| -122.242828694688 |
37.7817946444073 |
2 |
Sheikh, Mohammad |
1003009077 |
Physician |
PSYCHIATRY |
2000 Embarcadero Ste 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -119.251855838176 |
34.2762568924417 |
32 |
MIKHAILOVSKY, ANNA |
1003063488 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2017 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -122.268649499575 |
37.8704970000366 |
34 |
Ivey, Susan |
1003004169 |
Physician |
UNKNOWN |
2140 Shattuck Ave, 10th floor, Health Research for Action, UC-Berkeley SPH |
Berkeley |
Alameda |
94704 |
California |
2016 |
2017 |
4 |
MU |
OF BERKELEY CITY |
1902944796 |
46750 |
8500 |
37.870497 |
-122.2686495 |
| -117.179723886448 |
33.9101189996921 |
36 |
Carrizosa, Margaret |
1003068289 |
Nurse Practitioner |
UNKNOWN |
26250 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.910119 |
-117.179723886 |
| -124.198708499697 |
41.7727514757001 |
83 |
Kumar, Joanna |
1003186883 |
Nurse Practitioner |
UNKNOWN |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2016 |
2017 |
2 |
MU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
29750 |
8500 |
41.7727514761 |
-124.1987085 |
| -119.251855838176 |
34.2762568924417 |
156 |
weiss, martin |
1003848441 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.93973500037 |
33.8593965276277 |
159 |
Tumakay, Sue Ann |
1003863341 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
901 W Orangethorpe Ave |
Fullerton |
Orange |
92832 |
California |
2012 |
2013 |
1 |
AIU |
ORANGE COUNTY REG NORTH |
1194974402 |
21250 |
21250 |
33.8593965276 |
-117.939735 |
| -122.242828694688 |
37.7817946444073 |
164 |
Berney, Jerome |
1003871377 |
Physician |
UNKNOWN |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -117.959778000155 |
33.9277950000393 |
181 |
McKenzie, Donna |
1003906280 |
Nurse Practitioner |
UNKNOWN |
501 S. Idaho Street, Suite 190 |
La Habra |
Orange |
90631 |
California |
2016 |
2017 |
4 |
MU |
OF THE FAMILY FRIENDS |
1871818138 |
46750 |
8500 |
33.927795 |
-117.959778 |
| -118.189907999754 |
33.7932810004179 |
197 |
kumar, shribala |
1003934423 |
Physician |
PSYCHIATRY |
1975 Long Beach Blvd |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.793281 |
-118.189908 |
| -117.926562544026 |
33.633120543878 |
219 |
Elkins, Jeremy |
1003961749 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2015 |
2016 |
2 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
29750 |
8500 |
33.6331205442 |
-117.926562544 |
| -122.707921848415 |
38.4682973146694 |
298 |
Ehrlich, Neil |
1013078625 |
Physician |
UNKNOWN |
3322 Chanate Rd. |
Santa Rosa |
Sonoma |
95404 |
California |
2015 |
2016 |
1 |
AIU |
OF SONOMA COUNTY |
1871647115 |
21250 |
21250 |
38.4682973152 |
-122.707921848 |
| -118.247289903007 |
34.0446504956239 |
312 |
Jones, James |
1013093194 |
Physician |
PSYCHIATRY |
529 Maple Ave |
Los Angeles |
Los Angeles |
90013 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.044650496 |
-118.247289903 |
| -122.407149450087 |
37.7614542154398 |
343 |
Raider, Andrea |
1013136332 |
Nurse Practitioner |
UNKNOWN |
625 Potrero Ave., |
San Francisco |
San Francisco |
94110 |
California |
2016 |
2017 |
5 |
MU |
OF CALIFORNIA UNIVERSITY |
1407821523 |
55250 |
8500 |
37.7614542151 |
-122.40714945 |
| -117.154484999583 |
32.8007430002893 |
355 |
Braddock, Adam |
1013163542 |
Physician |
UNKNOWN |
7910 Frost St, Suite 350 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
45333.34 |
8500 |
32.800743 |
-117.154485 |
| -119.251855838176 |
34.2762568924417 |
401 |
Hong, Teresa |
1013251396 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1538300488 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.212876253836 |
34.2683172367511 |
431 |
Loft, Lindsay |
1013315316 |
Nurse Practitioner |
UNKNOWN |
800 S. Victoria Ave., L#6515 |
Ventura |
Ventura |
93009 |
California |
2020 |
2020 |
3 |
MU |
OF VENTURA COUNTY |
1629167457 |
38250 |
8500 |
34.2683172371 |
-119.212876254 |
| -117.195866999562 |
33.9120180000307 |
458 |
Johnson, Ronald |
1013913722 |
Physician |
UNKNOWN |
26520 Cactus Ave. |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
6 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
63750 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
474 |
GARRISON, ROGER |
1013941475 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -119.780864423055 |
34.4451847074084 |
481 |
Preciado, Josephine |
1013948256 |
Physician |
INTERNAL MEDICINE |
300 N San Antonio Rd |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
3 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
38250 |
8500 |
34.4451847073 |
-119.780864423 |
| -120.470578458129 |
34.6423986315916 |
491 |
McGandy, Julianne |
1013964238 |
Nurse Practitioner |
UNKNOWN |
301 N R St |
Lompoc |
Santa Barbara |
93436 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.6423986321 |
-120.470578458 |
| -119.251855838176 |
34.2762568924417 |
492 |
Frias, Carlos |
1013962422 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.108242892196 |
33.9643651126599 |
511 |
Magana, Omar |
1023016441 |
Physician |
FAMILY PRACTICE |
8338 Rosemead Blvd |
Pico Rivera |
Los Angeles |
90660 |
California |
2012 |
2013 |
1 |
AIU |
OMAR MD MAGANA |
1023016441 |
21250 |
21250 |
33.9643651127 |
-118.108242892 |
| -117.195866999562 |
33.9120180000307 |
518 |
James, Joseph |
1023030327 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
537 |
Bray, Darren |
1023046828 |
Physician |
UNKNOWN |
3291 Loma Vista road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.154484999583 |
32.8007430002893 |
576 |
Gist, Lauren |
1023105335 |
Physician |
UNKNOWN |
7910 Frost St., Suite 360 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
3 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
31166.67 |
8500 |
32.800743 |
-117.154485 |
| -117.195866999562 |
33.9120180000307 |
583 |
Skoretz, Lynnetta |
1023110343 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -118.010123999823 |
34.1372339996494 |
600 |
Pawlowska, Anna |
1023125804 |
Physician |
PEDIATRIC MEDICINE |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2018 |
2019 |
6 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
63750 |
8500 |
34.137234 |
-118.010124 |
| -119.251855838176 |
34.2762568924417 |
626 |
Gomez, Ramon |
1023172558 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.010123999823 |
34.1372339996494 |
636 |
Sorrell, April |
1023192085 |
Physician |
PEDIATRIC MEDICINE |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2013 |
2014 |
2 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
29750 |
8500 |
34.137234 |
-118.010124 |
| -117.195866999562 |
33.9120180000307 |
709 |
Seigler, David |
1023396132 |
Physician |
UNKNOWN |
26520 cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -122.028234999645 |
36.9726650001896 |
745 |
whitehead, allison |
1023555992 |
Nurse Practitioner |
UNKNOWN |
1080 Emeline, County of Santa Cruz Health Services Agency |
Santa Cruz |
Santa Cruz |
95060 |
California |
2019 |
2020 |
4 |
MU |
OF SANTA CRUZ DBA COUNTY |
1578680310 |
46750 |
8500 |
36.972665 |
-122.028235 |
| -121.849011657762 |
36.6017043158016 |
750 |
Kennedy, Caroline |
1033122478 |
Physician |
UNKNOWN |
1150 Fremont Blvd |
Seaside |
Monterey |
93955 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY COUNTY |
1881645158 |
63750 |
8500 |
36.6017043161 |
-121.849011658 |
| -117.195866999562 |
33.9120180000307 |
752 |
LAM, MICHAEL |
1033122601 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -119.779455296025 |
34.4448206996157 |
762 |
Landsberg, John |
1033131511 |
Physician |
FAMILY PRACTICE |
345 Camino Del Remedio |
Santa Barbara |
Santa Barbara |
93110 |
California |
2011 |
2012 |
1 |
AIU |
OF SANTA BARBARA COUNTY |
1841357449 |
21250 |
21250 |
34.4448207003 |
-119.779455296 |
| -117.987943500392 |
33.7569749997965 |
803 |
Habeeb El-Zayat, Onsi |
1033205554 |
Physician |
UNKNOWN |
14140 Beach Blvd, Ste. 223 |
Westminster |
Orange |
92683 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.756975 |
-117.9879435 |
| -124.198708499697 |
41.7727514757001 |
853 |
Wellman, Susan |
1033272406 |
Dentist |
UNKNOWN |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2011 |
2012 |
1 |
AIU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
21250 |
21250 |
41.7727514761 |
-124.1987085 |
| -119.251855838176 |
34.2762568924417 |
856 |
Sportelli, Marisa |
1033273099 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
869 |
loh, jeffrey |
1033288428 |
Dentist |
UNKNOWN |
26520cactus ave |
moreno valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -118.452538954009 |
34.3241258399356 |
879 |
Tolentino, Rhodora |
1033318191 |
Physician |
PSYCHIATRY |
14659 Olive View Dr |
Sylmar |
UNKNOWN |
91342 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.3241258402 |
-118.452538954 |
| -118.247289903007 |
34.0446504956239 |
901 |
Greenblatt, Douglas |
1033369517 |
Physician |
PSYCHIATRY |
529 Maple Ave |
Los Angeles |
Los Angeles |
90013 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.044650496 |
-118.247289903 |
| -117.195866999562 |
33.9120180000307 |
921 |
Williams, Tokunbo |
1033422274 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.455048185925 |
33.9156370338221 |
938 |
Vera, Edward |
1033468368 |
Dentist |
UNKNOWN |
9939 MAGNOLIA AVE |
Riverside |
Riverside |
92503 |
California |
2014 |
2014 |
1 |
AIU |
OJ DDS INC KWON |
1881741429 |
21250 |
21250 |
33.9156370345 |
-117.455048186 |
| -117.195866999562 |
33.9120180000307 |
955 |
Parmar, Monish |
1033505813 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -121.031767615983 |
39.2202332261825 |
994 |
Cifelli, Christine |
1043209059 |
Nurse Practitioner |
UNKNOWN |
500 Crown Point Circle, Suite 110 |
Grass Valley |
Nevada |
95945 |
California |
2020 |
2020 |
5 |
MU |
OF NEVADA COUNTY |
1700959863 |
55250 |
8500 |
39.2202332264 |
-121.031767616 |
| -117.195866999562 |
33.9120180000307 |
1084 |
Agapian, John |
1043361470 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -118.039724999709 |
34.0717679996935 |
1109 |
Perez, Omar |
1043393465 |
Physician |
INTERNAL MEDICINE |
10728 E Ramona Blvd, Suite A |
El Monte |
Los Angeles |
91731 |
California |
2016 |
2017 |
5 |
MU |
OMAR MD INC PEREZ |
1043393465 |
55250 |
8500 |
34.071768 |
-118.039725 |
| -124.086124204668 |
40.8698001399645 |
1127 |
Zolna, Janae |
1043426349 |
Physician |
FAMILY PRACTICE |
770 10th Street |
Arcata |
Humboldt |
95521 |
California |
2012 |
2013 |
2 |
MU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
29750 |
8500 |
40.8698001396 |
-124.086124205 |
| -122.297259006798 |
37.8679922460454 |
1138 |
malgesini, marsha |
1043461544 |
Nurse Practitioner |
UNKNOWN |
830 University Avenue |
Berkeley |
Alameda |
94710 |
California |
2017 |
2018 |
5 |
MU |
OF BERKELEY CITY |
1902944796 |
55250 |
8500 |
37.8679922459 |
-122.297259007 |
| -119.251855838176 |
34.2762568924417 |
1144 |
CARLISLE, LISABETH |
1043473796 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.926562544026 |
33.633120543878 |
1187 |
Kaska, Benjamin |
1043575723 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2019 |
2020 |
6 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
63750 |
8500 |
33.6331205442 |
-117.926562544 |
| -119.251855838176 |
34.2762568924417 |
1194 |
UNDERWOOD, SCOTT |
1043592678 |
Physician |
INTERNAL MEDICINE |
3291 LOMA VISTA RD |
VENTURA |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
1218 |
Leal, Carlos |
1043648132 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
3 |
MU |
OF VENTURA COUNTY |
1538300488 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.154484999583 |
32.8007430002893 |
1248 |
Gahagan, Sheila |
1053327221 |
Physician |
UNKNOWN |
7910 Frost St., Suite 360 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
39666.67 |
8500 |
32.800743 |
-117.154485 |
| -117.195866999562 |
33.9120180000307 |
1316 |
Sutjita, Made |
1053428334 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
1338 |
REED, MICHAEL |
1053463703 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
1347 |
FRANCKE, WENDY |
1053477646 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.972729000243 |
33.7157144748432 |
1355 |
ALLAM, AFDAL |
1053486605 |
Physician |
FAMILY PRACTICE |
8970 Warner Ave |
Fountain Valley |
Orange |
92708 |
California |
2014 |
2015 |
4 |
MU |
ONE FAMILY MEDICAL MED |
1578520144 |
46750 |
8500 |
33.7157144754 |
-117.972729 |
| -118.291622522861 |
34.0640279997924 |
1360 |
Thompson, Christopher |
1053491886 |
Physician |
UNKNOWN |
550 S Vermont Ave, 3rd Floor |
Los Angeles |
Los Angeles |
90020 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.064028 |
-118.291622523 |
| -119.251855838176 |
34.2762568924417 |
1387 |
Horwitz, Michele |
1053535724 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.456646999859 |
38.5524089999754 |
1390 |
Martin, Madelena |
1053539015 |
Physician |
UNKNOWN |
2516 Stockton Blvd |
Sacramento |
Sacramento |
95817 |
California |
2017 |
2018 |
6 |
MU |
OF THE UNIVERSITY REGENTS |
1831182856 |
17000 |
8500 |
38.552409 |
-121.456647 |
| -121.619564999925 |
36.7010549996886 |
1396 |
Causey, Elizabeth |
1053544254 |
Nurse Practitioner |
UNKNOWN |
1615 Bunker Hill Way, Suite 100 |
Salinas |
Monterey |
93906 |
California |
2017 |
2018 |
6 |
MU |
OF MONTEREY COUNTY |
1457303356 |
63750 |
8500 |
36.701055 |
-121.619565 |
| -122.221874097112 |
37.7858645730916 |
1425 |
Selassie I, Immanuel |
1053601039 |
Dentist |
UNKNOWN |
2322 Fruitvale Ave. |
Oakland |
Alameda |
94601 |
California |
2013 |
2014 |
1 |
AIU |
OAKLAND HEALTH COUN WEST |
1306967021 |
21250 |
21250 |
37.7858645734 |
-122.221874097 |
| -119.251855838176 |
34.2762568924417 |
1431 |
Chen, Isabella |
1053621730 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
3 |
MU |
OF VENTURA COUNTY |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
1510 |
STENNETTE, DENISE |
1063441327 |
Physician |
ORTHOPEDIC SURGERY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
42500 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.010123999823 |
34.1372339996494 |
1518 |
Santander, Maria |
1063464592 |
Physician |
PEDIATRIC MEDICINE |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2012 |
2013 |
1 |
AIU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
21250 |
21250 |
34.137234 |
-118.010124 |
| -122.297259006798 |
37.8679922460454 |
1539 |
kimball, sharon |
1063508703 |
Nurse Practitioner |
UNKNOWN |
830 University Ave |
Berkeley |
Alameda |
94710 |
California |
2017 |
2018 |
3 |
MU |
OF BERKELEY CITY |
1902944796 |
38250 |
8500 |
37.8679922459 |
-122.297259007 |
| -117.926562544026 |
33.633120543878 |
1559 |
Nguyen, Anh |
1063542215 |
Dentist |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2016 |
2017 |
1 |
AIU |
OUR SELVES CORP SHARE |
1508073685 |
21250 |
21250 |
33.6331205442 |
-117.926562544 |
| -119.781510926788 |
36.7777735149358 |
1599 |
Dyoco, Orlantino |
1063591469 |
Physician |
UNKNOWN |
3006 N Fresno St |
Fresno |
Fresno |
93703 |
California |
2011 |
2012 |
1 |
AIU |
ORLANTINO G MD DYOCO |
1063591469 |
21250 |
21250 |
36.7777735146 |
-119.781510927 |
| -117.926562544026 |
33.633120543878 |
1617 |
Benjamin, Samuel |
1063625424 |
Physician |
UNKNOWN |
1550 SUPERIOR AVE |
COSTA MESA |
Orange |
92627 |
California |
2018 |
2019 |
2 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
29750 |
8500 |
33.6331205442 |
-117.926562544 |
| -120.644459418767 |
35.2477597391207 |
1622 |
Stilphen, Mark |
1063630630 |
Physician |
INTERNAL MEDICINE |
689 Tank Farm Rd, Suite 220 |
San Luis Obispo |
San Luis Obispo |
93401 |
California |
2011 |
2013 |
1 |
AIU |
OF SANTA BARBARA COUNTY |
1841357449 |
21250 |
21250 |
35.2477597385 |
-120.644459419 |
| -117.287330703749 |
34.1055752960631 |
1651 |
Berger, Christopher |
1063679017 |
Physician |
UNKNOWN |
351 N. Mt. View Ave. |
San Bernardino |
San Bernardino |
92415 |
California |
2020 |
2020 |
4 |
MU |
OF SAN BERNARDINO COUNTY |
1578535845 |
46750 |
8500 |
34.1055752957 |
-117.287330704 |
| -117.67935599978 |
33.6259710001616 |
1656 |
Plant, Darolyn |
1063693968 |
Nurse Practitioner |
UNKNOWN |
23228 Madero |
Mission Viejo |
UNKNOWN |
92621 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.625971 |
-117.679356 |
| -124.198708499697 |
41.7727514757001 |
1660 |
Chiang, Robert |
1063699452 |
Dentist |
UNKNOWN |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2012 |
2013 |
1 |
AIU |
OPEN DOOR CLIN HUMBOLDT |
1881873958 |
21250 |
21250 |
41.7727514761 |
-124.1987085 |
| -117.370376975717 |
34.0930831849411 |
1673 |
Young, MinhKy |
1063717247 |
Dentist |
UNKNOWN |
436 South Riverside Avenue, Suite B |
Rialto |
San Bernardino |
92376 |
California |
2016 |
2017 |
1 |
AIU |
OH J DDS INC KWON |
1235286758 |
21250 |
21250 |
34.0930831851 |
-117.370376976 |
| -117.195866999562 |
33.9120180000307 |
1739 |
Eke, Chibuzo |
1063890093 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -117.926562544026 |
33.633120543878 |
1740 |
Nguyen, Christina |
1063894988 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2020 |
2020 |
5 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
55250 |
8500 |
33.6331205442 |
-117.926562544 |
| -119.51709129113 |
34.3969346712981 |
1761 |
Edelstein, William |
1073527875 |
Physician |
INTERNAL MEDICINE |
931 Walnut Ave |
Carpinteria |
Santa Barbara |
93013 |
California |
2013 |
2014 |
3 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
38250 |
8500 |
34.3969346711 |
-119.517091291 |
| -124.198708499697 |
41.7727514757001 |
1804 |
Patkowski, Danuta |
1073609996 |
Dentist |
UNKNOWN |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2011 |
2012 |
1 |
AIU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
21250 |
21250 |
41.7727514761 |
-124.1987085 |
| -121.102682976038 |
38.9395720879815 |
1852 |
Ralli, Carol |
1073669701 |
Nurse Practitioner |
UNKNOWN |
11583 C Avenue |
Auburn |
Placer |
95603 |
California |
2013 |
2014 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -119.251855838176 |
34.2762568924417 |
1864 |
Noah, Jerold |
1073680336 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.022159053897 |
34.1084790963333 |
1865 |
Cristobal, Marita |
1073688628 |
Physician |
PSYCHIATRY |
330 E Live Oak Ave |
Arcadia |
Los Angeles |
91006 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.1084790963 |
-118.022159054 |
| -117.959778000155 |
33.9277950000393 |
1920 |
Guardado, Esther |
1073794152 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
501 S. Idaho Street, Suite 100 |
La Habra |
Orange |
90631 |
California |
2020 |
2020 |
4 |
MU |
OF THE FAMILY FRIENDS |
1871818138 |
46750 |
8500 |
33.927795 |
-117.959778 |
| -119.251855838176 |
34.2762568924417 |
1944 |
Bhutra, Joni |
1073848123 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1538300488 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
1953 |
Rodriguez, Soraida |
1073888202 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
1962 |
Charoensook, Janet |
1073929287 |
Physician |
UNKNOWN |
26520 Cactus Ave |
moreno valley |
UNKNOWN |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
2118 |
Cervantes, Miguel |
1083777023 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.850557149893 |
39.7536993916137 |
2135 |
MIAN, ABID |
1083793301 |
Physician |
UNKNOWN |
109 Parmac Rd |
Chico |
Butte |
95926 |
California |
2016 |
2017 |
1 |
AIU |
of Behavioral Health Dept |
1386704393 |
21250 |
21250 |
39.7536993924 |
-121.85055715 |
| -119.251855838176 |
34.2762568924417 |
2184 |
Young, Pari |
1083880918 |
Physician |
NEUROLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
2281 |
Arcilla, John-Vincent |
1093100463 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -117.959778000155 |
33.9277950000393 |
2303 |
Andrade, RiaRowena |
1093159493 |
Physician |
UNKNOWN |
501 S Idaho st |
La Habra |
Orange |
90631 |
California |
2020 |
2020 |
4 |
MU |
OF THE FAMILY FRIENDS |
1871818138 |
46750 |
8500 |
33.927795 |
-117.959778 |
| -121.418158500215 |
38.5725509998288 |
2349 |
Maagdenberg, Tanya |
1093762833 |
Physician |
OBSTETRICS/GYNECOLOGY |
77 Cadillac Dr, Suite 230 |
Sacramento |
Sacramento |
95825 |
California |
2011 |
2012 |
1 |
AIU |
OB/GYN INC CAPITAL |
1730136680 |
21250 |
21250 |
38.572551 |
-121.4181585 |
| -117.195866999562 |
33.9120180000307 |
2369 |
Lazar, Shellee |
1093806382 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -122.242828694688 |
37.7817946444073 |
2406 |
Hinson, James |
1093855181 |
Physician |
PSYCHIATRY |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -118.189527588328 |
33.8349609646768 |
2412 |
WHITE, O.C. |
1093866063 |
Physician |
UNKNOWN |
4201 Long Beach Blvd, 230 |
Long Beach |
Los Angeles |
90807 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8349609647 |
-118.189527588 |
| -117.866853000166 |
33.7811759997726 |
2451 |
Le, Mailinh |
1093914608 |
Physician |
UNKNOWN |
455 S. Main St. |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -117.195866999562 |
33.9120180000307 |
2487 |
Baye, Zebayel |
1093988628 |
Physician |
UNKNOWN |
26520 Cactus Ave, RUHS |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
2495 |
Muzaffer, Riffat |
1093999294 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -122.242828694688 |
37.7817946444073 |
2517 |
Sehgal, Seema |
1104038967 |
Physician |
PSYCHIATRY |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -124.198708499697 |
41.7727514757001 |
2521 |
Jones, Dwight |
1104040864 |
Dentist |
UNKNOWN |
550 East Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2011 |
2012 |
1 |
AIU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
21250 |
21250 |
41.7727514761 |
-124.1987085 |
| -117.195866999562 |
33.9120180000307 |
2530 |
McLaughlin, Nathan |
1104069889 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
UNKNOWN |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.302170499569 |
33.6589559996198 |
2622 |
Loya, Mary |
1104817436 |
Nurse Practitioner |
UNKNOWN |
2499 E Lakeshore Dr |
Lake Elsinore |
Riverside |
92530 |
California |
2017 |
2018 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.658956 |
-117.3021705 |
| -117.195866999562 |
33.9120180000307 |
2664 |
Tyler, Darlene |
1104880962 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -117.122650002795 |
32.812365973311 |
2665 |
Boies, Eyla |
1104884337 |
Physician |
UNKNOWN |
3860 Calle Fortunada, Suite 200 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
45333.34 |
8500 |
32.8123659731 |
-117.122650003 |
| -118.326603468675 |
34.0932599997493 |
2755 |
Choi, Myeong |
1114003803 |
Physician |
PSYCHIATRY |
1224 Vine St |
Los Angeles |
Los Angeles |
90038 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.09326 |
-118.326603469 |
| -118.299151203665 |
33.829827436587 |
2783 |
Tsuang, John |
1114036050 |
Physician |
PSYCHIATRY |
21840 Normandie Ave, Ste. 200 |
Torrance |
Los Angeles |
90502 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8298274367 |
-118.299151204 |
| -117.702663728348 |
33.5725056651044 |
2787 |
Taylor, Terrence |
1114039658 |
Physician |
UNKNOWN |
5 Mareblu, Ste. 100 |
Aliso Viejo |
Orange |
92656 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.5725056653 |
-117.702663728 |
| -122.242828694688 |
37.7817946444073 |
2794 |
Edwards, Neal |
1114052321 |
Physician |
PSYCHIATRY |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -119.251855838176 |
34.2762568924417 |
2817 |
Williams, Michael |
1114089562 |
Physician |
GENERAL SURGERY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
2825 |
STARR, WILLIAM |
1114097516 |
Physician |
PLASTIC AND RECONSTRUCTIVE SURGERY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2016 |
2017 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
2917 |
Watkins, Brigitte |
1114275930 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -118.423223999688 |
34.1573130001948 |
2949 |
SILVERBERG, HARVEY |
1114910106 |
Physician |
UNKNOWN |
13320 Riverside Dr, 114 |
Sherman Oaks |
Los Angeles |
91423 |
California |
2013 |
2014 |
2 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
29750 |
8500 |
34.157313 |
-118.423224 |
| -121.849011657762 |
36.6017043158016 |
2963 |
SOSA, RENEE |
1114942620 |
Physician |
UNKNOWN |
1150 Fremont Blvd |
Seaside |
Monterey |
93955 |
California |
2018 |
2019 |
6 |
MU |
OF MONTEREY COUNTY |
1881645158 |
63750 |
8500 |
36.6017043161 |
-121.849011658 |
| -119.251855838176 |
34.2762568924417 |
2974 |
Araujo, David |
1114955994 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.299151203665 |
33.829827436587 |
2994 |
Grosjean, Bernadette |
1114992146 |
Physician |
PSYCHIATRY |
21840 Normandie Ave, Ste. 200 |
Torrance |
Los Angeles |
90502 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8298274367 |
-118.299151204 |
| -118.099141577722 |
33.8701286160428 |
3084 |
ILAGAN, ESTELA |
1124117064 |
Physician |
PSYCHIATRY |
17707 Studebaker Rd, SUITE # 208 |
Cerritos |
Los Angeles |
90703 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8701286164 |
-118.099141578 |
| -117.955846488824 |
33.7447830949639 |
3102 |
Tran, Oanh |
1124134184 |
Dentist |
UNKNOWN |
9938 Bolsa Ave, Suite 106 |
Westminster |
Orange |
92683 |
California |
2014 |
2015 |
1 |
AIU |
Oanh Thi Tran |
1124134184 |
21250 |
21250 |
33.7447830952 |
-117.955846489 |
| -122.242828694688 |
37.7817946444073 |
3123 |
Reddy, Giridhar |
1124166012 |
Physician |
PSYCHIATRY |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -119.251855838176 |
34.2762568924417 |
3136 |
DAVIS, ELIZABETH |
1124184445 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
3178 |
EVERHART, KATHLENE |
1124229612 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
UNKNOWN |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -118.280834826666 |
33.7378414178472 |
3198 |
Covarrubias, Carolina |
1124260914 |
Physician |
UNKNOWN |
150 W 7th St |
San Pedro |
Los Angeles |
90731 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.737841418 |
-118.280834827 |
| -117.195866999562 |
33.9120180000307 |
3240 |
Lee, Peter |
1124326574 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2019 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -117.201105000096 |
33.9384300003443 |
3256 |
San, Tin |
1124362546 |
Physician |
UNKNOWN |
26520 |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.93843 |
-117.201105 |
| -117.195866999562 |
33.9120180000307 |
3267 |
Love, Bryan |
1124386909 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -121.634037000008 |
36.697248000395 |
3338 |
Bright, Debra |
1134153968 |
Physician |
UNKNOWN |
1441 Constitution Blvd, Pediatrics Department |
Salinas |
Monterey |
93906 |
California |
2018 |
2019 |
4 |
MU |
OF MONTEREY COUNTY |
1457303356 |
46750 |
8500 |
36.697248 |
-121.634037 |
| -117.285168011395 |
34.1376570002704 |
3354 |
Diamreyan, Ochuko |
1134171408 |
