste D |
Capitola |
Santa Cruz |
95010 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH MEDICAL DIGNITY |
1700803418 |
21250 |
21250 |
36.975591 |
-121.963626 |
| -118.217727000201 |
34.0504919997061 |
20965 |
Hartonian, Ivet |
1811158728 |
Physician |
UNKNOWN |
1700 E Cesar E Chavez Ave Ste 3000 |
Los Angeles |
Los Angeles |
90033 |
California |
2018 |
2019 |
2 |
MU |
HEALTH PHYSICIANS ADVENTIST |
1669880787 |
29750 |
8500 |
34.050492 |
-118.217727 |
| -120.055711580925 |
36.9628328372657 |
20967 |
Rodriguez, Priscilla |
1811161193 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
344 E 6th St |
Madera |
Madera |
93638 |
California |
2012 |
2013 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
36.9628328373 |
-120.055711581 |
| -117.960264000084 |
33.8649660002807 |
20973 |
Rodriguez, Jessica |
1811177256 |
Nurse Practitioner |
UNKNOWN |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2015 |
2016 |
1 |
AIU |
HLTH CARE REPRODUCTIVE |
1508977414 |
21250 |
21250 |
33.864966 |
-117.960264 |
| -121.456624499721 |
38.5712370003873 |
20977 |
sabin, manuel |
1811187891 |
Physician |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS ELICA |
1093974065 |
21250 |
21250 |
38.571237 |
-121.4566245 |
| -118.240379999837 |
34.1367570001355 |
20995 |
Park, Caroline |
1811230139 |
Physician |
UNKNOWN |
801 S Chevy Chase Dr Ste 200 |
Glendale |
Los Angeles |
91205 |
California |
2016 |
2017 |
2 |
MU |
HEALTH PHYSICIANS ADVENTIST |
1427310648 |
29750 |
8500 |
34.136757 |
-118.24038 |
| -118.306952999581 |
34.0623180000757 |
20996 |
Salvetti, Bianca |
1811231616 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.867612831967 |
33.7569843671349 |
20999 |
Acosta, Arturo |
1811217532 |
Physician |
UNKNOWN |
1400 N Maine St |
Santa Ana |
Orange |
92701 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1740427657 |
38250 |
8500 |
33.7569843666 |
-117.867612832 |
| -122.049873972306 |
38.2620150001922 |
21017 |
Roblez, Maricel |
1811294283 |
Nurse Practitioner |
UNKNOWN |
1860 Pennsylvania Ave |
Fairfield |
Solano |
94533 |
California |
2016 |
2017 |
3 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
38250 |
8500 |
38.262015 |
-122.049873972 |
| -119.424323611346 |
36.3520902351763 |
21033 |
Cooper, Jamie |
1811327356 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
30979 Road 67 |
Goshen |
Tulare |
93227 |
California |
2014 |
2014 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
21250 |
21250 |
36.3520902351 |
-119.424323611 |
| -118.14785214586 |
33.9723841209305 |
21038 |
Cueva, Perla |
1811353071 |
Nurse Practitioner |
UNKNOWN |
6513 S Garfield |
Bell Gardens |
Los Angeles |
90201 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
21250 |
21250 |
33.9723841213 |
-118.147852146 |
| -118.246191531314 |
33.9426899692667 |
21052 |
Markusson, Amanda |
1811391949 |
Nurse Practitioner |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2016 |
2016 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -120.184312500322 |
36.6054660000559 |
21054 |
Herrera-Mata, Lydia |
1811900558 |
Physician |
UNKNOWN |
21890 Colorado Ave, STE 400 |
San Joaquin |
Fresno |
93660 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH TEAM INC VALLEY |
1598821027 |
21250 |
21250 |
36.605466 |
-120.1843125 |
| -117.298687104226 |
34.0966627016224 |
21057 |
Egdamin, Emily |
1811376551 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -120.498999995353 |
35.0266083603876 |
21064 |
Halsey, Donald |
1811917537 |
Physician |
FAMILY PRACTICE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -117.14254646165 |
32.7104301980952 |
21075 |
Nino, Gloria |
1811928856 |
Nurse Practitioner |
UNKNOWN |
2391 Island Avenue |
San Diego |
San Diego |
92102 |
California |
2012 |
2013 |
1 |
AIU |
HEIGHTS FAMILY SHERMAN |
1174549232 |
21250 |
21250 |
32.7104301977 |
-117.142546462 |
| -122.267731525589 |
37.8373514428149 |
21078 |
BETTS, JAMES |
1811931124 |
Physician |
UNKNOWN |
744 52nd St, #4100 |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373514427 |
-122.267731526 |
| -122.292192420644 |
38.3212564181492 |
21089 |
Chadwin, Richard |
1811949399 |
Physician |
PSYCHIATRY |
1141 Pear Tree Ln, Suite 100 |
Napa |
Napa |
94558 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -120.054490451773 |
36.963929180987 |
21104 |
Gomez, Mary |
1811973845 |
Nurse Practitioner |
UNKNOWN |
124 So. A Street |
Madera |
Madera |
93638 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CAMARENA |
1891778114 |
46750 |
8500 |
36.9639291809 |
-120.054490452 |
| -117.130118456901 |
32.7428594417099 |
21106 |
Johnson-Patel, Jennifer |
1811973555 |
Physician |
PEDIATRIC MEDICINE |
3544 30th St |
San Diego |
San Diego |
92104 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CENTERS OF SAN FAMILY |
1700821303 |
38250 |
8500 |
32.7428594424 |
-117.130118457 |
| -120.06032040856 |
36.7286722489252 |
21113 |
Neffian, Hartune |
1811989254 |
Physician |
OPTOMETRY |
449 South Madera Ave |
Kerman |
Fresno |
93630 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH TEAM, INC VALLEY |
1962567388 |
21250 |
21250 |
36.7286722491 |
-120.060320409 |
| -118.160352000145 |
34.0332704861441 |
21116 |
Ramos-Smulevich, Claudia |
1811980634 |
Physician |
UNKNOWN |
4816 East 3rd Street |
Los Angeles |
Los Angeles |
90022 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS QUEENSCARE |
1104075282 |
46750 |
8500 |
34.0332704862 |
-118.160352 |
| -118.246191531314 |
33.9426899692667 |
21125 |
Gillette, Lyra |
1821000506 |
Physician |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE WATTS |
1477649119 |
29750 |
8500 |
33.9426899686 |
-118.246191531 |
| -121.913647032185 |
37.3017600004237 |
21143 |
balakrishnan, anupama |
1821034232 |
Physician |
FAMILY PRACTICE |
1333 meridian avenue |
san jose |
Santa Clara |
95125 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
63750 |
8500 |
37.30176 |
-121.913647032 |
| -119.042168222785 |
36.0512835430011 |
21151 |
Garcia, Reynaldo |
1821049149 |
Physician |
UNKNOWN |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
63750 |
8500 |
36.0512835428 |
-119.042168223 |
| -121.977238187592 |
37.5484010455718 |
21152 |
chang, jui-li |
1821038068 |
Nurse Practitioner |
UNKNOWN |
39500 Liberty Street, Tri City Health Center |
Fremont |
Alameda |
94538 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -118.329789269359 |
34.0979749635737 |
21169 |
Jordan, Tamiko |
1821070459 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
38250 |
8500 |
34.0979749639 |
-118.329789269 |
| -118.192009500438 |
33.7696200001629 |
21172 |
Quirk, Willard |
1821072950 |
Physician |
UNKNOWN |
200 Pine Ave. Suite 400 |
Long Beach |
Los Angeles |
90802 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH AMERICA MENTAL |
1104942044 |
21250 |
21250 |
33.76962 |
-118.1920095 |
| -122.292192420644 |
38.3212564181492 |
21198 |
DESPRES, JENNIFER |
1821129818 |
Certified Nurse - Midwife |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
38250 |
8500 |
38.3212564177 |
-122.292192421 |
| -119.297551500202 |
36.3529349998504 |
21199 |
Erwin, Christina |
1821109794 |
Nurse Practitioner |
NURSE PRACTITIONER |
Visalia Health Care Center, 2611 N. Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CARE CTR VISALIA |
1457385163 |
21250 |
21250 |
36.352935 |
-119.2975515 |
| -122.267252075423 |
37.8373378810384 |
21221 |
Shrestha, Lydia |
1821158874 |
Physician |
UNKNOWN |
747 52nd St, Childrens Hospital Oakland ED 2 |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.146546412287 |
32.7016590679117 |
21225 |
VonHerzen, Josephine |
1821171133 |
Physician |
OBSTETRICS/GYNECOLOGY |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -119.018609999752 |
35.2949309997659 |
21229 |
Dorotheo, Noel |
1821176389 |
Dentist |
UNKNOWN |
1507 Panama Ln. # 102 |
Bakersfield |
Kern |
93307 |
California |
2015 |
2016 |
1 |
AIU |
Hacienda Dental |
1275772634 |
21250 |
21250 |
35.294931 |
-119.01861 |
| -118.290205477301 |
34.0955859100617 |
21234 |
Zabaneh-Colon, Susana |
1821179672 |
Physician |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
38250 |
8500 |
34.0955859098 |
-118.290205477 |
| -121.892717440258 |
37.3411630908041 |
21246 |
Shieh, Joann |
1821200387 |
Doctor of Optometry |
UNKNOWN |
55 E. Julian Street |
San Jose |
Santa Clara |
95112 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1083654545 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
| -119.724078208243 |
34.4285204578529 |
21254 |
Hosono, Hidekazu |
1821234170 |
Physician |
UNKNOWN |
427 W. Pueblo St., Ste C |
Santa Barbara |
UNKNOWN |
93015 |
California |
2016 |
2017 |
2 |
MU |
HIDEKAZU MD HOSONO |
1821234170 |
8500 |
8500 |
34.4285204579 |
-119.724078208 |
| -117.252215999968 |
32.7827339998743 |
21259 |
Rivera, MIDORI |
1821243478 |
Physician |
FAMILY PRACTICE |
3705 Mission Blvd. |
San Diego |
San Diego |
92109 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS OF SD FAM |
1386689701 |
21250 |
21250 |
32.782734 |
-117.252216 |
| -121.527873000139 |
38.5876259998401 |
21263 |
Baurmann, Amelia |
1821245952 |
Certified Nurse - Midwife |
UNKNOWN |
500 B Jefferson Blvd, #180 |
West Sacramento |
Unknown |
95906 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CTRS COMMUNICARE |
1710087515 |
29750 |
8500 |
38.587626 |
-121.527873 |
| -120.625581861214 |
40.4381384658176 |
21269 |
Mauck, Barbara |
1821260530 |
Nurse Practitioner |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2013 |
2014 |
3 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
38250 |
8500 |
40.4381384662 |
-120.625581861 |
| -116.958715795797 |
33.7528766336497 |
21275 |
Yu, Jacqueline |
1821274515 |
Physician |
FAMILY PRACTICE |
391 N San Jacinto St |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1811193618 |
21250 |
21250 |
33.7528766338 |
-116.958715796 |
| -118.150712999905 |
34.1313119999489 |
21276 |
Evangelista, Cindy |
1821271768 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH ALLIANCE OF COMMUNITY |
1720395874 |
21250 |
21250 |
34.131312 |
-118.150713 |
| -120.498999995353 |
35.0266083603876 |
21280 |
Karp, Tara |
1821287855 |
Physician |
PEDIATRIC MEDICINE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.288324781164 |
37.9675653376702 |
21285 |
ANSARI, SHAUKAT |
1821294455 |
Physician |
UNKNOWN |
1414 N California St |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.9675653383 |
-121.288324781 |
| -122.267252075423 |
37.8373378810384 |
21298 |
Walker, Ekua |
1821324583 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2016 |
2017 |
3 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.074856500127 |
33.9099209995545 |
21307 |
Yu, Andy |
1821340001 |
Dentist |
UNKNOWN |
13300 San Antonio Drive |
Norwalk |
Los Angeles |
90650 |
California |
2015 |
2016 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
33.909921 |
-118.0748565 |
| -118.107880481599 |
33.8170303239903 |
21308 |
Kim, Julie |
1821342783 |
Nurse Practitioner |
UNKNOWN |
3325 Palo Verde Ave #203 |
Long Beach |
Los Angeles |
90808 |
California |
2015 |
2017 |
1 |
AIU |
H TEJANI MD INC NASIR |
1487841821 |
21250 |
21250 |
33.8170303236 |
-118.107880482 |
| -121.287285000302 |
37.9665270002209 |
21315 |
Loeb, Skylar |
1821344003 |
Nurse Practitioner |
UNKNOWN |
1212 N California St |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -117.298687104226 |
34.0966627016224 |
21316 |
Bathen, Mary |
1821349622 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -120.498999995353 |
35.0266083603876 |
21320 |
Goodin, Soquel |
1821376146 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.298687104226 |
34.0966627016224 |
21321 |
Leung, Dennis |
1821352212 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -118.290205477301 |
34.0955859100617 |
21325 |
Rago-Rose, Dawn |
1821397381 |
Nurse Practitioner |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
46750 |
8500 |
34.0955859098 |
-118.290205477 |
| -118.306952999581 |
34.0623180000757 |
21328 |
Poliboy, Gabriel |
1821401605 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.298687104226 |
34.0966627016224 |
21336 |
Wilkey, Stewart |
1821431610 |
Physician |
UNKNOWN |
250 South G Street |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
21339 |
Wheeler, Anne |
1821417973 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -122.292065021783 |
38.3212756123797 |
21346 |
Pelavin, Paula |
1821458761 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1141 Pear Tree Lane |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212756122 |
-122.292065022 |
| -122.174891665318 |
39.9279294888549 |
21355 |
Law, Shu Yunn |
1831108091 |
Dentist |
UNKNOWN |
740 Solano Street |
Corning |
Tehama |
96021 |
California |
2018 |
2019 |
4 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
46750 |
8500 |
39.9279294893 |
-122.174891665 |
| -122.646489753 |
41.7186503676204 |
21361 |
Broeckel, Judy |
1831116821 |
Physician |
FAMILY PRACTICE |
475 Bruce Street |
Yreka |
Siskiyou |
96097 |
California |
2017 |
2018 |
4 |
MU |
HOSPITAL, INC SISKIYOU |
1093892275 |
46750 |
8500 |
41.7186503677 |
-122.646489753 |
| -121.829149767947 |
37.3651956189827 |
21369 |
RAEI, TINA |
1831125111 |
Physician |
UNKNOWN |
3030 ALUM ROCK AVE |
San Jose |
Santa Clara |
95127 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTER COMPRECARE |
1083654545 |
29750 |
8500 |
37.3651956189 |
-121.829149768 |
| -118.21887650105 |
34.1237489947204 |
21385 |
Luong, Ming |
1831146174 |
Nurse Practitioner |
UNKNOWN |
4448 York Boulevard |
Los Angeles |
Los Angeles |
90041 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1801967062 |
63750 |
8500 |
34.123748995 |
-118.218876501 |
| -117.081238499657 |
32.6425949998594 |
21395 |
Park, Taikeun |
1831175918 |
Physician |
FAMILY PRACTICE |
251 Landis Avenue |
Chula Vista |
San Diego |
91910 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1346480837 |
21250 |
21250 |
32.642595 |
-117.0812385 |
| -118.150712999905 |
34.1313119999489 |
21396 |
Gailiunas, Paul |
1831174184 |
Physician |
FAMILY PRACTICE |
837 South Fair Oaks Avenue, Suite 204 |
Pasadena |
Los Angeles |
91105 |
California |
2019 |
2020 |
5 |
MU |
HEALTH COMMUNITY |
1871689315 |
55250 |
8500 |
34.131312 |
-118.150713 |
| -122.267252075423 |
37.8373378810384 |
21448 |
BEACH, BARBARA |
1831246206 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.329789269359 |
34.0979749635737 |
21477 |
BHATIA, PARUL |
1831281419 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
38250 |
8500 |
34.0979749639 |
-118.329789269 |
| -117.866853000166 |
33.7811759997726 |
21489 |
Ben-Ezer, Dorit |
1831289909 |
Physician |
NEPHROLOGY |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -119.042168222785 |
36.0512835430011 |
21514 |
Reif, Barbara |
1831326230 |
Nurse Practitioner |
NURSE PRACTITIONER |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
21250 |
21250 |
36.0512835428 |
-119.042168223 |
| -119.288677500166 |
36.3322530002758 |
21517 |
Cabrera, Patricia |
1831331479 |
Physician |
FAMILY PRACTICE |
400 E. Oak Eve |
Visalia |
Tulare |
93291 |
California |
2013 |
2013 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -118.146266999922 |
33.930710999613 |
21521 |
Rajgopal, Roopa |
1831342468 |
Physician |
UNKNOWN |
12130 Paramount Blvd |
Downey |
Los Angeles |
90242 |
California |
2014 |
2015 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1902192875 |
17000 |
8500 |
33.930711 |
-118.146267 |
| -117.139801499639 |
32.697288000341 |
21534 |
Tong, Garrick |
1831361278 |
Physician |
UNKNOWN |
2204 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1013952597 |
21250 |
21250 |
32.697288 |
-117.1398015 |
| -118.329789269359 |
34.0979749635737 |
21540 |
Lakshmanan, Ashwini |
1831375880 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -118.308853204112 |
34.0164932961288 |
21544 |
Fields, Keron |
1831378322 |
Physician |
UNKNOWN |
3834 S. Western Avenue |
Los Angeles |
Los Angeles |
90062 |
California |
2014 |
2015 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -122.047352999941 |
38.2610944901187 |
21552 |
Hasan, Nazia |
1831394667 |
Physician |
UNKNOWN |
1200 B Gale Wilson Blvd |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
38250 |
8500 |
38.2610944902 |
-122.047353 |
| -118.306952999581 |
34.0623180000757 |
21553 |
Ahsan, Nusrat |
1831392885 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -118.329789269359 |
34.0979749635737 |
21557 |
Goldstein, Rachel |
1831395557 |
Physician |
UNKNOWN |
6430 W. Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -120.045810184592 |
36.94541455204 |
21563 |
Hood, Lisa |
1831406990 |
Nurse Practitioner |
UNKNOWN |
1210 E Almond Ave |
Madera |