Physician |
PSYCHIATRY |
2380 N Sierra Way |
San Bernardino |
San Bernardino |
92405 |
California |
2014 |
2015 |
3 |
MU |
OCHUKO G MD DIAMREYAN |
1134171408 |
38250 |
8500 |
34.137657 |
-117.285168011 |
| -120.647012895329 |
35.2750237877177 |
3376 |
Kusumoto, Haruo |
1134214026 |
Physician |
UNKNOWN |
2191 Johnson Avenue |
San Luis Obispo |
San Luis Obispo |
93401 |
California |
2016 |
2017 |
1 |
AIU |
OF SAN LUIS OBISPO COUNTY |
1518064948 |
21250 |
21250 |
35.2750237879 |
-120.647012895 |
| -119.251855838176 |
34.2762568924417 |
3431 |
Miller, Jeffrey |
1134283351 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
3434 |
Laba, Michelle |
1134283559 |
Physician |
PEDIATRIC MEDICINE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2016 |
2017 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.344294000268 |
33.8979689996697 |
3467 |
Saavedra, Olga |
1134332752 |
Dentist |
UNKNOWN |
14705 Prairie Ave |
Lawndale |
Los Angeles |
90260 |
California |
2017 |
2018 |
2 |
MU |
OLGA PATRICIA DDS SAAVEDRA |
1134332752 |
29750 |
8500 |
33.897969 |
-118.344294 |
| -117.195866999562 |
33.9120180000307 |
3496 |
Nguyen, Truclinh |
1134385685 |
Physician |
UNKNOWN |
26520 Cactus Ave |
moreno valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -120.725519611741 |
35.3212082717444 |
3586 |
KIAN, HOMAN |
1144222571 |
Physician |
UNKNOWN |
1585 Kansas Ave |
san luis obispo |
San Luis Obispo |
93405 |
California |
2016 |
2016 |
1 |
AIU |
OF SAN LUIS OBISPO COUNTY |
1518064948 |
21250 |
21250 |
35.3212082715 |
-120.725519612 |
| -118.299151203665 |
33.829827436587 |
3590 |
Read, Mary |
1144231010 |
Physician |
PSYCHIATRY |
21840 Normandie Ave, Ste. 200 |
Torrance |
Los Angeles |
90502 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8298274367 |
-118.299151204 |
| -117.866853000166 |
33.7811759997726 |
3669 |
Triebwasser, Harvey |
1144352840 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2015 |
2017 |
4 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -118.189907999754 |
33.7932810004179 |
3687 |
cavanagh, edward |
1144380015 |
Physician |
PSYCHIATRY |
1975 Long Beach Blvd |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.793281 |
-118.189908 |
| -117.887971500085 |
33.8190750001112 |
3708 |
Cheung, David |
1144397142 |
Physician |
UNKNOWN |
2035 E Ball Road |
Anaheim |
Orange |
92806 |
California |
2016 |
2017 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.819075 |
-117.8879715 |
| -117.397681592731 |
33.9389584203948 |
3748 |
McLeod, Margaret |
1144472580 |
Physician |
UNKNOWN |
7140 Indiana Ave |
Riverside |
Riverside |
92504 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.9389584199 |
-117.397681593 |
| -119.251855838176 |
34.2762568924417 |
3849 |
NG, ROSALIND |
1154322311 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.51709129113 |
34.3969346712981 |
3855 |
Malinoff, Frances |
1154340016 |
Physician |
PEDIATRIC MEDICINE |
931 Walnut Ave |
Carpinteria |
Santa Barbara |
93013 |
California |
2012 |
2013 |
2 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
29750 |
8500 |
34.3969346711 |
-119.517091291 |
| -121.849011657762 |
36.6017043158016 |
3864 |
Cantos, Rolando |
1154349488 |
Physician |
UNKNOWN |
1150 Fremont Blvd |
Seaside |
Monterey |
93955 |
California |
2019 |
2020 |
4 |
MU |
OF MONTEREY COUNTY |
1881645158 |
46750 |
8500 |
36.6017043161 |
-121.849011658 |
| -117.752584126556 |
33.5139805958279 |
3868 |
Stonehill, Anna-Lisa |
1154350775 |
Physician |
UNKNOWN |
21632 Wesley Dr |
Laguna Beach |
UNKNOWN |
92651 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.5139805964 |
-117.752584127 |
| -119.251855838176 |
34.2762568924417 |
3877 |
Davidson, Wendy |
1154360154 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -118.54629018994 |
34.4203729166768 |
3884 |
Bong, Paul |
1154385599 |
Physician |
PSYCHIATRY |
23501 Cinema Dr, Suite 200 |
Valencia |
Los Angeles |
91355 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.4203729173 |
-118.54629019 |
| -122.707921848415 |
38.4682973146694 |
3894 |
Walker, Lisa |
1154399723 |
Physician |
UNKNOWN |
3322 Chanate Rd |
Santa Rosa |
Sonoma |
95407 |
California |
2015 |
2016 |
1 |
AIU |
OF SONOMA COUNTY |
1871647115 |
21250 |
21250 |
38.4682973152 |
-122.707921848 |
| -118.099141577722 |
33.8701286160428 |
3909 |
Camilleri, Christopher |
1154419836 |
Physician |
PSYCHIATRY |
17707 Studebaker Rd |
Cerritos |
Los Angeles |
90703 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8701286164 |
-118.099141578 |
| -117.926562544026 |
33.633120543878 |
3954 |
pereyda, margarita |
1154476174 |
Physician |
INTERNAL MEDICINE |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2012 |
2013 |
2 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
29750 |
8500 |
33.6331205442 |
-117.926562544 |
| -119.251855838176 |
34.2762568924417 |
3962 |
Levin, Robert |
1154485597 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -117.455048185925 |
33.9156370338221 |
3972 |
Kim, James |
1154499291 |
Dentist |
UNKNOWN |
9939 MAGNOLIA AVE |
RIVERSIDE |
Riverside |
92503 |
California |
2016 |
2016 |
1 |
AIU |
OJ DDS INC KWON |
1881741429 |
21250 |
21250 |
33.9156370345 |
-117.455048186 |
| -118.441443531394 |
34.059425292943 |
3980 |
Lee, Andrew |
1154507440 |
Physician |
UNKNOWN |
10850 Wilshire Blvd Ste 850 |
Los Angeles |
Los Angeles |
90024 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.0594252925 |
-118.441443531 |
| -119.251855838176 |
34.2762568924417 |
3985 |
sherman, carol |
1154515096 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -122.132916000373 |
38.0065680004129 |
4002 |
Shapiro, Eileen |
1154544062 |
Physician |
UNKNOWN |
2500 Alhambra Ave |
Martinez |
Contra Costa |
94553 |
California |
2016 |
2017 |
1 |
AIU |
of Mental Health Department |
1780705376 |
21250 |
21250 |
38.006568 |
-122.132916 |
| -117.179723886448 |
33.9101189996921 |
4072 |
Ogunlade, John |
1154733723 |
Physician |
UNKNOWN |
26250 Catus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.910119 |
-117.179723886 |
| -119.251855838176 |
34.2762568924417 |
4080 |
Van Ravenswaay, Jonathan |
1154768588 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
VENTURA |
Ventura |
93003 |
California |
2018 |
2019 |
2 |
MU |
OF VENTURA COUNTY |
1538300488 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.179723886448 |
33.9101189996921 |
4125 |
Cobbina, Ekua |
1164454252 |
Physician |
UNKNOWN |
26250 Cactus |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.910119 |
-117.179723886 |
| -117.195866999562 |
33.9120180000307 |
4162 |
Chitsazan, Morteza |
1164513677 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -118.010123999823 |
34.1372339996494 |
4179 |
Rosenthal, Joseph |
1164526448 |
Physician |
UNKNOWN |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2018 |
2019 |
6 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
63750 |
8500 |
34.137234 |
-118.010124 |
| -117.866853000166 |
33.7811759997726 |
4189 |
Roche, Alexandra |
1164540126 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -118.53382557559 |
34.1424979303353 |
4206 |
Hudson, Bernard |
1164565875 |
Physician |
UNKNOWN |
18509 Marblehead Way |
Tarzana |
Los Angeles |
91356 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.1424979298 |
-118.533825576 |
| -121.634037000008 |
36.697248000395 |
4273 |
Palma Fiallos, Elsy |
1164664322 |
Physician |
FAMILY PRACTICE |
1441 Constitution Blvd, Bldg. 200, Floor One, Suite 103 |
Salinas |
Monterey |
93906 |
California |
2018 |
2019 |
6 |
MU |
OF MONTEREY COUNTY |
1588615629 |
63750 |
8500 |
36.697248 |
-121.634037 |
| -122.185767442014 |
37.7586442774115 |
4296 |
Miao, Allen |
1164710315 |
Physician |
UNKNOWN |
7450 International Blvd |
Oakland |
UNKNOWN |
94621 |
California |
2016 |
2018 |
1 |
AIU |
OAKLAND HEALTH COUN WEST |
1306967021 |
21250 |
21250 |
37.7586442767 |
-122.185767442 |
| -117.195866999562 |
33.9120180000307 |
4313 |
Khait, Albert |
1164752168 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -117.154484999583 |
32.8007430002893 |
4388 |
Willies-Jacobo, Linidia |
1174556179 |
Physician |
UNKNOWN |
7910 Frost St., Suite 350 |
San Diego |
San Diego |
92123 |
California |
2018 |
2019 |
4 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
36833.34 |
8500 |
32.800743 |
-117.154485 |
| -119.251855838176 |
34.2762568924417 |
4396 |
Tuero, Sandra |
1174561898 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -120.470578458129 |
34.6423986315916 |
4431 |
Kokatnur, Rani |
1174629984 |
Nurse Practitioner |
NURSE PRACTITIONER |
301 North "R" St |
LOMPOC |
Santa Barbara |
93436 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.6423986321 |
-120.470578458 |
| -119.253438000164 |
34.2771209997344 |
4470 |
Tran, Hang |
1174677157 |
Physician |
UNKNOWN |
300 Hillmont Avenue |
Ventura |
Ventura |
93009 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.277121 |
-119.253438 |
| -119.251855838176 |
34.2762568924417 |
4478 |
Dunlop, Thomas |
1174683502 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
4480 |
Schweitzer, jeremy |
1174687297 |
Physician |
GENERAL PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
4482 |
Kelley, Frederick |
1174687560 |
Physician |
OBSTETRICS/GYNECOLOGY |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.010123999823 |
34.1372339996494 |
4510 |
Clancy, Sharon |
1174717649 |
Physician |
UNKNOWN |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2016 |
2017 |
4 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
46750 |
8500 |
34.137234 |
-118.010124 |
| -117.195866999562 |
33.9120180000307 |
4533 |
Hao, Minqi |
1174757819 |
Physician |
UNKNOWN |
26520 cactus ave |
moreno valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -118.010123999823 |
34.1372339996494 |
4536 |
Vito, Courtney |
1174763643 |
Physician |
GENERAL SURGERY |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2016 |
2017 |
5 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
55250 |
8500 |
34.137234 |
-118.010124 |
| -119.251855838176 |
34.2762568924417 |
4541 |
Shishim, Elmira |
1174777536 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.370376975717 |
34.0930831849411 |
4562 |
Ortega, Julio |
1174816870 |
Dentist |
UNKNOWN |
436 South Riverside Avenue, Suite B |
Rialto |
San Bernardino |
92376 |
California |
2016 |
2017 |
1 |
AIU |
OH J DDS INC KWON |
1235286758 |
21250 |
21250 |
34.0930831851 |
-117.370376976 |
| -117.926562544026 |
33.633120543878 |
4596 |
Fitz-William, Deirdre |
1174939953 |
Nurse Practitioner |
UNKNOWN |
1550 Superior Ave. |
Costa Mesa |
Orange |
92627 |
California |
2018 |
2019 |
4 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
46750 |
8500 |
33.6331205442 |
-117.926562544 |
| -117.154484999583 |
32.8007430002893 |
4634 |
Kumar, Maya |
1184066367 |
Physician |
UNKNOWN |
7910 Frost St, Suite 300 |
San Diego |
San Diego |
92123 |
California |
2018 |
2019 |
3 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
31166.67 |
8500 |
32.800743 |
-117.154485 |
| -119.251855838176 |
34.2762568924417 |
4666 |
GARDNER, RICHARD |
1184644858 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.634037000008 |
36.697248000395 |
4679 |
Edwards, Charles |
1184665200 |
Physician |
PEDIATRIC MEDICINE |
1441 Constitution Blvd, Bldg. 200, Floor One, Suite 101 |
Salinas |
Monterey |
93906 |
California |
2018 |
2019 |
5 |
MU |
OF MONTEREY COUNTY |
1457303356 |
55250 |
8500 |
36.697248 |
-121.634037 |
| -117.195866999562 |
33.9120180000307 |
4688 |
Allen, Scott |
1184681710 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -118.099141577722 |
33.8701286160428 |
4713 |
Mirza, Fazal-ur-Rahman |
1184712333 |
Physician |
PSYCHIATRY |
17707 Studebaker Rd |
Cerritos |
Los Angeles |
90703 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8701286164 |
-118.099141578 |
| -117.917818704669 |
33.8350821528192 |
4721 |
Dominguez-Wilson, Maria |
1184718835 |
Nurse Practitioner |
UNKNOWN |
303 W Lincoln Ave, Ste. 130 |
Anaheim |
Unknown |
92686 |
California |
2015 |
2017 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.8350821535 |
-117.917818705 |
| -121.850547804138 |
39.7537258577622 |
4731 |
Adeyemo, Adegoke |
1184732117 |
Physician |
UNKNOWN |
109 PARMAC RD STE # 1 |
CHICO |
Butte |
95926 |
California |
2013 |
2014 |
1 |
AIU |
of Behavioral Health Dept |
1386704393 |
21250 |
21250 |
39.7537258582 |
-121.850547804 |
| -120.428700592658 |
34.9228766912064 |
4737 |
Pinto, Moneesha |
1184730780 |
Physician |
INTERNAL MEDICINE |
2115 Centerpointe Pkwy, Public Health Department |
Santa Maria |
Santa Barbara |
93455 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.9228766911 |
-120.428700593 |
| -118.286376339397 |
34.097722344011 |
4751 |
Garza, Romeo |
1184767253 |
Doctor of Optometry |
UNKNOWN |
4445 W Sunset Blvd |
Los Angeles |
Los Angeles |
90027 |
California |
2014 |
2015 |
1 |
AIU |
OPTOMETRIC CENTER A SUNSET |
1841245248 |
21250 |
21250 |
34.0977223436 |
-118.286376339 |
| -119.251855838176 |
34.2762568924417 |
4816 |
KANG, SEONG |
1184885857 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
4831 |
Cabrera, Irena |
1184916959 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
4878 |
Powell, Russell |
1194015305 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
4881 |
Mittal, Aarti |
1194035691 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
4890 |
Takara, Tadashi |
1194054585 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.418158500215 |
38.5725509998288 |
4896 |
Carlson, Nataliya |
1194083477 |
Physician |
UNKNOWN |
77 Cadillac Dr Ste 230, Suite 230 |
Sacramento |
Sacramento |
95825 |
California |
2016 |
2014 |
1 |
AIU |
OB/GYN INC CAPITAL |
1730136680 |
21250 |
21250 |
38.572551 |
-121.4181585 |
| -117.195866999562 |
33.9120180000307 |
4917 |
Satey, Sean |
1194137406 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
4934 |
Vuong, Nhan |
1194169573 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -117.866853000166 |
33.7811759997726 |
4956 |
korb, james |
1194735076 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -119.779455296025 |
34.4448206996157 |
4967 |
Bordas, Blanca |
1194746214 |
Nurse Practitioner |
UNKNOWN |
345 Camino Del Remedio |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
3 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
38250 |
8500 |
34.4448207003 |
-119.779455296 |
| -117.195866999562 |
33.9120180000307 |
4970 |
MOLKARA, AFSHIN |
1194755280 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -122.238282975179 |
38.1026505569777 |
4986 |
Sweeney, Gordon |
1194794776 |
Physician |
INTERNAL MEDICINE |
365 Tuolumne St |
Vallejo |
Solano |
94590 |
California |
2011 |
2012 |
1 |
AIU |
OF SOLANO COUNTY |
1730310236 |
21250 |
21250 |
38.1026505569 |
-122.238282975 |
| -118.326603468675 |
34.0932599997493 |
4997 |
mogos, allen |
1194804195 |
Physician |
PSYCHIATRY |
1224 Vine St |
Los Angeles |
Los Angeles |
90038 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.09326 |
-118.326603469 |
| -124.086124204668 |
40.8698001399645 |
5004 |
Bell, Norman |
1194819888 |
Physician |
PEDIATRIC MEDICINE |
770 10th Street |
Arcata |
Humboldt |
95521 |
California |
2018 |
2019 |
3 |
MU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
38250 |
8500 |
40.8698001396 |
-124.086124205 |
| -122.287486500402 |
37.8042029996687 |
5035 |
Woods, Lewis |
1194867226 |
Physician |
PEDIATRIC MEDICINE |
700 Adeline St |
Oakland |
Alameda |
94607 |
California |
2013 |
2014 |
2 |
MU |
OAKLAND HEALTH COUN WEST |
1306967021 |
29750 |
8500 |
37.804203 |
-122.2874865 |
| -117.973559928848 |
34.1321925405534 |
5040 |
Sun, Weili |
1194868901 |
Physician |
UNKNOWN |
1500 East Duarte Road |
Duarte |
Los Angeles |
91010 |
California |
2018 |
2019 |
2 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
29750 |
8500 |
34.1321925411 |
-117.973559929 |
| -119.679827181179 |
34.4271586630419 |
5041 |
VICTORIA, RAFAEL |
1194870220 |
Physician |
INTERNAL MEDICINE |
1136 E Montecito St |
Santa Barbara |
Santa Barbara |
93103 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.4271586635 |
-119.679827181 |
| -119.251855838176 |
34.2762568924417 |
5056 |
Vega, Juan |
1194889170 |
Physician |
OBSTETRICS/GYNECOLOGY |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
5062 |
Nugent, Kristen |
1194889345 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -117.866853000166 |
33.7811759997726 |
5084 |
Tioleco-Cheng, Melanie |
1194934760 |
Physician |
UNKNOWN |
455 South Main Street |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -119.251855838176 |
34.2762568924417 |
5110 |
Harb-Safady, Maria |
1194982694 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -124.20919999968 |
41.7580399996463 |
5161 |
Holland, Christian |
1205045564 |
Physician |
INTERNAL MEDICINE |
550 East Washington Street, Del Norte Community Health Center |
Crescent City |
Del Norte |
95531 |
California |
2016 |
2017 |
6 |
MU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
63750 |
8500 |
41.75804 |
-124.2092 |
| -119.251855838176 |
34.2762568924417 |
5176 |
Farmani, Niloofar |
1205087079 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
5181 |
Eldakar, Elizabeth |
1205096435 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.866853000166 |
33.7811759997726 |
5198 |
Nakai, Junko |
1205152006 |
Physician |
UNKNOWN |
455 S. MAIN ST. |
ORANGE |
Orange |
92868 |
California |
2016 |
2017 |
2 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
29750 |
8500 |
33.781176 |
-117.866853 |
| -122.270526449436 |
37.8694843796005 |
5216 |
Collison, Amanda |
1205186228 |
Nurse Practitioner |
UNKNOWN |
2180 Milvia Street |
Berkeley |
Alameda |
94704 |
California |
2016 |
2018 |
1 |
AIU |
OF BERKELEY CITY |
1902944796 |
21250 |
21250 |
37.8694843797 |
-122.270526449 |
| -119.219620000063 |
34.2665699997058 |
5231 |
Rivera, Lovelle |
1205228699 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Linda Road |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.26657 |
-119.21962 |
| -117.93973500037 |
33.8593965276277 |
5249 |
Wu, Jane |
1205285079 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
901 W Orangethorpe Ave |
Fullerton |
Orange |
92832 |
California |
2018 |
2019 |
2 |
MU |
ORANGE COUNTY REG NORTH |
1194974402 |
29750 |
8500 |
33.8593965276 |
-117.939735 |
| -121.634037000008 |
36.697248000395 |
5269 |
Emunah, Ariella |
1205836996 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -117.871375500079 |
33.7493160000334 |
5321 |
SIVALINGAM, CHANDRAKANTHI |
1205908894 |
Physician |
UNKNOWN |
405 W 5th St, SUITE 590 |
Santa Ana |
Orange |
92701 |
California |
2015 |
2017 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.749316 |
-117.8713755 |
| -117.926562544026 |
33.633120543878 |
5353 |
Salazar, Laura |
1205961646 |
Physician |
INTERNAL MEDICINE |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2011 |
2012 |
1 |
AIU |
OUR SELVES CORP SHARE |
1508073685 |
21250 |
21250 |
33.6331205442 |
-117.926562544 |
| -117.195866999562 |
33.9120180000307 |
5355 |
DiNicola, David |
1205966082 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
5392 |
Dennis, Tshekedi |
1215015508 |
Physician |
UNKNOWN |
26520 cactus avenue |
moreno valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -122.287486500402 |
37.8042029996687 |
5437 |
Azurin, Carlito |
1215057864 |
Dentist |
UNKNOWN |
700 Adeline St |
Oakland |
Alameda |
94607 |
California |
2012 |
2013 |
1 |
AIU |
OAKLAND HEALTH COUN WEST |
1306967021 |
21250 |
21250 |
37.804203 |
-122.2874865 |
| -119.251855838176 |
34.2762568924417 |
5453 |
Ulrich, Ramsey |
1215091293 |
Physician |
INTERNAL MEDICINE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
5457 |
Holbrook, Pamela |
1215091772 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.208177999615 |
34.0596540004318 |
5515 |
Sarkissian, Sarmen |
1215201058 |
Physician |
UNKNOWN |
1200 North State Street |
Los Angeles |
Los Angeles |
90033 |
California |
2020 |
2020 |
2 |
MU |
OF VENTURA COUNTY |
1629167457 |
29750 |
8500 |
34.059654 |
-118.208178 |
| -119.251855838176 |
34.2762568924417 |
5569 |
Harney, Reis |
1215360813 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
5578 |
Daramola, Oluwayemisi |
1215379276 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Ave. |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -119.780864423055 |
34.4451847074084 |
5591 |
DeAmicis, Duane |
1215912688 |
Nurse Practitioner |
NURSE PRACTITIONER |
300 N San Antonio Rd, Bldg 1 |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.4451847073 |
-119.780864423 |
| -117.076676996146 |
33.1255051586362 |
5621 |
BURINGRUD, DUANE |
1215971999 |
Physician |
OBSTETRICS/GYNECOLOGY |
488 E Valley Pkwy, SUITE 308 |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
OB-GYN MED GRP ESCONDIDO |
1679512024 |
21250 |
21250 |
33.1255051588 |
-117.076676996 |
| -117.195866999562 |
33.9120180000307 |
5653 |
Lewis, Zenda |
1225038227 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
26520 Catus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -121.634037000008 |
36.697248000395 |
5664 |
Sinnhuber, John |
1225059546 |
Physician |
UNKNOWN |
1441 Constitution Blvd, Bldg. 200, Floor One, Suite 101 |
Salinas |
Monterey |
93906 |
California |
2011 |
2012 |
1 |
AIU |
OF MONTEREY COUNTY |
1457303356 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -119.251855838176 |
34.2762568924417 |
5796 |
Soriano, Griselda |
1225252901 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
5870 |
Arabyan, Mariam |
1225445497 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -122.018156999846 |
36.992835000435 |
5928 |
RATICO, HELEN |
1235169038 |
Physician |
PSYCHIATRY |
1400 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2011 |
2012 |
1 |
AIU |
OF SANTA CRUZ DBA COUNTY |
1578680310 |
21250 |
21250 |
36.992835 |
-122.018157 |
| -118.387761528971 |
34.2059759995927 |
5956 |
Moas, Ovi |
1235219312 |
Physician |
OBSTETRICS/GYNECOLOGY |
7444 lankershim blvd |
north hollywood |
Los Angeles |
91605 |
California |
2011 |
2013 |
1 |
AIU |
OVI MD MOAS |
1427123504 |
21250 |
21250 |
34.205976 |
-118.387761529 |
| -117.866853000166 |
33.7811759997726 |
5990 |
Heapy, Susanna |
1235268939 |
Nurse Practitioner |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2015 |
2017 |
4 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -119.721326131696 |
34.4300393624267 |
6016 |
jovanovic, LOIW |
1235299595 |
Physician |
UNKNOWN |
2219 Bath St |
Santa Barbara |
Santa Barbara |
93105 |
California |
2011 |
2012 |
1 |
AIU |
OF SANTA BARBARA COUNTY |
1841357449 |
21250 |
21250 |
34.4300393625 |
-119.721326132 |
| -121.634037000008 |
36.697248000395 |
6134 |
VARADIAN, ELIZABETH |
1235565771 |
Physician |
UNKNOWN |
1441 Constitution Blvd, FLOOR ONE, SUITE 103 |
Salinas |
Monterey |
93906 |
California |
2017 |
2018 |
2 |
MU |
OF MONTEREY COUNTY |
1043262959 |
29750 |
8500 |
36.697248 |
-121.634037 |
| -117.195866999562 |
33.9120180000307 |
6166 |
CHONG, MARTHA |
1245243815 |
Physician |
UNKNOWN |
26520 Cactus |
Moreno Valley |
UNKNOWN |
92555 |
California |
2020 |
2020 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
6169 |
Sujanani, Sunita |
1245243906 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.850547804138 |
39.7537258577622 |
6194 |
Amick, Molly |
1245279132 |
Nurse Practitioner |
UNKNOWN |
109 PARMAC RD STE 1 |
Chico |
Butte |
95926 |
California |
2013 |
2014 |
1 |
AIU |
of Behavioral Health Dept |
1386704393 |
21250 |
21250 |
39.7537258582 |
-121.850547804 |
| -118.247289903007 |
34.0446504956239 |
6207 |
Drucker, William |
1245300870 |
Physician |
PSYCHIATRY |
529 Maple Ave |
Los Angeles |
Los Angeles |
90013 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.044650496 |
-118.247289903 |
| -118.106540336168 |
34.1224900310901 |
6229 |
CHIONG, DESMOND |
1245328897 |
Physician |
PSYCHIATRY |
1455 San Marino Ave, SUITE A |
San Marino |
Los Angeles |
91108 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.1224900311 |
-118.106540336 |
| -117.987943500392 |
33.7569749997965 |
6233 |
Nguyen, Trang |
1245329580 |
Physician |
UNKNOWN |
14140 Beach BlvdSt, Ste 155 |
Westminster |
Orange |
92683 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.756975 |
-117.9879435 |
| -117.959778000155 |
33.9277950000393 |
6277 |
MARINO, MARIA |
1245398700 |
Physician |
UNKNOWN |
501 S. Idaho Street, Suite 190 |
La Habra |
Orange |
90631 |
California |
2011 |
2012 |
1 |
AIU |
OF THE FAMILY FRIENDS |
1871818138 |
21250 |
21250 |
33.927795 |
-117.959778 |
| -119.251855838176 |
34.2762568924417 |
6285 |
Silverman, Paul |
1245399641 |
Physician |
UROLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -122.297259006798 |
37.8679922460454 |
6328 |
Sallee, Jenee |
1245526367 |
Nurse Practitioner |
UNKNOWN |
830 University Ave |
Berkeley |
Alameda |
94710 |
California |
2014 |
2015 |
2 |
MU |
OF BERKELEY CITY |
1902944796 |
29750 |
8500 |
37.8679922459 |
-122.297259007 |
| -117.702663728348 |
33.5725056651044 |
6334 |
Sannidhi Venkata, Usha |
1245550573 |
Physician |
UNKNOWN |
5 Mareblu, Suite 100 |
Aliso Viejo |
Orange |
92656 |
California |
2016 |
2017 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.5725056653 |
-117.702663728 |
| -117.287330703749 |
34.1055752960631 |
6359 |
Sandel, Piper |
1245596618 |
Physician |
UNKNOWN |
351 N Mt View Ave |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
OF SAN BERNARDINO COUNTY |
1578535845 |
21250 |
21250 |
34.1055752957 |
-117.287330704 |
| -124.086124204668 |
40.8698001399645 |
6388 |
Morales, Laura |
1255304333 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
770 10th Street |
Arcata |
Humboldt |
95521 |
California |
2013 |
2014 |
1 |
AIU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
21250 |
21250 |
40.8698001396 |
-124.086124205 |
| -121.850547804138 |
39.7537258577622 |
6429 |
Lancaster, Thomas |
1255383998 |
Physician |
UNKNOWN |
109 PARMAC RD STE 1 |
CHICO |
Butte |
95926 |
California |
2013 |
2014 |
1 |
AIU |
of Behavioral Health Dept |
1386704393 |
21250 |
21250 |
39.7537258582 |
-121.850547804 |
| -119.251855838176 |
34.2762568924417 |
6490 |
Pinzon-Arellano, Sonia |
1255445037 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1538300488 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
6530 |
KEHOE, NICOLE |
1255497434 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
6617 |
Malakouti, Mona |
1255715835 |
Physician |
UNKNOWN |
26520 cactus avenue |
moreno valley |
Riverside |
92555 |
California |
2018 |
2019 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -117.959778000155 |
33.9277950000393 |
6632 |
Holman, Charlanne |
1255764742 |
Dentist |
UNKNOWN |
501 S. Idaho Street, Suite 120 |
La Habra |
Orange |
90631 |
California |
2016 |
2017 |
1 |
AIU |
OF THE FAMILY FRIENDS |
1871818138 |
21250 |
21250 |
33.927795 |
-117.959778 |
| -117.195866999562 |
33.9120180000307 |
6636 |
Balar, Kevin |
1255776803 |
Physician |
UNKNOWN |
26520 Cactus Ave, Dept of Medicine |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.987943500392 |
33.7569749997965 |
6662 |
Chen, Yung Cheng |
1265428817 |
Physician |
UNKNOWN |
14140 Beach Blvd, Suite 155 |
Westminster |
Orange |
92683 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.756975 |
-117.9879435 |
| -117.195866999562 |
33.9120180000307 |
6674 |
espinosa, rosalie |
1265451801 |
Physician |
UNKNOWN |
26520 Cactus |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -121.102682976038 |
38.9395720879815 |
6677 |
Millar, Glenn |
1265455166 |
Physician |
INTERNAL MEDICINE |
11583 C Ave |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -118.010123999823 |
34.1372339996494 |
6706 |
Gray, Russell |
1265499065 |
Physician |
ANESTHESIOLOGY |
1333 S. MAYFLOWER AVE., 2ND FLOOR |
MONROVIA |
Los Angeles |
91016 |
California |
2015 |
2017 |
3 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
38250 |
8500 |
34.137234 |
-118.010124 |
| -118.291622522861 |
34.0640279997924 |
6727 |
Gelberd, Sarah |
1265513436 |
Physician |
PSYCHIATRY |
550 S Vermont Ave, 6th floor |
Los Angeles |
Los Angeles |
90020 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.064028 |
-118.291622523 |
| -122.185767442014 |
37.7586442774115 |
6754 |
DuLava, Jana |
1265552814 |
Dentist |
UNKNOWN |
7450 International Blvd |
Oakland |
Alameda |
94621 |
California |
2012 |
2013 |
1 |
AIU |
OAKLAND HEALTH COUN WEST |
1306967021 |
21250 |
21250 |
37.7586442767 |
-122.185767442 |
| -119.251855838176 |
34.2762568924417 |
6780 |
Flom, Sheila |
1265596761 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2016 |
2017 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.290202534719 |
33.8306489996517 |
6814 |
Mandili, Carla |
1265653836 |
Physician |
PSYCHIATRY |
21730 S Vermont Ave, Suite 210 |
Torrance |
Los Angeles |
90502 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.830649 |
-118.290202535 |
| -119.251855838176 |
34.2762568924417 |
6834 |
Zwolak, Zachary |
1265695571 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -122.017646291043 |
36.9915277342176 |
6848 |
Gant, Thomas |
1265744585 |
Physician |
UNKNOWN |
1080 Emeline |
Santa Cruz |
Santa Cruz |
95060 |
California |
2017 |
2018 |
2 |
MU |
OF SANTA CRUZ DBA COUNTY |
1578680310 |
29750 |
8500 |
36.9915277341 |
-122.017646291 |
| -121.102682976038 |
38.9395720879815 |
6862 |
Bailey, Liana |
1265782429 |
Nurse Practitioner |
UNKNOWN |
11583 C Avenue |
Auburn |
Placer |
95603 |
California |
2014 |
2015 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -119.251855838176 |
34.2762568924417 |
6869 |
Calmer, Mitch |
1265801989 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
3 |
MU |
OF VENTURA COUNTY |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
6921 |
Parola, Kenneth |
1275551806 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.634037000008 |
36.697248000395 |
6926 |
Perez, Guillermo |
1275557506 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2019 |
2020 |
5 |
MU |
OF MONTEREY COUNTY |
1740232644 |
55250 |
8500 |
36.697248 |
-121.634037 |
| -118.010123999823 |
34.1372339996494 |
6985 |
Vora, Nayana |
1275639791 |
Physician |
UNKNOWN |
1333 S. MAYFLOWER AVE., 2ND FLOOR |
MONROVIA |
Los Angeles |
91016 |
California |
2014 |
2015 |
2 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
29750 |
8500 |
34.137234 |
-118.010124 |
| -119.251855838176 |
34.2762568924417 |
7045 |
Lu, Daniel |
1275723264 |
Physician |
PEDIATRIC MEDICINE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
7056 |
Sodagar-Marvasti, Shahrzad |
1275748733 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Riverside |
Riverside |
92555 |
California |
2020 |
2020 |
6 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
63750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
7069 |
Parikh, Jayni |
1275763633 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
7075 |
Mooradian, Ryan |
1275775249 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.179723886448 |
33.9101189996921 |
7152 |
Rakholia, Bhavika |
1275943474 |
Physician |
UNKNOWN |
26250 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.910119 |
-117.179723886 |
| -119.251855838176 |
34.2762568924417 |
7164 |
SERRANO, VLADIMIR |
1275978447 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
7183 |
Balan, Gabrielle |
1285053330 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -118.291622522861 |
34.0640279997924 |
7261 |
Arroyo, William |
1285701821 |
Physician |
UNKNOWN |
550 S Vermont Ave |
Los Angeles |
Los Angeles |
90020 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.064028 |
-118.291622523 |
| -118.280834826666 |
33.7378414178472 |
7265 |
Honig, Mark |
1285703769 |
Physician |
UNKNOWN |
150 W 7th St |
San Pedro |
Los Angeles |
90731 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.737841418 |
-118.280834827 |
| -118.388079000445 |
34.08698700005 |
7284 |
Vintas, Gustavo |
1285720698 |
Physician |
PSYCHIATRY |
9000 Cynthia Street, Suite 401 |
Los Angeles |
Los Angeles |
90069 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.086987 |
-118.388079 |
| -121.418158500215 |
38.5725509998288 |
7304 |
Susanka, Matthew |
1285747618 |
Physician |
OBSTETRICS/GYNECOLOGY |
77 Cadillac Dr, 230 |
Sacramento |
Sacramento |
95825 |
California |
2012 |
2012 |
1 |
AIU |
OB/GYN INC CAPITAL |
1730136680 |
21250 |
21250 |
38.572551 |
-121.4181585 |
| -117.195866999562 |
33.9120180000307 |
7346 |
Dick, Dallas |
1285809772 |
Physician |
UNKNOWN |
26520Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
7385 |
Mandal, Smita |
1285876854 |
Physician |
UNKNOWN |
3291 Loma Vista Road Ventura |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.926562544026 |
33.633120543878 |
7402 |
Chen, Patrick |
1285933275 |
Physician |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2011 |
2012 |
1 |
AIU |
OUR SELVES CORP SHARE |
1508073685 |
21250 |
21250 |
33.6331205442 |
-117.926562544 |
| -121.634037000008 |
36.697248000395 |
7414 |
Miranda, Peter |
1285962993 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1441 Constitution Blvd Ste 200, Floor One, Suite 101 |
Salinas |
Monterey |
93906 |
California |
2018 |
2019 |
4 |
MU |
OF MONTEREY COUNTY |
1457303356 |
46750 |
8500 |
36.697248 |
-121.634037 |
| -117.865599124 |
33.7803484876926 |
7444 |
Chang, Jenny |
1295020451 |
Physician |
UNKNOWN |
1201 W. La Veta |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
1 |
AIU |
ORANGE CLINIC CHOC |
1427121375 |
21250 |
21250 |
33.7803484883 |
-117.865599124 |
| -120.982856782315 |
37.6471734770744 |
7448 |
Mohammad, Sophia |
1295049864 |
Physician |
UNKNOWN |
830 Scenic Dr |
Modesto |
Stanislaus |
95353 |
California |
2016 |
2017 |
1 |
AIU |
OF STANISLAUS COUNTY |
1366648016 |
21250 |
21250 |
37.647173477 |
-120.982856782 |
| -117.195866999562 |
33.9120180000307 |
7484 |
Nguyen, Anthony |
1295153575 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -122.242828694688 |
37.7817946444073 |
7503 |
Roxas, Luisito |
1295713386 |
Physician |
PSYCHIATRY |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -117.195866999562 |
33.9120180000307 |
7537 |
Kim, Daniel |
1295769651 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -122.297259006798 |
37.8679922460454 |
7548 |
Lampkin, Kathi |
1295793057 |
Nurse Practitioner |
FAMILY PRACTICE |
830 University Avenue |
Berkeley |
Alameda |
94710 |
California |
2018 |
2019 |
6 |
MU |
OF BERKELEY CITY |
1902944796 |
63750 |
8500 |
37.8679922459 |
-122.297259007 |
| -118.189907999754 |
33.7932810004179 |
7555 |
Smith, Samuel |
1295802700 |
Physician |
PSYCHIATRY |
1975 Long Beach Blvd |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.793281 |
-118.189908 |
| -117.195866999562 |
33.9120180000307 |
7594 |
Puvvula, Lakshmi |
1295848174 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -118.502305069024 |
34.2628948805943 |
7602 |
Prince, Aneta |
1295864536 |
Physician |
PSYCHIATRY |
10605 Balboa Blvd, Suite 100 |
Granada Hills |
Los Angeles |
91344 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.2628948812 |
-118.502305069 |
| -124.141090919211 |
40.7859195138745 |
7613 |
Eng, Daisy |
1295876811 |
Physician |
FAMILY PRACTICE |
2412 Buhne St |
Eureka |
Humboldt |
95501 |
California |
2011 |
2012 |
1 |
AIU |
OPEN DOOR CLIN HUMBOLDT |
1669569109 |
21250 |
21250 |
40.785919514 |
-124.141090919 |
| -119.251855838176 |
34.2762568924417 |
7638 |
Lee, Sun |
1295913523 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2016 |
2017 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
7640 |
Bellfield, Barbara |
1295915825 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
7646 |
hamade, wael |
1295924710 |
Physician |
UNKNOWN |
26520 Cactus Ave, family medicine dept. room # B2017 |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -122.242828694688 |
37.7817946444073 |
7658 |
Cotrufo, John |
1295945467 |
Physician |
PSYCHIATRY |
2000 Embarcadero, Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -119.251855838176 |
34.2762568924417 |
7662 |
Young, Sandra |
1295959989 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
7669 |
Ragsdale, Mary |
1295977957 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
7695 |
Bromley, Brian |
1306049564 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
7765 |
Okwor, Martha |
1306202387 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -118.010123999823 |
34.1372339996494 |
7810 |
Guye, Mary |
1306834775 |
Physician |
GENERAL SURGERY |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2012 |
2013 |
1 |
AIU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
21250 |
21250 |
34.137234 |
-118.010124 |
| -117.866853000166 |
33.7811759997726 |
7917 |
dutt, Asha |
1306978192 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -119.251855838176 |
34.2762568924417 |
7935 |
SILVERMAN, IRA |
1316004005 |
Physician |
OBSTETRICS/GYNECOLOGY |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -122.707921848415 |
38.4682973146694 |
7940 |
Aneson-MacLeon, Sophie |
1316007156 |
Physician |
UNKNOWN |
3322 Chanate Rd |
Santa Rosa |
Sonoma |
95404 |
California |
2015 |
2016 |
1 |
AIU |
OF SONOMA COUNTY |
1871647115 |
21250 |
21250 |
38.4682973152 |
-122.707921848 |
| -117.959778000155 |
33.9277950000393 |
7972 |
Godbole, Shubhangi |
1316042567 |
Physician |
INTERNAL MEDICINE |
501 S. IDAHO STREET, SUITE #100 |
LA HABRA |
Orange |
90631 |
California |
2018 |
2019 |
3 |
MU |
OF THE FAMILY FRIENDS |
1871818138 |
38250 |
8500 |
33.927795 |
-117.959778 |
| -117.927024066208 |
33.8703720850038 |
7979 |
Balilo, Oscar |
1316049307 |
Physician |
UNKNOWN |
211 W Commonwealth |
Fullerton |
Orange |
92832 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.8703720852 |
-117.927024066 |
| -119.251855838176 |
34.2762568924417 |
8006 |
Duncan, Thomas |
1316097439 |
Physician |
GENERAL SURGERY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
8010 |
Chambers, Darin |
1316108053 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -120.412094504058 |
34.9513381358464 |
8161 |
Reffigee, Lester |
1316967185 |
Physician |
OBSTETRICS/GYNECOLOGY |
220 S Palisade Dr, #104 |
Santa Maria |
Santa Barbara |
93454 |
California |
2011 |
2013 |
1 |
AIU |
OF SANTA BARBARA COUNTY |
1841357449 |
21250 |
21250 |
34.9513381363 |
-120.412094504 |
| -117.195866999562 |
33.9120180000307 |
8163 |
THOMPSON, GARY |
1316971468 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.67935599978 |
33.6259710001616 |
8268 |
Zaidi, Farah |
1326132978 |
Physician |
UNKNOWN |
23228 Madero |
Mission Viejo |
Unknown |
92621 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.625971 |
-117.679356 |
| -122.270526449436 |
37.8694843796005 |
8443 |
Oleson, Elizabeth |
1326592569 |
Nurse Practitioner |
UNKNOWN |
2180 Milvia Street |
Berkeley |
Alameda |
94704 |
California |
2018 |
2019 |
3 |
MU |
OF BERKELEY CITY |
1902944796 |
38250 |
8500 |
37.8694843797 |
-122.270526449 |
| -120.412065473942 |
34.9523821363266 |
8477 |
Lewis, Nora |
1336169424 |
Certified Nurse - Midwife |
UNKNOWN |
116 S Palisade Dr, Ste 104 |
Santa Maria |
Santa Barbara |
93454 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.9523821363 |
-120.412065474 |
| -119.253438000164 |
34.2771209997344 |
8514 |
Green, Greta |
1336220482 |
Nurse Practitioner |
UNKNOWN |
300 Hillmont Avenue |
Ventura |
Ventura |
93009 |
California |
2020 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.277121 |
-119.253438 |
| -118.010123999823 |
34.1372339996494 |
8541 |
Anderson, Clarke |
1336247055 |
Physician |
UNKNOWN |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2018 |
2019 |
5 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
55250 |
8500 |
34.137234 |
-118.010124 |
| -117.179723886448 |
33.9101189996921 |
8582 |
Lima, Kathleen |
1336313139 |
Physician |
UNKNOWN |
26250 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.910119 |
-117.179723886 |
| -124.198708499697 |
41.7727514757001 |
8721 |
Fulroth, Richard |
1346236643 |
Physician |
UNKNOWN |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2013 |
2014 |
1 |
AIU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
21250 |
21250 |
41.7727514761 |
-124.1987085 |
| -120.478409426254 |
37.3230913716695 |
8746 |
MALIK, IMTIAZ |
1346278546 |
Physician |
UNKNOWN |
3303 M Street |
Merced |
Merced |
95348 |
California |
2019 |
2020 |
3 |
MU |
OF VENTURA COUNTY |
1629167457 |
17000 |
8500 |
37.3230913725 |
-120.478409426 |
| -119.251855838176 |
34.2762568924417 |
8763 |
Arndt, Preston |
1346303336 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.610412100038 |
34.2199186002633 |
8764 |
Gokhman, Izabella |
1346288024 |
Physician |
PSYCHIATRY |
7621 Canoga Ave, West Valley Mental Health Center |
Canoga Park |
Los Angeles |
91304 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.2199186 |
-118.6104121 |
| -122.017646291043 |
36.9915277342176 |
8778 |
Lou, Linda |
1346317567 |
Physician |
UNKNOWN |
1080 Emeline Avenue |
Santa Cruz |
Santa Cruz |
95060 |
California |
2013 |
2014 |
2 |
MU |
OF SANTA CRUZ DBA COUNTY |
1578680310 |
29750 |
8500 |
36.9915277341 |
-122.017646291 |
| -118.010123999823 |
34.1372339996494 |
8801 |
Radany, Eric |
1346346897 |
Physician |
RADIATION ONCOLOGY |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2015 |
2017 |
4 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
46750 |
8500 |
34.137234 |
-118.010124 |
| -119.251855838176 |
34.2762568924417 |
8865 |
TOUTANT, LOUISE |
1346463239 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
8891 |
Phang, Samuel |
1346516143 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
8906 |
Hsu, Forrest |
1346546322 |
Physician |
NEUROSURGERY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2015 |
2017 |
3 |
MU |
OF VENTURA COUNTY |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
8914 |
Chang Chien, George |
1346565280 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
8991 |
Nordlund, Kenneth |
1356385082 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -122.287979977294 |
37.804359937661 |
9008 |
davis marten, rita |
1356406649 |
Nurse Practitioner |
UNKNOWN |
700 Adeline Street, West Oakland Health Council |
Oakland |
Alameda |
94542 |
California |
2013 |
2014 |
2 |
MU |
OAKLAND HEALTH COUN WEST |
1306967021 |
29750 |
8500 |
37.8043599378 |
-122.287979977 |
| -118.552608000159 |
34.1865965232111 |
9014 |
Glasser, Laurence |
1356417547 |
Physician |
UNKNOWN |
19231 Victory Blvd, 110 |
Reseda |
Los Angeles |
91335 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.1865965227 |
-118.552608 |
| -117.868140000161 |
33.755175000426 |
9024 |
Chahal, Binna |
1356436240 |
Physician |
UNKNOWN |
1200 N Main St. |
Santa Ana |
Orange |
92701 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.755175 |
-117.86814 |
| -122.287486500402 |
37.8042029996687 |
9070 |
James, Adrian |
1356495261 |
Physician |
INTERNAL MEDICINE |
700 Adeline St |
Oakland |
Alameda |
94607 |
California |
2013 |
2014 |
2 |
MU |
OAKLAND HEALTH COUN WEST |
1306967021 |
29750 |
8500 |
37.804203 |
-122.2874865 |
| -122.017646291043 |
36.9915277342176 |
9073 |
Maisterra, Nina |
1356497259 |
Physician |
UNKNOWN |
1080 Emeline Ave |
Santa Cruz |
Santa Cruz |
95060 |
California |
2013 |
2014 |
3 |
MU |
OF SANTA CRUZ DBA COUNTY |
1578680310 |
38250 |
8500 |
36.9915277341 |
-122.017646291 |
| -117.926562544026 |
33.633120543878 |
9090 |
Huang, Eric |
1356515365 |
Physician |
UNKNOWN |
1550 Superior Avenue |
Costa Mesa |
Orange |
92627 |
California |
2018 |
2019 |
5 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
34000 |
8500 |
33.6331205442 |
-117.926562544 |
| -121.634037000008 |
36.697248000395 |
9156 |
Stubblefield, Jermaine |
1356667539 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1441 Constitution Blvd Bldg 400 3rd floor |
SALINAS |
Monterey |
93906 |
California |
2019 |
2020 |
5 |
MU |
OF MONTEREY COUNTY |
1881645158 |
55250 |
8500 |
36.697248 |
-121.634037 |
| -117.195866999562 |
33.9120180000307 |
9176 |
Yang, Almira |
1356738389 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -118.010123999823 |
34.1372339996494 |
9204 |
Chen, Steven |
1366410086 |
Physician |
GENERAL SURGERY |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2013 |
2014 |
2 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
29750 |
8500 |
34.137234 |
-118.010124 |
| -119.779455296025 |
34.4448206996157 |
9269 |
Bunting, Anna |
1366524340 |
Certified Nurse - Midwife |
UNKNOWN |
345 Camino Del Remedio |
Santa Barbara |
Santa Barbara |
93110 |
California |
2011 |
2012 |
1 |
AIU |
OF SANTA BARBARA COUNTY |
1841357449 |
21250 |
21250 |
34.4448207003 |
-119.779455296 |
| -118.010123999823 |
34.1372339996494 |
9291 |
Luu, Thehang |
1366559155 |
Physician |
MEDICAL ONCOLOGY |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2013 |
2014 |
2 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
29750 |
8500 |
34.137234 |
-118.010124 |
| -117.926562544026 |
33.633120543878 |
9319 |
Le, John |
1366591695 |
Physician |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2018 |
2019 |
5 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
55250 |
8500 |
33.6331205442 |
-117.926562544 |
| -117.179723886448 |
33.9101189996921 |
9320 |
Victor, Priya |
1366590382 |
Physician |
UNKNOWN |
25620 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.910119 |
-117.179723886 |
| -117.195866999562 |
33.9120180000307 |
9347 |
Brooks, Marilyn |
1366641821 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
9350 |
Arizmendi, Maria |
1366641961 |
Physician |
PEDIATRIC MEDICINE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2016 |
2017 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
9353 |
STOVER, CYNTHIA |
1366644429 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
9354 |
Klein, Walter |
1366645491 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -121.634037000008 |
36.697248000395 |
9371 |
Vesga-Lopez, Oriana |
1366679193 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -117.577410447134 |
33.8779909282388 |
9377 |
Stevenson, Renanda |
1366687113 |
Nurse Practitioner |
UNKNOWN |
505 S Buena Vista Ave, Ste. 101 |
Corona |
Riverside |
92882 |
California |
2015 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.8779909284 |
-117.577410447 |
| -117.887971500085 |
33.8190750001112 |
9410 |
Yu, Angela |
1366767204 |
Physician |
UNKNOWN |
2035 E Ball Road |
Anaheim |
Orange |
92806 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.819075 |
-117.8879715 |
| -117.195866999562 |
33.9120180000307 |
9434 |
Patel, Shalin |
1366858656 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
9490 |
LAGER, MICHAEL |
1376571745 |
Physician |
CARDIOVASCULAR DISEASE (CARDIOLOGY) |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.634037000008 |
36.697248000395 |
9496 |
Aguilera, Brian |
1376595140 |
Physician |
UNKNOWN |
1441 constitution blvd |
Salinas |
Monterey |
93906 |
California |
2019 |
2020 |
5 |
MU |
OF MONTEREY COUNTY |
1740232644 |
55250 |
8500 |
36.697248 |
-121.634037 |
| -119.251855838176 |
34.2762568924417 |
9507 |
Ippolito, John |
1376607846 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.291622522861 |
34.0640279997924 |
9530 |
Eisen, Carol |
1376602169 |
Physician |
UNKNOWN |
550 S Vermont Ave, Office of the Medical Director LACDMH |
Los Angeles |
Los Angeles |
90020 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.064028 |
-118.291622523 |
| -116.542848771753 |
33.8375382561856 |
9555 |
Gonzales, Charles |
1376664037 |
Physician |
UNKNOWN |
555 E Tachevah Dr Ste 3W105 |
Palm Springs |
Riverside |
92262 |
California |
2014 |
2015 |
1 |
AIU |
OF THE UNIVERSITY OF REGENTS |
1811255060 |
21250 |
21250 |
33.8375382559 |
-116.542848772 |
| -117.195866999562 |
33.9120180000307 |
9578 |
Lawandy, Shokry |
1376705418 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
9661 |
Abdi Moradi, Sohail |
1376862938 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
9733 |
Camelo, Monica |
1386083855 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -120.470578458129 |
34.6423986315916 |
9772 |
Ramalingam, Panangattur |
1386664134 |
Physician |
UNKNOWN |
301 N R St |
Lompoc |
Santa Barbara |
93436 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.6423986321 |
-120.470578458 |
| -122.707921848415 |
38.4682973146694 |
9806 |
Harrison, Ari |
1386706927 |
Physician |
UNKNOWN |
3322 Chanate Rd |
Santa Rosa |
Sonoma |
95404 |
California |
2015 |
2016 |
1 |
AIU |
OF SONOMA COUNTY |
1871647115 |
21250 |
21250 |
38.4682973152 |
-122.707921848 |
| -119.251855838176 |
34.2762568924417 |
9808 |
Carvalho, Joao Paulo |
1386707313 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -124.086124204668 |
40.8698001399645 |
9836 |
Horwitz, David |
1386739845 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
770 10th Street |
Arcata |
Humboldt |
95521 |
California |
2017 |
2018 |
6 |
MU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
63750 |
8500 |
40.8698001396 |
-124.086124205 |
| -120.470578458129 |
34.6423986315916 |
9874 |
Maza, Carlos |
1386793230 |
Physician |
UNKNOWN |
301 N R St |
Lompoc |
Santa Barbara |
93436 |
California |
2013 |
2014 |
3 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
38250 |
8500 |
34.6423986321 |
-120.470578458 |
| -117.195866999562 |
33.9120180000307 |
9888 |
Munir, Iqbal |
1386822690 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -117.987943500392 |
33.7569749997965 |
9914 |
spenser, ciprian |
1386869493 |
Physician |
UNKNOWN |
14140 Beach Blvd, Ste 223 |
Westminster |
Orange |
92683 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.756975 |
-117.9879435 |
| -120.649613860591 |
35.2770944974132 |
9916 |
JOHNSON, GEORGE |
1386871515 |
Physician |
UNKNOWN |
1304 Ella St, SUITE A |
San Luis Obispo |
San Luis Obispo |
93401 |
California |
2011 |
2013 |
1 |
AIU |
OF SANTA BARBARA COUNTY |
1841357449 |
21250 |
21250 |
35.2770944974 |
-120.649613861 |
| -117.195866999562 |
33.9120180000307 |
10005 |
Kramer, Raymond |
1396057725 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
6 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
63750 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
10039 |
Wills, Kristofer |
1396164414 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -118.299151203665 |
33.829827436587 |
10053 |
Grob, Charles |
1396710307 |
Physician |
PSYCHIATRY |
21840 Normandie Ave, Ste. 200 |
Torrance |
Los Angeles |
90502 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8298274367 |
-118.299151204 |
| -120.470578458129 |
34.6423986315916 |
10076 |
Balakumaran, Gowthamy |
1396754636 |
Physician |
PEDIATRIC MEDICINE |
301 N R St |
Lompoc |
Santa Barbara |
93436 |
California |
2013 |
2014 |
2 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
29750 |
8500 |
34.6423986321 |
-120.470578458 |
| -117.195866999562 |
33.9120180000307 |
10083 |
Stottlemyer, Debra |
1396767646 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
UNKNOWN |
92555 |
California |
2019 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -117.744930000219 |
34.0782750002911 |
10096 |
Horns, Richard |
1396792487 |
Physician |
MEDICAL ONCOLOGY |
1910 Royalty Dr. |
pomona |
Los Angeles |
91767 |
California |
2013 |
2013 |
1 |
AIU |
ONCOLOGY MED WILSHIRE |
1629098447 |
21250 |
21250 |
34.078275 |
-117.74493 |
| -119.780864423055 |
34.4451847074084 |
10156 |
Goumas, Rea |
1396853818 |
Physician |
UNKNOWN |
300 N San Antonio Rd |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
3 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
38250 |
8500 |
34.4451847073 |
-119.780864423 |
| -119.721326131696 |
34.4300393624267 |
10178 |
Corbett, Kristin |
1396879920 |
Physician |
UNKNOWN |
2219 Bath St, 2nd Floor |
Santa Barbara |
Santa Barbara |
93105 |
California |
2011 |
2012 |
1 |
AIU |
OF SANTA BARBARA COUNTY |
1841357449 |
21250 |
21250 |
34.4300393625 |
-119.721326132 |
| -119.251855838176 |
34.2762568924417 |
10183 |
Finger, Kenneth |
1396881355 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1538300488 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -120.471767112762 |
37.2919364673941 |
10193 |
Manuel, Isabel |
1396892048 |
Physician |
UNKNOWN |
480 E 13th St |
Merced |
Merced |
95340 |
California |
2016 |
2017 |
1 |
AIU |
of Mental Health Department |
1780705376 |
21250 |
21250 |
37.2919364668 |
-120.471767113 |
| -119.780864423055 |
34.4451847074084 |
10203 |
Dean, Charity |
1396907408 |
Physician |
INTERNAL MEDICINE |
300 N San Antonio Rd, Bldg 1 |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
3 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
38250 |
8500 |
34.4451847073 |
-119.780864423 |
| -118.124725083896 |
34.7041236937535 |
10228 |
Wade, Stephanie |
1396942736 |
Nurse Practitioner |
UNKNOWN |
335 East Avenue I |
Lancaster |
Los Angeles |
93535 |
California |
2018 |
2019 |
3 |
MU |
OF LOS ANGELES COUNTY |
1003929829 |
38250 |
8500 |
34.704123694 |
-118.124725084 |
| -124.198709952103 |
41.7727514757001 |
10251 |
Vos, Jesse |
1396994745 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
550 E Washington Blvd, Suite 100 |
Crescent City |
Del Norte |
95531 |
California |
2015 |
2016 |
4 |
MU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
46750 |
8500 |
41.7727514761 |
-124.198709952 |
| -119.251855838176 |
34.2762568924417 |
10291 |
Shah, Nissar |
1407078215 |
Physician |
ENDOCRINOLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
10310 |
Cama, Oscar |
1407155047 |
Physician |
UNKNOWN |
26520 Cactus avenue |
Moreno Valley |
Riverside |
92555 |
California |
2019 |
2020 |
6 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
63750 |
8500 |
33.912018 |
-117.195867 |