Madera |
93637 |
California |
2012 |
2013 |
2 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
29750 |
8500 |
36.9454145522 |
-120.045810185 |
| -119.291498831706 |
36.5303014971165 |
21570 |
Primavera, Ian |
1831441237 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
12586 Avenue 408 |
Orosi |
Tulare |
93647 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
46750 |
8500 |
36.5303014971 |
-119.291498832 |
| -121.977238187592 |
37.5484010455718 |
21573 |
Stanley, Kathryn |
1831444215 |
Nurse Practitioner |
UNKNOWN |
39500 Liberty St. |
Fremont |
Alameda |
94538 |
California |
2013 |
2015 |
1 |
AIU |
HEALTH CENTER TRI-CITY |
1942387188 |
21250 |
21250 |
37.5484010458 |
-121.977238188 |
| -118.303731000285 |
34.0638749999313 |
21583 |
LIU, YUAN |
1831456474 |
Physician |
UNKNOWN |
3727 W 6th St, Scuite 210 |
Los Angeles |
Los Angeles |
90020 |
California |
2020 |
2020 |
5 |
MU |
HEALTH EDUCATION KOREAN |
1437377454 |
55250 |
8500 |
34.063875 |
-118.303731 |
| -121.570951500112 |
37.0377899997088 |
21588 |
Dorantes, Miguel |
1831484294 |
Physician |
UNKNOWN |
9460 N Name Uno, Suite 110 |
Gilroy |
Santa Clara |
95020 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1144626649 |
38250 |
8500 |
37.03779 |
-121.5709515 |
| -117.988308000114 |
33.7050629998576 |
21591 |
Fierro, Joanne |
1831489350 |
Nurse Practitioner |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
21250 |
21250 |
33.705063 |
-117.988308 |
| -117.146546412287 |
32.7016590679117 |
21593 |
Shumilak, Kaili |
1831489855 |
Physician |
UNKNOWN |
1809 NATIONAL AVE |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -118.246191531314 |
33.9426899692667 |
21597 |
Marmolejo, Lindsey |
1831518141 |
Nurse Practitioner |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2015 |
2015 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -115.492890693051 |
32.667713488187 |
21600 |
Barajas, Hector |
1831494368 |
Nurse Practitioner |
NURSE PRACTITIONER |
408 E 3rd St, Suite D |
Calexico |
Imperial |
92231 |
California |
2013 |
2013 |
2 |
MU |
HECTOR BARAJAS |
1831494368 |
29750 |
8500 |
32.6677134885 |
-115.492890693 |
| -118.147551231804 |
33.9729202337818 |
21604 |
Flores, Angelina |
1831527506 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
6501 S. Garfield Ave |
Bell Gardens |
Los Angeles |
90201 |
California |
2019 |
2020 |
2 |
MU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
29750 |
8500 |
33.9729202343 |
-118.147551232 |
| -122.410619859219 |
37.7629695577989 |
21607 |
Merl, Kelsey |
1831532605 |
Nurse Practitioner |
UNKNOWN |
2727 Mariposa Street, Suite 100, Trauma RecoveryRape Treatment Center |
San Francisco |
San Francisco |
94110 |
California |
2017 |
2018 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.7629695581 |
-122.410619859 |
| -119.042168222785 |
36.0512835430011 |
21613 |
Harbour, Jarrod |
1831568427 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
29750 |
8500 |
36.0512835428 |
-119.042168223 |
| -121.777841140256 |
37.2318480040822 |
21620 |
Wong, Shelly |
1831593136 |
Nurse Practitioner |
UNKNOWN |
6840 Via Del Oro, 210 |
San Jose |
UNKNOWN |
95119 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
29750 |
8500 |
37.2318480037 |
-121.77784114 |
| -118.290205477301 |
34.0955859100617 |
21622 |
Mayor-Gomez, Bethany |
1831592419 |
Nurse Practitioner |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
21250 |
21250 |
34.0955859098 |
-118.290205477 |
| -116.920651500067 |
32.8611960001953 |
21626 |
Nejati, Freshta |
1831598119 |
Nurse Practitioner |
UNKNOWN |
10039 Vine St |
Lakeside |
UNKNOWN |
92040 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1932384120 |
21250 |
21250 |
32.861196 |
-116.9206515 |
| -118.308853204112 |
34.0164932961288 |
21631 |
Endo, Cherry Mae |
1831634559 |
Nurse Practitioner |
UNKNOWN |
3834 S. Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2016 |
2017 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -118.306952999581 |
34.0623180000757 |
21639 |
Nelson, Kathleen |
1841210085 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -119.647641434405 |
36.3243824628804 |
21650 |
Taksa, Charles |
1841229820 |
Physician |
UNKNOWN |
250 West 5th Street |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
29750 |
8500 |
36.3243824628 |
-119.647641434 |
| -118.306952999581 |
34.0623180000757 |
21656 |
Wayne, Alan |
1841236171 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.267731525589 |
37.8373514428149 |
21657 |
Idowu, Olajire |
1841236320 |
Physician |
UNKNOWN |
744 52nd St, 4100 |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373514427 |
-122.267731526 |
| -118.290205477301 |
34.0955859100617 |
21658 |
Tikosky, Jing |
1841237674 |
Nurse Practitioner |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2013 |
2014 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
38250 |
8500 |
34.0955859098 |
-118.290205477 |
| -118.290205477301 |
34.0955859100617 |
21659 |
Araquel, Angelita |
1841237823 |
Physician |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2013 |
2014 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
38250 |
8500 |
34.0955859098 |
-118.290205477 |
| -117.751073666616 |
34.0965576590088 |
21668 |
Lauppe, Frederick |
1841261831 |
Physician |
UNKNOWN |
250 W Bonita Ave, #200 |
Pomona |
Los Angeles |
91767 |
California |
2012 |
2012 |
1 |
AIU |
HOLLEMBERG, AGRAWAL LAUPPE |
1366447781 |
21250 |
21250 |
34.0965576594 |
-117.751073667 |
| -120.498999995353 |
35.0266083603876 |
21675 |
Hendershot, Jennifer |
1841269255 |
Dentist |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -120.045810184592 |
36.94541455204 |
21679 |
Pitts, Duane |
1841271913 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2015 |
2017 |
4 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
46750 |
8500 |
36.9454145522 |
-120.045810185 |
| -117.960264000084 |
33.8649660002807 |
21681 |
Craig, Robert |
1841271905 |
Physician |
GENERAL PRACTICE |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CARE REPRODUCTIVE |
1508977414 |
21250 |
21250 |
33.864966 |
-117.960264 |
| -120.498999995353 |
35.0266083603876 |
21683 |
Hixon, Eric |
1841276409 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -120.060237062091 |
36.7334326411035 |
21684 |
HARRIS, ROBERT |
1841278553 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
171 S. Madera Ave |
Kerman |
Fresno |
93630 |
California |
2016 |
2017 |
4 |
MU |
HEALTH TEAM, INC VALLEY |
1962567388 |
46750 |
8500 |
36.7334326414 |
-120.060237062 |
| -120.184312500322 |
36.6054660000559 |
21710 |
Moya, Salvador |
1841328507 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
21890 Colorado ave. |
San Joaquin |
Fresno |
93660 |
California |
2016 |
2017 |
4 |
MU |
HEALTH TEAM INC VALLEY |
1598821027 |
46750 |
8500 |
36.605466 |
-120.1843125 |
| -118.178181000353 |
34.0368389996202 |
21720 |
Iofel, Rina |
1841339165 |
Physician |
UNKNOWN |
133 N. Sunol Dr |
Los Angeles |
Los Angeles |
90063 |
California |
2014 |
2015 |
4 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
46750 |
8500 |
34.036839 |
-118.178181 |
| -121.892717440258 |
37.3411630908041 |
21722 |
Fauria, Michael |
1841344322 |
Physician |
OPTOMETRY |
55 E. Julian Street |
San Jose |
Santa Clara |
95112 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1083654545 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
| -121.569405194994 |
37.0084673696734 |
21726 |
Azer, Paul |
1841350261 |
Physician |
UNKNOWN |
7526 Monterey Street |
Gilroy |
Santa Clara |
95020 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1083654545 |
21250 |
21250 |
37.00846737 |
-121.569405195 |
| -118.290205477301 |
34.0955859100617 |
21743 |
Montoro, Martin |
1841372497 |
Physician |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
21250 |
21250 |
34.0955859098 |
-118.290205477 |
| -122.267252075423 |
37.8373378810384 |
21747 |
Pham, Thu-Ha |
1841376928 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -121.792352061199 |
38.6788942804467 |
21754 |
KIM, BRIAN |
1841386422 |
Dentist |
UNKNOWN |
175 W Court St |
Woodland |
Yolo |
95695 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.6788942797 |
-121.792352061 |
| -118.246191531314 |
33.9426899692667 |
21762 |
Qureshi, Jameela |
1841396843 |
Physician |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -119.291498831706 |
36.5303014971165 |
21765 |
Sabogal Tamayo, Juan |
1841406972 |
Physician |
UNKNOWN |
12586 Avenue 408 |
Orosi |
Tulare |
93647 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
63750 |
8500 |
36.5303014971 |
-119.291498832 |
| -122.659945408554 |
38.2688718730386 |
21771 |
Ochoa, Maria |
1841410461 |
Physician |
FAMILY PRACTICE |
1179 North McDowell Blvd |
Petaluma |
UNKNOWN |
94954 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CTR, INC PETALUMA |
1588656268 |
21250 |
21250 |
38.2688718726 |
-122.659945409 |
| -120.339604557005 |
37.9783256989719 |
21775 |
Moua, Mickey |
1841419116 |
Dentist |
UNKNOWN |
13975 Mono Way Ste I |
Sonora |
Tuolumne |
95370 |
California |
2013 |
2014 |
2 |
MU |
HEALTH BOARD, INC MACT |
1366519431 |
29750 |
8500 |
37.9783256994 |
-120.339604557 |
| -121.829149767947 |
37.3651956189827 |
21776 |
SAN VICENTE, AMARILIS |
1841416302 |
Dentist |
UNKNOWN |
3030 ALUM ROCK AVE |
SAN JOSE |
Santa Clara |
95127 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1558491043 |
21250 |
21250 |
37.3651956189 |
-121.829149768 |
| -119.521534499617 |
36.6049529997812 |
21778 |
Terry, Jonathan |
1841424728 |
Physician |
UNKNOWN |
650 S Zediker Ave |
Parlier |
UNKNOWN |
93648 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTERS- UNITED |
1801878350 |
21250 |
21250 |
36.604953 |
-119.5215345 |
| -118.21887650105 |
34.1237489947204 |
21799 |
Tran, Dienan |
1841465721 |
Dentist |
UNKNOWN |
4448 York Boulevard |
Los Angeles |
Los Angeles |
90041 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS QUEENSCARE |
1801967062 |
29750 |
8500 |
34.123748995 |
-118.218876501 |
| -117.866853000166 |
33.7811759997726 |
21831 |
Narayan, Shoba |
1841516093 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St, CHOC Pediatric Nephrology |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -119.424323611346 |
36.3520902351763 |
21832 |
Azim, Syeda Nazish |
1841547494 |
Physician |
UNKNOWN |
30979 Road 67 |
Goshen |
Tulare |
93277 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
21250 |
21250 |
36.3520902351 |
-119.424323611 |
| -117.94732640439 |
34.0601917932167 |
21840 |
Williamson, Lisa |
1841571908 |
Nurse Practitioner |
UNKNOWN |
1300 S. Sunset Ave |
West Covina |
Los Angeles |
91790 |
California |
2020 |
2020 |
4 |
MU |
HEALTH SERVICES ALTAMED |
1730481318 |
46750 |
8500 |
34.0601917926 |
-117.947326404 |
| -117.113485500156 |
32.7150374537156 |
21842 |
Tartaglione, Joshua |
1841567104 |
Doctor of Optometry |
UNKNOWN |
823 Gateway Center Way |
San Diego |
San Diego |
92102 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1346480837 |
21250 |
21250 |
32.7150374535 |
-117.1134855 |
| -121.913647032185 |
37.3017600004237 |
21843 |
Nguyen, Minh |
1841577749 |
Dentist |
UNKNOWN |
1333 Meridian Avenue |
San Jose |
Santa Clara |
95125 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
46750 |
8500 |
37.30176 |
-121.913647032 |
| -116.968630500297 |
33.2941320001917 |
21844 |
Leong, Michelle |
1841569738 |
Dentist |
UNKNOWN |
16650 Highway 76 |
Pauma Valley |
San Diego |
92061 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CARE NEIGHBORHOOD |
1407031693 |
29750 |
8500 |
33.294132 |
-116.9686305 |
| -118.306952999581 |
34.0623180000757 |
21853 |
Ahmadian, Nazanin |
1841584315 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.819527654278 |
37.3566314686674 |
21862 |
Chandran, Bindu |
1841593860 |
Physician |
UNKNOWN |
1066 South White Road |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
38250 |
8500 |
37.3566314689 |
-121.819527654 |
| -118.306952999581 |
34.0623180000757 |
21865 |
Blankenbeckler, Melissa |
1841604436 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -119.288673194212 |
36.3328544497731 |
21886 |
KELLY, NANCY |
1841661980 |
Nurse Practitioner |
UNKNOWN |
401 E School Ave |
Visalia |
Tulare |
93291 |
California |
2017 |
2018 |
2 |
MU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
29750 |
8500 |
36.3328544502 |
-119.288673194 |
| -119.039961615636 |
35.9607292701398 |
21888 |
Rawas, Mohammed |
1841637857 |
Dentist |
UNKNOWN |
9416 Road 238 |
Terra Bella |
Tulare |
93270 |
California |
2014 |
2014 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1831520048 |
21250 |
21250 |
35.9607292698 |
-119.039961616 |
| -120.054490451773 |
36.963929180987 |
21899 |
Dommermuth, Michelle |
1841732351 |
Nurse Practitioner |
UNKNOWN |
124 So. A Street |
Madera |
Madera |
93638 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
36.9639291809 |
-120.054490452 |
| -122.646489753 |
41.7186503676204 |
21913 |
Zuver, Susan |
1851321921 |
Nurse Practitioner |
NURSE PRACTITIONER |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2014 |
2015 |
3 |
MU |
HOSP SISKIYOU |
1093892275 |
38250 |
8500 |
41.7186503677 |
-122.646489753 |
| -117.146546412287 |
32.7016590679117 |
21916 |
spitzer, marsha |
1851323315 |
Physician |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -121.769568889193 |
38.5631938354272 |
21952 |
Cates, Kristen |
1851406532 |
Certified Nurse - Midwife |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
55250 |
8500 |
38.5631938352 |
-121.769568889 |
| -121.456646999859 |
38.5524089999754 |
21958 |
Pawar, Anjali |
1851425060 |
Physician |
UNKNOWN |
2516 Stockton Blvd. |
Sacramento |
Sacramento |
95817 |
California |
2019 |
2020 |
6 |
MU |
HEMOC REGENTS/UCDPBG/PED |
1356334452 |
63750 |
8500 |
38.552409 |
-121.456647 |
| -117.146546412287 |
32.7016590679117 |
21962 |
Pham, Theresa |
1851425334 |
Dentist |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -121.769568889193 |
38.5631938354272 |
21966 |
Chang, Hao |
1851431225 |
Dentist |
UNKNOWN |
2051 John Jones Rd. |
Davis |
UNKNOWN |
95617 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
38250 |
8500 |
38.5631938352 |
-121.769568889 |
| -122.414413499983 |
37.7744580003365 |
21983 |
Prince, James |
1851451280 |
Physician |
UNKNOWN |
1380 Howard Street |
San Francisco |
San Francisco |
94103 |
California |
2015 |
2016 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.774458 |
-122.4144135 |
| -122.271160359963 |
37.7995061221099 |
22002 |
Chang, Kimberly Seu |
1851470330 |
Physician |
FAMILY PRACTICE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -117.071664499717 |
33.1292598686481 |
22006 |
Aguey, Omar |
1851479372 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
425 N Date St |
Escondido |
San Diego |
92025 |
California |
2017 |
2018 |
4 |
MU |
HEALTH CARE NEIGHBORHOOD |
1407031693 |
46750 |
8500 |
33.1292598693 |
-117.0716645 |
| -117.866853000166 |
33.7811759997726 |
22009 |
Hicks, David |
1851485627 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.781176 |
-117.866853 |
| -119.288677500166 |
36.3322530002758 |
22042 |
MAHONEY, ANJALI |
1851553564 |
Physician |
UNKNOWN |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
2 |
MU |
HEALTHCARE FAMILY |
1821186727 |
29750 |
8500 |
36.332253 |
-119.2886775 |
| -118.187848176352 |
33.9730571996301 |
22046 |
Dominicis, Luis |
1851557532 |
Dentist |
ORAL SURGERY (DENTIST ONLY) |
6901 S Atlantic Ave |
Bell |
Los Angeles |
90201 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
38250 |
8500 |
33.9730572 |
-118.187848176 |
| -122.488180935801 |
37.6828724074357 |
22054 |
chan, esther |
1851579197 |
Nurse Practitioner |
NURSE PRACTITIONER |
93 Skyline Plz |
Daly City |
San Mateo |
94015 |
California |
2016 |
2017 |
6 |
MU |
HOSPITAL ASSOCIATION CHINESE |
1740435585 |
63750 |
8500 |
37.6828724072 |
-122.488180936 |
| -121.892717440258 |
37.3411630908041 |
22064 |
Moore, Janis |
1851592869 |
Physician |
UNKNOWN |
55 E Julian St |
San Jose |
Santa Clara |
95112 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1083654545 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
| -117.39812850003 |
34.0700759999075 |
22067 |
Urban, Doreen |
1851597207 |
Nurse Practitioner |
UNKNOWN |
18601 Valley Boulevard |
Bloomington |
San Bernardino |
92316 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SYSTEMS COMMUNITY |
1487706347 |
21250 |
21250 |
34.070076 |
-117.3981285 |
| -116.95219952229 |
32.8004502871511 |
22070 |
Liu-Barbaro, Dorothy |
1851602270 |
Physician |
UNKNOWN |
855 E. Madison AVe |
El Cajon |
San Diego |
92020 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
29750 |
8500 |
32.8004502867 |
-116.952199522 |
| -121.545819136144 |