| -122.132916000373 |
38.0065680004129 |
10341 |
Proudfoot, Jacqueline |
1407261001 |
Physician |
UNKNOWN |
2500 Alhambra Avenue |
Martinez |
Contra Costa |
94553 |
California |
2019 |
2020 |
4 |
MU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
46750 |
8500 |
38.006568 |
-122.132916 |
| -117.195866999562 |
33.9120180000307 |
10352 |
Biddy, Edna |
1407295702 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -120.428700592658 |
34.9228766912064 |
10406 |
Tawadros, Botrous |
1407877632 |
Physician |
INTERNAL MEDICINE |
2115 Centerpointe Pkwy |
Santa Maria |
Santa Barbara |
93455 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.9228766911 |
-120.428700593 |
| -119.610651532642 |
36.5843159995838 |
10413 |
Singleton, Chrystal |
1407886948 |
Physician |
OBSTETRICS/GYNECOLOGY |
3410 McCall Ave, #115 |
Selma |
Fresno |
93662 |
California |
2016 |
2017 |
6 |
MU |
OB and GYN SINGLETON |
1245326610 |
63750 |
8500 |
36.584316 |
-119.610651533 |
| -119.251855838176 |
34.2762568924417 |
10434 |
Jorgensen, Neil |
1407910995 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.287364344789 |
37.9644416198849 |
10447 |
Yarbrough, John |
1407932742 |
Physician |
UNKNOWN |
510 East Magnolia Street, Suite 100 |
Stockton |
San Joaquin |
95202 |
California |
2016 |
2017 |
1 |
AIU |
of Mental Health Department |
1780705376 |
21250 |
21250 |
37.96444162 |
-121.287364345 |
| -118.010123999823 |
34.1372339996494 |
10455 |
Sato, Judith |
1407938376 |
Physician |
PEDIATRIC MEDICINE |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2018 |
2019 |
5 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
45333.34 |
8500 |
34.137234 |
-118.010124 |
| -118.010123999823 |
34.1372339996494 |
10458 |
Raubitschek, Andrew |
1407941289 |
Physician |
RADIATION ONCOLOGY |
1333 S. MAYFLOWER AVE., 2ND FLOOR |
MONROVIA |
Los Angeles |
91016 |
California |
2012 |
2013 |
1 |
AIU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
21250 |
21250 |
34.137234 |
-118.010124 |
| -119.251855838176 |
34.2762568924417 |
10485 |
Jones, Amy |
1407982622 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -124.086124204668 |
40.8698001399645 |
10538 |
Hovorka, Gail |
1417043969 |
Physician |
FAMILY PRACTICE |
770 10th Street |
Arcata |
Humboldt |
95521 |
California |
2017 |
2018 |
6 |
MU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
63750 |
8500 |
40.8698001396 |
-124.086124205 |
| -118.010123999823 |
34.1372339996494 |
10547 |
Bhatia, Smita |
1417053935 |
Physician |
PEDIATRIC MEDICINE |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2013 |
2014 |
2 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
29750 |
8500 |
34.137234 |
-118.010124 |
| -117.887971500085 |
33.8190750001112 |
10552 |
Gomez, Jairo |
1417055104 |
Physician |
UNKNOWN |
2035 E BAll Road |
Anaheim |
Orange |
92806 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.819075 |
-117.8879715 |
| -117.154484999583 |
32.8007430002893 |
10603 |
Leek, Kimberly |
1417113168 |
Physician |
UNKNOWN |
7910 Frost St., Suite 350 |
San Diego |
San Diego |
92123 |
California |
2016 |
2017 |
2 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
19833.34 |
5666.67 |
32.800743 |
-117.154485 |
| -117.93973500037 |
33.8593965276277 |
10648 |
Holt, Martin |
1417196098 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
901 W Orangethorpe Ave |
Fullerton |
Orange |
92832 |
California |
2012 |
2013 |
1 |
AIU |
ORANGE COUNTY REG NORTH |
1194974402 |
21250 |
21250 |
33.8593965276 |
-117.939735 |
| -117.195866999562 |
33.9120180000307 |
10698 |
Teves, Kathleen |
1417344383 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
10705 |
Arrigoni, Josefina |
1417365909 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
3 |
MU |
OF VENTURA COUNTY |
1538300488 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.634037000008 |
36.697248000395 |
10713 |
Hall, Bonnie |
1417395633 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1740232644 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -119.251855838176 |
34.2762568924417 |
10740 |
Dumont, Christine |
1417937467 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
10766 |
Helmer, James |
1417984279 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
10793 |
Gandhi, Saumil |
1427057843 |
Physician |
NEPHROLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
10810 |
KRISHNAN, RAJAGOPAL |
1427082882 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -124.136023770081 |
40.582388481843 |
10811 |
JONES, CLIFFORD |
1427083187 |
Physician |
FAMILY PRACTICE |
3302 Renner Dr Ste A |
Fortuna |
Humboldt |
95540 |
California |
2014 |
2016 |
2 |
MU |
OLKIN and C RAY PHILIP |
1699836981 |
29750 |
8500 |
40.5823884821 |
-124.13602377 |
| -118.280834826666 |
33.7378414178472 |
10823 |
Perry, John |
1427101187 |
Physician |
PSYCHIATRY |
150 W 7th St |
San Pedro |
Los Angeles |
90731 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.737841418 |
-118.280834827 |
| -119.251855838176 |
34.2762568924417 |
10834 |
Landon, Chris |
1427118868 |
Physician |
PULMONARY DISEASE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2016 |
2017 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.418158500215 |
38.5725509998288 |
10914 |
Rasnow-Hill, Marina |
1427209196 |
Physician |
FAMILY PRACTICE |
77 Cadillac Drive Suite 230, Suite 230 |
Sacramento |
Sacramento |
95825 |
California |
2012 |
2012 |
1 |
AIU |
OB/GYN INC CAPITAL |
1730136680 |
21250 |
21250 |
38.572551 |
-121.4181585 |
| -119.783574604684 |
36.8426106261795 |
10996 |
Swamy, Uma |
1427377431 |
Physician |
UNKNOWN |
7257 N Fresno St |
Fresno |
Fresno |
93720 |
California |
2015 |
2016 |
2 |
MU |
ONCOLOGY ASSOCIATE RADIATION |
1962464586 |
29750 |
8500 |
36.8426106264 |
-119.783574605 |
| -117.195866999562 |
33.9120180000307 |
10997 |
Tavassoli, Gita |
1427380435 |
Physician |
UNKNOWN |
26520 cactus ave |
moreno valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
11019 |
Ingram, Michael |
1427438415 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.926562544026 |
33.633120543878 |
11020 |
Reyes, Nina |
1427448281 |
Nurse Practitioner |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2020 |
2020 |
5 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
55250 |
8500 |
33.6331205442 |
-117.926562544 |
| -117.195866999562 |
33.9120180000307 |
11021 |
Wang, Victoria |
1427444330 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -117.926562544026 |
33.633120543878 |
11024 |
Sanchez, Stacey |
1427460419 |
Nurse Practitioner |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2020 |
2020 |
4 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
46750 |
8500 |
33.6331205442 |
-117.926562544 |
| -119.251855838176 |
34.2762568924417 |
11028 |
Tuano, Aristotle |
1427460856 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1538300488 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
11040 |
ZAK, REBEKKA |
1427493600 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
11072 |
CHUNG, YUKUEN |
1437162005 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -117.154484999583 |
32.8007430002893 |
11089 |
Crow, Janet |
1437180965 |
Physician |
UNKNOWN |
7910 Frost St., Suite 350 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
45333.34 |
8500 |
32.800743 |
-117.154485 |
| -117.866853000166 |
33.7811759997726 |
11131 |
Nam, Jee-sun |
1437226362 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -124.086124204668 |
40.8698001399645 |
11136 |
Scher, Sarah |
1437246295 |
Physician |
FAMILY PRACTICE |
770 10th Street |
Arcata |
Humboldt |
95521 |
California |
2016 |
2017 |
6 |
MU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
63750 |
8500 |
40.8698001396 |
-124.086124205 |
| -119.071686264709 |
35.3628984909726 |
11151 |
Esposo, Oriente |
1437262474 |
Physician |
INTERNAL MEDICINE |
6001 Truxtun Ave, Suite 160 |
Bakersfield |
Kern |
93309 |
California |
2011 |
2012 |
1 |
AIU |
ORIENTE M MD ESPOSO |
1437262474 |
21250 |
21250 |
35.3628984907 |
-119.071686265 |
| -120.647045100951 |
35.2751501739414 |
11168 |
Ramirez, Elizabeth |
1437292653 |
Nurse Practitioner |
UNKNOWN |
2180 Johnson Ave |
San Luis Obispo |
San Luis Obispo |
93401 |
California |
2020 |
2020 |
2 |
MU |
OF SAN LUIS OBISPO COUNTY |
1518064948 |
29750 |
8500 |
35.2751501744 |
-120.647045101 |
| -119.251855838176 |
34.2762568924417 |
11211 |
Lynn, Rikk |
1437355260 |
Physician |
DERMATOLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -122.407149450087 |
37.7614542154398 |
11225 |
French, Valerie |
1437387248 |
Physician |
UNKNOWN |
625 Potrero Ave., |
San Francisco |
San Francisco |
94110 |
California |
2016 |
2017 |
3 |
MU |
OF CALIFORNIA UNIVERSITY |
1407821523 |
38250 |
8500 |
37.7614542151 |
-122.40714945 |
| -117.154484999583 |
32.8007430002893 |
11271 |
Wang, Helen |
1437492667 |
Physician |
UNKNOWN |
7910 Frost Street, Suite 360 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
39666.67 |
8500 |
32.800743 |
-117.154485 |
| -121.764257652369 |
36.9267353723396 |
11330 |
Hansen, Anniken |
1447273206 |
Physician |
UNKNOWN |
9 Crestview Drive |
Watsonville |
Santa Cruz |
95076 |
California |
2018 |
2019 |
3 |
MU |
OF SNTA CRUZ COUNTY |
1770709149 |
38250 |
8500 |
36.9267353719 |
-121.764257652 |
| -121.764257652369 |
36.9267353723396 |
11335 |
Cisneros, Jeanette |
1447276266 |
Physician |
UNKNOWN |
9 Crestview Drive |
Watsonville |
Santa Cruz |
95076 |
California |
2020 |
2020 |
6 |
MU |
OF SNTA CRUZ COUNTY |
1770709149 |
63750 |
8500 |
36.9267353719 |
-121.764257652 |
| -117.287330703749 |
34.1055752960631 |
11359 |
Ohikhuare, Maxwell |
1447320817 |
Physician |
UNKNOWN |
351 N Mt View Ave, Room 303 |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
OF SAN BERNARDINO COUNTY |
1578535845 |
21250 |
21250 |
34.1055752957 |
-117.287330704 |
| -119.780864423055 |
34.4451847074084 |
11364 |
Dodds, Margaret |
1447328794 |
Physician |
UNKNOWN |
300 N San Antonio Rd |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.4451847073 |
-119.780864423 |
| -121.076066213585 |
39.2066007378338 |
11410 |
Lin, Michael |
1447371224 |
Physician |
UNKNOWN |
988 McCourtney Road, Suite 102 |
Grass Valley |
Nevada |
95949 |
California |
2018 |
2019 |
6 |
MU |
OF NEVADA BEHAVIORAL COUNTY |
1982620399 |
63750 |
8500 |
39.2066007378 |
-121.076066214 |
| -117.866853000166 |
33.7811759997726 |
11412 |
Mahdiyar, roza |
1447382155 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
4 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
46750 |
8500 |
33.781176 |
-117.866853 |
| -119.251855838176 |
34.2762568924417 |
11429 |
Rogers, Bill |
1447420294 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.287330703749 |
34.1055752960631 |
11443 |
Nelson, Claire |
1447447776 |
Physician |
UNKNOWN |
351 N. Mt View Ave |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
OF SAN BERNARDINO COUNTY |
1578535845 |
21250 |
21250 |
34.1055752957 |
-117.287330704 |
| -117.195866999562 |
33.9120180000307 |
11466 |
Motabar, Ali |
1447492467 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
11478 |
Mati, Benjamin |
1447526413 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2017 |
2 |
MU |
OF VENTURA COUNTY |
1629167457 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.865599124 |
33.7803484876926 |
11486 |
Petrovich, Laura |
1447543053 |
Physician |
UNKNOWN |
1201 W La Veta Ave |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
1 |
AIU |
ORANGE CLINIC CHOC |
1427121375 |
21250 |
21250 |
33.7803484883 |
-117.865599124 |
| -117.195866999562 |
33.9120180000307 |
11516 |
Mohanty, Sudipta |
1447663695 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
11527 |
Ruiz, Ray |
1447687041 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.634037000008 |
36.697248000395 |
11545 |
Khouzam, Hani |
1457320905 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
UNKNOWN |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -122.169878999816 |
39.9278845299472 |
11559 |
Ooi, James |
1457349540 |
Physician |
UNKNOWN |
320 Solano St |
Corning |
Tehama |
96021 |
California |
2016 |
2017 |
3 |
MU |
OOI MD APC JAMES |
1871778886 |
38250 |
8500 |
39.9278845299 |
-122.169879 |
| -119.722198512751 |
34.4303530297686 |
11604 |
Hosea, Stephen |
1457411050 |
Physician |
INTERNAL MEDICINE |
320 W Pueblo St Room S06 |
Santa Barbara |
Santa Barbara |
93105 |
California |
2011 |
2012 |
1 |
AIU |
OF SANTA BARBARA COUNTY |
1841357449 |
21250 |
21250 |
34.43035303 |
-119.722198513 |
| -119.251855838176 |
34.2762568924417 |
11729 |
Morantz, Julie |
1457611667 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
3 |
MU |
OF VENTURA COUNTY |
1538300488 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -120.470578458129 |
34.6423986315916 |
11834 |
Gregersen, Howard |
1467474999 |
Physician |
INTERNAL MEDICINE |
301 N R St |
Lompoc |
Santa Barbara |
93436 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.6423986321 |
-120.470578458 |
| -121.632291000429 |
36.6962850000527 |
11932 |
Charabaty, Samar |
1467603365 |
Physician |
INTERNAL MEDICINE |
1441 Constitution Blvd, Bldg. 151, Suite 16 |
Salinas |
Monterey |
93906 |
California |
2011 |
2012 |
1 |
AIU |
OF MONTEREY COUNTY |
1043262959 |
21250 |
21250 |
36.696285 |
-121.632291 |
| -119.251855838176 |
34.2762568924417 |
12012 |
Lee, Daniel |
1467778878 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.959778000155 |
33.9277950000393 |
12013 |
Lee, Esther |
1467783167 |
Nurse Practitioner |
UNKNOWN |
501 S. Idaho Street, Suite 100 |
La Habra |
Orange |
90631 |
California |
2015 |
2015 |
1 |
AIU |
OF THE FAMILY FRIENDS |
1871818138 |
21250 |
21250 |
33.927795 |
-117.959778 |
| -122.407149450087 |
37.7614542154398 |
12047 |
Raine-Bennett, Tina |
1477507911 |
Physician |
OBSTETRICS/GYNECOLOGY |
625 Potrero Ave. |
San Francisco |
San Francisco |
94110 |
California |
2016 |
2017 |
5 |
MU |
OF CALIFORNIA UNIVERSITY |
1407821523 |
55250 |
8500 |
37.7614542151 |
-122.40714945 |
| -121.102682976038 |
38.9395720879815 |
12063 |
Raumer, Sheila |
1477530988 |
Physician |
UNKNOWN |
11583 C Avenue |
Auburn |
Nevada |
96161 |
California |
2014 |
2015 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -117.195866999562 |
33.9120180000307 |
12066 |
Simmons, Emma |
1477537041 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
12083 |
Galin, Amy |
1477555464 |
Physician |
PEDIATRIC MEDICINE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2015 |
2017 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.679827181179 |
34.4271586630419 |
12098 |
Chu, Linda |
1477573855 |
Physician |
FAMILY PRACTICE |
1136 E Montecito St |
Santa Barbara |
Santa Barbara |
93103 |
California |
2014 |
2015 |
3 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
38250 |
8500 |
34.4271586635 |
-119.679827181 |
| -119.51709129113 |
34.3969346712981 |
12099 |
King, Kristi |
1477575934 |
Nurse Practitioner |
UNKNOWN |
931 Walnut Ave |
Carpinteria |
Santa Barbara |
93013 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.3969346711 |
-119.517091291 |
| -117.195866999562 |
33.9120180000307 |
12120 |
Aguilera, Adolfo |
1477609808 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
12130 |
Prichard, John |
1477617546 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.634037000008 |
36.697248000395 |
12183 |
DeAngelo, Marguerite |
1477678050 |
Nurse Practitioner |
UNKNOWN |
1441 Constitution Blvd, Bldg. 200, Floor One, Suite 105 |
Salinas |
Monterey |
93906 |
California |
2018 |
2019 |
6 |
MU |
OF MONTEREY COUNTY |
1740232644 |
63750 |
8500 |
36.697248 |
-121.634037 |
| -117.926562544026 |
33.633120543878 |
12220 |
Sanaei, Nazanin |
1477737161 |
Physician |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2020 |
2020 |
6 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
63750 |
8500 |
33.6331205442 |
-117.926562544 |
| -119.780864423055 |
34.4451847074084 |
12225 |
Pearson, Marisa |
1477744639 |
Nurse Practitioner |
UNKNOWN |
300 N San Antonio Rd |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.4451847073 |
-119.780864423 |
| -122.242828694688 |
37.7817946444073 |
12230 |
Sung, Sui-Kwong |
1477755767 |
Physician |
PSYCHIATRY |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -119.779455296025 |
34.4448206996157 |
12240 |
JACOBSON, ALICIA |
1477780591 |
Nurse Practitioner |
NURSE PRACTITIONER |
345 Camino Del Remedio |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.4448207003 |
-119.779455296 |
| -119.251855838176 |
34.2762568924417 |
12242 |
Bowman, Ryan |
1477766855 |
Physician |
UROLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
12259 |
King, Kathryn |
1477818672 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -117.179723886448 |
33.9101189996921 |
12302 |
Terrill, Stephanie |
1477940641 |
Physician |
UNKNOWN |
26250 Cactus Avenut |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.910119 |
-117.179723886 |
| -117.195866999562 |
33.9120180000307 |
12313 |
Edpao, Peter Joseph |
1477992949 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -117.287330703749 |
34.1055752960631 |
12345 |
LONGDON, TINA |
1487095865 |
Nurse Practitioner |
UNKNOWN |
351 N Mt View Ave |
San Bernardino |
UNKNOWN |
92415 |
California |
2018 |
2019 |
2 |
MU |
OF SAN BERNARDINO COUNTY |
1578535845 |
29750 |
8500 |
34.1055752957 |
-117.287330704 |
| -121.102682976038 |
38.9395720879815 |
12405 |
Jackson, John |
1487689840 |
Physician |
UNKNOWN |
11583 C Avenue |
Auburn |
Placer |
95603 |
California |
2014 |
2015 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -119.251855838176 |
34.2762568924417 |
12431 |
Lambing, Cheryl |
1487718805 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.291622522861 |
34.0640279997924 |
12452 |
Lee, Karen |
1487733945 |
Physician |
PSYCHIATRY |
550 S Vermont Ave, Office of Medical Director |
Los Angeles |
Los Angeles |
90020 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.064028 |
-118.291622523 |
| -124.198708499697 |
41.7727514757001 |
12457 |
Groves-Rehwaldt, Katrina |
1487748943 |
Physician |
FAMILY PRACTICE |
550 East Washington Blvd. |
Crescent City |
Del Norte |
95531 |
California |
2017 |
2018 |
6 |
MU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
63750 |
8500 |
41.7727514761 |
-124.1987085 |
| -117.866853000166 |
33.7811759997726 |
12482 |
tupas, maria |
1487786257 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -117.540683999967 |
33.8699160001233 |
12497 |
Hernandez, Stephanie |
1487820155 |
Nurse Practitioner |
UNKNOWN |
1280 Corona Pointe Ct, Suite 112 |
Corona |
Riverside |
92879 |
California |
2012 |
2013 |
1 |
AIU |
ONCOLOGY MED WILSHIRE |
1629098447 |
21250 |
21250 |
33.869916 |
-117.540684 |
| -117.287330703749 |
34.1055752960631 |
12581 |
Lo, Aileen |
1487972261 |
Physician |
UNKNOWN |
351 N. Mountain View Ave |
San Bernardino |
San Bernardino |
92415 |
California |
2020 |
2020 |
3 |
MU |
OF SAN BERNARDINO COUNTY |
1578535845 |
38250 |
8500 |
34.1055752957 |
-117.287330704 |
| -119.251855838176 |
34.2762568924417 |
12598 |
Walls, Emily |
1497001879 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -117.867477936358 |
33.7790861138332 |
12615 |
Kaou, Mohamed |
1497022701 |
Dentist |
UNKNOWN |
530 South Main Street |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
1 |
AIU |
Ozder Dental Group |
1346571809 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
| -117.195866999562 |
33.9120180000307 |
12619 |
Tsang, Shunling |
1497052443 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
12655 |
Lafian, Haig |
1497175558 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2019 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -121.76427150013 |
36.9277560003392 |
12691 |
Leonard, Wendy |
1497755508 |
Physician |
UNKNOWN |
1430 Freedom Blvd |
Watsonville |
Santa Cruz |
95076 |
California |
2018 |
2019 |
6 |
MU |
OF SNTA CRUZ COUNTY |
1770709149 |
63750 |
8500 |
36.927756 |
-121.7642715 |
| -121.634037000008 |
36.697248000395 |
12705 |
Ardisson, Susan |
1497769079 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1441 Constition Blvd, bldg 400 Suite 300 |
Salinas |
Monterey |
93906 |
California |
2019 |
2020 |
4 |
MU |
OF MONTEREY COUNTY |
1881645158 |
46750 |
8500 |
36.697248 |
-121.634037 |
| -117.076676996146 |
33.1255051586362 |
12719 |
LEON, JOSUE |
1497799092 |
Physician |
OBSTETRICS/GYNECOLOGY |
488 E Valley Parkway, suite 310 |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
OB-GYN MED GRP ESCONDIDO |
1679512024 |
21250 |
21250 |
33.1255051588 |
-117.076676996 |
| -118.139260499672 |
34.1454509999637 |
12756 |
BASRAI, IMTIAZ |
1497843544 |
Physician |
UNKNOWN |
532 E Colorado Blvd, 8TH.FLOOR |
Pasadena |
Los Angeles |
91101 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.145451 |
-118.1392605 |
| -119.251855838176 |
34.2762568924417 |
12762 |
Wade, PATRICIA |
1497850150 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
12798 |
Underwood, Shirley |
1497919872 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.031767615983 |
39.2202332261825 |
12806 |
Martin, Kathlee |
1497944789 |
Nurse Practitioner |
UNKNOWN |
500 Crown Point Cir Ste 110 |
Grass Valley |
Nevada |
95945 |
California |
2020 |
2020 |
5 |
MU |
OF NEVADA COUNTY |
1700959863 |
55250 |
8500 |
39.2202332264 |
-121.031767616 |
| -117.926562544026 |
33.633120543878 |
12815 |
Beyaoju, Diane |
1497963771 |
Dentist |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2011 |
2012 |
1 |
AIU |
OUR SELVES CORP SHARE |
1508073685 |
21250 |
21250 |
33.6331205442 |
-117.926562544 |
| -119.251855838176 |
34.2762568924417 |
12885 |
DORNER, GILLIAN |
1508082157 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
12912 |
Chow, Conroy |
1508151556 |
Physician |
UNKNOWN |
26520 cactus avenue |
moreno valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
12961 |
Simbulan, Christine |
1508298894 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2016 |
2017 |
2 |
MU |
OF VENTURA COUNTY |
1538300488 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
| -124.136023770081 |
40.582388481843 |
13024 |
OLKIN, PHILIP |
1508897950 |
Physician |
FAMILY PRACTICE |
3302 Renner Dr |
Fortuna |
Humboldt |
95540 |
California |
2014 |
2016 |
2 |
MU |
OLKIN and C RAY PHILIP |
1699836981 |
29750 |
8500 |
40.5823884821 |
-124.13602377 |
| -119.251855838176 |
34.2762568924417 |
13046 |
Pawson, Leslie-Lynn |
1508920760 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.863524137129 |
33.8712556599208 |
13064 |
Boroukhim, Silvana |
1508948068 |
Physician |
UNKNOWN |
377 E Chapman Ave, STE.#110 |
Placentia |
Orange |
92870 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.8712556604 |
-117.863524137 |
| -117.797813802165 |
33.8319625611234 |
13132 |
Palisoc, Adoracion |
1518040914 |
Physician |
UNKNOWN |
5224 Versaille Ct |
Orange |
Orange |
92867 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8319625615 |
-117.797813802 |
| -124.198708499697 |
41.7727514757001 |
13142 |
Larson, Quenlyn |
1518050897 |
Nurse Practitioner |
UNKNOWN |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2014 |
2015 |
1 |
AIU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
21250 |
21250 |
41.7727514761 |
-124.1987085 |
| -117.195866999562 |
33.9120180000307 |
13160 |
Jukaku, Faheem |
1518072230 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -118.101841523268 |
34.5796668494456 |
13180 |
Eslao, Omar Anthony |
1518112606 |
Physician |
PSYCHIATRY |
1529 E Palmdale Blvd, 150 |
Palmdale |
Los Angeles |
93550 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.5796668488 |
-118.101841523 |
| -119.251855838176 |
34.2762568924417 |
13185 |
Bennett, Jeremy |
1518120252 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2017 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -120.052724894638 |
36.945597856356 |
13190 |
Young, Oscar |
1518130822 |
Physician |
OBSTETRICS/GYNECOLOGY |
363 E. Almond Ave, Ste 101 |
Madera |
UNKNOWN |
93637 |
California |
2018 |
2019 |
5 |
MU |
OSCAR N DO YOUNG |
1518130822 |
55250 |
8500 |
36.9455978562 |
-120.052724895 |
| -121.634037000008 |
36.697248000395 |
13216 |
Chan, Lawrence |
1518177062 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -122.185767442014 |
37.7586442774115 |
13220 |
Fowler, Reatha |
1518188929 |
Physician |
UNKNOWN |
7450 International Blvd |
Oakland |
Alameda |
94621 |
California |
2013 |
2014 |
2 |
MU |
OAKLAND HEALTH COUN WEST |
1306967021 |
29750 |
8500 |
37.7586442767 |
-122.185767442 |
| -117.959778000155 |
33.9277950000393 |
13245 |
Graves, Malaika |
1518261676 |
Physician |
UNKNOWN |
501 S Idaho St. Ste. 100, |
La habra |
Orange |
90631 |
California |
2020 |
2020 |
4 |
MU |
OF THE FAMILY FRIENDS |
1871818138 |
46750 |
8500 |
33.927795 |
-117.959778 |
| -117.926562544026 |
33.633120543878 |
13260 |
Amador, leticia |
1518293331 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2016 |
2017 |
1 |
AIU |
OUR SELVES CORP SHARE |
1508073685 |
21250 |
21250 |
33.6331205442 |
-117.926562544 |
| -117.195866999562 |
33.9120180000307 |
13273 |
Degmetich, Sean |
1518344878 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
13287 |
Logan, Andrew |
1518379007 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -120.470578458129 |
34.6423986315916 |
13334 |
Guerra, Robert |
1518988062 |
Physician |
INTERNAL MEDICINE |
301 N R St |
Lompoc |
Santa Barbara |
93436 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.6423986321 |
-120.470578458 |
| -121.632291000429 |
36.6962850000527 |
13352 |
Choy, Valerie |
1528011822 |
Physician |
UNKNOWN |
1441 Constitution Blvd, Bldg 151 Suite 16 |
Salinas |
Monterey |
93906 |
California |
2018 |
2019 |
6 |
MU |
OF MONTEREY COUNTY |
1043262959 |
63750 |
8500 |
36.696285 |
-121.632291 |
| -117.987943500392 |
33.7569749997965 |
13357 |
Doan, Bong |
1528021516 |
Physician |
UNKNOWN |
14140 Beach Blvd, Ste. 155 |
Westminster |
Orange |
92683 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.756975 |
-117.9879435 |
| -117.959778000155 |
33.9277950000393 |
13382 |
DiBernardo, Louis |
1528045358 |
Physician |
FAMILY PRACTICE |
501 S IDAHO STREET SUITE 190 |
LA HABRA |
Orange |
90631 |
California |
2013 |
2014 |
1 |
AIU |
OF THE FAMILY FRIENDS |
1871818138 |
21250 |
21250 |
33.927795 |
-117.959778 |
| -120.672399692792 |
35.6288323718165 |
13388 |
Harris, April |
1528054475 |
Nurse Practitioner |
UNKNOWN |
723 Walnut Dr |
Paso Robles |
San Luis Obispo |
93446 |
California |
2020 |
2020 |
2 |
MU |
OF SAN LUIS OBISPO COUNTY |
1518064948 |
29750 |
8500 |
35.6288323722 |
-120.672399693 |
| -121.634037000008 |
36.697248000395 |
13404 |
MACASINAG, NANETTE |
1528083219 |
Physician |
UNKNOWN |
1441 Constitution Blvd, 1615 Bunker Hill Way, Suite 100 |
Salinas |
Monterey |
93906 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY COUNTY |
1881645158 |
63750 |
8500 |
36.697248 |
-121.634037 |
| -120.471767112762 |
37.2919364673941 |
13476 |
Urbina, Jorge |
1528177250 |
Physician |
UNKNOWN |
480 E 13th St |
Merced |
Merced |
95341 |
California |
2016 |
2017 |
1 |
AIU |
of Mental Health Department |
1780705376 |
21250 |
21250 |
37.2919364668 |
-120.471767113 |
| -117.195866999562 |
33.9120180000307 |
13478 |
Udeh, Victoria |
1528185030 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
13490 |
Patel, Bipin |
1528197647 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.866853000166 |
33.7811759997726 |
13501 |
Choo, Susan |
1528220696 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -121.634037000008 |
36.697248000395 |
13555 |
White, Christopher |
1528377553 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -120.412065473942 |
34.9523821363266 |
13556 |
RASHTI, PEDRAM |
1528372034 |
Physician |
OBSTETRICS/GYNECOLOGY |
116 S Palisade Dr Ste 104 |
Santa Maria |
Santa Barbara |
93454 |
California |
2011 |
2012 |
1 |
AIU |
OF SANTA BARBARA COUNTY |
1841357449 |
21250 |
21250 |
34.9523821363 |
-120.412065474 |
| -119.251855838176 |
34.2762568924417 |
13581 |
Batcheler, Amy |
1528463809 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -117.354622500128 |
33.9757034646432 |
13585 |
Cao, Ivy |
1528474103 |
Physician |
UNKNOWN |
1971 University Ave, Family Medicine Department |
Riverside |
Riverside |
92507 |
California |
2018 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.9757034649 |
-117.3546225 |
| -117.275753681587 |
34.1358507775914 |
13594 |
Schauermann, Keith |
1538119318 |
Physician |
OBSTETRICS/GYNECOLOGY |
401 E Highland Ave, STE 450 |
San Bernardino |
San Bernardino |
92404 |
California |
2012 |
2013 |
1 |
AIU |
OB/GYN ASSOC INLAND |
1467402149 |
21250 |
21250 |
34.1358507779 |
-117.275753682 |
| -122.242828694688 |
37.7817946444073 |
13612 |
Cohen, Alan |
1538139860 |
Physician |
PSYCHIATRY |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -121.849011657762 |
36.6017043158016 |
13614 |
Krings, Cozzette |
1538145115 |
Nurse Practitioner |
NURSE PRACTITIONER |
1150 Fremont Blvd |
Seaside |
Monterey |
93955 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY COUNTY |
1881645158 |
63750 |
8500 |
36.6017043161 |
-121.849011658 |
| -121.634037000008 |
36.697248000395 |
13629 |
Valdovinos, Mirna |
1538170246 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1441 Constitution Blvd |
salinas |
Monterey |
93906 |
California |
2018 |
2019 |
6 |
MU |
OF MONTEREY COUNTY |
1881645158 |
63750 |
8500 |
36.697248 |
-121.634037 |
| -121.634037000008 |
36.697248000395 |
13630 |
Zaro, Christina |
1538171400 |
Physician |
UNKNOWN |
1441 constitution blvd |
salinas |
Monterey |
93906 |
California |
2019 |
2020 |
5 |
MU |
OF MONTEREY COUNTY |
1740232644 |
55250 |
8500 |
36.697248 |
-121.634037 |
| -119.758063764631 |
34.4178878002818 |
13642 |
Nudell, Nancy |
1538191689 |
Physician |
UNKNOWN |
4085 Cuervo Ave |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.4178878002 |
-119.758063765 |
| -119.251855838176 |
34.2762568924417 |
13652 |
Hiatt, Janet |
1538201140 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
3 |
MU |
OF VENTURA COUNTY |
1538300488 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.242830597554 |
33.9245590162856 |
13653 |
Rodriguez, Carlos |
1538202031 |
Physician |
PSYCHIATRY |
1720 E 120th St |
Los Angeles |
Los Angeles |
90059 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.9245590158 |
-118.242830598 |
| -121.849011657762 |
36.6017043158016 |
13717 |
Sedgwick, Jacqueline |
1538268412 |
Physician |
FAMILY PRACTICE |
1150 Fremont Blvd |
Salinas |
Monterey |
93955 |
California |
2015 |
2016 |
2 |
MU |
OF MONTEREY COUNTY |
1881645158 |
29750 |
8500 |
36.6017043161 |
-121.849011658 |
| -122.407149450087 |
37.7614542154398 |
13762 |
DerSimonian, Kohar |
1538334594 |
Physician |
FAMILY PRACTICE |
625 Potrero Ave., |
San Francisco |
San Francisco |
94110 |
California |
2014 |
2015 |
2 |
MU |
OF CALIFORNIA UNIVERSITY |
1407821523 |
29750 |
8500 |
37.7614542151 |
-122.40714945 |
| -117.973559928848 |
34.1321925405534 |
13768 |
Donahue, Michael |
1538351911 |
Physician |
UNKNOWN |
1500 Duarte Rd |
Duarte |
Los Angeles |
91010 |
California |
2016 |
2017 |
2 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
29750 |
8500 |
34.1321925411 |
-117.973559929 |
| -117.195866999562 |
33.9120180000307 |
13843 |
Farhadian, Parastou |
1538496419 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
13863 |
Mays, Martha |
1538580311 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Los Angeles |
90059 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.972729000243 |
33.7157144748432 |
13909 |
Nguyen, Amy |
1548274996 |
Physician |
UNKNOWN |
8970 Warner Ave, Med One Family Medical Group Inc |
Fountain Valley |
Orange |
92708 |
California |
2011 |
2012 |
1 |
AIU |
ONE FAMILY MEDICAL MED |
1578520144 |
21250 |
21250 |
33.7157144754 |
-117.972729 |
| -117.959778000155 |
33.9277950000393 |
13943 |
Nguyen, Mai Tram |
1548318512 |
Physician |
UNKNOWN |
501 S Idaho St, Suite 190 |
LA Habra |
Orange |
90631 |
California |
2019 |
2020 |
6 |
MU |
OF THE FAMILY FRIENDS |
1871818138 |
63750 |
8500 |
33.927795 |
-117.959778 |
| -119.251855838176 |
34.2762568924417 |
13948 |
Patterson, Stanley |
1548324700 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.010123999823 |
34.1372339996494 |
14004 |
Wolfson, Julie |
1548370950 |
Physician |
PEDIATRIC MEDICINE |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2013 |
2014 |
2 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
29750 |
8500 |
34.137234 |
-118.010124 |
| -121.632291000429 |
36.6962850000527 |
14151 |
Solorio, Laura |
1558313734 |
Physician |
INTERNAL MEDICINE |
1441 Constitution Blvd, Bldg 151 Suite 16 |
Salinas |
Monterey |
93906 |
California |
2014 |
2015 |
3 |
MU |
OF MONTEREY COUNTY |
1043262959 |
38250 |
8500 |
36.696285 |
-121.632291 |
| -118.010123999823 |
34.1372339996494 |
14157 |
Mortimer, Joanne |
1558319038 |
Physician |
MEDICAL ONCOLOGY |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2014 |
2015 |
3 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
38250 |
8500 |
34.137234 |
-118.010124 |
| -121.418158500215 |
38.5725509998288 |
14168 |
Melchione, Thomas |
1558338525 |
Physician |
OBSTETRICS/GYNECOLOGY |
77 Cadillac Dr, Suite 230 |
Sacramento |
Sacramento |
95825 |
California |
2011 |
2012 |
1 |
AIU |
OB/GYN INC CAPITAL |
1730136680 |
21250 |
21250 |
38.572551 |
-121.4181585 |
| -119.251855838176 |
34.2762568924417 |
14231 |
D'Augustine, Stephanie |
1558424440 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
14239 |
Kaur, Jasjit |
1558443812 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.866853000166 |
33.7811759997726 |
14282 |
Krepps-Hoffer, Cyndy |
1558495895 |
Nurse Practitioner |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2013 |
2 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
29750 |
8500 |
33.781176 |
-117.866853 |
| -117.195866999562 |
33.9120180000307 |
14324 |
Ochoa, William |
1558574954 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -121.850557149893 |
39.7536993916137 |
14356 |
Lotfy Mohammed, Karim |
1558657676 |
Physician |
UNKNOWN |
109 Parmac Rd |
Chico |
Butte |
95926 |
California |
2016 |
2017 |
1 |
AIU |
of Behavioral Health Dept |
1386704393 |
21250 |
21250 |
39.7536993924 |
-121.85055715 |
| -119.251855838176 |
34.2762568924417 |
14365 |
Ahl, Scott |
1558674523 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.634037000008 |
36.697248000395 |
14399 |
Dansereau, Jean |
1568414712 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -119.251855838176 |
34.2762568924417 |
14415 |
Lowe, Isaac |
1568447092 |
Physician |
GENERAL SURGERY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.396198902757 |
33.9601626041209 |
14424 |
Carew-Akenzua, Oyindamola |
1568476943 |
Physician |
UNKNOWN |
8540 S Sepulveda Blvd, #916 |
Los Angeles |
Los Angeles |
90045 |
California |
2014 |
2015 |
4 |
MU |
OYINDAMOL CAREW-AKENZUA |
1568476943 |
46750 |
8500 |
33.9601626042 |
-118.396198903 |
| -118.010123999823 |
34.1372339996494 |
14516 |
HTUT, MYO |
1568572592 |
Physician |
INTERNAL MEDICINE |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2014 |
2015 |
3 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
38250 |
8500 |
34.137234 |
-118.010124 |
| -119.251855838176 |
34.2762568924417 |
14553 |
Wu, Thomas |
1568640720 |
Physician |
ORTHOPEDIC SURGERY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
14595 |
Sinjar, Tulin |
1568730505 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
14624 |
JACKSON, ALYCIA |
1568807410 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
14631 |
Jorge, Melinda |
1568862399 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.154484999583 |
32.8007430002893 |
14648 |
Graff, Nancy |
1578505640 |
Physician |
UNKNOWN |
7910 Frost St, Ste 350 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
45333.34 |
8500 |
32.800743 |
-117.154485 |
| -117.840131999992 |
33.74653500039 |
14719 |
Hannaford, Diane |
1578612230 |
Nurse Practitioner |
UNKNOWN |
1901 E 1st Street, Ste. 312 |
Santa Ana |
Orange |
92705 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.746535 |
-117.840132 |
| -121.102682976038 |
38.9395720879815 |
14730 |
Klistoff, Alexander |
1578635645 |
Physician |
FAMILY PRACTICE |
11583 C Ave |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -118.010123999823 |
34.1372339996494 |
14744 |
Tan, Mark |
1578658266 |
Physician |
UNKNOWN |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2017 |
2018 |
5 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
55250 |
8500 |
34.137234 |
-118.010124 |
| -118.010123999823 |
34.1372339996494 |
14753 |
DiMundo, Julie |
1578667093 |
Physician |
PEDIATRIC MEDICINE |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2018 |
2019 |
6 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
63750 |
8500 |
34.137234 |
-118.010124 |
| -119.782150849282 |
36.7416104957279 |
14756 |
Sangrujiveth, Orathai |
1578669511 |
Physician |
UNKNOWN |
1122 S ST, SUITE 102 |
Fresno |
Fresno |
93721 |
California |
2016 |
2017 |
6 |
MU |
ORATHAI MD SANGRUJIVETH |
1578669511 |
63750 |
8500 |
36.7416104963 |
-119.782150849 |
| -120.86628300026 |
37.5960419996386 |
14762 |
Kiesel, Erin |
1578676243 |
Doctor of Optometry |
UNKNOWN |
2412 3rd Street, Suite B |
Hughson |
Stanislaus |
95326 |
California |
2016 |
2016 |
1 |
AIU |
OF STANISLAUS COUNTY |
1366648016 |
21250 |
21250 |
37.596042 |
-120.866283 |
| -118.23282450035 |
33.8958814726519 |
14791 |
DeLaCruz, Emmanuel |
1578747457 |
Physician |
PSYCHIATRY |
546 W Compton Blvd |
Compton |
Los Angeles |
90220 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8958814732 |
-118.2328245 |
| -117.195866999562 |
33.9120180000307 |
14795 |
KANG, ILHO |
1578754602 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -118.205854312427 |
34.0635181912116 |
14811 |
Khurana, Anita |
1578770921 |
Physician |
UNKNOWN |
1605 Eastlake Ave |
Los Angeles |
Los Angeles |
90033 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.0635181912 |
-118.205854312 |
| -119.251855838176 |
34.2762568924417 |
14818 |
Lyons, Morgan |
1578790135 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
14836 |
MONROY-CARDENAS, CHRISTINA |
1578832697 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
14839 |
Morrow, Shannon |
1578836094 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
3 |
MU |
OF VENTURA COUNTY |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.76427150013 |
36.9277560003392 |
14860 |
ALVARADO, FABIAN |
1578891859 |
Nurse Practitioner |
UNKNOWN |
1430 Freedom Blvd. |
Watsonville |
Santa Cruz |
95076 |
California |
2016 |
2017 |
3 |
MU |
OF SNTA CRUZ COUNTY |
1770709149 |
38250 |
8500 |
36.927756 |
-121.7642715 |
| -121.634037000008 |
36.697248000395 |
14888 |
Romero, Eloy |
1578970463 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2015 |
2016 |
1 |
AIU |
OF MONTEREY COUNTY |
1740232644 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -119.251855838176 |
34.2762568924417 |
14916 |
Chavolla, Dana |
1588057178 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
3 |
MU |
OF VENTURA COUNTY |
1538300488 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
14919 |
Shimizu, Sze-Wei |
1588070718 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -122.017646291043 |
36.9915277342176 |
14944 |
Brooks, Robin |
1588619837 |
Physician |
UNKNOWN |
1080 Emeline Avenue |
Santa Cruz |
Santa Cruz |
95060 |
California |
2018 |
2019 |
4 |
MU |
OF SANTA CRUZ DBA COUNTY |
1578680310 |
25500 |
8500 |
36.9915277341 |
-122.017646291 |
| -121.850547804138 |
39.7537258577622 |
14996 |
Buckley, Thomas |
1588701726 |
Physician |
UNKNOWN |
109 PARMAC RD STE 1 |
CHICO |
Butte |
95926 |
California |
2013 |
2014 |
1 |
AIU |
of Behavioral Health Dept |
1386704393 |
21250 |
21250 |
39.7537258582 |
-121.850547804 |
| -121.102682976038 |
38.9395720879815 |
15001 |
Buckwalter, Lisa |
1588711188 |
Nurse Practitioner |
UNKNOWN |
11583 C Ave |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -117.959778000155 |
33.9277950000393 |
15016 |
Varallo, Mark |
1588722946 |
Physician |
FAMILY PRACTICE |
501 S IDAHO STREET SUITE 190 |
LA HABRA |
Orange |
90631 |
California |
2020 |
2020 |
5 |
MU |
OF THE FAMILY FRIENDS |
1871818138 |
55250 |
8500 |
33.927795 |
-117.959778 |
| -122.707921848415 |
38.4682973146694 |
15018 |
Grob, Phillip |
1588725253 |
Physician |
UNKNOWN |
3322 Chanate Rd |
Santa Rosa |
Sonoma |
95404 |
California |
2015 |
2016 |
1 |
AIU |
OF SONOMA COUNTY |
1871647115 |
21250 |
21250 |
38.4682973152 |
-122.707921848 |
| -117.926562544026 |
33.633120543878 |
15029 |
Wayt, Marisa |
1588735088 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2020 |
2020 |
6 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
63750 |
8500 |
33.6331205442 |
-117.926562544 |
| -119.251855838176 |
34.2762568924417 |
15048 |
Darden, Ted |
1588754410 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1538300488 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -120.647012895329 |
35.2750237877177 |
15092 |
Borenstein, Penny |
1588830863 |
Physician |
UNKNOWN |
2191 Johnson Ave |
San Luis Obispo |
San Luis Obispo |
93401 |
California |
2020 |
2020 |
3 |
MU |
OF SAN LUIS OBISPO COUNTY |
1518064948 |
38250 |
8500 |
35.2750237879 |
-120.647012895 |
| -117.866853000166 |
33.7811759997726 |
15159 |
Randall, Jacquetta |
1588982466 |
Physician |
UNKNOWN |
455 S. Main Street |
Orange |
Orange |
92868 |
California |
2011 |
2012 |
1 |
AIU |
ORANGE CLINIC CHOC |
1427121375 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -117.287330703749 |
34.1055752960631 |
15171 |
Debay, Marc |
1588996623 |
Physician |
UNKNOWN |
351 N Mt View Ave, Room 303 |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
OF SAN BERNARDINO COUNTY |
1578535845 |
21250 |
21250 |
34.1055752957 |
-117.287330704 |
| -118.010123999823 |
34.1372339996494 |
15283 |
Hum, Gary |
1598771511 |
Physician |
ANESTHESIOLOGY |
1333 S. MAYFLOWER AVE., 2ND FLOOR |
MONROVIA |
UNKNOWN |
91016 |
California |
2014 |
2015 |
2 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
29750 |
8500 |
34.137234 |
-118.010124 |
| -118.213123500149 |
33.8960484767558 |
15342 |
Hernandez, Dolores |
1598844185 |
Physician |
PSYCHIATRY |
921 E Compton Blvd |
Compton |
Los Angeles |
90221 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8960484774 |
-118.2131235 |
| -117.154484999583 |
32.8007430002893 |
15386 |
Kern, Leah |
1598912487 |
Physician |
UNKNOWN |
7910 Frost St., Suite 350 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
39666.67 |
8500 |
32.800743 |
-117.154485 |
| -118.247289903007 |
34.0446504956239 |
15414 |
Badovsky, Lilian |
1598959363 |
Physician |
PSYCHIATRY |
529 Maple Ave |
Los Angeles |
Los Angeles |
90013 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.044650496 |
-118.247289903 |
| -121.634037000008 |
36.697248000395 |
15452 |
Fernandez, Margaret-Anne |
1609059005 |
Physician |
UNKNOWN |
1441 Constitution Blvd, Bldg. 200, Floor One, Suite 101 |
Salinas |
Monterey |
93906 |
California |
2011 |
2012 |
1 |
AIU |
OF MONTEREY COUNTY |
1457303356 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -117.926562544026 |
33.633120543878 |
15495 |
De La Rosa, Laura |
1609117712 |
Nurse Practitioner |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2018 |
2019 |
2 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
29750 |
8500 |
33.6331205442 |
-117.926562544 |
| -119.018416499822 |
35.3738699996009 |
15498 |
Spagna, Janet |
1609127034 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1430 Truxtun Ave, STE 400 |
Bakersfield |
UNKNOWN |
93301 |
California |
2013 |
2014 |
1 |
AIU |
OF THE RIVER NORTH |
1639171028 |
21250 |
21250 |
35.37387 |
-119.0184165 |
| -122.242828694688 |
37.7817946444073 |
15560 |
Yun, Karen |
1609803923 |
Physician |
PSYCHIATRY |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -119.779455296025 |
34.4448206996157 |
15613 |
Rogers, Anthony |
1609899111 |
Physician |
FAMILY PRACTICE |
345 Camino Del Remedio |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.4448207003 |
-119.779455296 |
| -119.251855838176 |
34.2762568924417 |
15644 |
Sanchez, Barry |
1609934652 |
Physician |
GENERAL SURGERY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.184609985662 |
34.1044891830294 |
15670 |
Herrera-Mendez, Benjamin |
1609965284 |
Physician |
PSYCHIATRY |
5321 Via Marisol |
Los Angeles |
Los Angeles |
90042 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.1044891832 |
-118.184609986 |
| -122.287486500402 |
37.8042029996687 |
15689 |
Ebio, Nora |
1609991975 |
Dentist |
UNKNOWN |
700 Adeline Street |
Oakland |
Alameda |
94607 |
California |
2012 |
2013 |
1 |
AIU |
OAKLAND HEALTH COUN WEST |
1306967021 |
21250 |
21250 |
37.804203 |
-122.2874865 |
| -117.866853000166 |
33.7811759997726 |
15700 |
Douglas, Kimberly |
1619017670 |
Physician |
UNKNOWN |
455 So.Main Street |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
3 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -121.850547804138 |
39.7537258577622 |
15731 |
Heitzman, George |
1619054491 |
Physician |
UNKNOWN |
109 PARMAC RD STE # 1 |
CHICO |
Butte |
95926 |
California |
2013 |
2014 |
1 |
AIU |
of Behavioral Health Dept |
1386704393 |
21250 |
21250 |
39.7537258582 |
-121.850547804 |
| -118.326603468675 |
34.0932599997493 |
15737 |
michaiel, samia |
1619054905 |
Physician |
PSYCHIATRY |
1224 Vine St |
Los Angeles |
Los Angeles |
90038 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.09326 |
-118.326603469 |
| -121.635850500001 |
36.6741900000685 |
15782 |
VALLEJO-AGREDANO, MARIA |
1619107562 |
Physician |
FAMILY PRACTICE |
559 E. Alisal Street, Suite 201 |
Salinas |
Monterey |
93905 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY DHS COUNTY |
1699726786 |
63750 |
8500 |
36.67419 |
-121.6358505 |
| -119.251855838176 |
34.2762568924417 |
15832 |
AVINA, NORMA |
1619193208 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.634037000008 |
36.697248000395 |
15882 |
DELGADO, VICTOR |
1619303310 |
Physician |
UNKNOWN |
1441 Constitution Blvd, Bldg. 400, Ste. 300 |
Salinas |
Monterey |
93906 |
California |
2015 |
2016 |
1 |
AIU |
OF MONTEREY COUNTY |
1881645158 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -119.251855838176 |
34.2762568924417 |
15889 |
ADAM, LAURA |
1619318532 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -122.407149450087 |
37.7614542154398 |
15907 |
Pritzker, Joely |
1619384351 |
Nurse Practitioner |
UNKNOWN |
625 Potrero Ave |
San Francisco |
San Francisco |
94110 |
California |
2015 |
2015 |
1 |
AIU |
OF CALIFORNIA UNIVERSITY |
1407821523 |
21250 |
21250 |
37.7614542151 |
-122.40714945 |
| -117.179723886448 |
33.9101189996921 |
15914 |
Garcia, Ada |
1619903713 |
Physician |
UNKNOWN |
26250 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.910119 |
-117.179723886 |
| -117.154484999583 |
32.8007430002893 |
15920 |
Loper, Karen |
1619908936 |
Physician |
UNKNOWN |
7910 Frost St., Suite 350 |
San Diego |
San Diego |
92123 |
California |
2018 |
2019 |
2 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
22666.67 |
8500 |
32.800743 |
-117.154485 |
| -122.017646291043 |
36.9915277342176 |
15948 |
Santillano, Eugene |
1619967007 |
Physician |
UNKNOWN |
1080 Emeline Avenue |
Santa Cruz |
Santa Cruz |
95060 |
California |
2020 |
2020 |
5 |
MU |
OF SANTA CRUZ DBA COUNTY |
1578680310 |
34000 |
8500 |
36.9915277341 |
-122.017646291 |
| -117.195866999562 |
33.9120180000307 |
15977 |
TABUENCA, ARNOLDO |
1629007992 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -121.849011657762 |
36.6017043158016 |
15990 |
Trotter, Ruth |
1629022363 |
Physician |
UNKNOWN |
1150 Fremont Blvd |
Seaside |
Monterey |
93955 |
California |
2018 |
2019 |
6 |
MU |
OF MONTEREY COUNTY |
1881645158 |
63750 |
8500 |
36.6017043161 |
-121.849011658 |
| -119.779455296025 |
34.4448206996157 |
16040 |
Mizes, David |
1629094230 |
Physician |
FAMILY PRACTICE |
345 Camino Del Remedio |
Santa Barbara |
Santa Barbara |
93110 |
California |
2011 |
2012 |
1 |
AIU |
OF SANTA BARBARA COUNTY |
1841357449 |
21250 |
21250 |
34.4448207003 |
-119.779455296 |
| -124.086124204668 |
40.8698001399645 |
16055 |
Brockington, Nancy |
1629119334 |
Physician |
FAMILY PRACTICE |
770 10th Street |
Arcata |
Humboldt |
95521 |
California |
2017 |
2018 |
6 |
MU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
63750 |
8500 |
40.8698001396 |
-124.086124205 |
| -119.779455296025 |
34.4448206996157 |
16061 |
Batchu, Satish |
1629128442 |
Physician |
FAMILY PRACTICE |
345 Camino Del Remedio |
Santa Barbara |
Santa Barbara |
93110 |
California |
2012 |
2013 |
2 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
29750 |
8500 |
34.4448207003 |
-119.779455296 |
| -121.102682976038 |
38.9395720879815 |
16126 |
Clark, Daniel |
1629186531 |
Physician |
UNKNOWN |
11583 C Avenue |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -117.195866999562 |
33.9120180000307 |
16137 |
TO, DUC |
1629205216 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
16145 |
MONTEITH, CHRISTY |
1629213236 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -117.287330703749 |
34.1055752960631 |
16162 |
chavez, jose |
1629234893 |
Nurse Practitioner |
UNKNOWN |
351 Mt View ave San bernardino |
San Bernardino |
San Bernardino |
92415 |
California |
2020 |
2020 |
4 |
MU |
OF SAN BERNARDINO COUNTY |
1578535845 |
46750 |
8500 |
34.1055752957 |
-117.287330704 |
| -124.086124204668 |
40.8698001399645 |
16215 |
Frangiosa, Andrea |
1629340518 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
770 10th St |
Arcata |
Humboldt |
95521 |
California |
2014 |
2015 |
1 |
AIU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
21250 |
21250 |
40.8698001396 |
-124.086124205 |
| -117.887971500085 |
33.8190750001112 |
16238 |
Ngo, Jerry |
1629369806 |
Physician |
UNKNOWN |
2035 E Ball Road |
Anaheim |
Orange |
92806 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.819075 |
-117.8879715 |
| -117.195866999562 |
33.9120180000307 |
16261 |
Recinos, Sheryl |
1629483417 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.66433915263 |
33.6303590532278 |
16287 |
Bublik, Oksana |
1639131865 |
Dentist |
UNKNOWN |
22951 Los Alisos Blvd, Ste 2 |
Mission Viejo |
Orange |
92691 |
California |
2017 |
2018 |
2 |
MU |
OKSANA DDS BUBLIK |
1639131865 |
29750 |
8500 |
33.6303590529 |
-117.664339153 |
| -119.251855838176 |
34.2762568924417 |
16354 |
Bohl, Janelle |
1639228505 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
16360 |
Sever, Catherine |
1639233760 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2015 |
2017 |
3 |
MU |
OF VENTURA COUNTY |
1538300488 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -124.140658919074 |
40.7859195138745 |
16374 |
Cade, Linda |
1639262298 |
Nurse Practitioner |
NURSE PRACTITIONER |
2426 Buhne Street |
Eureka |
Humboldt |
95501 |
California |
2011 |
2012 |
1 |
AIU |
OPEN DOOR CLIN HUMBOLDT |
1881873958 |
21250 |
21250 |
40.785919514 |
-124.140658919 |
| -119.212876253836 |
34.2683172367511 |
16411 |
Cheng, Andrew |
1639301369 |
Physician |
UNKNOWN |
County of Ventura, 800 S Victoria Ave. L#4615 |
Ventua |
Ventura |
93009 |
California |
2020 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.2683172371 |
-119.212876254 |
| -121.634037000008 |
36.697248000395 |
16421 |
Rai, Aanmol |
1639335268 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -122.242828694688 |
37.7817946444073 |
16441 |
Chaffin, Jennifer |
1639370018 |
Physician |
UNKNOWN |
2000 Embarcadero, Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -117.608566499844 |
34.0201440004453 |
16456 |
Reyes, Olga |
1639398522 |
Dentist |
UNKNOWN |
1945 E Riverside Dr, Suite 6 |
Ontario |
San Bernardino |
91761 |
California |
2020 |
2020 |
3 |
MU |
OLGA L DDS REYES |
1639398522 |
38250 |
8500 |
34.020144 |
-117.6085665 |
| -119.253194999749 |
34.2751860004336 |
16508 |
Weber, Christine |
1639587017 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3180 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.275186 |
-119.253195 |
| -119.780977500211 |
36.7865909997749 |
16517 |
Kecskes, Diane |
1649208638 |
Physician |
UNKNOWN |
3796 N Fresno St, Suite # 104 |
Fresno |
Fresno |
93726 |
California |
2016 |
2017 |
1 |
AIU |
of Mental Health Department |
1780705376 |
21250 |
21250 |
36.786591 |
-119.7809775 |
| -117.557048105286 |
34.1083205188769 |
16559 |
OYEMADE, OLUSOLA |
1649297573 |
Physician |
UNKNOWN |
7777 Milliken Ave, SUITE 360 |
Rancho Cucamonga |
San Bernardino |
91730 |
California |
2014 |
2015 |
3 |
MU |
OLUSOLA A MD OYEMADE |
1649297573 |
38250 |
8500 |
34.1083205188 |
-117.557048105 |
| -117.866853000166 |
33.7811759997726 |
16566 |
BROWN, LOURDES |
1649305269 |
Physician |
UNKNOWN |
455 SOUTH MAIN ST. |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -121.102682976038 |
38.9395720879815 |
16584 |
Curtis, Alexa |
1649326539 |
Nurse Practitioner |
UNKNOWN |
11583 C Ave |
Auburn |
Placer |
95603 |
California |
2013 |
2014 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -118.242830597554 |
33.9245590162856 |
16596 |
AKPENYI, GEORGE |
1649345067 |
Physician |
PSYCHIATRY |
1720 E 120th St |
Los Angeles |
Los Angeles |
90059 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.9245590158 |
-118.242830598 |
| -118.022159053897 |
34.1084790963333 |
16605 |
CHOO, CHIN |
1649354135 |
Physician |
PSYCHIATRY |
330 E Live Oak Ave |
Arcadia |
Los Angeles |
91006 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.1084790963 |
-118.022159054 |
| -118.484891999866 |
34.3158299996548 |
16608 |
khachatryan, susanna |
1649359720 |
Physician |
UNKNOWN |
16350 Filbert St |
Sylmar |
Los Angeles |