39.1278335471805 |
22090 |
Ochoa, Jamie |
1851648232 |
Nurse Practitioner |
UNKNOWN |
1908 N Beale Rd, Suite E, |
Marysville |
Yuba |
95901 |
California |
2017 |
2018 |
4 |
MU |
HEALTH MEDICAL HARMONY |
1124130620 |
46750 |
8500 |
39.1278335467 |
-121.545819136 |
| -118.306952999581 |
34.0623180000757 |
22096 |
Hoenig, Johnathan |
1851626824 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90027 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -121.287285000302 |
37.9665270002209 |
22107 |
Fiola, Lauren |
1851674329 |
Nurse Practitioner |
UNKNOWN |
1212 N. California St |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -118.14785214586 |
33.9723841209305 |
22120 |
Tu, Tom |
1851725436 |
Dentist |
UNKNOWN |
6513 S Garfield |
Bell Gardens |
Los Angeles |
90201 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
21250 |
21250 |
33.9723841213 |
-118.147852146 |
| -119.288677500166 |
36.3322530002758 |
22125 |
Wigfall, Christian |
1851732960 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
400 E Oak Ave |
Visalia |
Tulare |
93291 |
California |
2014 |
2014 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -122.267252075423 |
37.8373378810384 |
22129 |
White, Rebecca |
1851750343 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2016 |
2017 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -122.455808999686 |
37.7487900001584 |
22148 |
Riley, Colleen |
1861416653 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -122.26118746393 |
37.8386955479612 |
22156 |
HALBERG, DIANE |
1861423246 |
Physician |
UNKNOWN |
5220 Claremont Ave |
Oakland |
Alameda |
94618 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8386955484 |
-122.261187464 |
| -117.94732640439 |
34.0601917932167 |
22157 |
AMIGON, REMEDIOS |
1861422529 |
Dentist |
UNKNOWN |
1300 S. Sunset Ave |
West Covina |
UNKNOWN |
91790 |
California |
2020 |
2020 |
5 |
MU |
HEALTH SERVICES ALTAMED |
1730481318 |
55250 |
8500 |
34.0601917926 |
-117.947326404 |
| -120.060353194245 |
36.7271851227952 |
22159 |
Moin, Shabana |
1861425209 |
Physician |
UNKNOWN |
517 S. Madera Ave |
Kerman |
Fresno |
93630 |
California |
2013 |
2014 |
2 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
29750 |
8500 |
36.7271851231 |
-120.060353194 |
| -120.498999995353 |
35.0266083603876 |
22162 |
Khan-Variba, John |
1861427528 |
Physician |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.866853000166 |
33.7811759997726 |
22170 |
ZUPANC, MARY |
1861444366 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2015 |
2017 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -119.650117579163 |
36.3270237618372 |
22175 |
Johnson, Shannon |
1861448029 |
Certified Nurse - Midwife |
UNKNOWN |
329 W. 8th St Suite 101 |
Hanford |
Kings |
93230 |
California |
2016 |
2017 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
38250 |
8500 |
36.3270237616 |
-119.650117579 |
| -121.45538700021 |
38.552040000046 |
22180 |
Perez, Katherine |
1861446890 |
Physician |
PEDIATRIC MEDICINE |
2521 Stockton Blvd, Glassrock Bldg |
Sacramento |
Sacramento |
95817 |
California |
2013 |
2014 |
3 |
MU |
HEMOC REGENTS/UCDPBG/PED |
1356334452 |
38250 |
8500 |
38.55204 |
-121.455387 |
| -120.045810184592 |
36.94541455204 |
22185 |
nash, sherri |
1861470759 |
Nurse Practitioner |
UNKNOWN |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -121.456624499721 |
38.5712370003873 |
22186 |
Zwerdling, Theodore |
1861475865 |
Physician |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95816 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
29750 |
8500 |
38.571237 |
-121.4566245 |
| -122.646489753 |
41.7186503676204 |
22188 |
Haling, Jack |
1861482002 |
Physician |
UNKNOWN |
475 Bruce Street |
Yreka |
UNKNOWN |
96067 |
California |
2011 |
2012 |
1 |
AIU |
HOSP SISKIYOU |
1093892275 |
21250 |
21250 |
41.7186503677 |
-122.646489753 |
| -118.306952999581 |
34.0623180000757 |
22189 |
Cynamon, Harry |
1861469660 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -120.498999995353 |
35.0266083603876 |
22205 |
Clarke, Steve |
1861519415 |
Physician |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.213622999802 |
33.9551909998648 |
22211 |
Enayati, Daniel |
1861525016 |
Physician |
GENERAL PRACTICE |
3175 E. Firestone Blvd |
South Gate |
Los Angeles |
90280 |
California |
2016 |
2017 |
4 |
MU |
HEALTH CARE MED MULTI |
1861418576 |
46750 |
8500 |
33.955191 |
-118.213623 |
| -117.668297206551 |
33.5230211008432 |
22223 |
Nguyen, Thuytrang |
1861537656 |
Physician |
UNKNOWN |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTER CAMINO |
1366560393 |
55250 |
8500 |
33.523021101 |
-117.668297207 |
| -120.625581861214 |
40.4381384658176 |
22234 |
Cayler, Nancy |
1861545428 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1850 SPRING RIDGE DRIVE |
SUSANVILLE |
Lassen |
96130 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTR NORTHEASTERN |
1477563518 |
21250 |
21250 |
40.4381384662 |
-120.625581861 |
| -122.057626499763 |
37.9400850003225 |
22247 |
Leavitt, Richard |
1861570640 |
Physician |
UNKNOWN |
3480 Buskirk Ave, #210 |
Pleasant Hill |
Contra Costa |
94523 |
California |
2017 |
2018 |
2 |
MU |
HOMES INC YOUTH |
1740326750 |
29750 |
8500 |
37.940085 |
-122.0576265 |
| -117.146546412287 |
32.7016590679117 |
22249 |
Meigs, Ana |
1861573339 |
Dentist |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.946795500412 |
33.8324204932113 |
22256 |
Lew, Desmond |
1861581423 |
Physician |
UNKNOWN |
1820 W Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2013 |
2014 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1235376047 |
38250 |
8500 |
33.8324204929 |
-117.9467955 |
| -121.696592074365 |
39.3638266606719 |
22271 |
Abed-Amoli, Hossein |
1861595233 |
Physician |
GENERAL PRACTICE |
520 Kentucky St |
Gridley |
Butte |
95948 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.3638266614 |
-121.696592074 |
| -117.068053499569 |
33.1260569997308 |
22277 |
Schwartz, Martin |
1861606790 |
Physician |
GERIATRIC MEDICINE |
1001 East Grand |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1487826772 |
21250 |
21250 |
33.126057 |
-117.0680535 |
| -117.866853000166 |
33.7811759997726 |
22280 |
Arrieta, Antonio |
1861599748 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St, PSF Infectious Disease |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -117.996641889811 |
33.7738698732961 |
22285 |
VU, KIM-ANH |
1861615726 |
Dentist |
UNKNOWN |
7761 GARDEN GROVE BLVD |
GARDEN GROVE |
Orange |
92841 |
California |
2018 |
2020 |
3 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
38250 |
8500 |
33.7738698726 |
-117.99664189 |
| -117.071664499717 |
33.1292598686481 |
22303 |
Hastanan, Carol |
1861648461 |
Physician |
FAMILY PRACTICE |
425 N Date St |
Escondido |
San Diego |
92025 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
29750 |
8500 |
33.1292598693 |
-117.0716645 |
| -121.098758861632 |
38.9348505096434 |
22306 |
Udall, Brook |
1861652935 |
Dentist |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
38.9348505095 |
-121.098758862 |
| -118.226538563004 |
33.9827465690989 |
22317 |
Farazmand, Maryam |
1861682478 |
Physician |
UNKNOWN |
6330 Rugby Ave Ste 200 |
Huntington Park |
Los Angeles |
90255 |
California |
2016 |
2017 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1942431374 |
38250 |
8500 |
33.9827465692 |
-118.226538563 |
| -117.988308000114 |
33.7050629998576 |
22324 |
Razi, Sarah |
1861692881 |
Physician |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2016 |
2017 |
5 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
55250 |
8500 |
33.705063 |
-117.988308 |
| -119.288677500166 |
36.3322530002758 |
22325 |
Shaw, Darinka |
1861688079 |
Physician |
UNKNOWN |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE FAMILY |
1821186727 |
46750 |
8500 |
36.332253 |
-119.2886775 |
| -119.097576800329 |
36.4172857999997 |
22342 |
Maan, Rajinder |
1861747016 |
Physician |
UNKNOWN |
201 E. Lakeview Avenue |
Woodlake |
Tulare |
93286 |
California |
2016 |
2016 |
1 |
AIU |
HEALTHCARE NETWORK FAMILY |
1164517744 |
21250 |
21250 |
36.4172857999 |
-119.0975768 |
| -118.211605648682 |
34.0445816183471 |
22356 |
Berdejo, Carla |
1861780306 |
Physician |
UNKNOWN |
2219 E 1st St |
Los Angeles |
Los Angeles |
90033 |
California |
2017 |
2018 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1134492937 |
38250 |
8500 |
34.0445816178 |
-118.211605649 |
| -117.298687104226 |
34.0966627016224 |
22366 |
Do, Hieu Duc |
1861805939 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -118.303731000285 |
34.0638749999313 |
22371 |
Kim, Ju |
1861825960 |
Nurse Practitioner |
UNKNOWN |
3727 W 6th St, Ste 200 |
Los Angeles |
Los Angeles |
90020 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH EDUCATION KOREAN |
1437377454 |
21250 |
21250 |
34.063875 |
-118.303731 |
| -121.828447588985 |
37.3773539107544 |
22376 |
Abdulkareem, Jameena |
1861869505 |
Dentist |
UNKNOWN |
242 La Pala Drive |
San Jose |
Santa Clara |
95127 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER FOOTHILL |
1912311440 |
21250 |
21250 |
37.3773539109 |
-121.828447589 |
| -119.572149938869 |
36.7068147769804 |
22385 |
OSAGHAE, IMADE |
1861895773 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2502 E. Jensen Ave |
Sanger |
UNKNOWN |
93657 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS OF UNITED |
1992787444 |
46750 |
8500 |
36.7068147766 |
-119.572149939 |
| -121.819527654278 |
37.3566314686674 |
22387 |
Duong, Tuan |
1861894370 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1066 South White Road |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
29750 |
8500 |
37.3566314689 |
-121.819527654 |
| -119.039961615636 |
35.9607292701398 |
22393 |
Woods, Carrie |
1861938441 |
Nurse Practitioner |
UNKNOWN |
9416 Road 238 |
Terra Bella |
Tulare |
93270 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
29750 |
8500 |
35.9607292698 |
-119.039961616 |
| -118.303731000285 |
34.0638749999313 |
22397 |
Sim, Daniel |
1871042911 |
Nurse Practitioner |
UNKNOWN |
3727 W 6th St Ste 200 |
Los Angeles |
Los Angeles |
90020 |
California |
2018 |
2019 |
3 |
MU |
HEALTH EDUCATION KOREAN |
1437377454 |
38250 |
8500 |
34.063875 |
-118.303731 |
| -122.292192420644 |
38.3212564181492 |
22409 |
Ong, Sieow |
1871520775 |
Dentist |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -117.146546412287 |
32.7016590679117 |
22443 |
Mendez, Aaron |
1871518100 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -119.297551500202 |
36.3529349998504 |
22457 |
Mundl, Pavel |
1871603142 |
Physician |
UNKNOWN |
Visalia Health Care Center, 2611 N Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
55250 |
8500 |
36.352935 |
-119.2975515 |
| -117.267223499565 |
33.9159869996004 |
22476 |
Mamani, Cesar |
1871636845 |
Dentist |
UNKNOWN |
22675 Alessandro Blvd |
Moreno Valley |
Riverside |
92553 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SYSTEMS INC COMMUNITY |
1982756086 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -122.267252075423 |
37.8373378810384 |
22477 |
Rilveria, Norma |
1871638650 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2015 |
2016 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -121.892717440258 |
37.3411630908041 |
22480 |
Lee, William |
1871644757 |
Physician |
UNKNOWN |
55 E JULIAN STREET |
SAN JOSE |
Santa Clara |
95112 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1083654545 |
21250 |
21250 |
37.3411630914 |
-121.89271744 |
| -117.866853000166 |
33.7811759997726 |
22501 |
Flannery, Timothy |
1871662304 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -122.271160359963 |
37.7995061221099 |
22502 |
Chen, Arthur |
1871663898 |
Physician |
FAMILY PRACTICE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.454489910081 |
37.774005087365 |
22505 |
Mendelson, Terrie |
1871647347 |
Physician |
UNKNOWN |
450 Stanyan St, St. Mary's Medical Center, Medical Education Dept. |
San Francisco |
San Francisco |
94117 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE WEST CATHOLIC |
1780727792 |
46750 |
8500 |
37.7740050869 |
-122.45448991 |
| -121.527873000139 |
38.5876259998401 |
22510 |
KATZ, DAVID |
1871672352 |
Physician |
FAMILY PRACTICE |
500 Jefferson Blvd Ste B180 |
West Sacramento |
Yolo |
95605 |
California |
2016 |
2017 |
6 |
MU |
HEALTH CTRS COMMUNICARE |
1710087515 |
63750 |
8500 |
38.587626 |
-121.527873 |
| -122.267252075423 |
37.8373378810384 |
22520 |
Reed, Alison |
1871681072 |
Physician |
UNKNOWN |
747 52Nd Street |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
56667 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.267252075423 |
37.8373378810384 |
22528 |
Islam, Shamim |
1871687590 |
Physician |
INFECTIOUS DISEASE |
747 52nd |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.1258700002 |
32.7011899806332 |
22534 |
Harrison, Kenneth |
1871670695 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3177 Ocean View Blvd., Comprehensive Health CenterSan Ysidro Health Center |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CENTER- COMPREHENSIVE |
1326225632 |
21250 |
21250 |
32.7011899811 |
-117.12587 |
| -120.498999995353 |
35.0266083603876 |
22539 |
Cook, Monica |
1871705236 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Street |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
25500 |
8500 |
35.0266083603 |
-120.498999995 |
| -120.498999995353 |
35.0266083603876 |
22541 |
Tilley, Dena |
1871705251 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -119.432337876592 |
36.604178372334 |
22592 |
SODHA, IQBAL |
1871795161 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1560 E Manning Ave |
Reedley |
Fresno |
93654 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS OF THE UNITED |
1528478211 |
46750 |
8500 |
36.6041783721 |
-119.432337877 |
| -119.572149938869 |
36.7068147769804 |
22614 |
Ansari Pirsaraei, Pedram |
1871853614 |
Physician |
UNKNOWN |
2502 E Jenson |
Sanger |
Fresno |
93657 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS OF UNITED |
1992787444 |
46750 |
8500 |
36.7068147766 |
-119.572149939 |
| -118.303731000285 |
34.0638749999313 |
22620 |
Schluederberg, Eric |
1871856583 |
Physician |
UNKNOWN |
3727 W 6th St, Suite 200 |
Los Angeles |
Los Angeles |
90020 |
California |
2020 |
2020 |
5 |
MU |
HEALTH EDUCATION KOREAN |
1437377454 |
55250 |
8500 |
34.063875 |
-118.303731 |
| -120.665034533017 |
35.2929800330022 |
22622 |
Collins, Jaimee |
1871879635 |
Nurse Practitioner |
UNKNOWN |
77 Casa St |
San Luis Obispo |
San Luis Obispo |
93405 |
California |
2019 |
2020 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.2929800333 |
-120.665034533 |
| -120.625581861214 |
40.4381384658176 |
22637 |
Birch, Christine |
1871912634 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH CTR NORTHEASTERN |
1477563518 |
21250 |
21250 |
40.4381384662 |
-120.625581861 |
| -122.267252075423 |
37.8373378810384 |
22642 |
Vickers, Amanda |
1871926709 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2016 |
2017 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.298687104226 |
34.0966627016224 |
22645 |
Toole, Peggy |
1871913988 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -118.303731000285 |
34.0638749999313 |
22647 |
Hong, Seogeun |
1871927962 |
Physician |
UNKNOWN |
3727 W 6th Street, Suite 210 |
Los Angeles |
Los Angeles |
90020 |
California |
2017 |
2018 |
2 |
MU |
HEALTH EDUCATION KOREAN |
1437377454 |
29750 |
8500 |
34.063875 |
-118.303731 |
| -122.267252075423 |
37.8373378810384 |
22650 |
Welty, Stephanie |
1871934687 |
Nurse Practitioner |
UNKNOWN |
747 52nd St. |
Oakland |
Alameda |
94609 |
California |
2015 |
2016 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.298687104226 |
34.0966627016224 |
22661 |
Pham, An |
1871936690 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
22677 |
medina, jessica |
1881013027 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -120.498999995353 |
35.0266083603876 |
22679 |
May, Caitlin |
1881048106 |
Nurse Practitioner |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.292065021783 |
38.3212756123797 |
22682 |
Jivraj, Sana |
1881047181 |
Physician |
UNKNOWN |
1141 Pear Tree Lane |
Napa |
Napa |
94558 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212756122 |
-122.292065022 |
| -117.298687104226 |
34.0966627016224 |
22689 |
Mondala, Melissa |
1881072239 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
22690 |
Wang, Canty |
1881072346 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
22699 |
Harrington, Sarah |
1881095644 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -120.498999995353 |
35.0266083603876 |
22712 |
Mahmood, Reshma |
1881625069 |
Physician |
INTERNAL MEDICINE |
150 Tejas, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
29750 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.072893103134 |
33.1284570942196 |
22713 |
Christie, Patricia |
1881625531 |
Physician |
GENERAL PRACTICE |
460 N Elm St |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1598703647 |
21250 |
21250 |
33.1284570937 |
-117.072893103 |
| -118.280430497769 |
34.0727231525515 |
22722 |
Alenbaugh, Larry |
1881631885 |
Physician |
UNKNOWN |
150 N. Reno St |
Los Angeles |
Los Angeles |
90026 |
California |
2019 |
2020 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
63750 |
8500 |
34.0727231529 |
-118.280430498 |
| -122.63815103844 |
41.7261621528611 |
22723 |
Bortman, Ronald |
1881632735 |
Physician |
UNKNOWN |
700 S Main St |
Yreka |
Siskiyou |
96027 |
California |
2011 |
2012 |
1 |
AIU |
HOSP SISKIYOU |
1093892275 |
21250 |
21250 |
41.726162153 |
-122.638151038 |
| -122.895525975144 |
41.4570168451513 |
22730 |
Leeth, Robert |
1881657237 |
Nurse Practitioner |
NURSE PRACTITIONER |
155 Diggles Street |
Etna |
Siskiyou |
96027 |
California |
2014 |
2015 |
2 |
MU |
HOSP SISKIYOU |
1093892275 |
29750 |
8500 |
41.4570168451 |
-122.895525975 |
| -118.306952999581 |
34.0623180000757 |
22731 |
Jami, Mohammad |
1881653566 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.049873972306 |
38.2620150001922 |
22748 |
Lopez, Jonathan |
1881682714 |
Physician |
HEMATOLOGY/ONCOLOGY |
1860 Pennsylvania Ave, Suite 230 |
Fairfield |
UNKNOWN |
94533 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.262015 |
-122.049873972 |
| -119.288673194212 |
36.3328544497731 |
22755 |
VICENTE, RODOLFO |
1881702868 |
Physician |
UNKNOWN |
401 E. School Ave. |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
63750 |
8500 |
36.3328544502 |
-119.288673194 |
| -117.885485449294 |
33.7108181339498 |
22767 |
Arefi, Laila |
1881714277 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
2720 south bristol st ste 110, suite 110 |
santa ana |
Orange |
92704 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES ALTAMED |
1760651814 |
38250 |
8500 |
33.7108181339 |
-117.885485449 |
| -118.246191531314 |
33.9426899692667 |
22771 |
Timbo, Mahmood |
1881736452 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2014 |
2015 |
3 |
MU |
HEALTHCARE WATTS |
1477649119 |
38250 |
8500 |
33.9426899686 |
-118.246191531 |
| -122.17568692771 |
39.9287670103893 |
22786 |
Chen, Candice |
1881754489 |
Dentist |
UNKNOWN |
705 East Ave |
Corning |
Tehama |
96021 |
California |
2018 |
2019 |
4 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
46750 |
8500 |
39.9287670099 |
-122.175686928 |
| -121.098758861632 |
38.9348505096434 |
22787 |
Jaul, Douglas |
1881760114 |
Dentist |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -120.498999995353 |
35.0266083603876 |
22798 |
AYERS, ADRIAN |
1881774495 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -120.045810184592 |
36.94541455204 |
22815 |
KELLEY, JUDY |
1881811685 |
Nurse Practitioner |
UNKNOWN |
1210 E Almond Ave |
Madera |
Madera |
93637 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
29750 |
8500 |
36.9454145522 |
-120.045810185 |
| -117.267223499565 |
33.9159869996004 |
22835 |
Dang, Van |
1881850352 |
Dentist |
UNKNOWN |
22675 Alessandro Blvd |
Moreno Valley |
Riverside |
92553 |
California |
2011 |
2012 |
1 |
AIU |
HLTH SYSTEMS INC COMM |
1679749501 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -118.306952999581 |
34.0623180000757 |
22837 |
Thomas, Stefanie |
1881838712 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600 |
Los Angeles |
UNKNOWN |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -118.308853204112 |
34.0164932961288 |
22839 |
HOFFMAN, RISA |
1881841914 |
Physician |
INFECTIOUS DISEASE |
3834 S. Western Avenue |
Los Angeles |
Los Angeles |
90062 |
California |
2011 |
2012 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -121.613430264695 |
39.1443745680319 |
22857 |
Patil, Nikita |
1881906030 |
Physician |
UNKNOWN |
1000 Sutter St |
Yuba City |
Sutter |
95991 |
California |
2015 |
2017 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.1443745679 |
-121.613430265 |
| -116.958715795797 |
33.7528766336497 |
22867 |
KRAUS, MIRIAM |
1881929859 |
Nurse Practitioner |
NURSE PRACTITIONER |
391 N San Jacinto St |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1811193618 |
21250 |
21250 |
33.7528766338 |
-116.958715796 |
| -117.146546412287 |
32.7016590679117 |
22883 |
Yelanich, Melissa |
1881905362 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -121.940302499661 |
37.3266449995671 |
22886 |
Malik, Arbella |
1881985893 |
Physician |
UNKNOWN |
455 OConnor Dr Ste 200 |
SAN JOSE |
Santa Clara |
95128 |
California |
2015 |
2015 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -118.306952999581 |
34.0623180000757 |
22902 |
Bansal, Manvi |
1891024808 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -120.498999995353 |
35.0266083603876 |
22905 |
Brown, Craig |
1891038535 |
Physician |
UNKNOWN |
150 TEJAS PLACE |
NIPOMO |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -119.288677500166 |
36.3322530002758 |
22925 |
doshi, nidhiben |
1891089363 |
Physician |
UNKNOWN |
400 E. Oak Avenue |
Visalia |
Tulare |
93291 |
California |
2016 |
2018 |
4 |
MU |
HEALTHCARE FAMILY |
1821186727 |
8500 |
8500 |
36.332253 |
-119.2886775 |
| -118.290205477301 |
34.0955859100617 |
22928 |
Lim, Myrna |
1891103842 |
Nurse Practitioner |
UNKNOWN |
4618 Fountain Avenue |
Los Angeles |
Los Angeles |
90029 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
21250 |
21250 |
34.0955859098 |
-118.290205477 |
| -118.306952999581 |
34.0623180000757 |
22934 |
Mackintosh, Liza |
1891117065 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.146546412287 |
32.7016590679117 |
22940 |
Spence, Melissa |
1891068003 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -120.055711580925 |
36.9628328372657 |
22951 |
patel, chirag |
1891160503 |
Nurse Practitioner |
UNKNOWN |
344 E. 6th Street |
Madera |
Madera |
93638 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
36.9628328373 |
-120.055711581 |
| -116.961791977218 |
33.2771591455781 |
22953 |
Bodini, Chance |
1891177630 |
Dentist |
UNKNOWN |
50100 Golsh Rd |
Valley Center |
San Diego |
92082 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH COUNCIL INDIAN |
1861449522 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
| -118.306952999581 |
34.0623180000757 |
22956 |
Khouzam, Nadine |
1891187381 |
Physician |
UNKNOWN |
3701 Wilshire Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2016 |
2017 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -117.885485449294 |
33.7108181339498 |
22960 |
Alejandro, John Aldrich |
1891242293 |
Nurse Practitioner |
UNKNOWN |
2720 S Bristol St |
Santa Ana |
Orange |
92704 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES ALTAMED |
1760651814 |
21250 |
21250 |
33.7108181339 |
-117.885485449 |
| -117.996641889811 |
33.7738698732961 |
22975 |
Lam, Trang |
1891718565 |
Physician |
UNKNOWN |
7761 GARDEN GROVE BLVD |
GARDEN GROVE |
Orange |
92841 |
California |
2015 |
2016 |
1 |
AIU |
HOA COMPREHENSIVE NHAN |
1497889158 |
21250 |
21250 |
33.7738698726 |
-117.99664189 |
| -117.077809499809 |
32.7583889995527 |
22977 |
tran, uyen-thao |
1891720355 |
Physician |
UNKNOWN |
5454 El Cajon Blvd |
San Diego |
San Diego |
92115 |
California |
2015 |
2017 |
4 |
MU |
HEALTH CENTERS OF SAN FAMILY |
1023054004 |
46750 |
8500 |
32.758389 |
-117.0778095 |
| -117.887600017127 |
34.0031275763766 |
22978 |
Chen, David |
1891719852 |
Physician |
UNKNOWN |
2707 E. Valley Blvd, #103 |
W. Covina |
UNKNOWN |
91792 |
California |
2018 |
2019 |
5 |
MU |
HEALTHCARE INC GOLDOME |
1295154672 |
55250 |
8500 |
34.0031275762 |
-117.887600017 |
| -117.16804312479 |
33.5183736608158 |
22979 |
Schmidt, Christina |
1891720603 |
Physician |
UNKNOWN |
41715 Winchester Rd |
Temecula |
Riverside |
92590 |
California |
2015 |
2017 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1437335148 |
38250 |
8500 |
33.5183736611 |
-117.168043125 |
| -116.95219952229 |
32.8004502871511 |
22984 |
Lynn, John |
1891729968 |
Physician |
UNKNOWN |
855 E Madison Ave |
El Cajon |
San Diego |
92020 |
California |
2015 |
2017 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1760667950 |
29750 |
8500 |
32.8004502867 |
-116.952199522 |
| -119.288677500166 |
36.3322530002758 |
22993 |
Scheinesson, Sheila |
1891748752 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -122.292192420644 |
38.3212564181492 |
23000 |
Tamarisk, Ron |
1891754396 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
38250 |
8500 |
38.3212564177 |
-122.292192421 |
| -122.174891665318 |
39.9279294888549 |
23006 |
Taylor, Randall |
1891788345 |
Dentist |
UNKNOWN |
740 Solano St |
Corning |
Tehama |
96021 |
California |
2018 |
2019 |
3 |
MU |
HILLS CLINIC ROLLING |
1992012306 |
38250 |
8500 |
39.9279294893 |
-122.174891665 |
| -120.060353194245 |
36.7271851227952 |
23021 |
Sanchez, Marsial |
1891812897 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
517 S. Madera Ave |
Kerman |
Fresno |
93630 |
California |
2017 |
2018 |
5 |
MU |
HLTH CTRS-KERMAN UNITED |
1851373401 |
55250 |
8500 |
36.7271851231 |
-120.060353194 |
| -119.271564041947 |
35.884328300111 |
23022 |
Khoo, Sam |
1891815080 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
476 E. Washington Street |
Earlimart |
Tulare |
93219 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS- UNITED |
1417939968 |
63750 |
8500 |
35.8843283 |
-119.271564042 |
| -122.270783043103 |
37.7997918699988 |
23034 |
Taniguchi, Karen |
1891830378 |
Dentist |
UNKNOWN |
345 9th St., Suite 302 |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7997918697 |
-122.270783043 |
| -117.668297206551 |
33.5230211008432 |
23035 |
Berger, Velva |
1891830998 |
Nurse Practitioner |
UNKNOWN |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTER CAMINO |
1366560393 |
55250 |
8500 |
33.523021101 |
-117.668297207 |
| -122.047352999941 |
38.2610944901187 |
23054 |
Hartley, Daniel |
1891856654 |
Nurse Practitioner |
UNKNOWN |
1200 B Gale Wilson Blvd |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
46750 |
8500 |
38.2610944902 |
-122.047353 |
| -118.304020817607 |
34.0980968253083 |
23065 |
Ambartsumyan, Hasmik |
1891870796 |
Dentist |
UNKNOWN |
5222 W Sunset Blvd |
Los Angeles |
Los Angeles |
90027 |
California |
2016 |
2017 |
1 |
AIU |
Hasmik Ambartsumyan |
1891870796 |
21250 |
21250 |
34.0980968254 |
-118.304020818 |
| -117.866853000166 |
33.7811759997726 |
23072 |
Muhonen, Linda |
1891883708 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2013 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.781176 |
-117.866853 |
| -118.329789269359 |
34.0979749635737 |
23078 |
THOMPSON, MICHELLE |
1891892253 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2014 |
2015 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -117.866853000166 |
33.7811759997726 |
23080 |
Rebolledo, Michael |
1891893020 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2013 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.781176 |
-117.866853 |
| -122.659945408554 |
38.2688718730386 |
23093 |
Moore, Jessicca |
1891911707 |
Physician |
NURSE PRACTITIONER |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2016 |
2017 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -121.570951500112 |
37.0377899997088 |
23109 |
NGUYEN, PHUC |
1891938692 |
Dentist |
UNKNOWN |
9460 No Name Uno, Suite 110 |
Gilroy |
Santa Clara |
95020 |
California |
2020 |
2020 |
5 |
MU |
HEALTH CENTER TRI-CITY |
1780054379 |
55250 |
8500 |
37.03779 |
-121.5709515 |
| -121.769568889193 |
38.5631938354272 |
23113 |
Maas, Lucretia |
1891943502 |
Nurse Practitioner |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
46750 |
8500 |
38.5631938352 |
-121.769568889 |
| -118.306952999581 |
34.0623180000757 |
23114 |
Lin, Maria |
1891936456 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard., Suite 600, Childrens Hospital Los Angeles Medical Group |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -120.498999995353 |
35.0266083603876 |
23124 |
Lomeli, Cecilia |
1891986675 |
Nurse Practitioner |
NURSE PRACTITIONER |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
63750 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.867205977774 |
33.7797186061288 |
23125 |
Doshi, Nita |
1891984316 |
Physician |
UNKNOWN |
505 S. Main Street |
Orange |
Orange |
92868 |
California |
2013 |
2013 |
2 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
29750 |
8500 |
33.7797186059 |
-117.867205978 |
| -117.996641889811 |
33.7738698732961 |
23130 |
Phan, Thaibinh |
1891957718 |
Physician |
UNKNOWN |
7761 Garden Grove |
Garden Grove |
Orange |
92841 |
California |
2015 |
2016 |
1 |
AIU |
HOA COMPREHENSIVE NHAN |
1497889158 |
21250 |
21250 |
33.7738698726 |
-117.99664189 |
| -117.915163058828 |
33.7774180953688 |
23131 |
Ayroso, Vincent |
1891993168 |
Physician |
UNKNOWN |
12751 Harbor Blvd |
Garden Grove |
Orange |
92840 |
California |
2016 |
2017 |
5 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
55250 |
8500 |
33.7774180952 |
-117.915163059 |
| -118.205456678983 |
33.9304505316667 |
23132 |
Lee, Helen |
1891992343 |
Nurse Practitioner |
UNKNOWN |
3591 Imperial Highway |
Lynwood |
Los Angeles |
90262 |
California |
2011 |
2012 |
1 |
AIU |
Helen J Lee |
1891992343 |
21250 |
21250 |
33.9304505321 |
-118.205456679 |
| -120.498999995353 |
35.0266083603876 |
23136 |
Thomas, Ameera |
1902000326 |
Dentist |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
25500 |
8500 |
35.0266083603 |
-120.498999995 |
| -120.383824346117 |
36.7660952641851 |
23137 |
Lu, Cynthia |
1891999462 |
Doctor of Optometry |
UNKNOWN |
121 Barboza Street |
Mendota |
Fresno |
93640 |
California |
2014 |
2015 |
1 |
AIU |
HLTH CTRS-MENDOTA UNITED |
1184606634 |
21250 |
21250 |
36.7660952642 |
-120.383824346 |
| -117.866853000166 |
33.7811759997726 |
23144 |
Forghani, Nikta |
1902011026 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
4 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -117.866853000166 |
33.7811759997726 |
23146 |
Nguyen, John |
1902006075 |
Physician |
UNKNOWN |
455 S Main St, CS, Nephrology |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -122.455808999686 |
37.7487900001584 |
23166 |
Sabai, Ma |
1902021900 |
Physician |
UNKNOWN |
375 Laguna Honda Hospital, Rm B200 |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -117.146546412287 |
32.7016590679117 |
23170 |
Molina, Luis |
1902052590 |
Physician |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -116.920651500067 |
32.8611960001953 |
23172 |
Tantod, Kulin |
1902058928 |
Physician |
FAMILY PRACTICE |
10039 Vine St Ste A |
Lakeside |
UNKNOWN |
92040 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1932384120 |
38250 |
8500 |
32.861196 |
-116.9206515 |
| -118.329789269359 |
34.0979749635737 |
23173 |
Zipkin, Jenny |
1902056989 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2014 |
2015 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -122.62766813058 |
38.9499316736079 |
23178 |
Payette, Julie |
1902066764 |
Nurse Practitioner |
UNKNOWN |
15230 Lakeshore Dr |
Clearlake |
Lake |
95422 |
California |
2016 |
2017 |
2 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
29750 |
8500 |
38.9499316736 |
-122.627668131 |
| -118.290582000059 |
34.0962209995995 |
23193 |
Dunne, William |
1902076292 |
Physician |
UNKNOWN |
1300 N Vermont Ave, Patient Tower 1st Floor |
Los Angeles |
Los Angeles |
90027 |
California |
2015 |
2017 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1437414190 |
38250 |
8500 |
34.096221 |
-118.290582 |
| -121.940302499661 |
37.3266449995671 |
23200 |
Nguyen, Thanh-Tam |
1902145592 |
Physician |
UNKNOWN |
455 OConnor Dr, Suite 200 |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -116.961791977218 |
33.2771591455781 |
23211 |
Jensen, Walter |
1902180631 |
Physician |
UNKNOWN |
50100 Golsh Road |
Valley Center |
San Diego |
92082 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH COUNCIL INDIAN |
1861449522 |
21250 |
21250 |
33.2771591458 |
-116.961791977 |
| -118.308853204112 |
34.0164932961288 |
23213 |
Sanglimsuwan, Anne |
1902188436 |
Dentist |
UNKNOWN |
3834 S. Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2015 |
2016 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -121.769568889193 |
38.5631938354272 |
23219 |
Bly, KC |
1902198708 |
Certified Nurse - Midwife |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95617 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
46750 |
8500 |
38.5631938352 |
-121.769568889 |