91342 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.31583 |
-118.484892 |
| -118.151977499762 |
34.1310125302041 |
16612 |
Afuape, Oluyemisi |
1649363789 |
Physician |
UNKNOWN |
50 Alessandro Pl Ste 100 |
Pasadena |
Los Angeles |
91105 |
California |
2012 |
2013 |
2 |
MU |
OLUYEMISI S MD AFUAPE |
1649363789 |
29750 |
8500 |
34.1310125304 |
-118.1519775 |
| -119.251855838176 |
34.2762568924417 |
16645 |
David, Jacob |
1649400086 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
16657 |
O'Bryan-Becerra, Carlos |
1649422338 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -124.085551423759 |
40.8688668703099 |
16668 |
Riese, Amy |
1649447533 |
Physician |
UNKNOWN |
670 Ninth Street, Suite 203 |
Arcata |
Humboldt |
95521 |
California |
2011 |
2012 |
1 |
AIU |
OPEN DOOR CLIN HUMBOLDT |
1881873958 |
21250 |
21250 |
40.8688668704 |
-124.085551424 |
| -117.926562544026 |
33.633120543878 |
16751 |
Wilson, Stefanie |
1649632464 |
Nurse Practitioner |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2016 |
2017 |
1 |
AIU |
OUR SELVES CORP SHARE |
1508073685 |
21250 |
21250 |
33.6331205442 |
-117.926562544 |
| -117.195866999562 |
33.9120180000307 |
16752 |
Alonso, Emilio |
1649619115 |
Physician |
UNKNOWN |
26520 Cactus Ave, General Surgery Clinic |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -121.634037000008 |
36.697248000395 |
16824 |
Junqueira, Heloisa |
1659399327 |
Physician |
PEDIATRIC MEDICINE |
1441 Constitution Blvd, Buiding 200, Floor One, Suite 101 |
Salinas |
Monterey |
93906 |
California |
2018 |
2019 |
5 |
MU |
OF MONTEREY COUNTY |
1457303356 |
55250 |
8500 |
36.697248 |
-121.634037 |
| -119.251855838176 |
34.2762568924417 |
16843 |
Rockney, Lynn |
1659435741 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.293532020986 |
33.8315565468972 |
16859 |
Cho, Samson |
1659448645 |
Physician |
PSYCHIATRY |
1000 W Carson St, Box 498 |
Torrance |
Los Angeles |
90509 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8315565466 |
-118.293532021 |
| -124.198708499697 |
41.7727514757001 |
16872 |
Pearson, Clint |
1659464113 |
Physician |
FAMILY PRACTICE |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2017 |
2018 |
6 |
MU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
63750 |
8500 |
41.7727514761 |
-124.1987085 |
| -124.092387024941 |
40.8980790420142 |
16893 |
Dikes, Carolyn |
1659501880 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1600 WEEOT WAY |
ARCATA |
Humboldt |
95521 |
California |
2013 |
2015 |
3 |
MU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
38250 |
8500 |
40.898079042 |
-124.092387025 |
| -119.251855838176 |
34.2762568924417 |
16902 |
Lu, Nancy |
1659513414 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
16908 |
Hemmer, Sarah |
1659526630 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
16966 |
Shen, Jim |
1659639623 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
17005 |
Tran, Dao |
1659771368 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
17011 |
Fernandez, Carlos |
1659787943 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
17060 |
Jindani, Shilpa |
1669485322 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -122.707921848415 |
38.4682973146694 |
17084 |
BECK, JENNIFER |
1669523387 |
Physician |
UNKNOWN |
3322 Chanate Rd |
Santa Rosa |
Sonoma |
95404 |
California |
2015 |
2016 |
1 |
AIU |
OF SONOMA COUNTY |
1871647115 |
21250 |
21250 |
38.4682973152 |
-122.707921848 |
| -117.287330703749 |
34.1055752960631 |
17090 |
zane, ryan |
1669534293 |
Physician |
UNKNOWN |
351 n Mtn View ave |
San Bernardino |
San Bernardino |
92415 |
California |
2020 |
2020 |
3 |
MU |
OF SAN BERNARDINO COUNTY |
1578535845 |
38250 |
8500 |
34.1055752957 |
-117.287330704 |
| -119.251855838176 |
34.2762568924417 |
17093 |
Edwards, Autumn |
1669535597 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -122.707921848415 |
38.4682973146694 |
17094 |
Bravo, Gary |
1669536009 |
Physician |
UNKNOWN |
3322 Chanate Rd |
Santa Rosa |
Sonoma |
95404 |
California |
2015 |
2016 |
1 |
AIU |
OF SONOMA COUNTY |
1871647115 |
21250 |
21250 |
38.4682973152 |
-122.707921848 |
| -119.251855838176 |
34.2762568924417 |
17164 |
Hargett, Damayea |
1669634101 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
3 |
MU |
OF VENTURA COUNTY |
1538300488 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
17177 |
Lopez, Jairo |
1669666186 |
Physician |
UNKNOWN |
26520 cactus avenue |
moreno valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -118.20187799957 |
33.9306030000285 |
17178 |
Tawadrous, Odette |
1669661492 |
Physician |
UNKNOWN |
3625 Martin Luther King Jr Blvd Ste 10 |
Lynwood |
Los Angeles |
90262 |
California |
2015 |
2016 |
2 |
MU |
ODETTE R MD TAWADROUS |
1669661492 |
29750 |
8500 |
33.930603 |
-118.201878 |
| -119.251855838176 |
34.2762568924417 |
17213 |
El-Sayed, Dena |
1669758918 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.634037000008 |
36.697248000395 |
17244 |
Kainuma, Koji |
1669898268 |
Nurse Practitioner |
UNKNOWN |
1441 Constitution Blvd, Building 400, Suite 202 |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -117.287330703749 |
34.1055752960631 |
17253 |
Sims, Charles |
1679503189 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
351 N Mtn View Ave |
San Bernardino |
San Bernardino |
92415 |
California |
2020 |
2020 |
4 |
MU |
OF SAN BERNARDINO COUNTY |
1578535845 |
46750 |
8500 |
34.1055752957 |
-117.287330704 |
| -119.725061240084 |
34.4311758006227 |
17261 |
Young, Steven |
1679510630 |
Physician |
INTERNAL MEDICINE |
2428 Castillo St, Suite D |
Santa Barbara |
Santa Barbara |
93105 |
California |
2012 |
2013 |
1 |
AIU |
OF SANTA BARBARA COUNTY |
1841357449 |
21250 |
21250 |
34.4311758013 |
-119.72506124 |
| -120.470578458129 |
34.6423986315916 |
17265 |
Bines, Lawrence |
1679517460 |
Physician |
OBSTETRICS/GYNECOLOGY |
301 North "R" St |
Lompoc |
Santa Barbara |
93436 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.6423986321 |
-120.470578458 |
| -117.076676996146 |
33.1255051586362 |
17284 |
Cizmar, Branislav |
1679554372 |
Physician |
OBSTETRICS/GYNECOLOGY |
488 E Valley Pkwy, Suite 311 |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
OB-GYN MED GRP ESCONDIDO |
1679512024 |
21250 |
21250 |
33.1255051588 |
-117.076676996 |
| -121.634037000008 |
36.697248000395 |
17293 |
DOLGOS, ELIZABETH |
1679575674 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -119.779455296025 |
34.4448206996157 |
17307 |
McClenahan, Jane |
1679599377 |
Physician |
INTERNAL MEDICINE |
345 Camino Del Remedio |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.4448207003 |
-119.779455296 |
| -119.702146499961 |
36.7364250003135 |
17328 |
wang, qianmin |
1679634885 |
Dentist |
UNKNOWN |
5555 E. Kings Canyon Rd, suite 101 |
Fresno |
Fresno |
93727 |
California |
2013 |
2014 |
1 |
AIU |
Ozder Dental Group |
1346571809 |
21250 |
21250 |
36.736425 |
-119.7021465 |
| -121.850547804138 |
39.7537258577622 |
17335 |
Maguire, Gerald |
1679640049 |
Physician |
UNKNOWN |
109 PARMAC RD STE 1 |
CHICO |
Butte |
95926 |
California |
2013 |
2014 |
1 |
AIU |
of Behavioral Health Dept |
1386704393 |
21250 |
21250 |
39.7537258582 |
-121.850547804 |
| -124.086124204668 |
40.8698001399645 |
17358 |
Moss, Tara |
1679660187 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
770 10th Street |
Arcata |
Humboldt |
95521 |
California |
2017 |
2018 |
6 |
MU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
63750 |
8500 |
40.8698001396 |
-124.086124205 |
| -118.502305069024 |
34.2628948805943 |
17363 |
Marsh, Jeffrey |
1679666283 |
Physician |
PSYCHIATRY |
10605 Balboa Blvd, Suite 100 |
Granada Hills |
Los Angeles |
91344 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.2628948812 |
-118.502305069 |
| -122.166396000175 |
37.7382780001296 |
17384 |
smith, merritt |
1679692636 |
Physician |
FAMILY PRACTICE |
10615 International Blvd |
Oakland |
Alameda |
94603 |
California |
2013 |
2014 |
2 |
MU |
OAKLAND HEALTH COUN WEST |
1306967021 |
29750 |
8500 |
37.738278 |
-122.166396 |
| -119.780864423055 |
34.4451847074084 |
17435 |
REGENHARDT, SUSAN |
1679777239 |
Certified Nurse - Midwife |
UNKNOWN |
300 N. San Antonio Rd, Bldg 1 |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
2 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
29750 |
8500 |
34.4451847073 |
-119.780864423 |
| -121.634037000008 |
36.697248000395 |
17471 |
Nazian Najafi, Maryam |
1679860464 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -117.195866999562 |
33.9120180000307 |
17561 |
Kamson, Olayinka |
1689620676 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2018 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -121.79311117624 |
36.6851930281358 |
17603 |
Umeh, Ifeanyi |
1689684698 |
Physician |
FAMILY PRACTICE |
3155 DEFOREST RD |
Marina |
Monterey |
93933 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY COUNTY |
1588617955 |
63750 |
8500 |
36.685193028 |
-121.793111176 |
| -117.866853000166 |
33.7811759997726 |
17612 |
Sinha, Mohini |
1689706376 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2011 |
2012 |
1 |
AIU |
ORANGE CLINIC CHOC |
1427121375 |
21250 |
21250 |
33.781176 |
-117.866853 |
| -121.031767615983 |
39.2202332261825 |
17624 |
Long, Joel |
1689726218 |
Physician |
UNKNOWN |
500 Crown Point Circle Ste 120 |
Grass Valley |
Nevada |
95945 |
California |
2016 |
2017 |
4 |
MU |
OF NEVADA BEHAVIORAL COUNTY |
1982620399 |
46750 |
8500 |
39.2202332264 |
-121.031767616 |
| -119.251855838176 |
34.2762568924417 |
17653 |
Brecht-Doscher, Aimee |
1689747198 |
Physician |
OBSTETRICS/GYNECOLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.242830597554 |
33.9245590162856 |
17657 |
Midget, Melanie |
1689747545 |
Physician |
PSYCHIATRY |
1720 E 120th St |
Los Angeles |
Los Angeles |
90059 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.9245590158 |
-118.242830598 |
| -117.868140000161 |
33.755175000426 |
17673 |
Shirzadi, Arshia |
1689786550 |
Physician |
UNKNOWN |
1200 N Main St, Ste 301 |
Santa Ana |
Orange |
92701 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.755175 |
-117.86814 |
| -119.251855838176 |
34.2762568924417 |
17710 |
Dharawat, Amita |
1689856635 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.868140000161 |
33.755175000426 |
17771 |
Kua, Stephanie |
1689979452 |
Physician |
UNKNOWN |
1200 N Main St., Ste. 200 |
Santa Ana |
Orange |
92701 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.755175 |
-117.86814 |
| -124.198708499697 |
41.7727514757001 |
17780 |
Jacot, Dustin |
1699023077 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2018 |
2019 |
6 |
MU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
63750 |
8500 |
41.7727514761 |
-124.1987085 |
| -119.251855838176 |
34.2762568924417 |
17837 |
Bean, Michele |
1699167940 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
17859 |
Fargo, Ramiz |
1699705509 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -124.093018149368 |
40.8966443463596 |
17867 |
Pele, Celine |
1699716548 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
3800 Janes Rd |
Arcata |
Humboldt |
95521 |
California |
2011 |
2012 |
1 |
AIU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
21250 |
21250 |
40.8966443461 |
-124.093018149 |
| -119.196095878422 |
34.2830879547454 |
17962 |
Bajwa, Ravinder |
1699849489 |
Physician |
UNKNOWN |
2391 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
3 |
MU |
OF VENTURA COUNTY |
1538300488 |
38250 |
8500 |
34.2830879548 |
-119.196095878 |
| -119.779455296025 |
34.4448206996157 |
17970 |
Levine, Alice |
1699857979 |
Certified Nurse - Midwife |
UNKNOWN |
345 Camino Del Remedio |
Santa Barbara |
Santa Barbara |
93110 |
California |
2011 |
2012 |
1 |
AIU |
OF SANTA BARBARA COUNTY |
1841357449 |
21250 |
21250 |
34.4448207003 |
-119.779455296 |
| -121.634037000008 |
36.697248000395 |
17983 |
Silva, John |
1699881151 |
Physician |
UNKNOWN |
1441 consitition blvd |
salinas |
Monterey |
93906 |
California |
2016 |
2017 |
3 |
MU |
OF MONTEREY COUNTY |
1740232644 |
38250 |
8500 |
36.697248 |
-121.634037 |
| -119.251855838176 |
34.2762568924417 |
18022 |
Morris, Carolyn |
1699945436 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
3 |
MU |
OF VENTURA COUNTY |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.54629018994 |
34.4203729166768 |
18026 |
sharma, ira |
1699950600 |
Physician |
PSYCHIATRY |
23501 Cinema Dr, suite 200 |
Valencia |
Los Angeles |
91355 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.4203729173 |
-118.54629019 |
| -122.407149450087 |
37.7614542154398 |
18053 |
Averbach, Sarah |
1700012457 |
Physician |
UNKNOWN |
625 Potrero Ave., |
San Francisco |
San Francisco |
94110 |
California |
2015 |
2015 |
1 |
AIU |
OF CALIFORNIA UNIVERSITY |
1407821523 |
21250 |
21250 |
37.7614542151 |
-122.40714945 |
| -118.213123500149 |
33.8960484767558 |
18080 |
ZHANG, JU |
1700064821 |
Physician |
PSYCHIATRY |
921 E Compton Blvd |
Compton |
Los Angeles |
90221 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8960484774 |
-118.2131235 |
| -117.877621047973 |
33.6762981599322 |
18096 |
Kochuveli, Joseph Paul |
1700108297 |
Physician |
UNKNOWN |
3115 Red Hill Ave |
Costa Mesa |
Orange |
92626 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.6762981602 |
-117.877621048 |
| -120.428700592658 |
34.9228766912064 |
18185 |
Lennon, David |
1700863065 |
Physician |
FAMILY PRACTICE |
2115 Centerpointe Pkwy, Santa Barbara County Public Health Clinic |
Santa Maria |
Santa Barbara |
93455 |
California |
2012 |
2013 |
2 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
29750 |
8500 |
34.9228766911 |
-120.428700593 |
| -119.251855838176 |
34.2762568924417 |
18191 |
Pinzone, Joseph |
1700893815 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
18192 |
aryafar, parastoo |
1700896727 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
6 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
63750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
18223 |
Romero, Javier |
1700940897 |
Physician |
GENERAL SURGERY |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.634037000008 |
36.697248000395 |
18226 |
Fischer, Janet |
1700947157 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -117.866853000166 |
33.7811759997726 |
18237 |
Corless, Joe |
1700958105 |
Physician |
UNKNOWN |
455 S. Main St. |
Orange |
Orange |
92868 |
California |
2013 |
2014 |
2 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
29750 |
8500 |
33.781176 |
-117.866853 |
| -120.470578458129 |
34.6423986315916 |
18238 |
Williams, James |
1700964020 |
Physician |
UNKNOWN |
301 N R ST |
LOMPOC |
Santa Barbara |
93436 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.6423986321 |
-120.470578458 |
| -117.888068445203 |
33.8180340357422 |
18239 |
Nguyen, Khang |
1700959343 |
Physician |
UNKNOWN |
2034 E Ball Road |
Anaheim |
Orange |
92806 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.8180340362 |
-117.888068445 |
| -118.287251077575 |
33.7378440285791 |
18257 |
Coffee, Dennis |
1700987021 |
Physician |
PSYCHIATRY |
471 W 7th St |
San Pedro |
Los Angeles |
90731 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.7378440289 |
-118.287251078 |
| -119.251855838176 |
34.2762568924417 |
18346 |
DELGADILLO, MARIA |
1710103445 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
18390 |
CASTANEDA, CATARINA |
1710188198 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
18393 |
Yan, Stephanie Rose |
1710206180 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.959778000155 |
33.9277950000393 |
18421 |
Farah, Diba |
1710271143 |
Physician |
UNKNOWN |
501 S. Idaho Street, Suite 190 |
La Habra |
Orange |
90631 |
California |
2020 |
2020 |
5 |
MU |
OF THE FAMILY FRIENDS |
1871818138 |
55250 |
8500 |
33.927795 |
-117.959778 |
| -117.926562544026 |
33.633120543878 |
18445 |
Coburn, Sara |
1710329503 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2018 |
2019 |
3 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
38250 |
8500 |
33.6331205442 |
-117.926562544 |
| -117.926562544026 |
33.633120543878 |
18450 |
Le, Jasmine |
1710380654 |
Nurse Practitioner |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2020 |
2020 |
4 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
46750 |
8500 |
33.6331205442 |
-117.926562544 |
| -117.195866999562 |
33.9120180000307 |
18457 |
Ortiz Gil, Juan |
1710398342 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -121.633078499873 |
36.6961409997074 |
18495 |
Heiner, Richard |
1710947692 |
Physician |
UNKNOWN |
1441 Constitution Blvd, Natividad Medical Center, Bldg 300 |
Salinas |
Monterey |
93906 |
California |
2018 |
2020 |
4 |
MU |
OF MONTEREY COUNTY |
1740232644 |
46750 |
8500 |
36.696141 |
-121.6330785 |
| -117.154484999583 |
32.8007430002893 |
18496 |
Wilson, O. Douglas |
1710954532 |
Physician |
UNKNOWN |
7910 Frost Street, Suite 350 |
San Diego |
San Diego |
92123 |
California |
2017 |
2018 |
6 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
53833.67 |
8500 |
32.800743 |
-117.154485 |
| -117.195866999562 |
33.9120180000307 |
18503 |
Alexander, Andrew |
1710963400 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -120.412065473942 |
34.9523821363266 |
18529 |
Griffith, Carolyn |
1720009269 |
Physician |
OBSTETRICS/GYNECOLOGY |
116 S. Palisade, #104 |
Santa Maria |
Santa Barbara |
93454 |
California |
2014 |
2015 |
3 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
38250 |
8500 |
34.9523821363 |
-120.412065474 |
| -120.86628300026 |
37.5960419996386 |
18540 |
Whitaker, Anita |
1720041494 |
Nurse Practitioner |
UNKNOWN |
2412 3rd Street |
Hughson |
Stanislaus |
95326 |
California |
2017 |
2018 |
2 |
MU |
OF STANISLAUS COUNTY |
1366648016 |
29750 |
8500 |
37.596042 |
-120.866283 |
| -117.195866999562 |
33.9120180000307 |
18586 |
david, lydia |
1720119605 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -121.031767615983 |
39.2202332261825 |
18622 |
Eubanks, Aubrey |
1720161649 |
Physician |
UNKNOWN |
500 Crown Point Cir Ste 120 |
Grass Valley |
Nevada |
95945 |
California |
2018 |
2019 |
6 |
MU |
OF NEVADA BEHAVIORAL COUNTY |
1982620399 |
63750 |
8500 |
39.2202332264 |
-121.031767616 |
| -119.251855838176 |
34.2762568924417 |
18629 |
Nguyen, Chau |
1720169832 |
Physician |
OTOLARYNGOLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.871375500079 |
33.7493160000334 |
18640 |
Svadjian, Hratch |
1720178254 |
Physician |
UNKNOWN |
405 W 5th St, Ste 590 |
Santa Ana |
Orange |
92701 |
California |
2015 |
2017 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.749316 |
-117.8713755 |
| -119.251855838176 |
34.2762568924417 |
18664 |
DORRIS, SHERYL |
1720205545 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
18678 |
Arana, Jaime |
1720240716 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
34000 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.418158500215 |
38.5725509998288 |
18812 |
SCOTT, KELLY |
1730157454 |
Nurse Practitioner |
UNKNOWN |
77 Cadillac Drive Suite 230, 230 |
Sacramento |
Sacramento |
95825 |
California |
2016 |
2016 |
1 |
AIU |
OB/GYN INC CAPITAL |
1730136680 |
21250 |
21250 |
38.572551 |
-121.4181585 |
| -122.297259006798 |
37.8679922460454 |
18845 |
peters, carol |
1730215963 |
Nurse Practitioner |
UNKNOWN |
830 University Ave |
Berkeley |
Alameda |
94710 |
California |
2016 |
2017 |
4 |
MU |
OF BERKELEY CITY |
1902944796 |
46750 |
8500 |
37.8679922459 |
-122.297259007 |
| -119.251855838176 |
34.2762568924417 |
18861 |
Wong, Bryan |
1730240912 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
18862 |
Niazi, Suhad |
1730243965 |
Physician |
PEDIATRIC MEDICINE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.010123999823 |
34.1372339996494 |
18904 |
Ewing, Nadia |
1730297870 |
Physician |
PEDIATRIC MEDICINE |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2018 |
2019 |
5 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
55250 |
8500 |
34.137234 |
-118.010124 |
| -122.407149450087 |
37.7614542154398 |
18910 |
Seidman, Dominika |
1730318916 |
Physician |
UNKNOWN |
625 Potrero Ave., |
San Francisco |
San Francisco |
94110 |
California |
2016 |
2017 |
2 |
MU |
OF CALIFORNIA UNIVERSITY |
1407821523 |
29750 |
8500 |
37.7614542151 |
-122.40714945 |
| -117.195866999562 |
33.9120180000307 |
18922 |
Abdul sattar, Sabeen |
1730335084 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92509 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
18956 |
Sumiyoshi, Mika |
1730400680 |
Physician |
UNKNOWN |
3291 Loma Vista Rd, Suite 5200 |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
18968 |
Munoz, Michelle |
1730455536 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
18971 |
KAZEMI RAHEEL, SEEMA |
1730467424 |
Physician |
INTERNAL MEDICINE |
3291 LOMA VISTA RD |
VENTURA |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.370376975717 |
34.0930831849411 |
18992 |
Malik, Nazia |
1730501040 |
Dentist |
UNKNOWN |
436 South Riverside Avenue, Suite B |
Rialto |
San Bernardino |
92376 |
California |
2015 |
2015 |
1 |
AIU |
OH J DDS INC KWON |
1235286758 |
21250 |
21250 |
34.0930831851 |
-117.370376976 |
| -117.926562544026 |
33.633120543878 |
18995 |
Horner, Robert |
1730519778 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2015 |
2016 |
2 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
29750 |
8500 |
33.6331205442 |
-117.926562544 |
| -120.428700592658 |
34.9228766912064 |
19020 |
Yadav, Tushar |
1740201904 |
Physician |
FAMILY PRACTICE |
2115 Centerpointe Pkwy |
Santa Maria |
Santa Barbara |
93455 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.9228766911 |
-120.428700593 |
| -117.195866999562 |
33.9120180000307 |
19027 |
LUDI, HECTOR |
1740216068 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.866853000166 |
33.7811759997726 |
19073 |
wong, daphne |
1740291467 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -118.43252999986 |
34.1576244785869 |
19077 |
Niss, Alexander |
1740296136 |
Physician |
PSYCHIATRY |
13739 Riverside Dr Ste B |
Sherman Oaks |
Los Angeles |
91423 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.1576244785 |
-118.43253 |
| -118.010123999823 |
34.1372339996494 |
19085 |
HARNED, THERESA |
1740305630 |
Physician |
PEDIATRIC MEDICINE |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2013 |
2014 |
2 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
29750 |
8500 |
34.137234 |
-118.010124 |
| -118.213123500149 |
33.8960484767558 |
19091 |
Imara, Fatima |
1740318864 |
Physician |
UNKNOWN |
921 E Compton Blvd |
Compton |
Los Angeles |
90221 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8960484774 |
-118.2131235 |
| -122.287486500402 |
37.8042029996687 |
19108 |
Turner, Barbara |
1740342450 |
Nurse Practitioner |
UNKNOWN |
700 Adeline St |
Oakland |
Alameda |
94607 |
California |
2013 |
2014 |
2 |
MU |
OAKLAND HEALTH COUN WEST |
1306967021 |
29750 |
8500 |
37.804203 |
-122.2874865 |
| -119.251855838176 |
34.2762568924417 |
19110 |
Schoeld, Kristi |
1740344852 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -122.242828694688 |
37.7817946444073 |
19113 |
Ascani, German |
1740348309 |
Physician |
PSYCHIATRY |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -118.119953705599 |
33.7753679288869 |
19129 |
Casino, Epifania |
1740372408 |
Physician |
UNKNOWN |
5901 E 7th St, 116A |
Long Beach |
Los Angeles |
90822 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.7753679293 |
-118.119953706 |
| -119.251855838176 |
34.2762568924417 |
19197 |
Murray, Alexis |
1740486166 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
19217 |
Pierre-Louis, Kerby |
1740530518 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
19247 |
nouri, sarvenaz |
1740629211 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -118.299151203665 |
33.829827436587 |
19308 |
Chung, Christopher |
1750352944 |
Physician |
PSYCHIATRY |
21840 Normandie Ave, Ste. 200 |
Torrance |
Los Angeles |
90502 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8298274367 |
-118.299151204 |
| -122.242828694688 |
37.7817946444073 |
19332 |
JONES, PATRICIA |
1750405577 |
Physician |
PSYCHIATRY |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -124.198708499697 |
41.7727514757001 |
19350 |
Wade, Alexander |
1750423513 |
Physician |
PEDIATRIC MEDICINE |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2011 |
2012 |
1 |
AIU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
21250 |
21250 |
41.7727514761 |
-124.1987085 |
| -119.251855838176 |
34.2762568924417 |
19370 |
Blaze, Allison |
1750444766 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.287330703749 |
34.1055752960631 |
19385 |
Usher, Nirma |
1750439402 |
Nurse Practitioner |
UNKNOWN |
351 N Mt View A |
San Bernardino |
San Bernardino |
92415 |
California |
2020 |
2020 |
4 |
MU |
OF SAN BERNARDINO COUNTY |
1578535845 |
46750 |
8500 |
34.1055752957 |
-117.287330704 |
| -118.184609985662 |
34.1044891830294 |
19389 |
Yee, Raymond |
1750462529 |
Physician |
PSYCHIATRY |
5321 Via Marisol |
Los Angeles |
Los Angeles |
90042 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.1044891832 |
-118.184609986 |
| -117.460043999931 |
33.917814000216 |
19453 |
Chang, Matthew |
1750571683 |
Physician |
UNKNOWN |
4095 County Circle Dr |
Riverside |
Riverside |
92503 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.917814 |
-117.460044 |
| -119.251855838176 |
34.2762568924417 |
19460 |
MUELLER, KHRISTINA |
1750584926 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
19471 |
Brown, Emem |
1750589149 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
19496 |
Gonzalez Diaz, Isabel |
1750670410 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
19527 |
Goldie, William |
1760400907 |
Physician |
PEDIATRIC MEDICINE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
19539 |
Sanathara, Visant |
1760417661 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
19621 |
Mory, Rachel |
1760550586 |
Physician |
INTERNAL MEDICINE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.552608000159 |
34.1865965232111 |
19623 |
Zukerman, Lori |
1760563084 |
Physician |
UNKNOWN |
19231 Victory Blvd, suite 110 |
Reseda |
Los Angeles |
91335 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.1865965227 |
-118.552608 |
| -118.242830597554 |
33.9245590162856 |
19626 |
Williams, Kira |
1760565147 |
Physician |
PSYCHIATRY |
1720 E 120th St |
Los Angeles |
Los Angeles |
90059 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.9245590158 |
-118.242830598 |
| -119.780864423055 |
34.4451847074084 |
19665 |
Cardenas, Katherine |
1760610299 |
Nurse Practitioner |
NURSE PRACTITIONER |
300 N San Antonio Rd |
Santa Barbara |
Santa Barbara |
93110 |
California |
2012 |
2013 |
2 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
29750 |
8500 |
34.4451847073 |
-119.780864423 |