| -122.646489753 |
41.7186503676204 |
23228 |
Mais, Monica |
1902233349 |
Nurse Practitioner |
UNKNOWN |
475 Bruce St |
Yreka |
Siskiyou |
96097 |
California |
2017 |
2018 |
3 |
MU |
HOSPITAL, INC SISKIYOU |
1093892275 |
38250 |
8500 |
41.7186503677 |
-122.646489753 |
| -119.521534499617 |
36.6049529997812 |
23230 |
Acevedo, Angelica |
1902239668 |
Nurse Practitioner |
UNKNOWN |
650 S Zediker Ave, Building 2 |
Parlier |
UNKNOWN |
93648 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTERS- UNITED |
1801878350 |
21250 |
21250 |
36.604953 |
-119.5215345 |
| -119.297551500202 |
36.3529349998504 |
23234 |
KARIMPOUR, FARNOUSH |
1902248859 |
Nurse Practitioner |
UNKNOWN |
2611 N. Dinuba Blvd |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CARE CTR VISALIA |
1457385163 |
38250 |
8500 |
36.352935 |
-119.2975515 |
| -121.456624499721 |
38.5712370003873 |
23238 |
Peak, Dan |
1902262645 |
Nurse Practitioner |
UNKNOWN |
3701 J street |
Sacramento |
Sacramento |
95819 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
29750 |
8500 |
38.571237 |
-121.4566245 |
| -119.41239705508 |
36.3558581040683 |
23250 |
Leong, Brandon |
1902357767 |
Dentist |
UNKNOWN |
31180 Road 72 |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
38250 |
8500 |
36.355858104 |
-119.412397055 |
| -122.267731525589 |
37.8373514428149 |
23265 |
Kim, Sunghoon |
1902833395 |
Physician |
UNKNOWN |
744 52nd St, Suite 4100 |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373514427 |
-122.267731526 |
| -122.292192420644 |
38.3212564181492 |
23266 |
Labastida, Beatrice |
1902832694 |
Nurse Practitioner |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
38250 |
8500 |
38.3212564177 |
-122.292192421 |
| -119.647641434405 |
36.3243824628804 |
23270 |
OVERTON, KATHERINE |
1902836893 |
Physician |
UNKNOWN |
250 West 5th Street |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
29750 |
8500 |
36.3243824628 |
-119.647641434 |
| -121.287285000302 |
37.9665270002209 |
23299 |
Smith, Pamela |
1902889694 |
Physician |
UNKNOWN |
1212 N. California Street |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -122.267252075423 |
37.8373378810384 |
23330 |
Sabatini, Coleen |
1902932635 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.302879718224 |
34.0629495930493 |
23332 |
Serrano, Anna |
1902933872 |
Nurse Practitioner |
UNKNOWN |
611 S. KINGSLEY DRIVE |
LOS ANGELES |
Los Angeles |
90005 |
California |
2018 |
2019 |
3 |
MU |
HEALTH and WELLNESS APLA |
1639414139 |
38250 |
8500 |
34.0629495926 |
-118.302879718 |
| -118.308853204112 |
34.0164932961288 |
23348 |
Hunter, Lloyd |
1902960941 |
Physician |
UNKNOWN |
3834 S. Western Ave, Suite 600 |
Los Angeles |
UNKNOWN |
90062 |
California |
2016 |
2017 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -120.740132151577 |
38.3845988219781 |
23352 |
Lazar, Lynda |
1902965122 |
Nurse Practitioner |
NURSE PRACTITIONER |
12140 New York Ranch Rd |
Jackson |
Amador |
95642 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH BOARD, INC MACT |
1366519431 |
21250 |
21250 |
38.3845988223 |
-120.740132152 |
| -122.271160359963 |
37.7995061221099 |
23359 |
Chen, Steven |
1902976434 |
Physician |
FAMILY PRACTICE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -118.309841999709 |
34.0526774790824 |
23363 |
Moon, Hye |
1902977069 |
Dentist |
UNKNOWN |
3323 W Olympic Blvd, #109 |
Los Angeles |
Los Angeles |
90019 |
California |
2015 |
2016 |
1 |
AIU |
Hye Won Moon |
1902977069 |
21250 |
21250 |
34.0526774793 |
-118.309842 |
| -117.168033770042 |
33.5183898908808 |
23375 |
Juarez, Debra |
1902995434 |
Certified Nurse - Midwife |
UNKNOWN |
41715 Winchester Rd, Ste 203 & 204 |
Temecula |
Riverside |
92590 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1780869966 |
29750 |
8500 |
33.5183898912 |
-117.16803377 |
| -121.952709777734 |
38.3644974795751 |
23383 |
Bajwa, Kulbir |
1912000126 |
Physician |
INTERNAL MEDICINE |
421 Nut Tree Rd |
Vacaville |
Solano |
95687 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
63750 |
8500 |
38.3644974804 |
-121.952709778 |
| -117.867612831967 |
33.7569843671349 |
23385 |
Ogawa, Delia |
1912005133 |
Nurse Practitioner |
UNKNOWN |
1400 N. Main Street |
Santa Ana |
Orange |
92701 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1740427657 |
63750 |
8500 |
33.7569843666 |
-117.867612832 |
| -117.996641889811 |
33.7738698732961 |
23396 |
Ton, Thomas |
1912018789 |
Physician |
UNKNOWN |
7761 Garden Grove Blvd. |
Garden Grove |
Orange |
92841 |
California |
2018 |
2020 |
5 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
55250 |
8500 |
33.7738698726 |
-117.99664189 |
| -118.27391808685 |
34.0286791746043 |
23405 |
eddo, Linda |
1912023037 |
Physician |
UNKNOWN |
2400 S Flower St |
Los Angeles |
Los Angeles |
90007 |
California |
2012 |
2013 |
1 |
AIU |
HOSP ORTHOPAEDIC |
1689632374 |
21250 |
21250 |
34.0286791754 |
-118.273918087 |
| -120.498999995353 |
35.0266083603876 |
23425 |
Giardina, Frank |
1912062274 |
Doctor of Optometry |
UNKNOWN |
150 Tejas Pl |
Nipomo |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -120.498999995353 |
35.0266083603876 |
23428 |
Baker, Jimmy |
1912054487 |
Physician |
UNKNOWN |
150 Tejas Lane |
Santa Maria |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -122.271160359963 |
37.7995061221099 |
23444 |
Wong, Pamela |
1912081225 |
Dentist |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -118.187848176352 |
33.9730571996301 |
23450 |
Henar, Evelyn |
1912096553 |
Physician |
UNKNOWN |
6901 South Atlantic Ave |
Bell |
Los Angeles |
90201 |
California |
2016 |
2017 |
4 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
46750 |
8500 |
33.9730572 |
-118.187848176 |
| -122.271160359963 |
37.7995061221099 |
23455 |
Yamanaka, Ryan |
1912111261 |
Dentist |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.659945408554 |
38.2688718730386 |
23465 |
Foster-Freedman, Genevieve |
1912123787 |
Nurse Practitioner |
UNKNOWN |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CTR, INC PETALUMA |
1588656268 |
21250 |
21250 |
38.2688718726 |
-122.659945409 |
| -122.659945408554 |
38.2688718730386 |
23466 |
Hoeft, Jena |
1912123811 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1179 N McDowell Blvd |
Petaluma |
Sonoma |
94954 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CTR, INC PETALUMA |
1588656268 |
63750 |
8500 |
38.2688718726 |
-122.659945409 |
| -122.271160359963 |
37.7995061221099 |
23481 |
Subido, Andrew |
1912155276 |
Dentist |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2011 |
2013 |
1 |
AIU |
HEALTH SVS ASIAN |
1447391719 |
21250 |
21250 |
37.7995061221 |
-122.27116036 |
| -121.551722325625 |
39.5023306563348 |
23485 |
EL-KHAL, JAMAAL |
1912161324 |
Physician |
UNKNOWN |
2800 Lincoln Blvd |
Oroville |
Butte |
95966 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.5023306564 |
-121.551722326 |
| -119.042168222785 |
36.0512835430011 |
23510 |
Vanocker, Kari |
1912213349 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2012 |
2013 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
29750 |
8500 |
36.0512835428 |
-119.042168223 |
| -119.424323611346 |
36.3520902351763 |
23520 |
Wigginton, David |
1912247156 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
30979 Road 67 |
Visalia |
Tulare |
93227 |
California |
2014 |
2014 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
21250 |
21250 |
36.3520902351 |
-119.424323611 |
| -117.946313999791 |
33.8324215409214 |
23524 |
Sawhney, Harneet |
1912254863 |
Dentist |
UNKNOWN |
1814 W. LINCOLN AVE |
ANAHEIM |
Orange |
92801 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1538303516 |
29750 |
8500 |
33.8324215409 |
-117.946314 |
| -119.780754391002 |
36.3157019996476 |
23525 |
Flores, Marie |
1912264433 |
Physician |
UNKNOWN |
1270 N Lemoore Ave |
Lemoore |
Kings |
93245 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS OF THE UNITED |
1477979722 |
38250 |
8500 |
36.315702 |
-119.780754391 |
| -121.819527654278 |
37.3566314686674 |
23538 |
Tran, Ngoc |
1912294588 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1066 South White Road |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
38250 |
8500 |
37.3566314689 |
-121.819527654 |
| -121.940302499661 |
37.3266449995671 |
23539 |
Guilbeau, Ashleigh |
1912311069 |
Physician |
UNKNOWN |
455 O'Connor Dr., Suite 250 |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -121.940302499661 |
37.3266449995671 |
23541 |
Saw, Kay |
1912311820 |
Physician |
UNKNOWN |
455 O' Connor Drive, Suite 250 |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -117.146546412287 |
32.7016590679117 |
23546 |
Khaing, Kathy |
1912219155 |
Physician |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -122.052187649141 |
38.2758300032521 |
23547 |
Vertudez, Janice Rhea |
1912340118 |
Nurse Practitioner |
UNKNOWN |
2458 Hilborn Rd |
Fairfield |
Solano |
94534 |
California |
2017 |
2018 |
2 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
29750 |
8500 |
38.2758300025 |
-122.052187649 |
| -121.098758861632 |
38.9348505096434 |
23548 |
Tenwolde, Bobbi |
1912342296 |
Physician |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -121.819527654278 |
37.3566314686674 |
23569 |
Varghese, Samantha |
1912390147 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1066 South White Street |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
38250 |
8500 |
37.3566314689 |
-121.819527654 |
| -120.498999995353 |
35.0266083603876 |
23581 |
MORAWITZ, VICTORIA |
1912932591 |
Nurse Practitioner |
UNKNOWN |
150 TEJAS PL |
NIPOMO |
San Luis Obispo |
93444 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -117.009828643777 |
32.7148179660763 |
23587 |
SALAZAR, JUANITA |
1912938325 |
Physician |
UNKNOWN |
8788 Jamacha Road |
Spring Valley |
San Diego |
91977 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CENTERS FAMILY |
1508801069 |
29750 |
8500 |
32.7148179656 |
-117.009828644 |
| -122.62766813058 |
38.9499316736079 |
23599 |
MacAgy, Ian |
1912957010 |
Physician |
UNKNOWN |
15230 Lakeshore Dr. |
Clearlake |
Lake |
95422 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
29750 |
8500 |
38.9499316736 |
-122.627668131 |
| -121.551722325625 |
39.5023306563348 |
23603 |
Bauguess, Michael |
1912986647 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
2800 Lincoln Blvd. |
Oroville |
Butte |
95966 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.5023306564 |
-121.551722326 |
| -118.308853204112 |
34.0164932961288 |
23621 |
Omerigbo, Nnennaya |
1922011816 |
Physician |
PEDIATRIC MEDICINE |
3834 S Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2013 |
2014 |
2 |
MU |
H E CLINIC AT RUTH T |
1023287679 |
29750 |
8500 |
34.0164932957 |
-118.308853204 |
| -117.139801499639 |
32.697288000341 |
23625 |
Mendoza, Ana |
1922017698 |
Physician |
PSYCHIATRY |
2204 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS OF FAMILY |
1013952597 |
21250 |
21250 |
32.697288 |
-117.1398015 |
| -121.913647032185 |
37.3017600004237 |
23631 |
Lum, Owen |
1922022623 |
Physician |
PSYCHIATRY |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1164643862 |
21250 |
21250 |
37.30176 |
-121.913647032 |
| -121.913647032185 |
37.3017600004237 |
23638 |
BALU, MARAGADHAM |
1922034339 |
Physician |
UNKNOWN |
1333 Meridian Avenue |
San Jose |
Santa Clara |
95125 |
California |
2017 |
2018 |
4 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
46750 |
8500 |
37.30176 |
-121.913647032 |
| -117.751073666616 |
34.0965576590088 |
23641 |
Tillis, Toya |
1922040849 |
Physician |
UNKNOWN |
250 W. Bonita Ave, Suite 200 |
Pomona |
Los Angeles |
91767 |
California |
2017 |
2018 |
3 |
MU |
HOLLEMBERG, AGRAWAL LAUPPE |
1366447781 |
38250 |
8500 |
34.0965576594 |
-117.751073667 |
| -119.291498831706 |
36.5303014971165 |
23653 |
Sanchez, Alma |
1922053099 |
Dentist |
UNKNOWN |
12586 Ave. 408 |
Orosi |
Tulare |
93647 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
63750 |
8500 |
36.5303014971 |
-119.291498832 |
| -118.27391808685 |
34.0286791746043 |
23668 |
Wright, Joan |
1922074954 |
Physician |
ORTHOPEDIC SURGERY |
2400 S Flower St, 3rd floor |
Los Angeles |
Los Angeles |
90007 |
California |
2013 |
2014 |
3 |
MU |
HOSPITAL ORTHOPAEDIC |
1689632374 |
38250 |
8500 |
34.0286791754 |
-118.273918087 |
| -117.146546412287 |
32.7016590679117 |
23669 |
Treuner, Julie |
1922013614 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -122.174891665318 |
39.9279294888549 |
23673 |
Sage, Melvin |
1922091479 |
Dentist |
UNKNOWN |
740 Solano St |
Corning |
Tehama |
96021 |
California |
2013 |
2015 |
1 |
AIU |
HILLS CLINIC ROLLING |
1992012306 |
21250 |
21250 |
39.9279294893 |
-122.174891665 |
| -118.257286499772 |
34.12736100031 |
23676 |
Tu, Serena |
1922088459 |
Physician |
UNKNOWN |
1500 S Central Ave, Suite 100 |
Glendale |
Los Angeles |
91204 |
California |
2018 |
2019 |
4 |
MU |
HEALTH PHYSICIANS ADVENTIST |
1427310648 |
46750 |
8500 |
34.127361 |
-118.2572865 |
| -120.045810184592 |
36.94541455204 |
23679 |
Paolinelli, Karen |
1922097393 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1210 E Almond Ave |
Madera |
Madera |
93637 |
California |
2015 |
2016 |
3 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
38250 |
8500 |
36.9454145522 |
-120.045810185 |
| -121.793209065646 |
38.6851030199884 |
23682 |
Lee, Marge |
1922101922 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
8 N Cottonwood St |
Woodland |
Yolo |
95695 |
California |
2015 |
2017 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558469064 |
46750 |
8500 |
38.6851030196 |
-121.793209066 |
| -117.960264000084 |
33.8649660002807 |
23720 |
schlander, deanne |
1922156215 |
Nurse Practitioner |
UNKNOWN |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2011 |
2012 |
1 |
AIU |
HLTH CARE REPRODUCTIVE |
1508977414 |
21250 |
21250 |
33.864966 |
-117.960264 |
| -121.969668357409 |
38.5216089870652 |
23747 |
Lopez, Jaime |
1922183532 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
23 Main St |
Winters |
Yolo |
95694 |
California |
2013 |
2014 |
2 |
MU |
HEATHCARE FNDTN WINTERS |
1992736086 |
29750 |
8500 |
38.5216089867 |
-121.969668357 |
| -121.793209065646 |
38.6851030199884 |
23751 |
Auriemma, Jason |
1922187574 |
Physician |
UNKNOWN |
8 N Cottonwood St |
Woodland |
Yolo |
95695 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTRS COMMUNICARE |
1558469064 |
63750 |
8500 |
38.6851030196 |
-121.793209066 |
| -117.867612831967 |
33.7569843671349 |
23798 |
Patel-Mehta, Roshani |
1922262054 |
Dentist |
UNKNOWN |
1400 North Main St |
Santa Ana |
Orange |
92701 |
California |
2020 |
2020 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1740427657 |
29750 |
8500 |
33.7569843666 |
-117.867612832 |
| -119.432337876592 |
36.604178372334 |
23816 |
Gonzalez, Marco |
1922305192 |
Doctor of Optometry |
UNKNOWN |
1560 E Manning Ave |
Reedley |
Fresno |
93654 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS OF THE UNITED |
1528478211 |
46750 |
8500 |
36.6041783721 |
-119.432337877 |
| -121.913647032185 |
37.3017600004237 |
23821 |
McCraven, Elizabeth |
1922316082 |
Physician |
UNKNOWN |
1333 MERIDIAN AVE |
SAN JOSE |
Santa Clara |
95125 |
California |
2019 |
2020 |
6 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
63750 |
8500 |
37.30176 |
-121.913647032 |
| -119.71265849999 |
36.8083884896371 |
23847 |
Hernandez, Oscar |
1922390764 |
Physician |
UNKNOWN |
180 W Shaw Ave, Suite B |
Fresno |
Fresno |
93612 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH TEAM INC VALLEY |
1750703237 |
21250 |
21250 |
36.8083884901 |
-119.7126585 |
| -117.298687104226 |
34.0966627016224 |
23873 |
Kim, Kevin |
1922428952 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
23883 |
Yee, Jared |
1922485978 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -122.267252075423 |
37.8373378810384 |
23911 |
VICHINSKY, ELLIOTT |
1932147840 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.150795976753 |
34.1778106936086 |
23913 |
Sunga, Victor |
1932145315 |
Physician |
UNKNOWN |
1855 North Fair Oaks Avenue |
Pasadena |
Los Angeles |
91103 |
California |
2018 |
2019 |
5 |
MU |
HEALTH COMMUNITY |
1871689315 |
55250 |
8500 |
34.1778106939 |
-118.150795977 |
| -119.042168222785 |
36.0512835430011 |
23914 |
Larios, David |
1932155173 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1107 West Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2017 |
2018 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
63750 |
8500 |
36.0512835428 |
-119.042168223 |
| -119.288673194212 |
36.3328544497731 |
23920 |
Rivera, Martha |
1932165206 |
Physician |
UNKNOWN |
401 E. School Ave |
Visalia |
Tulare |
93291 |
California |