| -121.132632683551 |
36.2074110797575 |
19676 |
Viscarra, Antonio |
1760642540 |
Physician |
UNKNOWN |
210 Canal St |
King City |
Monterey |
93930 |
California |
2019 |
2020 |
2 |
MU |
OF VENTURA COUNTY |
1629167457 |
29750 |
8500 |
36.2074110799 |
-121.132632684 |
| -119.251855838176 |
34.2762568924417 |
19677 |
Bertoline, Elisabeth |
1760636252 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1538300488 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.247289903007 |
34.0446504956239 |
19678 |
Garcia, Jamie |
1760638712 |
Physician |
PSYCHIATRY |
529 Maple Ave |
Los Angeles |
Los Angeles |
90013 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.044650496 |
-118.247289903 |
| -117.195866999562 |
33.9120180000307 |
19687 |
Nguyen, Henry |
1760666168 |
Physician |
UNKNOWN |
26520 Cactus ave |
moreno valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.287330703749 |
34.1055752960631 |
19732 |
SANJARI, MARYAM |
1760740427 |
Physician |
UNKNOWN |
351 N Mountain vie Ave., GME Office, CSP 21005 |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
OF SAN BERNARDINO COUNTY |
1578535845 |
21250 |
21250 |
34.1055752957 |
-117.287330704 |
| -119.251855838176 |
34.2762568924417 |
19787 |
LIN, AMY |
1770511081 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.849011657762 |
36.6017043158016 |
19856 |
Jang, Harry |
1770653693 |
Physician |
UNKNOWN |
1150 Fremont Blvd |
Seaside |
Monterey |
93955 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY COUNTY |
1881645158 |
63750 |
8500 |
36.6017043161 |
-121.849011658 |
| -118.293532020986 |
33.8315565468972 |
19858 |
Chung, Bowen |
1770614299 |
Physician |
UNKNOWN |
1000 West Carson Street, Box 498 |
Los Angeles |
Los Angeles |
90509 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8315565466 |
-118.293532021 |
| -118.254645000267 |
34.1478269998162 |
19875 |
yegiazaryan, lilit |
1770668345 |
Physician |
PSYCHIATRY |
138 N Brand Blvd Ste 303 |
Glendale |
Los Angeles |
91203 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.147827 |
-118.254645 |
| -118.450930500342 |
34.0219979996081 |
19903 |
Wolman, Naomi |
1770697567 |
Physician |
PSYCHIATRY |
3301 Ocean Park Blvd, # 203 |
Santa Monica |
Los Angeles |
90405 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.021998 |
-118.4509305 |
| -119.780864423055 |
34.4451847074084 |
19905 |
Foley, Edith |
1770698698 |
Physician |
INTERNAL MEDICINE |
300 N San Antonio Rd, Bldg 1 |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
3 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
38250 |
8500 |
34.4451847073 |
-119.780864423 |
| -119.251855838176 |
34.2762568924417 |
19914 |
Andrade, Alejandro |
1770713190 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -124.198708499697 |
41.7727514757001 |
19984 |
Vos, Amber |
1770841249 |
Nurse Practitioner |
UNKNOWN |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2018 |
2019 |
6 |
MU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
63750 |
8500 |
41.7727514761 |
-124.1987085 |
| -121.801502517327 |
39.7214909999097 |
19985 |
Pennington, Obbie |
1770839664 |
Doctor of Optometry |
UNKNOWN |
2109 Forest Avenue, Suite 50 |
Chico |
Butte |
95928 |
California |
2015 |
2016 |
2 |
MU |
OBBIE G OD PENNINGTON |
1770839664 |
29750 |
8500 |
39.721491 |
-121.801502517 |
| -117.926562544026 |
33.633120543878 |
19986 |
Flores, Teresa |
1770852659 |
Physician |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2020 |
2020 |
6 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
63750 |
8500 |
33.6331205442 |
-117.926562544 |
| -119.251855838176 |
34.2762568924417 |
19990 |
WALLS, ANTHONY |
1770859571 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
20009 |
ILORI, SAMSON |
1770921652 |
Nurse Practitioner |
UNKNOWN |
26520 cactus avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
20071 |
OSHIRO, BRYAN |
1780608489 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
6 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
63750 |
8500 |
33.912018 |
-117.195867 |
| -118.30936211427 |
33.8388242786176 |
20087 |
Chang, Roxanne |
1780623389 |
Physician |
PEDIATRIC MEDICINE |
21081 S Western Ave, Suite 295 |
Torrance |
Los Angeles |
90501 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8388242792 |
-118.309362114 |
| -117.195866999562 |
33.9120180000307 |
20130 |
SUMARLI, IBRAHIM |
1780697979 |
Physician |
UNKNOWN |
26520 cactus |
moreno valley |
Riverside |
92555 |
California |
2020 |
2020 |
6 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
63750 |
8500 |
33.912018 |
-117.195867 |
| -122.707921848415 |
38.4682973146694 |
20146 |
Burns, Megan |
1780737080 |
Physician |
UNKNOWN |
3322 Chanate Rd |
Santa Rosa |
Sonoma |
95404 |
California |
2015 |
2016 |
1 |
AIU |
OF SONOMA COUNTY |
1871647115 |
21250 |
21250 |
38.4682973152 |
-122.707921848 |
| -119.251855838176 |
34.2762568924417 |
20153 |
Lefkowitz, Robert |
1780748111 |
Physician |
OBSTETRICS/GYNECOLOGY |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -124.198708499697 |
41.7727514757001 |
20177 |
Marwah, Gurjit |
1780776328 |
Physician |
UNKNOWN |
550 East Washington Blvd. |
Crescent City |
Del Norte |
95531 |
California |
2018 |
2019 |
3 |
MU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
38250 |
8500 |
41.7727514761 |
-124.1987085 |
| -117.926562544026 |
33.633120543878 |
20250 |
Nikkhah, jila |
1780892083 |
Dentist |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2011 |
2012 |
1 |
AIU |
OUR SELVES CORP SHARE |
1508073685 |
21250 |
21250 |
33.6331205442 |
-117.926562544 |
| -121.012460176196 |
37.6274263704307 |
20270 |
Alberto, Jose |
1780945766 |
Physician |
UNKNOWN |
401 Paradise Rd, Ste E |
Modesto |
Stanislaus |
95351 |
California |
2016 |
2016 |
1 |
AIU |
OF STANISLAUS COUNTY |
1366648016 |
21250 |
21250 |
37.6274263697 |
-121.012460176 |
| -117.195866999562 |
33.9120180000307 |
20325 |
Verma Gandhi, Purnima |
1790070852 |
Physician |
UNKNOWN |
26520 Cactus Ave, Graduate Medical Education |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
20327 |
Cheng, Yi Pin |
1790084861 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
20342 |
Yoshizawa, Anne |
1790120970 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
20343 |
Chan, Tiffany |
1790111607 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2016 |
2018 |
2 |
MU |
OF VENTURA COUNTY |
1538300488 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
20378 |
Lucas, Jesus |
1790703197 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
6 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
63750 |
8500 |
33.912018 |
-117.195867 |
| -120.412065473942 |
34.9523821363266 |
20400 |
Tribbey, Kathryn |
1790742070 |
Nurse Practitioner |
NURSE PRACTITIONER |
116 S Palisade Dr, Suite 104 |
Santa Maria |
Santa Barbara |
93454 |
California |
2014 |
2015 |
4 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
46750 |
8500 |
34.9523821363 |
-120.412065474 |
| -117.195866999562 |
33.9120180000307 |
20422 |
Jackson, Marlene |
1790781417 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -121.634037000008 |
36.697248000395 |
20482 |
Fredell-Gonzalez, Deborah |
1790847150 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1441 Constitution BLVD |
Salinas |
Monterey |
93906 |
California |
2019 |
2020 |
4 |
MU |
OF MONTEREY COUNTY |
1376956268 |
46750 |
8500 |
36.697248 |
-121.634037 |
| -119.780864423055 |
34.4451847074084 |
20497 |
ANTONY, MAYA |
1790865871 |
Physician |
INTERNAL MEDICINE |
300 N San Antonio Rd, Bldg 1 |
Santa Barbara |
Santa Barbara |
93110 |
California |
2014 |
2015 |
2 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
29750 |
8500 |
34.4451847073 |
-119.780864423 |
| -118.164635999852 |
34.0406294756698 |
20500 |
Yee, Hla |
1790865822 |
Physician |
PSYCHIATRY |
4701 E Cesar E Chavez Ave, 2nd floor |
Los Angeles |
Los Angeles |
90022 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.0406294763 |
-118.164636 |
| -117.195866999562 |
33.9120180000307 |
20523 |
Dew, Ann |
1790892669 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -118.010123999823 |
34.1372339996494 |
20537 |
Karras, Nicole |
1790907962 |
Physician |
PEDIATRIC MEDICINE |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2018 |
2019 |
5 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
55250 |
8500 |
34.137234 |
-118.010124 |
| -119.251855838176 |
34.2762568924417 |
20605 |
Donaldson, Jake |
1801026257 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
20627 |
Khan, Tipu |
1801059555 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1538300488 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
20630 |
Breckenridge, Amelia |
1801070883 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
42500 |
8500 |
34.2762568923 |
-119.251855838 |
| -122.407149450087 |
37.7614542154398 |
20668 |
Moughamian, Taleen |
1801179254 |
Nurse Practitioner |
UNKNOWN |
625 Potrero Ave., |
San Francisco |
San Francisco |
94110 |
California |
2016 |
2017 |
3 |
MU |
OF CALIFORNIA UNIVERSITY |
1407821523 |
17000 |
8500 |
37.7614542151 |
-122.40714945 |
| -117.195866999562 |
33.9120180000307 |
20671 |
Buller, Ryan |
1801182308 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
20677 |
Hoang, Julia |
1801202197 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
UNKNOWN |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.287330703749 |
34.1055752960631 |
20696 |
Wade, Andrea |
1801282074 |
Nurse Practitioner |
UNKNOWN |
351 N Mt View Ave, Room 303 |
San Bernardino |
San Bernardino |
92415 |
California |
2020 |
2020 |
4 |
MU |
OF SAN BERNARDINO COUNTY |
1578535845 |
46750 |
8500 |
34.1055752957 |
-117.287330704 |
| -119.251855838176 |
34.2762568924417 |
20701 |
McCowan, Kimberly |
1801282116 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2016 |
2017 |
2 |
MU |
OF VENTURA COUNTY |
1538300488 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.635850500001 |
36.6741900000685 |
20707 |
Jang, Marissa |
1801809249 |
Nurse Practitioner |
UNKNOWN |
559 E Alisal St, Suite 201 |
Salinas |
Monterey |
93905 |
California |
2015 |
2016 |
2 |
MU |
OF MONTEREY DHS COUNTY |
1699726786 |
29750 |
8500 |
36.67419 |
-121.6358505 |
| -117.179723886448 |
33.9101189996921 |
20713 |
Beamer, Yancey |
1801812243 |
Physician |
UNKNOWN |
26250 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.910119 |
-117.179723886 |
| -117.195866999562 |
33.9120180000307 |
20768 |
Hosek, Nancy |
1801892542 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -118.139885999739 |
33.7908509998738 |
20780 |
Dadoyan, Talin |
1801908397 |
Physician |
PSYCHIATRY |
4525 Atherton St. |
Long Beach |
Los Angeles |
90815 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.790851 |
-118.139886 |
| -121.849011657762 |
36.6017043158016 |
20793 |
REILLY-JARAMILLO, MARY |
1801932439 |
Physician |
UNKNOWN |
1150 Fremont Blvd |
Seaside |
Monterey |
93955 |
California |
2019 |
2020 |
5 |
MU |
OF MONTEREY COUNTY |
1881645158 |
55250 |
8500 |
36.6017043161 |
-121.849011658 |
| -124.198708499697 |
41.7727514757001 |
20846 |
Rehwaldt, Warren |
1801989355 |
Physician |
FAMILY PRACTICE |
550 East Washington Blvd. |
Crescent City |
Del Norte |
95531 |
California |
2017 |
2018 |
6 |
MU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
63750 |
8500 |
41.7727514761 |
-124.1987085 |
| -117.696703500266 |
33.6243960003752 |
20854 |
Chu, Terence |
1801991864 |
Physician |
UNKNOWN |
23321 El Toro Rd, Suites F&G |
Lake Forest |
Orange |
92630 |
California |
2012 |
2013 |
1 |
AIU |
ORANGE CO PEDIATRICS SO |
1881643021 |
14167 |
14167 |
33.624396 |
-117.6967035 |
| -117.926562544026 |
33.633120543878 |
20865 |
THOMPSON-DOBKIN, JULIE |
1811007727 |
Physician |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2016 |
2017 |
1 |
AIU |
OUR SELVES CORP SHARE |
1508073685 |
21250 |
21250 |
33.6331205442 |
-117.926562544 |
| -120.471767112762 |
37.2919364673941 |
20870 |
Sahota, Anupinder |
1811009608 |
Physician |
UNKNOWN |
480 E 13th St |
Merced |
Merced |
95341 |
California |
2016 |
2017 |
1 |
AIU |
of Mental Health Department |
1780705376 |
21250 |
21250 |
37.2919364668 |
-120.471767113 |
| -122.707921848415 |
38.4682973146694 |
20889 |
Rothberg, Jill |
1811044407 |
Physician |
UNKNOWN |
3322 Chanate Rd |
Santa Rosa |
Sonoma |
95404 |
California |
2015 |
2016 |
1 |
AIU |
OF SONOMA COUNTY |
1871647115 |
21250 |
21250 |
38.4682973152 |
-122.707921848 |
| -119.251855838176 |
34.2762568924417 |
20897 |
Leibovitch, Eric |
1811051246 |
Physician |
INTERNAL MEDICINE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
20898 |
Hook, Renee |
1811051386 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.867477936358 |
33.7790861138332 |
20911 |
Kwong, Owen |
1811065089 |
Dentist |
UNKNOWN |
530 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2018 |
1 |
AIU |
Owen Kwong |
1811065089 |
21250 |
21250 |
33.7790861144 |
-117.867477936 |
| -124.086124204668 |
40.8698001399645 |
20919 |
Hoyt, Lisa |
1811081524 |
Nurse Practitioner |
NURSE PRACTITIONER |
770 10th Street |
Arcata |
Humboldt |
95521 |
California |
2016 |
2017 |
6 |
MU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
63750 |
8500 |
40.8698001396 |
-124.086124205 |
| -118.475532272396 |
34.0064417229073 |
20938 |
Tumu, Phani |
1811104805 |
Physician |
PSYCHIATRY |
2633 Lincoln Blvd # 150 |
Santa Monica |
Los Angeles |
90405 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.0064417231 |
-118.475532272 |
| -119.251855838176 |
34.2762568924417 |
20946 |
Rudolph, Andrea |
1811109986 |
Nurse Practitioner |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1538300488 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
20957 |
Watabe, Minako |
1811149131 |
Physician |
OBSTETRICS/GYNECOLOGY |
3291 Loma vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
21014 |
Sheahan, Teresa |
1811292030 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.635850500001 |
36.6741900000685 |
21063 |
Limbach, Charles |
1811917305 |
Physician |
UNKNOWN |
559 E Alisal St, Suite 201 |
Salinas |
Monterey |
93905 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY DHS COUNTY |
1699726786 |
63750 |
8500 |
36.67419 |
-121.6358505 |
| -121.632291000429 |
36.6962850000527 |
21101 |
DICKEY, TERRI |
1811970783 |
Nurse Practitioner |
UNKNOWN |
1441 Constitution Blvd., Bldg 151 |
salinas |
Monterey |
93906 |
California |
2019 |
2020 |
4 |
MU |
OF MONTEREY COUNTY |
1043262959 |
46750 |
8500 |
36.696285 |
-121.632291 |
| -121.609747099349 |
36.7006965353169 |
21149 |
Moreno, Cecilia |
1821043654 |
Physician |
UNKNOWN |
441 Constitution Blvd, bldg 400 SUITE 300 |
SALINAS |
Monterey |
93906 |
California |
2018 |
2019 |
4 |
MU |
OF MONTEREY COUNTY |
1881645158 |
46750 |
8500 |
36.7006965347 |
-121.609747099 |
| -122.287486500402 |
37.8042029996687 |
21192 |
Bhavnani, Chandra |
1821118191 |
Physician |
OBSTETRICS/GYNECOLOGY |
700 Adeline St |
Oakland |
Alameda |
94607 |
California |
2013 |
2014 |
2 |
MU |
OAKLAND HEALTH COUN WEST |
1306967021 |
29750 |
8500 |
37.804203 |
-122.2874865 |
| -118.189907999754 |
33.7932810004179 |
21220 |
Lachica, Luzminda |
1821163973 |
Physician |
PSYCHIATRY |
1975 Long Beach Blvd |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.793281 |
-118.189908 |
| -124.086124204668 |
40.8698001399645 |
21238 |
Weiss, Ellen |
1821184979 |
Physician |
FAMILY PRACTICE |
770 10th Street |
Arcata |
Humboldt |
95521 |
California |
2016 |
2017 |
6 |
MU |
OPEN DOOR CLIN HUMBOLDT |
1255435533 |
63750 |
8500 |
40.8698001396 |
-124.086124205 |
| -124.198708499697 |
41.7727514757001 |
21239 |
Thomas, Laurie |
1821186180 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
PHYSICIAN ASSISTANT |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2011 |
2012 |
1 |
AIU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
21250 |
21250 |
41.7727514761 |
-124.1987085 |
| -118.213123500149 |
33.8960484767558 |
21245 |
Savalia, Harsukh |
1821204900 |
Physician |
PSYCHIATRY |
921 E Compton Blvd |
Compton |
Los Angeles |
90221 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8960484774 |
-118.2131235 |
| -117.195866999562 |
33.9120180000307 |
21264 |
Kyi, Sandar |
1821258922 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
6 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
63750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
21265 |
Kroening, Emily |
1821251570 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.394261999592 |
33.8708879999813 |
21290 |
Edelman, Barry |
1821299306 |
Physician |
PSYCHIATRY |
2200 Pacific Coast Hwy Ste 304A |
Hermosa Beach |
Los Angeles |
90254 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.870888 |
-118.394262 |
| -117.195866999562 |
33.9120180000307 |
21302 |
Bortz, Pascal |
1821330796 |
Physician |
UNKNOWN |
26520 Cactuse Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
21313 |
Wang, Yuxuan |
1821351099 |
Physician |
UNKNOWN |
26520 Cactus Ave, General Surgery Residency Program |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -121.850557149893 |
39.7536993916137 |
21356 |
Wang, Dora |
1831110071 |
Physician |
UNKNOWN |
109 Parmac Rd |
Chico |
Butte |
95926 |
California |
2016 |
2017 |
1 |
AIU |
of Behavioral Health Dept |
1386704393 |
21250 |
21250 |
39.7536993924 |
-121.85055715 |
| -118.508537129785 |
34.4121520969418 |
21434 |
STEWART, STEPHANIE |
1831228394 |
Physician |
PSYCHIATRY |
26460 Summit Cir |
Santa Clarita |
Los Angeles |
91350 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.4121520969 |
-118.50853713 |
| -121.446589500105 |
38.5497450003315 |
21470 |
Rauen, Katherine |
1831267228 |
Physician |
UNKNOWN |
2825 50th Street, Room, UC Davis MIND Institute |
Sacramento |
Sacramento |
95817 |
California |
2019 |
2020 |
5 |
MU |
OF THE UNIVERSITY REGENTS |
1831182856 |
55250 |
8500 |
38.549745 |
-121.4465895 |
| -117.195866999562 |
33.9120180000307 |
21526 |
Jack, Sharon |
1831348663 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
21564 |
Quinones, Esterlita |
1831407600 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
21605 |
Thomas, Sarah |
1831532407 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -122.242828694688 |
37.7817946444073 |
21637 |
Opsvig, Paul |
1841212669 |
Physician |
PSYCHIATRY |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -119.780864423055 |
34.4451847074084 |
21638 |
Hasler, Peter |
1841210523 |
Physician |
UNKNOWN |
300 N San Antonio Rd, Bldg 1 |
Santa Barbara |
Santa Barbara |
93110 |
California |
2013 |
2014 |
2 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
29750 |
8500 |
34.4451847073 |
-119.780864423 |
| -121.102682976038 |
38.9395720879815 |
21643 |
Gow, Ian |
1841218724 |
Nurse Practitioner |
PHYSICIAN ASSISTANT |
11583 C Avenue |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -117.154484999583 |
32.8007430002893 |
21647 |
Pickering, Bretten |
1841223344 |
Physician |
UNKNOWN |
7910 Frost St., Suite 350 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
5 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
45333.34 |
8500 |
32.800743 |
-117.154485 |
| -121.418158500215 |
38.5725509998288 |
21671 |
Bob, Bruce |
1841267234 |
Physician |
OBSTETRICS/GYNECOLOGY |
77 Cadillac Dr, Suite 230 |
Sacramento |
Sacramento |
95825 |
California |
2011 |
2012 |
1 |
AIU |
OB/GYN INC CAPITAL |
1730136680 |
21250 |
21250 |
38.572551 |
-121.4181585 |
| -117.195866999562 |
33.9120180000307 |
21696 |
Jalali, farangis |
1841312972 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
21727 |
Cho, Theresa |
1841353893 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
21728 |
Solinas, Lisa |
1841354990 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.169780855802 |
34.0126821797389 |
21735 |
Tufail, Kalsoom |
1841361037 |
Physician |
UNKNOWN |
1500 S McDonnell Ave |
Commerce |
Los Angeles |
90040 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.0126821802 |
-118.169780856 |
| -122.707921848415 |
38.4682973146694 |
21738 |
quinn, brian |
1841368230 |
Nurse Practitioner |
UNKNOWN |
3322 Chanate Rd |
Santa Rosa |
Sonoma |
95404 |
California |
2015 |
2016 |
1 |
AIU |
OF SONOMA COUNTY |
1871647115 |
21250 |
21250 |
38.4682973152 |
-122.707921848 |
| -122.242828694688 |
37.7817946444073 |
21767 |
Felisky, Catherine |
1841408291 |
Physician |
UNKNOWN |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -122.017646291043 |
36.9915277342176 |
21786 |
Lipson, John |
1841442761 |
Physician |
UNKNOWN |
1080 Emeline Avenue |
Santa Cruz |
Santa Cruz |
95060 |
California |
2018 |
2019 |
5 |
MU |
OF SNTA CRUZ COUNTY |
1770709149 |
55250 |
8500 |
36.9915277341 |
-122.017646291 |
| -117.195866999562 |
33.9120180000307 |
21798 |
Lowe, Ian |
1841469483 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
21822 |
Khan, Mahbuba |
1841524824 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -122.287486500402 |
37.8042029996687 |
21838 |
portnoy, pamela |
1841562733 |
Nurse Practitioner |
UNKNOWN |
700 Adeline Street |
Oakland |
Alameda |
94706 |
California |
2012 |
2013 |
1 |
AIU |
OAKLAND HEALTH COUN WEST |
1306967021 |
21250 |
21250 |
37.804203 |
-122.2874865 |
| -117.195866999562 |
33.9120180000307 |
21867 |
Mai, Stephanie |
1841610862 |
Physician |
UNKNOWN |
26520 cactus avenue |
moreno valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -118.124725083896 |
34.7041236937535 |
21875 |
Hagerty, Jennifer |
1841624046 |
Nurse Practitioner |
UNKNOWN |
335 East Avenue I |
Lancaster |
Los Angeles |
93535 |
California |
2018 |
2019 |
3 |
MU |
OF LOS ANGELES COUNTY |
1003929829 |
38250 |
8500 |
34.704123694 |
-118.124725084 |
| -119.251855838176 |
34.2762568924417 |
21892 |
Monroe, Ross |
1841673860 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2020 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1538300488 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
21957 |
Pakala, Shilpa |
1851412696 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.959778000155 |
33.9277950000393 |
21978 |
Bhatt, Manisha |
1851449706 |
Physician |
UNKNOWN |
501 S IDAHO STREET SUITE 190 |
LA HABRA |
Orange |
90631 |
California |
2020 |
2020 |
6 |
MU |
OF THE FAMILY FRIENDS |
1871818138 |
63750 |
8500 |
33.927795 |
-117.959778 |
| -118.010123999823 |
34.1372339996494 |
22018 |
Uyeno, Lori |
1851515845 |
Physician |
GENERAL SURGERY |
1333 S. MAYFLOWER AVE., 2ND FLOOR |
MONROVIA |
UNKNOWN |
91016 |
California |
2012 |
2013 |
1 |
AIU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
21250 |
21250 |
34.137234 |
-118.010124 |
| -119.251855838176 |
34.2762568924417 |
22023 |
Pearl, Mish |
1851521207 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2015 |
2017 |
2 |
MU |
OF VENTURA COUNTY |
1538300488 |
29750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
22040 |
Nathaniel, Brandon |
1851550834 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -122.242828694688 |
37.7817946444073 |
22062 |
Lozano, Nia |
1851590996 |
Physician |
PSYCHIATRY |
2000 Embarcadero, Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -117.195866999562 |
33.9120180000307 |
22087 |
BLOCK, LINDSEY |
1851645642 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -118.119953705599 |
33.7753679288869 |
22105 |
Nisenbaum, David |
1851659767 |
Physician |
UNKNOWN |
5901 E 7th St |
Long Beach |
Los Angeles |
90822 |
California |
2016 |
2017 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.7753679293 |
-118.119953706 |
| -121.102682976038 |
38.9395720879815 |
22143 |
Leeds, Holly |
1861413387 |
Physician |
UNKNOWN |
11583 C Avenue |
Auburn |
Placer |
95603 |
California |
2014 |
2015 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -119.251855838176 |
34.2762568924417 |
22145 |
Benson, Emily |
1861411753 |
Physician |
ORTHOPEDIC SURGERY |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.634037000008 |
36.697248000395 |
22150 |
Magana, Dolores |
1861416984 |
Nurse Practitioner |
UNKNOWN |
1441 Constitution Blvd, Bldg. 200, Suite 105 |
Salinas |
Monterey |
93906 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY COUNTY |
1740232644 |
63750 |
8500 |
36.697248 |
-121.634037 |
| -119.51709129113 |
34.3969346712981 |
22151 |
Cahn, Carolyn |
1861418600 |
Nurse Practitioner |
UNKNOWN |
931 Walnut Ave |
Carpinteria |
Santa Barbara |
93013 |
California |
2013 |
2014 |
3 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
38250 |
8500 |
34.3969346711 |
-119.517091291 |
| -118.488581964086 |
34.1570634401257 |
22160 |
GERSON, INES |
1861427429 |
Physician |
PSYCHIATRY |
16311 Ventura Blvd Ste 1120 |
Encino |
Los Angeles |
91436 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.1570634399 |
-118.488581964 |
| -117.195866999562 |
33.9120180000307 |
22179 |
Firek, Anthony |
1861462640 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
22237 |
Dickstein, Sheryl |
1861555781 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.027248050957 |
36.069529491393 |
22250 |
Kim, Owen |
1861574352 |
Physician |
RADIATION ONCOLOGY |
465 W Putnam Ave |
Porterville |
Tulare |
93257 |
California |
2014 |
2014 |
1 |
AIU |
OWEN C MD KIM |
1861574352 |
21250 |
21250 |
36.0695294906 |
-119.027248051 |
| -117.195866999562 |
33.9120180000307 |
22301 |
Pandey, Neha |
1861643066 |
Physician |
UNKNOWN |
26520 CACTUS AVE |
MORENO VALLEY |
Riverside |
92555 |
California |
2020 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -121.634037000008 |
36.697248000395 |
22309 |
Liamidi, Michelle |
1861661258 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2019 |
2020 |
5 |
MU |
OF MONTEREY COUNTY |
1740232644 |
55250 |
8500 |
36.697248 |
-121.634037 |
| -117.926562544026 |
33.633120543878 |
22312 |
YAP, ANGEL |
1861668048 |
Physician |
UNKNOWN |
1550 Superior Avenue |
Costa Mesa |
Orange |
92627 |
California |
2018 |
2019 |
5 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
55250 |
8500 |
33.6331205442 |
-117.926562544 |
| -117.926562544026 |
33.633120543878 |
22368 |
Huang, Tammy |
1861831414 |
Dentist |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2016 |
2017 |
1 |
AIU |
OUR SELVES CORP SHARE |
1508073685 |
21250 |
21250 |
33.6331205442 |
-117.926562544 |
| -122.185767442014 |
37.7586442774115 |
22377 |
Wilson, Monica |
1861868275 |
Nurse Practitioner |
UNKNOWN |
7450 International Blvd |
Oakland |
Alameda |
94621 |
California |
2016 |
2018 |
1 |
AIU |
OAKLAND HEALTH COUN WEST |
1306967021 |
21250 |
21250 |
37.7586442767 |
-122.185767442 |
| -117.154484999583 |
32.8007430002893 |
22420 |
Liu, Yi Hiu |
1871536532 |
Physician |
UNKNOWN |
7910 Frost St., Suite 360 |
San Diego |
San Diego |
92123 |
California |
2019 |
2020 |
4 |
MU |
OF THE UNIV CA REGENTS |
1013035716 |
39666.67 |
8500 |
32.800743 |
-117.154485 |
| -117.352773353707 |
34.071932436233 |
22433 |
Knutzen, Gregory |
1871554170 |
Nurse Practitioner |
NURSE PRACTITIONER |