2017 |
2018 |
3 |
MU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
38250 |
8500 |
36.3328544502 |
-119.288673194 |
| -117.071664499717 |
33.1292598686481 |
23971 |
Mirshahzadeh, Mandana |
1932256849 |
Nurse Practitioner |
UNKNOWN |
425 N Date St, # 203 |
Escondido |
San Diego |
92025 |
California |
2018 |
2019 |
2 |
MU |
HEALTHCARE NEIGHBORHOOD |
1841617958 |
29750 |
8500 |
33.1292598693 |
-117.0716645 |
| -121.414662716711 |
36.852828541604 |
23979 |
Kamalani, Heajin |
1932260619 |
Physician |
UNKNOWN |
991 San Juan Rd |
Hollister |
San Benito |
95023 |
California |
2011 |
2012 |
1 |
AIU |
HEAJIN MD HWANG |
1932260619 |
21250 |
21250 |
36.8528285423 |
-121.414662717 |
| -122.292192420644 |
38.3212564181492 |
23980 |
Ledvina, Anne |
1932271954 |
Nurse Practitioner |
NURSE PRACTITIONER |
1141 Pear Tree Ln Ste 100 |
Napa |
Napa |
94558 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -118.590853500289 |
34.2019710001616 |
23991 |
Felix, Helena |
1932287836 |
Physician |
UNKNOWN |
21001 SHERMAN WAY, SUITE 15 |
CANOGA PARK |
Los Angeles |
91303 |
California |
2012 |
2013 |
1 |
AIU |
HELENA A MD FELIX |
1932287836 |
21250 |
21250 |
34.201971 |
-118.5908535 |
| -117.915163058828 |
33.7774180953688 |
24002 |
Gallardo, Bessie |
1932298577 |
Physician |
UNKNOWN |
12751 Harbor Boulevard |
Garden Grove |
Orange |
92840 |
California |
2016 |
2017 |
5 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
55250 |
8500 |
33.7774180952 |
-117.915163059 |
| -121.287285000302 |
37.9665270002209 |
24007 |
Scott, David |
1932313335 |
Physician |
UNKNOWN |
1212 California St |
Stockton |
San Joaquin |
95202 |
California |
2014 |
2015 |
1 |
AIU |
Health Services Behavioral |
1215028931 |
21250 |
21250 |
37.966527 |
-121.287285 |
| -117.146546412287 |
32.7016590679117 |
24021 |
Young-Pen, Toni |
1932297595 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -117.946313999791 |
33.8324215409214 |
24031 |
Cain, Tatum |
1932345766 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1814 West Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2019 |
2020 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1063659985 |
38250 |
8500 |
33.8324215409 |
-117.946314 |
| -117.146546412287 |
32.7016590679117 |
24032 |
Fleming, David |
1932329505 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |
| -117.146546412287 |
32.7016590679117 |
24042 |
LOPEZ, MARIO |
1932335080 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
San Diego |
San Diego |
92113 |
California |
2015 |
2017 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -120.498999995353 |
35.0266083603876 |
24046 |
Vo, Vinh |
1932365962 |
Physician |
OBSTETRICS/GYNECOLOGY |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -117.866853000166 |
33.7811759997726 |
24055 |
Chan, Wan-Yin |
1932391471 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2014 |
1 |
AIU |
HOSPITAL OF CHILDRENS |
1811080526 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -117.946313999791 |
33.8324215409214 |
24067 |
ahad, george |
1932421559 |
Physician |
UNKNOWN |
1814 West Lincoln Avenue |
Anaheim |
Orange |
92801 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES CORP ALTAMED |
1063659985 |
38250 |
8500 |
33.8324215409 |
-117.946314 |
| -122.063016295965 |
37.5383912962214 |
24072 |
kailath, tanya |
1932437076 |
Nurse Practitioner |
UNKNOWN |
7999 Gateway Blvd, Ste 200 |
Newark |
Alameda |
94560 |
California |
2017 |
2018 |
3 |
MU |
HEALTHCARE UNIVERSITY |
1760531198 |
38250 |
8500 |
37.5383912957 |
-122.063016296 |
| -120.498999995353 |
35.0266083603876 |
24076 |
Taylor, Sara |
1932447075 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
46750 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.290205477301 |
34.0955859100617 |
24087 |
Vera, Abigail |
1932462785 |
Nurse Practitioner |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
21250 |
21250 |
34.0955859098 |
-118.290205477 |
| -120.383824346117 |
36.7660952641851 |
24091 |
Gill, Amanpal |
1932477379 |
Physician |
UNKNOWN |
121 Barboza Street |
Mendota |
Fresno |
93640 |
California |
2018 |
2019 |
4 |
MU |
HLTH CTRS-MENDOTA UNITED |
1184606634 |
46750 |
8500 |
36.7660952642 |
-120.383824346 |
| -119.572149938869 |
36.7068147769804 |
24098 |
Shabafrooz, Sharareh |
1932491842 |
Physician |
UNKNOWN |
2502 E Jensen Ave |
Sanger |
Fresno |
93657 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS OF UNITED |
1992787444 |
38250 |
8500 |
36.7068147766 |
-119.572149939 |
| -122.267252075423 |
37.8373378810384 |
24099 |
Walker, Lauren |
1932493061 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -118.147551231804 |
33.9729202337818 |
24116 |
Rajapakse, Ruwan |
1932532058 |
Nurse Practitioner |
UNKNOWN |
6501 Garfield Ave |
Bell Gardens |
Los Angeles |
90201 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
21250 |
21250 |
33.9729202343 |
-118.147551232 |
| -117.668297206551 |
33.5230211008432 |
24128 |
Baggs, Jacqueline |
1932566874 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
30300 Camino Capistrano |
San Juan Capistrano |
Orange |
92675 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CENTER CAMINO |
1366560393 |
29750 |
8500 |
33.523021101 |
-117.668297207 |
| -117.988308000114 |
33.7050629998576 |
24134 |
van, valerie |
1932585866 |
Nurse Practitioner |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
29750 |
8500 |
33.705063 |
-117.988308 |
| -117.39812850003 |
34.0700759999075 |
24135 |
Kim, Yeongbu |
1932594637 |
Nurse Practitioner |
UNKNOWN |
18601 Valley Blvd. |
Bloomington |
San Bernardino |
92316 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEMS COMMUNITY |
1487706347 |
21250 |
21250 |
34.070076 |
-117.3981285 |
| -117.298687104226 |
34.0966627016224 |
24139 |
Dominguez, Noel |
1932584737 |
Nurse Practitioner |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92401 |
California |
2018 |
2019 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
24148 |
Fawole, Fiyinfoluwa |
1932586344 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -121.819527654278 |
37.3566314686674 |
24160 |
Durano, Lilan |
1942213699 |
Nurse Practitioner |
UNKNOWN |
1066 South White Street |
San Jose |
Santa Clara |
95127 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
29750 |
8500 |
37.3566314689 |
-121.819527654 |
| -122.475429959325 |
38.5429496797839 |
24198 |
Anderson, Bruce |
1942276324 |
Physician |
UNKNOWN |
6 Woodland Rd, Suite 302 |
Saint Helena |
Napa |
94574 |
California |
2015 |
2016 |
2 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
29750 |
8500 |
38.5429496802 |
-122.475429959 |
| -122.292192420644 |
38.3212564181492 |
24204 |
De Moraes, Alexandre |
1942284831 |
Physician |
FAMILY PRACTICE |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -122.031782999586 |
37.5814529995563 |
24219 |
Anguelouch, Amanda |
1942323290 |
Nurse Practitioner |
NURSE PRACTITIONER |
34394 Dobson Way |
Fremont |
Alameda |
94555 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CLINICS SCHOOL |
1376683151 |
38250 |
8500 |
37.581453 |
-122.031783 |
| -122.26118746393 |
37.8386955479612 |
24229 |
Quides, Cathy |
1942345715 |
Nurse Practitioner |
UNKNOWN |
5220 Claremont Ave |
Oakland |
Alameda |
94618 |
California |
2015 |
2016 |
2 |
MU |
HOSP MED CTR CHILDRENS |
1003961251 |
29750 |
8500 |
37.8386955484 |
-122.261187464 |
| -118.352336880143 |
33.8913304678269 |
24232 |
Attoh, Michael |
1942355938 |
Physician |
UNKNOWN |
15342 Hawthorne Blvd suite 102 |
Lawndale |
Los Angeles |
90260 |
California |
2013 |
2014 |
2 |
MU |
HANDS ONCOLOGY HEALING |
1568649226 |
29750 |
8500 |
33.8913304679 |
-118.35233688 |
| -118.290205477301 |
34.0955859100617 |
24236 |
Liao, Edward |
1942358916 |
Physician |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
38250 |
8500 |
34.0955859098 |
-118.290205477 |
| -117.940265999676 |
33.7154220000253 |
24238 |
Alhaouasli, Hassan |
1942361175 |
Dentist |
UNKNOWN |
10810 Warner Ave, #1 and 2 |
Fountain Valley |
Orange |
92708 |
California |
2015 |
2016 |
1 |
AIU |
Hassan Hamami Alhaouasli |
1942361175 |
21250 |
21250 |
33.715422 |
-117.940266 |
| -118.452002292572 |
35.1341540462723 |
24285 |
Lim, Soy |
1942430749 |
Dentist |
UNKNOWN |
161 N. Mill Street |
Tehachapi |
Kern |
93561 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS, INC NATIONAL |
1851325021 |
21250 |
21250 |
35.1341540461 |
-118.452002293 |
| -118.306952999581 |
34.0623180000757 |
24287 |
Bennett, Ashley |
1942438205 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -122.62766813058 |
38.9499316736079 |
24298 |
Azari, Pari |
1942442132 |
Physician |
UNKNOWN |
15230 Lakeshore Dr, Live Well Suite 3 |
Clearlake |
Lake |
95422 |
California |
2015 |
2016 |
2 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
29750 |
8500 |
38.9499316736 |
-122.627668131 |
| -116.958715795797 |
33.7528766336497 |
24300 |
HARFOUCH, CHAWKI |
1942462783 |
Physician |
INTERNAL MEDICINE |
391 N San Jacinto st |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1811193618 |
21250 |
21250 |
33.7528766338 |
-116.958715796 |
| -117.146546412287 |
32.7016590679117 |
24309 |
Tsang, Christina |
1942480645 |
Dentist |
UNKNOWN |
1809 National Avenue |
San Diego |
San Diego |
92113 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -121.45538700021 |
38.552040000046 |
24319 |
Satake, Noriko |
1942494844 |
Physician |
UNKNOWN |
2521 Stockton Blvd Fl 3, Pediatric Specialty Clinic, Glassrock Bldg |
Sacramento |
Sacramento |
95817 |
California |
2018 |
2019 |
6 |
MU |
HEMOC REGENTS/UCDPBG/PED |
1356334452 |
63750 |
8500 |
38.55204 |
-121.455387 |
| -119.288677500166 |
36.3322530002758 |
24342 |
Harper, Heidi |
1942554175 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
400 E Oak Ave |
Visalia |
Tulare |
93291 |
California |
2013 |
2013 |
1 |
AIU |
HEALTHCARE FAMILY |
1821186727 |
21250 |
21250 |
36.332253 |
-119.2886775 |
| -117.300894661959 |
34.1053921680142 |
24349 |
zuniga, faustino |
1942565148 |
Dentist |
UNKNOWN |
322 N H St |
San Bernardino |
San Bernardino |
92410 |
California |
2015 |
2016 |
1 |
AIU |
HEMANT AND VJIAY, PRT PATEL |
1992818033 |
21250 |
21250 |
34.1053921682 |
-117.300894662 |
| -122.267252075423 |
37.8373378810384 |
24356 |
Tamerat, Mariamawit |
1942578208 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
3 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
38250 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.94732640439 |
34.0601917932167 |
24360 |
Kang, Chris |
1942595053 |
Dentist |
UNKNOWN |
1300 S. Sunset Ave |
West Covina |
Los Angeles |
91790 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES ALTAMED |
1730481318 |
8500 |
8500 |
34.0601917926 |
-117.947326404 |
| -122.267252075423 |
37.8373378810384 |
24361 |
Ling, Nicole |
1942593082 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2019 |
2020 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -117.146546412287 |
32.7016590679117 |
24367 |
Zoellner, Conni |
1942546114 |
Nurse Practitioner |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -114.599923967917 |
33.6104040988701 |
24372 |
KOCHITO, YAROON |
1942610464 |
Nurse Practitioner |
UNKNOWN |
321 W Hobsonway, Ste C |
Blythe |
Riverside |
92225 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CLINIC BLYTHE |
1124115431 |
21250 |
21250 |
33.6104040991 |
-114.599923968 |
| -121.569405194994 |
37.0084673696734 |
24377 |
Ajlouny, Maria |
1942632203 |
Dentist |
UNKNOWN |
7526 Monterey St. |
Gilroy |
Santa Clara |
95020 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CENTER COMPRECARE |
1083654545 |
21250 |
21250 |
37.00846737 |
-121.569405195 |
| -117.960264000084 |
33.8649660002807 |
24383 |
sales, marjolyne |
1942661772 |
Nurse Practitioner |
UNKNOWN |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2020 |
2020 |
5 |
MU |
HLTH CARE REPRODUCTIVE |
1508977414 |
55250 |
8500 |
33.864966 |
-117.960264 |
| -117.996641889811 |
33.7738698732961 |
24388 |
Hoa, Bich-Trang |
1942640602 |
Physician |
UNKNOWN |
7761 Garden Grove |
Garden Grove |
Orange |
92841 |
California |
2018 |
2020 |
2 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
29750 |
8500 |
33.7738698726 |
-117.99664189 |
| -116.959614428063 |
33.7493816109726 |
24397 |
Igwe, Daniel |
1952305914 |
Physician |
GENERAL SURGERY |
1225 E. Latham Ave, Suite A |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1184820987 |
21250 |
21250 |
33.7493816109 |
-116.959614428 |
| -120.625581861214 |
40.4381384658176 |
24403 |
Frieling, Noreen |
1952311045 |
Nurse Practitioner |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
63750 |
8500 |
40.4381384662 |
-120.625581861 |
| -122.62766813058 |
38.9499316736079 |
24412 |
Bikangaga, Arthur |
1952319030 |
Physician |
UNKNOWN |
15230 Lakeshore Dr |
Clearlake |
Lake |
95422 |
California |
2017 |
2018 |
2 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
29750 |
8500 |
38.9499316736 |
-122.627668131 |
| -117.071664499717 |
33.1292598686481 |
24415 |
Oshrin, Harvey |
1952326324 |
Physician |
UNKNOWN |
425 N Date St |
Escondido |
San Diego |
92025 |
California |
2017 |
2018 |
3 |
MU |
HEALTHCARE NEIGHBORHOOD |
1437335353 |
38250 |
8500 |
33.1292598693 |
-117.0716645 |
| -122.267252075423 |
37.8373378810384 |
24417 |
Chu, Edward |
1952329054 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
6 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
63750 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.280430497769 |
34.0727231525515 |
24425 |
Lim Heya, Maria Teresa |
1952348849 |
Physician |
UNKNOWN |
150 North Reno Street |
Los Angeles |
Los Angeles |
90026 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
46750 |
8500 |
34.0727231529 |
-118.280430498 |
| -118.275669531823 |
33.8140349997155 |
24429 |
BATONGMALAQUE, JENNY |
1952350613 |
Physician |
UNKNOWN |
23251 s main st |
carson |
Los Angeles |
90745 |
California |
2018 |
2019 |
2 |
MU |
HEALTH SERVICES BEHAVIORAL |
1548659105 |
29750 |
8500 |
33.814035 |
-118.275669532 |
| -121.649026499673 |
36.6600059997771 |
24431 |
Wong, Deborah |
1952363178 |
Physician |
UNKNOWN |
335 KATHERINE AVE |
SALINAS |
Monterey |
93901 |
California |
2014 |
2015 |
1 |
AIU |
HLTH CARE REPRODUCTIVE |
1508977414 |
21250 |
21250 |
36.660006 |
-121.6490265 |
| -120.044702271093 |
36.9453834840606 |
24439 |
Duclo, Paula |
1952382350 |
Nurse Practitioner |
UNKNOWN |
1250 E Almond Ave |
Madera |
Madera |
93637 |
California |
2017 |
2018 |
4 |
MU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
46750 |
8500 |
36.945383484 |
-120.044702271 |
| -122.646489753 |
41.7186503676204 |
24441 |
Bullock, Daniel |
1952383929 |
Physician |
ORTHOPEDIC SURGERY |
475 Bruce Street |
Yreka |
Siskiyou |
96097 |
California |
2014 |
2015 |
3 |
MU |
HOSP SISKIYOU |
1093892275 |
38250 |
8500 |
41.7186503677 |
-122.646489753 |
| -119.721671537911 |
34.4308193111623 |
24446 |
Ritchey, Robert |
1952388662 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
230 W Pueblo St, Suite A |
Santa Barbara |
Santa Barbara |
93105 |
California |
2015 |
2017 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
34.4308193109 |
-119.721671538 |
| -117.996641889811 |
33.7738698732961 |
24447 |
Hoang, Khang |
1952397937 |
Physician |
UNKNOWN |
7761 Garden Grove Blvd. |
Garden Grove |
Orange |
92841 |
California |
2016 |
2017 |
1 |
AIU |
HOA COMPREHENSIVE NHAN |
1497889158 |
21250 |
21250 |
33.7738698726 |
-117.99664189 |
| -121.952709777734 |
38.3644974795751 |
24451 |
McAfee, Nancy |
1952404204 |
Physician |
INTERNAL MEDICINE |
421 Nut Tree Rd |
Vacaville |
Solano |
95687 |
California |
2014 |
2015 |
2 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
29750 |
8500 |
38.3644974804 |
-121.952709778 |
| -118.310027084682 |
34.1846741512911 |
24462 |
Panossian, Ayuna |
1952423014 |
Physician |
UNKNOWN |
333 E Magnolia Blvd, #103 |
Burbank |
Los Angeles |
91502 |
California |
2016 |
2017 |
4 |
MU |
HEALTH MEDICAL ADVANCE |
1972679280 |
17000 |
8500 |
34.1846741507 |
-118.310027085 |
| -122.292192420644 |
38.3212564181492 |
24479 |
Conlin, Daniel |
1952439713 |
Physician |
GASTROENTEROLOGY |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -122.455808999686 |
37.7487900001584 |
24500 |
Hinnant, Christopher |
1952440554 |
Physician |
UNKNOWN |
375 Laguna Honda Blvd, B200, Laguna Honda Hospital and Rehab Center, Medical Svcs |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -119.366878876059 |
36.2046068380352 |
24502 |
Larkin, Kelly |
1952457913 |
Dentist |
UNKNOWN |
263 S. West Street |
Tualre |
Tulare |
93274 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1912093451 |
63750 |
8500 |
36.2046068384 |
-119.366878876 |
| -120.055711580925 |
36.9628328372657 |
24505 |