400 N Pepper Ave |
Colton |
San Bernardino |
92324 |
California |
2013 |
2013 |
1 |
AIU |
ONCOLOGY MED WILSHIRE |
1629098447 |
21250 |
21250 |
34.0719324362 |
-117.352773354 |
| -122.287486500402 |
37.8042029996687 |
22458 |
Matsumura, Kenneth |
1871610832 |
Physician |
UNKNOWN |
700 Adeline St |
Oakland |
Alameda |
94607 |
California |
2013 |
2014 |
1 |
AIU |
OAKLAND HEALTH COUN WEST |
1306967021 |
21250 |
21250 |
37.804203 |
-122.2874865 |
| -117.866853000166 |
33.7811759997726 |
22469 |
Dupont-Tyler, Patty |
1871627422 |
Nurse Practitioner |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2013 |
2013 |
2 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
29750 |
8500 |
33.781176 |
-117.866853 |
| -121.635850500001 |
36.6741900000685 |
22500 |
Lyon, Sara |
1871663005 |
Physician |
UNKNOWN |
559 E Alisal St, Suite 201 |
Salinas |
Monterey |
93905 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY DHS COUNTY |
1699726786 |
63750 |
8500 |
36.67419 |
-121.6358505 |
| -117.195866999562 |
33.9120180000307 |
22538 |
Yu, Minho |
1871700278 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -118.213123500149 |
33.8960484767558 |
22565 |
Murray, Kathryn |
1871742395 |
Physician |
PSYCHIATRY |
921 E Compton Blvd Fl 1 |
Compton |
Los Angeles |
90221 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.8960484774 |
-118.2131235 |
| -122.297259006798 |
37.8679922460454 |
22582 |
birch, lena |
1871780551 |
Nurse Practitioner |
UNKNOWN |
830 University Ave |
Berkeley |
Alameda |
94710 |
California |
2011 |
2012 |
1 |
AIU |
OF BERKELEY CITY |
1902944796 |
21250 |
21250 |
37.8679922459 |
-122.297259007 |
| -118.247289903007 |
34.0446504956239 |
22610 |
Hoffman, Thomas |
1871757922 |
Physician |
PSYCHIATRY |
529 Maple Ave, Downtown Mental Health Center |
Los Angeles |
Los Angeles |
90013 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.044650496 |
-118.247289903 |
| -122.017646291043 |
36.9915277342176 |
22626 |
Henderson, Catherine |
1871888743 |
Nurse Practitioner |
UNKNOWN |
1080 Emeline |
Santa Cruz |
Santa Cruz |
95060 |
California |
2020 |
2020 |
5 |
MU |
OF SANTA CRUZ DBA COUNTY |
1578680310 |
55250 |
8500 |
36.9915277341 |
-122.017646291 |
| -119.251855838176 |
34.2762568924417 |
22631 |
Lee, Samuel |
1871892133 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
22666 |
Bhojak, Pooja |
1881000438 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
22700 |
ANDERSON, ANNETTE |
1881607166 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
6 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
63750 |
8500 |
33.912018 |
-117.195867 |
| -121.635850500001 |
36.6741900000685 |
22707 |
Barroga-Schlegel, Mariedel |
1881613545 |
Physician |
FAMILY PRACTICE |
559 E Alisal St, Suite 201 |
Salinas |
Monterey |
93905 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY DHS COUNTY |
1699726786 |
63750 |
8500 |
36.67419 |
-121.6358505 |
| -118.448680570152 |
34.1598454371173 |
22750 |
Fraser, Clifford |
1881687531 |
Physician |
PSYCHIATRY |
4910 Van Nuys Blvd, Suite #108 |
Sherman Oaks |
Los Angeles |
91403 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.1598454366 |
-118.44868057 |
| -117.926562544026 |
33.633120543878 |
22768 |
Hollander, Teresa |
1881726685 |
Physician |
UNKNOWN |
1550 Superior Ave. |
Costa Mesa |
Orange |
92627 |
California |
2018 |
2019 |
5 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
55250 |
8500 |
33.6331205442 |
-117.926562544 |
| -117.275753681587 |
34.1358507775914 |
22801 |
SHAHMOHAMADY, BABAC |
1881774479 |
Physician |
OBSTETRICS/GYNECOLOGY |
401 E Highland Ave Ste 450 |
San Bernardino |
San Bernardino |
92404 |
California |
2012 |
2013 |
1 |
AIU |
OB/GYN ASSOC INLAND |
1467402149 |
21250 |
21250 |
34.1358507779 |
-117.275753682 |
| -124.141090919211 |
40.7859195138745 |
22892 |
Naas, Stephanie |
1891001897 |
Nurse Practitioner |
NURSE PRACTITIONER |
2412 Buhne Street |
Eureka |
Humboldt |
95501 |
California |
2012 |
2013 |
2 |
MU |
OPEN DOOR CLIN HUMBOLDT |
1669569109 |
29750 |
8500 |
40.785919514 |
-124.141090919 |
| -117.287330703749 |
34.1055752960631 |
23003 |
Strong, Susan |
1891767026 |
Nurse Practitioner |
UNKNOWN |
351 N. Mt. View Ave. |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
OF SAN BERNARDINO COUNTY |
1578535845 |
21250 |
21250 |
34.1055752957 |
-117.287330704 |
| -117.195866999562 |
33.9120180000307 |
23008 |
Pandit, Ivy |
1891796165 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -122.270854617447 |
37.868920257364 |
23027 |
Crutchfield, Lila |
1891824462 |
Nurse Practitioner |
UNKNOWN |
1980 Allston Way Bldg H Rm 105 |
Berkeley |
Alameda |
94704 |
California |
2014 |
2015 |
3 |
MU |
OF BERKELEY CITY |
1902944796 |
38250 |
8500 |
37.8689202573 |
-122.270854617 |
| -118.189907999754 |
33.7932810004179 |
23068 |
LODRIGUITO, IDA |
1891872073 |
Physician |
PSYCHIATRY |
1975 Long Beach Blvd |
Long Beach |
Los Angeles |
90806 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.793281 |
-118.189908 |
| -117.287330703749 |
34.1055752960631 |
23070 |
Rauscher, Beverly |
1891880811 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
351 N Mt. View ave |
San Bernardino |
San Bernardino |
92415 |
California |
2020 |
2020 |
3 |
MU |
OF SAN BERNARDINO COUNTY |
1578535845 |
38250 |
8500 |
34.1055752957 |
-117.287330704 |
| -117.696703500266 |
33.6243960003752 |
23084 |
Brown, Regina |
1891892204 |
Physician |
UNKNOWN |
23321 El Toro Rd, Suites F&G |
Lake Forest |
Orange |
92630 |
California |
2012 |
2013 |
1 |
AIU |
ORANGE CO PEDIATRICS SO |
1881643021 |
14167 |
14167 |
33.624396 |
-117.6967035 |
| -121.418158500215 |
38.5725509998288 |
23126 |
Curkendall, Jay |
1891991477 |
Physician |
OBSTETRICS/GYNECOLOGY |
77 Cadillac Drive Suite 230 |
Sacramento |
Sacramento |
95825 |
California |
2011 |
2012 |
1 |
AIU |
OB/GYN INC CAPITAL |
1730136680 |
21250 |
21250 |
38.572551 |
-121.4181585 |
| -119.251855838176 |
34.2762568924417 |
23142 |
Mallare, Lily |
1902002488 |
Physician |
OBSTETRICS/GYNECOLOGY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2015 |
2017 |
3 |
MU |
OF VENTURA COUNTY |
1629167457 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -122.242828694688 |
37.7817946444073 |
23156 |
SHEFAYEE, SAID |
1902027873 |
Physician |
PSYCHIATRY |
2000 Embarcadero Suite 101 |
Oakland |
Alameda |
94606 |
California |
2013 |
2014 |
1 |
AIU |
of Alameda County |
1659402303 |
21250 |
21250 |
37.7817946437 |
-122.242828695 |
| -119.251855838176 |
34.2762568924417 |
23179 |
LADINE, NATALIE |
1902069511 |
Physician |
INTERNAL MEDICINE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2016 |
2017 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.611314998888 |
33.6378976535539 |
23186 |
taitz, orly |
1902095813 |
Dentist |
UNKNOWN |
29839 Santa Margarita Pkwy #100 |
Rancho Santa Margarita |
Orange |
92688 |
California |
2020 |
2020 |
4 |
MU |
ORLY TAITZ |
1902095813 |
46750 |
8500 |
33.6378976542 |
-117.611314999 |
| -118.064022794616 |
33.9242043569456 |
23268 |
Jayaratna, Mahinda |
1902836190 |
Physician |
PSYCHIATRY |
11401 South Bloomfield Avenue |
Norwalk |
Los Angeles |
90650 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.9242043574 |
-118.064022795 |
| -121.632291000429 |
36.6962850000527 |
23274 |
Owyang, Douglas |
1902847841 |
Physician |
FAMILY PRACTICE |
1441 Constitution Blvd, Bldg. 151, Suite 16 |
Salinas |
Monterey |
93906 |
California |
2012 |
2013 |
2 |
MU |
OF MONTEREY COUNTY |
1043262959 |
29750 |
8500 |
36.696285 |
-121.632291 |
| -117.877621047973 |
33.6762981599322 |
23284 |
Inglis, Andrew |
1902860778 |
Physician |
UNKNOWN |
3115 Red Hill Ave |
Costa Mesa |
Orange |
92626 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.6762981602 |
-117.877621048 |
| -118.441443531394 |
34.059425292943 |
23408 |
Kambam, Praveen |
1912034141 |
Physician |
UNKNOWN |
10850 Wilshire Blvd Ste 850 |
Los Angeles |
Los Angeles |
90024 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.0594252925 |
-118.441443531 |
| -117.863524137129 |
33.8712556599208 |
23409 |
calleros, steven |
1912040585 |
Physician |
UNKNOWN |
377 E Chapman Ave |
Placentia |
Orange |
92870 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.8712556604 |
-117.863524137 |
| -117.866853000166 |
33.7811759997726 |
23411 |
Noorani, Shirin |
1912039686 |
Physician |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2016 |
2017 |
5 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
55250 |
8500 |
33.781176 |
-117.866853 |
| -121.102682976038 |
38.9395720879815 |
23426 |
Ralik, Elena |
1912062811 |
Physician |
INTERNAL MEDICINE |
11583 C Ave |
Auburn |
Placer |
95603 |
California |
2011 |
2012 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -117.195866999562 |
33.9120180000307 |
23460 |
Vercio, Chad |
1912116856 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -119.251855838176 |
34.2762568924417 |
23473 |
Greger, Stephanie |
1912138132 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.634037000008 |
36.697248000395 |
23479 |
Soskin, David |
1912154907 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -121.031767615983 |
39.2202332261825 |
23515 |
Nolan, Kimberly |
1912233198 |
Nurse Practitioner |
UNKNOWN |
500 Crown Point Cir Ste 110 |
Grass Valley |
Nevada |
95945 |
California |
2020 |
2020 |
5 |
MU |
OF NEVADA COUNTY |
1700959863 |
55250 |
8500 |
39.2202332264 |
-121.031767616 |
| -117.926562544026 |
33.633120543878 |
23542 |
Tsai, Hesper |
1912315680 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2015 |
2016 |
1 |
AIU |
OUR SELVES CORP SHARE |
1508073685 |
21250 |
21250 |
33.6331205442 |
-117.926562544 |
| -118.446097070623 |
34.0646537273877 |
23589 |
Mathern, Gary |
1912922097 |
Physician |
UNKNOWN |
300 Medical Plz, B200 |
Los Angeles |
UNKNOWN |
90095 |
California |
2014 |
2015 |
1 |
MU |
OF UNIVERS OF CA REGENTS |
1538125844 |
21250 |
21250 |
34.0646537269 |
-118.446097071 |
| -119.811455088182 |
34.4351673336056 |
23606 |
Bradley, James |
1912990219 |
Physician |
OBSTETRICS/GYNECOLOGY |
5370 Hollister Ave, Suite B |
Santa Barbara |
Santa Barbara |
93111 |
California |
2012 |
2013 |
2 |
MU |
OF SANTA BARBARA COUNTY |
1841357449 |
29750 |
8500 |
34.4351673345 |
-119.811455088 |
| -119.251855838176 |
34.2762568924417 |
23620 |
Larks, Milcah |
1922010081 |
Physician |
INTERNAL MEDICINE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -120.817488374289 |
38.3643844249013 |
23626 |
Hartmann, Robert |
1922019017 |
Physician |
INTERNAL MEDICINE |
10877 Conductor Blvd, Ste 400 |
Sutter Creek |
Amador |
95685 |
California |
2013 |
2013 |
1 |
AIU |
OF AMADOR COUNTY |
1659474815 |
21250 |
21250 |
38.3643844247 |
-120.817488374 |
| -122.185767442014 |
37.7586442774115 |
23686 |
HALEY, ELEANOR |
1922108448 |
Dentist |
UNKNOWN |
7450 International Blvd |
Oakland |
Alameda |
94621 |
California |
2016 |
2018 |
1 |
AIU |
OAKLAND HEALTH COUN WEST |
1306967021 |
21250 |
21250 |
37.7586442767 |
-122.185767442 |
| -119.251855838176 |
34.2762568924417 |
23728 |
Garcia, Sonya |
1922162445 |
Physician |
PEDIATRIC MEDICINE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
23731 |
SMITH, MARK |
1922165620 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.338883710315 |
34.0060370468723 |
23750 |
Sigman, Melvin |
1922186394 |
Physician |
UNKNOWN |
3751 Stocker St |
Los Angeles |
Los Angeles |
90008 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.0060370469 |
-118.33888371 |
| -117.195866999562 |
33.9120180000307 |
23822 |
Esparza, Eric |
1922318781 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
23838 |
Bacho, Edward |
1922362581 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.74971072427 |
34.0431270872454 |
23866 |
EMENIKE, CHRISTINE |
1922432640 |
Nurse Practitioner |
UNKNOWN |
1555 S Garey Ave |
Pomona |
Los Angeles |
91766 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
34.0431270874 |
-117.749710724 |
| -119.251855838176 |
34.2762568924417 |
23869 |
GIBBONS, JOANNA |
1922444009 |
Physician |
UNKNOWN |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
3 |
MU |
OF VENTURA COUNTY |
1538300488 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.926562544026 |
33.633120543878 |
23872 |
Dayal, Riti |
1922447937 |
Physician |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2018 |
2019 |
3 |
MU |
OUR SELVES CORP SHARE |
1508073685 |
17000 |
8500 |
33.6331205442 |
-117.926562544 |
| -121.635850500001 |
36.6741900000685 |
23887 |
Moreno, Pedro |
1932113503 |
Physician |
FAMILY PRACTICE |
559 E Alisal St, Suite 201 |
Salinas |
Monterey |
93905 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY DHS COUNTY |
1699726786 |
63750 |
8500 |
36.67419 |
-121.6358505 |
| -117.076676996146 |
33.1255051586362 |
23912 |
CERRONE, ELIZABETH |
1932147329 |
Physician |
OBSTETRICS/GYNECOLOGY |
488 E Valley Pkwy, SUITE 308 |
Escondido |
San Diego |
92025 |
California |
2011 |
2012 |
1 |
AIU |
OB-GYN MED GRP ESCONDIDO |
1679512024 |
21250 |
21250 |
33.1255051588 |
-117.076676996 |
| -118.010123999823 |
34.1372339996494 |
23926 |
Baltayian, Sarkis |
1932165776 |
Physician |
ANESTHESIOLOGY |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2012 |
2013 |
1 |
AIU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
21250 |
21250 |
34.137234 |
-118.010124 |
| -117.917818704669 |
33.8350821528192 |
23939 |
Luong, My |
1932207172 |
Physician |
UNKNOWN |
303 W Lincoln Ave, Ste. 130 |
Anaheim |
UNKNOWN |
92686 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.8350821535 |
-117.917818705 |
| -119.752062820643 |
36.7359517275902 |
23945 |
Amin, Mayurkumar |
1932218690 |
Physician |
UNKNOWN |
4441 E Kings Canyon Rd |
Fresno |
Fresno |
93702 |
California |
2016 |
2018 |
1 |
AIU |
of Mental Health Department |
1780705376 |
21250 |
21250 |
36.735951728 |
-119.752062821 |
| -121.619564999925 |
36.7010549996886 |
23949 |
Fernandez, Gerard |
1932233608 |
Physician |
UNKNOWN |
1615 Bunker Hill Way, Suite 100 |
Salinas |
Monterey |
93906 |
California |
2019 |
2020 |
5 |
MU |
OF MONTEREY COUNTY |
1881645158 |
55250 |
8500 |
36.701055 |
-121.619565 |
| -119.251855838176 |
34.2762568924417 |
24028 |
Gareys, Lyudmyla |
1932340502 |
Physician |
FAMILY PRACTICE |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -119.251855838176 |
34.2762568924417 |
24038 |
Jacobs, Jessica |
1932359940 |
Physicians Assistant practicing in FQHC or RHC led by a PA |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2019 |
2020 |
3 |
MU |
OF VENTURA COUNTY |
1538300488 |
38250 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
24113 |
Richardson, Roslyn |
1932524501 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -121.031767615983 |
39.2202332261825 |
24188 |
Marzano, Joseph |
1942259718 |
Physician |
UNKNOWN |
500 Crown Point Circle Ste 120 |
Grass Valley |
Nevada |
95945 |
California |
2018 |
2019 |
6 |
MU |
OF NEVADA BEHAVIORAL COUNTY |
1982620399 |
63750 |
8500 |
39.2202332264 |
-121.031767616 |
| -121.619564999925 |
36.7010549996886 |
24217 |
Hanson, Virginia |
1942311998 |
Physician |
UNKNOWN |
1615 Bunker Hill Way, Suite 100 |
Salinas |
Monterey |
93906 |
California |
2017 |
2018 |
2 |
MU |
OF MONTEREY COUNTY |
1881645158 |
29750 |
8500 |
36.701055 |
-121.619565 |
| -117.195866999562 |
33.9120180000307 |
24221 |
Rosario, Debbie Ann |
1942331509 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
24279 |
Depew, Aron |
1942413976 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -121.849011657762 |
36.6017043158016 |
24297 |
Helali, Amir |
1942462320 |
Physician |
UNKNOWN |
1150 Fremont Blvd. |
Seaside |
Monterey |
93955 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY COUNTY |
1881645158 |
42500 |
8500 |
36.6017043161 |
-121.849011658 |
| -121.634037000008 |
36.697248000395 |
24302 |
Laborde Lahoz, Pilar |
1942463930 |
Physician |
UNKNOWN |
1441 Constitution Blvd |
Salinas |
Monterey |
93906 |
California |
2016 |
2017 |
1 |
AIU |
OF MONTEREY COUNTY |
1467584805 |
21250 |
21250 |
36.697248 |
-121.634037 |
| -124.198708499697 |
41.7727514757001 |
24336 |
Kumar, Anil |
1942528666 |
Dentist |
UNKNOWN |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2015 |
2016 |
1 |
AIU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
21250 |
21250 |
41.7727514761 |
-124.1987085 |
| -119.251855838176 |
34.2762568924417 |
24450 |
HERMAN, JAMES |
1952396491 |
Physician |
NEUROSURGERY |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.959778000155 |
33.9277950000393 |
24459 |
Arman, Kambiz |
1952411316 |
Physician |
OBSTETRICS/GYNECOLOGY |
501 S Idaho St, Suite 100 |
LA Habra |
Orange |
90631 |
California |
2020 |
2020 |
5 |
MU |
OF THE FAMILY FRIENDS |
1871818138 |
55250 |
8500 |
33.927795 |
-117.959778 |
| -119.251855838176 |
34.2762568924417 |
24465 |
Lee, Jungku |
1952425712 |
Physician |
PSYCHIATRY |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -118.085665500363 |
34.581393000087 |
24475 |
Nabieva, Guiouzel |
1952438053 |
Physician |
UNKNOWN |
2323 A East Palmdale Blvd |
Palmdale |
Los Angeles |
93550 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.581393 |
-118.0856655 |
| -119.251855838176 |
34.2762568924417 |
24563 |
gupta, deepti |
1952554917 |
Physician |
UNKNOWN |
3291 Loma Vista Road |
Ventura |
Ventura |
93003 |
California |
2015 |
2016 |
1 |
AIU |
OF VENTURA COUNTY |
1538300488 |
21250 |
21250 |
34.2762568923 |
-119.251855838 |
| -124.198708499697 |
41.7727514757001 |
24589 |
Dembinski, Karolina |
1952599078 |
Physician |
UNKNOWN |
550 East Washington Blvd. |
Crescent City |
Del Norte |
95531 |
California |
2018 |
2019 |
2 |
MU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
8500 |
8500 |
41.7727514761 |
-124.1987085 |
| -117.959778000155 |
33.9277950000393 |
24591 |
Lin, Tina |
1952609257 |
Physician |
UNKNOWN |
501 S Idaho St, |
La habra |
Orange |
90631 |
California |
2020 |
2020 |
4 |
MU |
OF THE FAMILY FRIENDS |
1871818138 |
46750 |
8500 |
33.927795 |
-117.959778 |
| -122.407149450087 |
37.7614542154398 |
24601 |
Ti, Angeline |
1952657074 |
Physician |
UNKNOWN |
625 Potrero Avenue |
San Francisco |
San Francisco |
94110 |
California |
2016 |
2016 |
1 |
AIU |
OF CALIFORNIA UNIVERSITY |
1407821523 |
21250 |
21250 |
37.7614542151 |
-122.40714945 |
| -117.195866999562 |
33.9120180000307 |
24610 |
Ree, Michael |
1952692287 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -121.632291000429 |
36.6962850000527 |
24643 |
Pascual, Stephanie |
1962406645 |
Physician |
UNKNOWN |
1441 Constitution Blvd Bldg 151 |
Salinas |
Monterey |
93906 |
California |
2019 |
2020 |
5 |
MU |
OF MONTEREY COUNTY |
1881645158 |
55250 |
8500 |
36.696285 |
-121.632291 |
| -121.635850500001 |
36.6741900000685 |
24660 |
Ventura, Alicia |
1962425124 |
Physician |
FAMILY PRACTICE |
559 E Alisal St, Suite 201 |
Salinas |
Monterey |
93905 |
California |
2019 |
2020 |
6 |
MU |
OF MONTEREY DHS COUNTY |
1699726786 |
63750 |
8500 |
36.67419 |
-121.6358505 |
| -117.866853000166 |
33.7811759997726 |
24723 |
Lara, Olivia |
1962520999 |
Nurse Practitioner |
UNKNOWN |
455 S Main St |
Orange |
Orange |
92868 |
California |
2014 |
2015 |
3 |
MU |
ORANGE CLINIC CHOC |
1427121375 |
38250 |
8500 |
33.781176 |
-117.866853 |
| -122.279261085131 |
37.8539231701183 |
24731 |
Herring, Bernard |
1962529917 |
Physician |
INTERNAL MEDICINE |
2960 Sacramento St |
Berkeley |
Alameda |
94702 |
California |
2012 |
2013 |
1 |
AIU |
OAKLAND HEALTH COUN WEST |
1306967021 |
21250 |
21250 |
37.8539231704 |
-122.279261085 |
| -121.632291000429 |
36.6962850000527 |
24749 |
Marcus, Eduardo |
1962564708 |
Physician |
UNKNOWN |
1441 Constitution Blvd Bldg 151, # 202 |
Salinas |
Monterey |
93906 |
California |
2019 |
2020 |
5 |
MU |
OF MONTEREY COUNTY |
1043262959 |
55250 |
8500 |
36.696285 |
-121.632291 |
| -117.195866999562 |
33.9120180000307 |
24793 |
Alfaro Felix, Katia |
1962637215 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
24843 |
McGaughy, Renee |
1962750984 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -118.280834826666 |
33.7378414178472 |
24941 |
Mendoza, Ricardo |
1972549194 |
Physician |
PSYCHIATRY |
150 West Seventh Street, c/o San Pedro Mental Health Center |
San Pedro |
Los Angeles |
90731 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.737841418 |
-118.280834827 |
| -119.251855838176 |
34.2762568924417 |
24979 |
Edwards, Katherine |
1972635498 |
Physician |
OBSTETRICS/GYNECOLOGY |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
5 |
MU |
OF VENTURA COUNTY |
1629167457 |
55250 |
8500 |
34.2762568923 |
-119.251855838 |
| -118.43748018856 |
34.0404355863333 |
24993 |
Roach, Janine |
1972644227 |
Physician |
PSYCHIATRY |
11080 W Olympic Blvd, 4th Floor |
Los Angeles |
Los Angeles |
90064 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.0404355856 |
-118.437480189 |
| -117.195866999562 |
33.9120180000307 |
25009 |
KAISER, CAMERON |
1972671196 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
4 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
46750 |
8500 |
33.912018 |
-117.195867 |
| -118.163074078906 |
33.9342665538584 |
25019 |
Rodriguez, Elias |
1972684744 |
Physician |
PSYCHIATRY |
7285 Quill Dr |
Downey |
Los Angeles |
90242 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
33.9342665537 |
-118.163074079 |
| -118.502305069024 |
34.2628948805943 |
25056 |
Smith-White, Katherine |
1972725257 |
Physician |
PSYCHIATRY |
10605 Balboa Blvd, Suite 100 |
Granada Hills |
Los Angeles |
91344 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.2628948812 |
-118.502305069 |
| -118.022872138039 |
34.1511094101712 |
25070 |
Garg, Sunita |
1972756062 |
Physician |
PSYCHIATRY |
301 E Foothill Blvd |
Arcadia |
Los Angeles |
91006 |
California |
2013 |
2014 |
1 |
AIU |
OF LOS ANGELES DEPARTMENT COUNTY |
1699703827 |
21250 |
21250 |
34.1511094097 |
-118.022872138 |
| -121.418158500215 |
38.5725509998288 |
25089 |
Watters, Laura |
1972814671 |
Physician |
UNKNOWN |
77 Cadillac Dr Ste 230 |
Sacramento |
Sacramento |
95825 |
California |
2016 |
2016 |
1 |
AIU |
OB/GYN INC CAPITAL |
1730136680 |
21250 |
21250 |
38.572551 |
-121.4181585 |
| -117.195866999562 |
33.9120180000307 |
25110 |
Chiang, Kevin |
1972866523 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2017 |
2018 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
25169 |
Allen, Shannon |
1982089173 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
25180 |
Huynh, Loan |
1982614483 |
Dentist |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2015 |
2016 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.926562544026 |
33.633120543878 |
25212 |
Vu, Duc |
1982660452 |
Dentist |
UNKNOWN |
1550 Superior Ave |
Costa Mesa |
Orange |
92627 |
California |
2014 |
2015 |
1 |
AIU |
OUR SELVES CORP SHARE |
1508073685 |
21250 |
21250 |
33.6331205442 |
-117.926562544 |
| -117.195866999562 |
33.9120180000307 |
25247 |
Tran, Vinh-Ninh |
1982710174 |
Nurse Practitioner |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2018 |
2019 |
3 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
38250 |
8500 |
33.912018 |
-117.195867 |
| -117.195866999562 |
33.9120180000307 |
25283 |
Herford, Alan |
1982755419 |
Physician |
UNKNOWN |
26520 Cactus Avenue |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.912018 |
-117.195867 |
| -118.010123999823 |
34.1372339996494 |
25285 |
ARMENIAN, SARO |
1982753521 |
Physician |
HEMATOLOGY/ONCOLOGY |
1333 S. Mayflower Avenue, 2nd Floor |
Monrovia |
Los Angeles |
91016 |
California |
2017 |
2018 |
6 |
MU |
OF HOPE MEDICAL FNDTN CITY |
1871886366 |
53833.34 |
8500 |
34.137234 |
-118.010124 |
| -119.251855838176 |
34.2762568924417 |
25296 |
Krishnankutty, Rekha |
1982768396 |
Physician |
PEDIATRIC MEDICINE |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2017 |
2018 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -121.102682976038 |
38.9395720879815 |
25331 |
FULLER, JAMES |
1982805909 |
Physician |
UNKNOWN |
11583 C Avenue |
Auburn |
Placer |
95765 |
California |
2014 |
2015 |
1 |
AIU |
OF PLACER COUNTY |
1144313024 |
21250 |
21250 |
38.939572088 |
-121.102682976 |
| -119.800377524303 |
36.8843745979094 |
25348 |
Patel, Minesh |
1982830840 |
Physician |
UNKNOWN |
9300 Valley Childrens Pl |
Madera |
Madera |
93636 |
California |
2019 |
2020 |
4 |
MU |
OF VENTURA COUNTY |
1629167457 |
46750 |
8500 |
36.8843745978 |
-119.800377524 |
| -117.195866999562 |
33.9120180000307 |
25439 |
Washburn, Destry |
1992021463 |
Physician |
UNKNOWN |
26520 Cactus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
5 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
55250 |
8500 |
33.912018 |
-117.195867 |
| -117.179723886448 |
33.9101189996921 |
25464 |
McCarty, Matthew |
1992095434 |
Physician |
UNKNOWN |
26250 Catus Ave |
Moreno Valley |
Riverside |
92555 |
California |
2020 |
2020 |
2 |
MU |
OF RIVERSIDE COUNTY |
1821159195 |
29750 |
8500 |
33.910119 |
-117.179723886 |
| -124.198708499697 |
41.7727514757001 |
25474 |
Pham, Chau |
1992143713 |
Dentist |
UNKNOWN |
550 E Washington Blvd |
Crescent City |
Del Norte |
95531 |
California |
2014 |
2015 |
1 |
AIU |
OPEN DOOR CLN HUMBOLDT |
1497840656 |
21250 |
21250 |
41.7727514761 |
-124.1987085 |
| -122.707921848415 |
38.4682973146694 |
25585 |
Iversen, Lenore |
1992834436 |
Physician |
UNKNOWN |
3322 Chanate Rd |
Santa Rosa |
Sonoma |
95404 |
California |
2015 |
2016 |
1 |
AIU |
OF SONOMA COUNTY |
1871647115 |
21250 |
21250 |
38.4682973152 |
-122.707921848 |
| -122.238282975179 |
38.1026505569777 |
25609 |
Lee, Janie |
1992867584 |
Physician |
UNKNOWN |
365 Tuolumne St |
Vallejo |
Solano |
94590 |
California |
2011 |
2012 |
1 |
AIU |
OF SOLANO COUNTY |
1730310236 |
21250 |
21250 |
38.1026505569 |
-122.238282975 |
| -119.251855838176 |
34.2762568924417 |
25614 |
Slater, Evan |
1992869044 |
Physician |
MEDICAL ONCOLOGY |
3291 Loma Vista Rd |
Ventura |
Ventura |
93003 |
California |
2018 |
2019 |
6 |
MU |
OF VENTURA COUNTY |
1629167457 |
63750 |
8500 |
34.2762568923 |
-119.251855838 |
| -117.195866999562 |
33.9120180000307 |
25631 |
Weigold, Scott |
1992895056 |
Physician |
UNKNOWN |
26520 Cactus Ave |
moreno valley |
Riverside |
92555 |
California |
2016 |
2017 |
1 |
AIU |
OF RIVERSIDE COUNTY |
1821159195 |
21250 |
21250 |
33.912018 |
-117.195867 |
| -117.871375500079 |
33.7493160000334 |
25650 |
Crits, George |
1992922926 |
Physician |
UNKNOWN |
405 W 5th St |
Santa Ana |
Orange |
92701 |
California |
2015 |
2016 |
1 |
AIU |
OF ORANGE COUNTY |
1104963347 |
21250 |
21250 |
33.749316 |
-117.8713755 |
| -117.287330703749 |
34.1055752960631 |
25652 |
Nyberg, Lorna |
1992925721 |
Nurse Practitioner |
UNKNOWN |
351 N Mt View Ave |
San Bernardino |
San Bernardino |
92415 |
California |
2016 |
2017 |
1 |
AIU |
OF SAN BERNARDINO COUNTY |
1578535845 |
21250 |
21250 |
34.1055752957 |
-117.287330704 |