Chimienti, Frank |
1952468621 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
344 E 6th St |
Madera |
Madera |
93638 |
California |
2012 |
2013 |
2 |
MU |
HEALTH CAMARENA |
1891778114 |
29750 |
8500 |
36.9628328373 |
-120.055711581 |
| -117.36470843015 |
33.9772817640422 |
24514 |
yang, kee |
1952475626 |
Physician |
FAMILY PRACTICE |
2906 University Ave |
Riverside |
Riverside |
92507 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH SYSTEMS INC COMMUNITY |
1205102068 |
21250 |
21250 |
33.9772817636 |
-117.36470843 |
| -122.452949027875 |
37.7730257337507 |
24517 |
Block-Kurbisch, Ingrid |
1952479966 |
Physician |
UNKNOWN |
2235 HAYES ST 5TH FLOOR |
San Francisco |
San Francisco |
94117 |
California |
2016 |
2017 |
5 |
MU |
HEALTHCARE WEST CATHOLIC |
1780727792 |
55250 |
8500 |
37.7730257341 |
-122.452949028 |
| -121.527873000139 |
38.5876259998401 |
24518 |
MARKIV, INNA |
1952480451 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
500 Jefferson Blvd Ste B180 |
West Sacramento |
Yolo |
95605 |
California |
2013 |
2014 |
2 |
MU |
HEALTH CTRS COMMUNICARE |
1710087515 |
29750 |
8500 |
38.587626 |
-121.527873 |
| -118.187848176352 |
33.9730571996301 |
24566 |
Pham, Lanchi |
1952558454 |
Dentist |
UNKNOWN |
6901 Atlantic Ave |
Bell |
Los Angeles |
90201 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES ALTAMED |
1518171016 |
29750 |
8500 |
33.9730572 |
-118.187848176 |
| -122.271160359963 |
37.7995061221099 |
24576 |
Vo, Thien |
1952586232 |
Nurse Practitioner |
NURSE PRACTITIONER |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -122.267252075423 |
37.8373378810384 |
24596 |
Ratcliff, Rebecca |
1952629743 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
5 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
55250 |
8500 |
37.8373378814 |
-122.267252075 |
| -118.290205477301 |
34.0955859100617 |
24599 |
Stahl, Rebecca |
1952635245 |
Physician |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
29750 |
8500 |
34.0955859098 |
-118.290205477 |
| -120.498999995353 |
35.0266083603876 |
24613 |
Diaz Sanchez, Antonio |
1952706087 |
Dentist |
UNKNOWN |
150 Tejas Pl |
Nipomo |
San Luis Obispo |
93444 |
California |
2017 |
2018 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -121.456624499721 |
38.5712370003873 |
24620 |
Nunn, Abram |
1952730020 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3701 J Street #220 |
Sacramento |
Sacramento |
95816 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS ELICA |
1093974065 |
38250 |
8500 |
38.571237 |
-121.4566245 |
| -117.298687104226 |
34.0966627016224 |
24634 |
Wang, Congbin |
1952740946 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.365142562579 |
33.9775917891298 |
24638 |
Brandt, David |
1952845364 |
Nurse Practitioner |
UNKNOWN |
2933 University Ave |
Riverside |
Riverside |
92507 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEMS INC COMMUNITY |
1205102068 |
21250 |
21250 |
33.9775917885 |
-117.365142563 |
| -118.320653347174 |
33.9164745472626 |
24639 |
Enzler, Christine |
1952843690 |
Nurse Practitioner |
UNKNOWN |
2501 W El Segundo Blvd, Suite B |
Hawthorne |
Los Angeles |
90250 |
California |
2020 |
2020 |
3 |
MU |
HEALTH SERVICES BEHAVIORAL |
1548659105 |
38250 |
8500 |
33.9164745471 |
-118.320653347 |
| -118.308853204112 |
34.0164932961288 |
24645 |
Abadesco, Autumn |
1952857237 |
Dentist |
UNKNOWN |
3834 S. Western Ave |
Los Angeles |
Los Angeles |
90062 |
California |
2016 |
2017 |
1 |
AIU |
H E CLINIC AT RUTH T |
1023287679 |
21250 |
21250 |
34.0164932957 |
-118.308853204 |
| -121.910412308381 |
39.8530000057457 |
24646 |
Logan, Kenneth |
1962407825 |
Physician |
UNKNOWN |
15151 Little Ron Rd |
Chico |
Butte |
95973 |
California |
2014 |
2015 |
2 |
MU |
HEALTH AMPLA |
1811204555 |
29750 |
8500 |
39.8530000058 |
-121.910412308 |
| -118.147551231804 |
33.9729202337818 |
24661 |
Petkar, Madhuri |
1962428144 |
Physician |
UNKNOWN |
6501 Garfield Ave |
Bell Gardens |
Los Angeles |
90201 |
California |
2020 |
2020 |
2 |
MU |
HEALTH CARE CENTERS FAMILY |
1720115033 |
29750 |
8500 |
33.9729202343 |
-118.147551232 |
| -122.292192420644 |
38.3212564181492 |
24678 |
Townsend, Colleen |
1962446880 |
Physician |
UNKNOWN |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2018 |
2019 |
6 |
MU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
63750 |
8500 |
38.3212564177 |
-122.292192421 |
| -119.289034030996 |
36.3341005980642 |
24680 |
Tafalla, Cecille |
1962455576 |
Dentist |
UNKNOWN |
501 North Bridge Street |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
63750 |
8500 |
36.3341005984 |
-119.289034031 |
| -122.629720636198 |
38.9499474953807 |
24692 |
Weeks, John |
1962473074 |
Physician |
UNKNOWN |
15120 Lakeshore Dr, Suite C |
Clearlake |
Lake |
95422 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
29750 |
8500 |
38.9499474949 |
-122.629720636 |
| -121.608820785051 |
39.1230674559984 |
24694 |
Amani, Ferozuddin |
1962481523 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
334 Samuel Dr |
Yuba City |
Sutter |
95991 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.1230674563 |
-121.608820785 |
| -121.953063614194 |
38.3545860351175 |
24695 |
Murray, Deborah |
1962476895 |
Physician |
INTERNAL MEDICINE |
1010 Nut Tree Rd, 100B |
Vacaville |
Solano |
95687 |
California |
2016 |
2017 |
4 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
46750 |
8500 |
38.354586035 |
-121.953063614 |
| -117.146546412287 |
32.7016590679117 |
24700 |
CARDONES, ARTHUR |
1962436451 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
3 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
38250 |
8500 |
32.701659068 |
-117.146546412 |
| -118.329789269359 |
34.0979749635737 |
24710 |
SMOOKLER, GREGORY |
1962507574 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2014 |
2015 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -117.866853000166 |
33.7811759997726 |
24715 |
adler-shohet, felice |
1962513051 |
Physician |
PEDIATRIC MEDICINE |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -119.289034030996 |
36.3341005980642 |
24750 |
Henriquez, Waldo |
1962561076 |
Physician |
UNKNOWN |
501 North Bridge Street |
Visalia |
Tulare |
93291 |
California |
2016 |
2017 |
6 |
MU |
HEALTHCARE NETWRK FAMILY |
1588699151 |
63750 |
8500 |
36.3341005984 |
-119.289034031 |
| -122.271160359963 |
37.7995061221099 |
24763 |
Ng, Christina Pinki |
1962581025 |
Physician |
FAMILY PRACTICE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -121.793209065646 |
38.6851030199884 |
24767 |
Trolinger, Joanna |
1962586339 |
Nurse Practitioner |
NURSE PRACTITIONER |
8 N. Cottonwood St |
Woodland |
Yolo |
95695 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CTRS COMMUNICARE |
1558469064 |
21250 |
21250 |
38.6851030196 |
-121.793209066 |
| -121.481662499625 |
38.5768799998122 |
24780 |
Lai, James |
1962606301 |
Dentist |
UNKNOWN |
1820 J ST |
Sacramento |
Sacramento |
95811 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH WELLSPACE |
1124112933 |
21250 |
21250 |
38.57688 |
-121.4816625 |
| -119.288677500166 |
36.3322530002758 |
24784 |
Kawase, Jennifer |
1962609396 |
Physician |
PSYCHOLOGIST CLINICAL |
400 East Oak Street |
Visalia |
Tulare |
93291 |
California |
2013 |
2014 |
2 |
MU |
HEALTHCARE FAMILY |
1821186727 |
29750 |
8500 |
36.332253 |
-119.2886775 |
| -122.052187649141 |
38.2758300032521 |
24790 |
Nguyen, Loc |
1962623462 |
Physician |
UNKNOWN |
2458 HILBORN RD |
FAIRFIELD |
Solano |
94534 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
38250 |
8500 |
38.2758300025 |
-122.052187649 |
| -117.94732640439 |
34.0601917932167 |
24792 |
Aventura, Caroline |
1962623538 |
Physician |
UNKNOWN |
1300 S Sunset Ave |
West Covina |
Los Angeles |
91790 |
California |
2015 |
2017 |
1 |
AIU |
HEALTH SERVICES ALTAMED |
1730481318 |
21250 |
21250 |
34.0601917926 |
-117.947326404 |
| -120.625581861214 |
40.4381384658176 |
24796 |
Henneman Low, Jane |
1962652131 |
Nurse Practitioner |
UNKNOWN |
1850 Spring Ridge Dr |
Susanville |
Lassen |
96130 |
California |
2017 |
2018 |
6 |
MU |
HEALTH CTR NORTHEASTERN |
1477563518 |
63750 |
8500 |
40.4381384662 |
-120.625581861 |
| -119.24573404509 |
35.7692914117693 |
24801 |
Maun-Viduya, Mary |
1962663005 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1001 Main Street |
Delano |
Kern |
93215 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH SVS NATIONAL |
1417962457 |
21250 |
21250 |
35.7692914124 |
-119.245734045 |
| -116.959614428063 |
33.7493816109726 |
24808 |
Devaraj, Reena |
1962677146 |
Physician |
UNKNOWN |
1225 E. Latham Ave, Suite A |
Hemet |
Riverside |
92543 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE MEDICAL APEX |
1184820987 |
21250 |
21250 |
33.7493816109 |
-116.959614428 |
| -117.267223499565 |
33.9159869996004 |
24815 |
Steele, Aida |
1962693770 |
Dentist |
UNKNOWN |
22675 Alessandro Blvd |
Moreno Valley |
Riverside |
92553 |
California |
2011 |
2013 |
1 |
AIU |
HLTH SYSTEMS INC COMM |
1679749501 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -119.650117579163 |
36.3270237618372 |
24819 |
Vanyo-Novak, Jennifer |
1962665497 |
Physician |
FAMILY PRACTICE |
329 West 8th, Suite 101 |
Hanford |
Kings |
93230 |
California |
2014 |
2015 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
38250 |
8500 |
36.3270237616 |
-119.650117579 |
| -118.329789269359 |
34.0979749635737 |
24822 |
Berbee, Amy |
1962696674 |
Physician |
UNKNOWN |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2013 |
2014 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.0979749639 |
-118.329789269 |
| -121.977238187592 |
37.5484010455718 |
24836 |
Makoni, Bessa |
1962734269 |
Nurse Practitioner |
NURSE PRACTITIONER |
39500 Liberty St |
Fremont |
Alameda |
94538 |
California |
2018 |
2019 |
5 |
MU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
55250 |
8500 |
37.5484010458 |
-121.977238188 |
| -121.940302499661 |
37.3266449995671 |
24845 |
Tran, Susan |
1962752600 |
Physician |
UNKNOWN |
455 OConnor Dr Ste 200 |
San Jose |
Santa Clara |
95128 |
California |
2014 |
2014 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -121.977238187592 |
37.5484010455718 |
24847 |
Jamena, Gemma Jean |
1962761924 |
Physician |
UNKNOWN |
39500 Liberty St |
Fremont |
Alameda |
94538 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTER TRI-CITY |
1942387188 |
46750 |
8500 |
37.5484010458 |
-121.977238188 |
| -118.246191531314 |
33.9426899692667 |
24861 |
Woldeabezgie, Elias |
1962790592 |
Dentist |
UNKNOWN |
10300 Compton Ave |
Los Angeles |
Los Angeles |
90002 |
California |
2016 |
2016 |
1 |
AIU |
HEALTHCARE WATTS |
1477649119 |
21250 |
21250 |
33.9426899686 |
-118.246191531 |
| -119.042168222785 |
36.0512835430011 |
24863 |
NORROD, GUADALUPE |
1962803692 |
Nurse Practitioner |
UNKNOWN |
1107 W Poplar Ave |
Porterville |
Tulare |
93257 |
California |
2015 |
2016 |
1 |
MU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
21250 |
21250 |
36.0512835428 |
-119.042168223 |
| -121.952709777734 |
38.3644974795751 |
24869 |
Hunter, Nerissa |
1962810739 |
Nurse Practitioner |
UNKNOWN |
421 Nut Tree Rd |
Vacaville |
UNKNOWN |
95687 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE GRP NORTHBAY |
1760534713 |
38250 |
8500 |
38.3644974804 |
-121.952709778 |
| -117.298687104226 |
34.0966627016224 |
24887 |
Kidd, Stephanie |
1962845602 |
Physician |
UNKNOWN |
250 South G Street, SAC Health System |
San Bernardino |
San Bernardino |
92410 |
California |
2016 |
2018 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
24889 |
Hong, Connie |
1962889964 |
Physician |
UNKNOWN |
250 South G Street |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -118.280430497769 |
34.0727231525515 |
24896 |
Magtahas, Janette |
1962959072 |
Nurse Practitioner |
UNKNOWN |
150 North Reno Street |
Los Angeles |
Los Angeles |
90026 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
21250 |
21250 |
34.0727231529 |
-118.280430498 |
| -117.298687104226 |
34.0966627016224 |
24899 |
Welsh, Raven |
1962899518 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SYSTEM SAC |
1801270137 |
21250 |
21250 |
34.0966627019 |
-117.298687104 |
| -122.011197180705 |
39.2078959333507 |
24900 |
Bartlett, Kerri |
1972505394 |
Physician |
UNKNOWN |
555 Fremont St |
Colusa |
Colusa |
95932 |
California |
2015 |
2017 |
4 |
MU |
HEALTH AMPLA |
1811204555 |
46750 |
8500 |
39.2078959331 |
-122.011197181 |
| -118.264011576073 |
34.0526621276551 |
24910 |
Zanders, Charles |
1972521680 |
Dentist |
UNKNOWN |
1127 Wilshire Blvd., suite 1504 |
Los Angeles |
Los Angeles |
90017 |
California |
2018 |
2019 |
3 |
MU |
HEALTH and WELLNESS APLA |
1740490937 |
38250 |
8500 |
34.052662128 |
-118.264011576 |
| -117.988308000114 |
33.7050629998576 |
24912 |
WU, SIDNEY |
1972526457 |
Physician |
UNKNOWN |
8041 Newman Ave. |
Huntington Beach |
Orange |
92647 |
California |
2020 |
2020 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
63750 |
8500 |
33.705063 |
-117.988308 |
| -117.146546412287 |
32.7016590679117 |
24915 |
vargas, robert |
1972528081 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1809 National Ave |
San Diego |
San Diego |
92113 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -122.049873972306 |
38.2620150001922 |
24936 |
Wang, Edward |
1972558666 |
Physician |
UROLOGY |
1860 Pennsylvania Ave, Ste 300B |
Fairfield |
Solano |
94533 |
California |
2018 |
2019 |
6 |
MU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
63750 |
8500 |
38.262015 |
-122.049873972 |
| -122.267731525589 |
37.8373514428149 |
24953 |
Sun, Peter |
1972590354 |
Physician |
UNKNOWN |
744 52nd St, 5th Floor |
Oakland |
Alameda |
94609 |
California |
2018 |
2019 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373514427 |
-122.267731526 |
| -120.498999995353 |
35.0266083603876 |
24956 |
Guerrero, Victor |
1972596963 |
Physician |
UNKNOWN |
150 Tejas Place |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
38250 |
8500 |
35.0266083603 |
-120.498999995 |
| -118.329789269359 |
34.0979749635737 |
24970 |
KEEFER, MATTHEW |
1972609352 |
Physician |
PEDIATRIC MEDICINE |
6430 Sunset Blvd., Suite 600 |
Los Angeles |
Los Angeles |
90028 |
California |
2014 |
2015 |
2 |
MU |
HOSPITAL LOS CHILDRENS |
1265530653 |
29750 |
8500 |
34.0979749639 |
-118.329789269 |
| -122.292192420644 |
38.3212564181492 |
24999 |
Darnell, Gary |
1972655645 |
Physician |
PSYCHIATRY |
1141 Pear Tree Lane, Suite 100 |
Napa |
Napa |
94558 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CLINIC OLE COMMUNITY |
1700976503 |
21250 |
21250 |
38.3212564177 |
-122.292192421 |
| -122.271160359963 |
37.7995061221099 |
25017 |
Chan, Clayton |
1972682037 |
Physician |
FAMILY PRACTICE |
818 Webster St |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
3 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
38250 |
8500 |
37.7995061221 |
-122.27116036 |
| -117.267223499565 |
33.9159869996004 |
25020 |
larsen, wayne |
1972685089 |
Physician |
OPTOMETRY |
22675 Alessandro BLVD. |
Moreno Valley |
Riverside |
92553 |
California |
2013 |
2013 |
1 |
AIU |
HLTH SYSTEMS INC COMM |
1679749501 |
21250 |
21250 |
33.915987 |
-117.2672235 |
| -122.452949027875 |
37.7730257337507 |
25024 |
meyer, sharon |
1972691988 |
Physician |
UNKNOWN |
2235 Hayes St, 5th floor |
San Francisco |
San Francisco |
94117 |
California |
2016 |
2017 |
3 |
MU |
HEALTHCARE WEST CATHOLIC |
1780727792 |
38250 |
8500 |
37.7730257341 |
-122.452949028 |
| -117.867612831967 |
33.7569843671349 |
25025 |
Khurana, Sneh |
1972692531 |
Physician |
PEDIATRIC MEDICINE |
1400 N Main Street |
Santa Ana |
Orange |
92701 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1740427657 |
63750 |
8500 |
33.7569843666 |
-117.867612832 |
| -117.146546412287 |
32.7016590679117 |
25028 |
Glass, Kristine |
1972660892 |
Physician |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.988308000114 |
33.7050629998576 |
25058 |
Binning, Deborah |
1972727865 |
Nurse Practitioner |
UNKNOWN |
8041 Newman Ave |
Huntington Beach |
Orange |
92647 |
California |
2017 |
2018 |
5 |
MU |
HEALTH SERVICES CORP ALTAMED |
1306015425 |
55250 |
8500 |
33.705063 |
-117.988308 |
| -118.306952999581 |
34.0623180000757 |
25073 |
Saleh-Alavi, Tawny |
1972759629 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angesl |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -118.306952999581 |
34.0623180000757 |
25078 |
Robinson, Kim |
1972769933 |
Nurse Practitioner |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2015 |
2016 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -119.647641434405 |
36.3243824628804 |
25081 |
Tang, Minh |
1972782894 |
Physician |
UNKNOWN |
250 West 5th Street |
Hanford |
Kings |
93230 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
38250 |
8500 |
36.3243824628 |
-119.647641434 |
| -120.498999995353 |
35.0266083603876 |
25085 |
Kronstad, Deborah |
1972797637 |
Physician |
PEDIATRIC MEDICINE |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2018 |
2019 |
5 |
MU |
HEALTH CENTERS COMMUNITY |
1841217866 |
55250 |
8500 |
35.0266083603 |
-120.498999995 |
| -120.045810184592 |
36.94541455204 |
25086 |
Pena, David |
1972807345 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1210 E. Almond Ave |
Madera |
Madera |
93637 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH SVS ANNEX FAMILY |
1174503114 |
21250 |
21250 |
36.9454145522 |
-120.045810185 |
| -118.306952999581 |
34.0623180000757 |
25097 |
bhardwaj, vrinda |
1972797959 |
Physician |
UNKNOWN |
3701 Wilshire Boulevard, Suite 600, Children's Hospital Los Angeles, Mailstop # 78 |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -120.498999995353 |
35.0266083603876 |
25113 |
Anderson, Catherine |
1972881886 |
Nurse Practitioner |
UNKNOWN |
150 Tejas Place, PO Box 430 |
Nipomo |
San Luis Obispo |
93444 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS COMMUNITY |
1841217866 |
21250 |
21250 |
35.0266083603 |
-120.498999995 |
| -121.819527654278 |
37.3566314686674 |
25124 |
Bounar, Rabea |
1972894749 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1066 South White Street |
San Jose |
Santa Clara |
95127 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CENTER FOOTHILL |
1538508015 |
38250 |
8500 |
37.3566314689 |
-121.819527654 |
| -117.298687104226 |
34.0966627016224 |
25133 |
Gezalian, Michael |
1972923886 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.996641889811 |
33.7738698732961 |
25145 |
nguyen, quang binh |
1982002598 |
Physician |
UNKNOWN |
7761 GARDEN GROVE BLVD |
GARDEN GROVE |
Orange |
92841 |
California |
2015 |
2016 |
1 |
AIU |
HOA COMPREHENSIVE NHAN |
1497889158 |
21250 |
21250 |
33.7738698726 |
-117.99664189 |
| -119.288673194212 |
36.3328544497731 |
25149 |
Flores Midence, Ester Silohe |
1982004164 |
Physician |
UNKNOWN |
401 E School Ave |
Visalia |
Tulare |
93291 |
California |
2018 |
2019 |
3 |
MU |
HEALTHCARE NETWORK FAMILY |
1730502725 |
38250 |
8500 |
36.3328544502 |
-119.288673194 |
| -122.049873972306 |
38.2620150001922 |
25175 |
COOPER VAUGHN, MARGARET |
1982607990 |
Physician |
OBSTETRICS/GYNECOLOGY |
1860 Pennsylvania, 300 |
Fairfield |
Solano |
94533 |
California |
2013 |
2014 |
1 |
AIU |
HEALTHCARE GRP NORTHBAY |
1780736736 |
21250 |
21250 |
38.262015 |
-122.049873972 |
| -117.196580342709 |
32.9012852777934 |
25177 |
BUI, HIEN |
1982611810 |
Dentist |
UNKNOWN |
6255 Lusk Blvd, 250 |
San Diego |
San Diego |
92121 |
California |
2015 |
2015 |
1 |
AIU |
HIEN QUANG BUI |
1982611810 |
21250 |
21250 |
32.9012852776 |
-117.196580343 |
| -117.146546412287 |
32.7016590679117 |
25203 |
Alassil, Sally |
1982044483 |
Physician |
UNKNOWN |
1809 National Ave, Family Health Centers of San Diego, Inc. |
san diego |
San Diego |
92113 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
21250 |
21250 |
32.701659068 |
-117.146546412 |
| -117.915163058828 |
33.7774180953688 |
25206 |
Wu, Jimmy |
1982647939 |
Physician |
UNKNOWN |
12751 Harbor Blvd |
Garden Grove |
Orange |
92840 |
California |
2016 |
2017 |
6 |
MU |
HEALTH SERVICES CORP ALTAMED |
1083851992 |
63750 |
8500 |
33.7774180952 |
-117.915163059 |
| -119.207077446867 |
36.303327220375 |
25215 |
Yankes, Max |
1982662250 |
Physician |
UNKNOWN |
730 N. Farmersville Blvd. |
Farmersville |
Tulare |
93223 |
California |
2017 |
2018 |
6 |
MU |
HEALTHCARE FAMILY |
1821186727 |
63750 |
8500 |
36.3033272201 |
-119.207077447 |
| -121.977238187592 |
37.5484010455718 |
25232 |
Lay, Cho Cho |
1982681524 |
Physician |
FAMILY PRACTICE |
39500 Liberty St, Tri City Health Center |
Fremont |
Alameda |
94538 |
California |
2014 |
2015 |
2 |
MU |
HLTH CTR-MOWRY TRI-CITY |
1811928849 |
29750 |
8500 |
37.5484010458 |
-121.977238188 |
| -116.920651500067 |
32.8611960001953 |
25235 |
Osmak, Matthew |
1982697827 |
Dentist |
UNKNOWN |
10039 Vine St |
Lakeside |
San Diego |
92040 |
California |
2012 |
2013 |
1 |
AIU |
HEALTHCARE NEIGHBORHOOD |
1932384120 |
21250 |
21250 |
32.861196 |
-116.9206515 |
| -121.769568889193 |
38.5631938354272 |
25239 |
Yamauchi, Lisa |
1982703450 |
Nurse Practitioner |
UNKNOWN |
2051 John Jones Rd. |
Davis |
Yolo |
95616 |
California |
2018 |
2019 |
3 |
MU |
HEALTH CTRS COMMUNICARE |
1558366823 |
38250 |
8500 |
38.5631938352 |
-121.769568889 |
| -121.098758861632 |
38.9348505096434 |
25249 |
Dillinger, Daniel |
1982705547 |
Doctor of Optometry |
UNKNOWN |
11670 Atwood Road |
Auburn |
Placer |
95603 |
California |
2013 |
2014 |
1 |
AIU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
21250 |
21250 |
38.9348505095 |
-121.098758862 |
| -122.267252075423 |
37.8373378810384 |
25268 |
Purdy, Cynthia |
1982731816 |
Nurse Practitioner |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2017 |
2018 |
4 |
MU |
HOSPITAL MEDICAL CHILDRENS |
1003961251 |
46750 |
8500 |
37.8373378814 |
-122.267252075 |
| -122.13664674705 |
41.2521636667199 |
25294 |
FORT, GRADY |
1982765582 |
Physician |
UNKNOWN |
116 West Minnesota Avenue |
McCloud |
Siskiyou |
96057 |
California |
2016 |
2018 |
1 |
AIU |
HEALTHCARE CLINIC MCCLOUD |
1164428488 |
21250 |
21250 |
41.2521636666 |
-122.136646747 |
| -121.793209065646 |
38.6851030199884 |
25313 |
PERRY, COLLEEN |
1982783486 |
Nurse Practitioner |
UNKNOWN |
8 N Cottonwood St |
Woodland |
Yolo |
95695 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CTRS COMMUNICARE |
1558469064 |
46750 |
8500 |
38.6851030196 |
-121.793209066 |
| -117.866853000166 |
33.7811759997726 |
25319 |
Veiga, Patricia |
1982792602 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -118.290205477301 |
34.0955859100617 |
25328 |
LEE, RYAN |
1982799953 |
Physician |
UNKNOWN |
4618 Fountain Ave |
Los Angeles |
Los Angeles |
90029 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
46750 |
8500 |
34.0955859098 |
-118.290205477 |
| -122.475429959325 |
38.5429496797839 |
25330 |
Ermshar, Carl |
1982799292 |
Physician |
UNKNOWN |
6 Woodland Rd, Ste 302 |
Saint Helena |
Napa |
94574 |
California |
2017 |
2018 |
4 |
MU |
HEALTH CLEARLAKE ADVENTIST |
1316937121 |
46750 |
8500 |
38.5429496802 |
-122.475429959 |
| -117.351699669304 |
34.0996021923873 |
25336 |
Kwon, Henry |
1982816542 |
Dentist |
UNKNOWN |
2836 W Rialto Ave # A |
Rialto |
San Bernardino |
92376 |
California |
2012 |
2013 |
1 |
AIU |
Henry Sang Kwon |
1982816542 |
21250 |
21250 |
34.0996021923 |
-117.351699669 |
| -117.444104999646 |
33.9213149997875 |
25361 |
Farjam, Farahnaz |
1982847950 |
Physician |
UNKNOWN |
9380 Magnolia Ave |
Riverside |
Riverside |
92503 |
California |
2013 |
2013 |
1 |
AIU |
HEALTH SYSTEM INC COMMUNITY |
1548538911 |
21250 |
21250 |
33.921315 |
-117.444105 |
| -121.098758861632 |
38.9348505096434 |
25363 |
Karunakaran, Pauline |
1982852059 |
Dentist |
UNKNOWN |
11670 Atwood Rd |
Auburn |
Placer |
95603 |
California |
2018 |
2019 |
2 |
MU |
HEALTH CHAPA-DE-INDIAN |
1114057163 |
29750 |
8500 |
38.9348505095 |
-121.098758862 |
| -122.271160359963 |
37.7995061221099 |
25371 |
IM, TERRY |
1982867917 |
Dentist |
UNKNOWN |
818 Webster Street |
Oakland |
Alameda |
94607 |
California |
2014 |
2015 |
2 |
MU |
HEALTH SERVICES INC ASIAN |
1447391719 |
29750 |
8500 |
37.7995061221 |
-122.27116036 |
| -121.913647032185 |
37.3017600004237 |
25372 |
Shikaram, Chitra |
1982874673 |
Dentist |
UNKNOWN |
1333 Meridian Avenue |
San Jose |
Santa Clara |
95125 |
California |
2019 |
2020 |
4 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
46750 |
8500 |
37.30176 |
-121.913647032 |
| -117.946313999791 |
33.8324215409214 |
25429 |
Kaushal, Poonam |
1982995320 |
Physician |
UNKNOWN |
1814 W Lincoln Ave |
Anaheim |
Orange |
92801 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH SERVICES CORP ALTAMED |
1235376047 |
21250 |
21250 |
33.8324215409 |
-117.946314 |
| -121.234642937022 |
40.3065841332512 |
25431 |
MacDonald, Tonya |
1982993945 |
Nurse Practitioner |
UNKNOWN |
199 Reynolds Road, PO Box 1460 |
Chester |
Plumas |
96020 |
California |
2014 |
2014 |
2 |
MU |
HEALTHCARE DIST SENECA |
1104920438 |
29750 |
8500 |
40.3065841327 |
-121.234642937 |
| -119.432337876592 |
36.604178372334 |
25433 |
Lao, Xin Ling |
1992005102 |
Physician |
UNKNOWN |
1560 E Manning Ave |
Reedley |
Fresno |
93654 |
California |
2018 |
2019 |
4 |
MU |
HEALTH CENTERS OF THE UNITED |
1528478211 |
46750 |
8500 |
36.6041783721 |
-119.432337877 |
| -121.940302499661 |
37.3266449995671 |
25448 |
Dolatshahi, Maryam |
1992053581 |
Physician |
UNKNOWN |
455 O'Connor Dr Ste 250 |
San Jose |
Santa Clara |
95128 |
California |
2016 |
2017 |
1 |
AIU |
HEALTH CENTER OF INDIAN |
1114290780 |
21250 |
21250 |
37.326645 |
-121.9403025 |
| -118.045836668228 |
34.0764334702285 |
25460 |
Han, Jung |
1992092357 |
Physician |
UNKNOWN |
10418 Valley Blvd Suite A |
El Monte |
Los Angeles |
91731 |
California |
2016 |
2017 |
2 |
MU |
HEALTH SERVICES CORP ALTAMED |
1619263597 |
29750 |
8500 |
34.0764334701 |
-118.045836668 |
| -119.05814321214 |
35.367815658366 |
25462 |
Maydell, Arthur |
1992078745 |
Physician |
UNKNOWN |
5020 Commerce Dr, E |
Bakersfield |
Kern |
93309 |
California |
2016 |
2017 |
1 |
AIU |
HILLS MEDICAL CORP OAK |
1386754273 |
21250 |
21250 |
35.3678156578 |
-119.058143212 |
| -118.280430497769 |
34.0727231525515 |
25472 |
Rimular, Liza |
1992130827 |
Nurse Practitioner |
UNKNOWN |
150 North Reno Street |
Los Angeles |
Los Angeles |
90026 |
California |
2019 |
2020 |
6 |
MU |
HEALTH CENTERS QUEENSCARE |
1013083666 |
63750 |
8500 |
34.0727231529 |
-118.280430498 |
| -117.960264000084 |
33.8649660002807 |
25476 |
Deculing, Joselyn |
1992135081 |
Nurse Practitioner |
UNKNOWN |
501 S. Brookhurst Rd |
Fullerton |
Orange |
92833 |
California |
2014 |
2015 |
1 |
AIU |
HLTH CARE REPRODUCTIVE |
1508977414 |
21250 |
21250 |
33.864966 |
-117.960264 |
| -117.960264000084 |
33.8649660002807 |
25477 |
DECULING, EROL |
1992124606 |
Nurse Practitioner |
UNKNOWN |
501 S Brookhurst Road |
Fullerton |
UNKNOWN |
92833 |
California |
2014 |
2015 |
1 |
AIU |
HLTH CARE REPRODUCTIVE |
1508977414 |
21250 |
21250 |
33.864966 |
-117.960264 |
| -117.298687104226 |
34.0966627016224 |
25489 |
Lee, Joshua |
1992182885 |
Physician |
UNKNOWN |
250 SOUTH G STREET, SAC HEALTH SYSTEM |
SAN BERNARDINO |
San Bernardino |
92410 |
California |
2017 |
2018 |
2 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
29750 |
8500 |
34.0966627019 |
-117.298687104 |
| -117.298687104226 |
34.0966627016224 |
25490 |
Perry, Mary |
1992182745 |
Physician |
UNKNOWN |
250 South G Street, SAC HEALTH SYSTEM |
San Bernardino |
San Bernardino |
92410 |
California |
2018 |
2019 |
3 |
MU |
HEALTH SYSTEM SAC |
1801270137 |
38250 |
8500 |
34.0966627019 |
-117.298687104 |
| -119.424323611346 |
36.3520902351763 |
25499 |
Shah, Priyanka |
1992253686 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
30979 Road 67 |
Goshen |
Tulare |
93227 |
California |
2016 |
2017 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
21250 |
21250 |
36.3520902351 |
-119.424323611 |
| -119.366878876059 |
36.2046068380352 |
25501 |
Trammell, Casey |
1992256028 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
263 S. West Street |
Tualre |
Tulare |
93274 |
California |
2017 |
2018 |
2 |
MU |
HEALTHCARE NETWRK FAMILY |
1336237072 |
29750 |
8500 |
36.2046068384 |
-119.366878876 |
| -117.009828643777 |
32.7148179660763 |
25527 |
Sandoval-Cortez, Diana |
1992737076 |
Physician |
UNKNOWN |
8788 Jamacha Road |
Spring Valley |
San Diego |
91977 |
California |
2012 |
2013 |
1 |
AIU |
HEALTH CENTERS FAMILY |
1508801069 |
21250 |
21250 |
32.7148179656 |
-117.009828644 |
| -118.21887650105 |
34.1237489947204 |
25532 |
Betita, Illuminada |
1992742886 |
Physician |
UNKNOWN |
4448 York Blvd |
Los Angeles |
Los Angeles |
90041 |
California |
2013 |
2014 |
3 |
MU |
HEALTH CENTERS QUEENSCARE |
1639241888 |
38250 |
8500 |
34.123748995 |
-118.218876501 |
| -119.650502844231 |
37.3302475685705 |
25539 |
CUSICK, WILLIAM |
1992754113 |
Physician |
UNKNOWN |
49169 Road 426 |
Oakhurst |
Madera |
93644 |
California |
2014 |
2015 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
37.330247569 |
-119.650502844 |
| -117.370468524902 |
34.132904999666 |
25540 |
Meltzer, Elliott |
1992755284 |
Physician |
FAMILY PRACTICE |
1850 N Riverside Ave, Suite 180 |
Rialto |
San Bernardino |
92376 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE GROUP AMC INLAND |
1740450923 |
21250 |
21250 |
34.132905 |
-117.370468525 |
| -119.042168222785 |
36.0512835430011 |
25543 |
Dickey, Marylou |
1992758866 |
Nurse Practitioner |
NURSE PRACTITIONER |
1107 West Poplar Ave. |
Porterville |
Tulare |
93257 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1083611156 |
21250 |
21250 |
36.0512835428 |
-119.042168223 |
| -119.650117579163 |
36.3270237618372 |
25550 |
Darius, Michael |
1992761449 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
329 W. 8th St., Suite 101 |
Hanford |
Kings |
93230 |
California |
2011 |
2012 |
1 |
AIU |
HEALTHCARE NETWRK FAMILY |
1467504530 |
21250 |
21250 |
36.3270237616 |
-119.650117579 |
| -121.913647032185 |
37.3017600004237 |
25569 |
Esmundo, Maria Lucinda |
1992810394 |
Physician |
UNKNOWN |
1333 Meridian Ave |
San Jose |
Santa Clara |
95125 |
California |
2016 |
2017 |
3 |
MU |
HEALTH CENTER OF INDIAN |
1164643862 |
38250 |
8500 |
37.30176 |
-121.913647032 |
| -122.267252075423 |
37.8373378810384 |
25596 |
Buhrmann, Erica |
1992851968 |
Physician |
UNKNOWN |
747 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2013 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373378814 |
-122.267252075 |
| -117.960264000084 |
33.8649660002807 |
25603 |
FLORES, EDGAR |
1992857239 |
Physician |
UNKNOWN |
501 S BROOKHURST RD |
FULLERTON |
Orange |
92833 |
California |
2017 |
2018 |
6 |
MU |
HLTH CARE REPRODUCTIVE |
1508977414 |
63750 |
8500 |
33.864966 |
-117.960264 |
| -122.455808999686 |
37.7487900001584 |
25604 |
Johnson, Yeva |
1992837926 |
Physician |
UNKNOWN |
375 Laguna Honda Boulevard, Rm B200, Laguna Honda Hospital and Rehabilitation Center |
San Francisco |
San Francisco |
94116 |
California |
2015 |
2018 |
1 |
AIU |
HONDA MED GRP LAGUNA |
1265460190 |
21250 |
21250 |
37.74879 |
-122.455809 |
| -122.659945408554 |
38.2688718730386 |
25623 |
Bernstein, Allan |
1992889067 |
Physician |
NEUROLOGY |
1179 North McDowell Blvd. |
Petaluma |
Sonoma |
94954 |
California |
2011 |
2012 |
1 |
AIU |
HEALTH CTR, INC PETALUMA |
1588656268 |
21250 |
21250 |
38.2688718726 |
-122.659945409 |
| -117.866853000166 |
33.7811759997726 |
25628 |
HARRISON, AMY |
1992892822 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
HOSPITAL OF CHILDRENS |
1811080526 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -121.608820785051 |
39.1230674559984 |
25633 |
Hamilton, Judy |
1992895064 |
Nurse Practitioner |
NURSE PRACTITIONER |
334 Samuel Dr |
Yuba City |
Sutter |
95991 |
California |
2014 |
2015 |
3 |
MU |
HEALTH AMPLA |
1811204555 |
38250 |
8500 |
39.1230674563 |
-121.608820785 |
| -122.267731525589 |
37.8373514428149 |
25638 |
Gomez, Esteban |
1992900641 |
Physician |
UNKNOWN |
744 52nd St |
Oakland |
Alameda |
94609 |
California |
2013 |
2014 |
1 |
AIU |
HOSP MED CTR CHILDRENS |
1003961251 |
21250 |
21250 |
37.8373514427 |
-122.267731526 |
| -117.996641889811 |
33.7738698732961 |
25658 |
LUONG, TIM |
1992933055 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
7761 Garden Grove blvd |
garden grove |
Orange |
92841 |
California |
2018 |
2018 |
2 |
MU |
HOA COMPREHENSIVE NHAN |
1497889158 |
29750 |
8500 |
33.7738698726 |
-117.99664189 |
| -118.306952999581 |
34.0623180000757 |
25669 |
Howell, Lori |
1992955090 |
Physician |
UNKNOWN |
3701 Wilshire Blvd, Suite 600 |
Los Angeles |
Los Angeles |
90010 |
California |
2014 |
2015 |
1 |
AIU |
HOSPITAL LOS CHILDRENS |
1265530653 |
21250 |
21250 |
34.062318 |
-118.306953 |
| -119.650502844231 |
37.3302475685705 |
25672 |
Sidhu, Kulraj |
1992957088 |
Physician |
UNKNOWN |
49169 Road 426 |
Oakhurst |
Madera |
93644 |
California |
2015 |
2016 |
1 |
AIU |
HEALTH CAMARENA |
1891778114 |
21250 |
21250 |
37.330247569 |
-119.650502844 |
| -117.146546412287 |
32.7016590679117 |
25686 |
turner, shereena |
1992934988 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
Family Health Centers of San Diego, Inc., 1809 National Ave. |
San Diego |
San Diego |
92113 |
California |
2014 |
2015 |
2 |
MU |
HEALTH CTRS OF SD FAMILY |
1447281936 |
29750 |
8500 |
32.701659068 |
-117.146546412 |